Opioids: In defense of the pain pills – Washington Times – By Cheryl K. Chumley – The Washington Times – August 11, 2017
If you’ve never experienced chronic pain, or been around someone with a pain that just won’t end, it’s easy to dismiss opioids as evil and to make grand calls for their prescription restriction, or even outright bans.
But walk through any hospital’s critical care ward — spend some time with someone whose body has suffered a shock and awe that can’t be imagined — and it’s not to easy to simply say, hey, take an aspirin.
Hey, mind over matter. Continue reading
Will Strict Limits on Opioid Prescription Duration Prevent Addiction? Advocating for Evidence-Based Policymaking – Mallika L. Mundkur , MD, MPH, Adam J. Gordon , MD, MPH & Stefan G. Kertesz , MD, MSc – June 20, 2017
In 2016, the Centers for Disease Control and Prevention (CDC) issued the first national guideline in the United States regarding opioid prescribing for pain.
The guideline included the recommendation that patients treated for acute pain should receive opioids for no longer than 7 days, prompting at least five states to implement laws requiring prescribers not to exceed this threshold when providing initial opioid supplies.
The rapid conversion of this guideline into policy appears to reflect an underlying assumption that limiting initial opioid supplies will reduce opioid consumption, and thus addiction. Continue reading
Strict limits on opioid prescribing risks ‘inhumane treatment’ of pain patients – By @StefanKertesz – Feb 2017
Lately I’ve been seeing dire warnings on Twitter:
- Its important to have some sense before we make CDC suggestions enforceable, punitive, and not patient centric. https://t.co/G512mieHAf
- No trials have tested impact of involuntary, nonexpertly-managed Opioid discontinuations. Risk of harm is high https://t.co/G512mieHAf
- The road to hell is paved with good intentions. Making CDC #opioid guideline mandatory is ill-advised https://t.co/G512mieHAf
- Let’s hit pause before @CMSGov makes @CDCgov #opioid Guideline mandatory https://t.co/G512mieHAf
Stefan Kertesz, MD, is one of our most powerful advocates because he is an addiction specialist who speaks up for the right of both pain patients and addicts to receive treatment that is scientifically valid and individualized to the patient. Continue reading
EDS: a herditary, frequent, and disabling disease – victim of iatrogenia due to widespread ignorance Editorial by Mr. Claude Hamonet, E-mail: firstname.lastname@example.org – Ehlers-Danlos clinics, Hotel-Dieu de Paris, 1 place du Parvis Notre-Dame, 75181 Paris, Cedex 04, France
Our experience of the EDS (Hamonet, 2012) disease is based on a cohort of 2300 cases (children and adults with 80% female cases), collected between 1988 and 2015.
They are treated with new and original therapies (Hamonet, 2015) such as oxygen therapy, proprioceptive orthesis including specific compressive garments (Hamonet, 2014). Continue reading
A Clinical Ethics Approach to Opioid Treatment of Chronic Noncancer Pain, AMA Journal of Ethics. June 2015,
A critique of Ballantyne JC, Fleisher LA. Ethical issues in opioid prescribing for chronic pain. Pain. 2010;148(3):365-367. by Mitchell J. Cohen, MD, and William C. Jangro, DO
We are writing both to respond to Ballantyne and Fleisher’s 2010 article on the ethics of opioid prescribing  and to join the authors in calling for continued progress in rational, ethical, and practical decision making surrounding the use of opioids in the treatment of patients with noncancer chronic pain.
Given the current state of knowledge regarding long-term opioid treatment, we suggest that dilemmas associated with this treatment are best approached using patient-centered clinical ethics. Continue reading
The Feds Are About to Stick It to Pain Patients in a Big Way – VICE by Maia Szalawitz
“We need to cut the supply of pain, not the supply of drugs”
Before she turned 18, Anne*, a nurse, had endured at least five major surgeries, all without the use of post-op medication stronger than ibuprofen. As a child in Birmingham, Alabama, she had been diagnosed with cerebral palsy, but eventually learned that she actually has primary generalized dystonia, a genetic disorder that causes frequent painful muscle spasms and rigidity. By 19, she says, she had tried pretty much every treatment available, including a spinal implant that made matters worse.
Then she was given a prescription opioid. Continue reading
Strict limits on opioid prescribing risks ‘inhumane treatment’ of pain patients
By Stephan G. Kertesz and Adam J. Gordon – Feb 24, 2017
Here is another article from Dr. Kertesz, pointing out how the CDC Guidelines are NOT VALD as STANDARDS for pain treatment. He and Dr. Gordon both practice Addiction Medicine, so this article shows that the problems with the CDC guideline are visible to unbiased addiction specialists.
Amid a rising toll of opioid overdoses, recommendations discouraging their use to treat pain seem to make sense. Yet the devil is in the details: how recommendations play out in real life can harm the very patients they purport to protect.
A new proposal from the Centers for Medicare and Medicaid Services to enforce hard limits on opioid dosing is a dangerous case in point.
Women and people of color with chronic pain suffer because of white male heroin users–here’s why – 06 Jun 2016 at 16:00 ET – By Lorraine Berry
What is an “addict?”
The term “addict” has been divorced from its definition, and it is clear that the media uses the term addiction — to refer to many ways of consuming a product or a indulging a habit — without a clear understanding of what the word implies.
Addiction, as defined by the American Society of Addiction Medicine:
“Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Continue reading
Couples’ Physical Health Becomes More Alike Over Time : Shots – Health News : NPR – May 22, 2016 by Lindsay Peterson
This is another sad situation arising from a person’s chronic pain: the people around them are burdened as well, emotionally by having to watch suffering and physically by having to help out.
Researchers are learning that as we age in relationships, we change biologically to become more like our partners than we were in the beginning.
Mejia and her colleagues have found striking similarities between partners who have spent decades together, especially in Continue reading
Op-ed: To solve opioid crisis, we first must address people’s pain | The Salt Lake Tribune – Aug 27 2016 – By Lynn R. Webster
According to Journey Healing Centers, an astonishing 97 percent of Utahns admitted using diverted prescription drugs without a doctor’s permission.
“This behavior shows a lack of knowledge if not downright naiveté about how dangerous it is to fool around with potent medications that can addict and kill,” says their web site.
In fact, national data has shown a significant drop in opioids prescribed in 2012, 2013 and 2014 while the number of overdose deaths has continued to increase. Most of the increased deaths are due to heroin, or heroin laced with extremely lethal opioids like fentanyl.
Yet more restrictive measures are still being placed on opioids being prescribed for pain. Rx opioids are down, overdoses are up, but our government continues its policies aimed at the wrong culprit. Continue reading