Comments on: How To Fix The Prescription Drug Problem Medical Tragicomedy Sun, 13 Jul 2014 17:26:14 +0000 hourly 1 By: Jake Sun, 13 Jul 2014 17:26:14 +0000 Hmmm.. A great deal of judgment going on. To the “ER doc”above who commented that his mom got through surgery without opiates and he lives with the pain of scoliosis, all I can say is “wow, you must be an expert on the pain I and others experience..”. All I can say to you is that you and your mom haven’t experienced pain that requires opiates. You’ll know it when you do, and I’m not mean enough to wish it on you, because I live with it every day. If we learned nothing from Prohibition, keep on making rules and regs that keep pain meds out of the hands of the truly deserving patients and watch as druggies will continue to abuse them. It is shameful that a doctor would basically tell people to “buck up” when they have no idea what kind of pain people are experiencing…I know you see your share of abuse, but, there are as many people that need these meds that cannot get them, or enough of them.

By: LEB Sat, 26 Apr 2014 05:14:30 +0000 We don’t need yet more government regulation of our practice. We need to prescribe that which we feel is reasonable and safe for the patient. If the patient is not happy with our management, they are perfectly free to seek the services of someone else whose philosophy is more to their liking.

We certainly don’t need “Boards” and “authorities” telling what to do or how to manage our patients. I use my judgement as to what is right and reasonable for a particular patient under the particular circumstances presented. If I can’t help the patient or meet the patient’s goals using my level of expertise then I refer the patient to someone with more expertise in that area of medicine. I have a perfectly functioning brain and I am very capable of using it. I don’t need an outside “authority” telling me how to treat the patients who seek my services. When I don’t know something, I will be the first one to tell the patient as much and arrange for that person to see someone else with more expertise than I.

By: Jadoski Wed, 12 Mar 2014 00:45:46 +0000 They might be knee substantial or leg high shoes or boots as well which might be laced up the entry to make them as tight as they can. It is bisacally a right line from the knee as a result of the foot. Once a issue of only fetish trend, they’ve currently fully in progress their cross into core runway plus celeb vogue. Alexander McQueen included the 10 inch taller Armadillo shoe in their Spring/Summer 2010 design shoe. Products, Abbey Lee Kershaw, Natasha Poly along with Sasha Pivovarova quit this show throughout protest but it was a enormous controversy. Of course this merely spawned a brand new generation regarding dare devils when Kesha and Beyonce was wearing them.

By: Sarah Westin Tue, 14 Jan 2014 19:47:24 +0000 Hi!

My name is Sarah. I have a couple of friends who have been struggling with oxycodone. It’s ruining their relationship and poisoning their financial situation. I don’t think either of them ever had a prescription; they just got hooked via repetitive recreational usage.

Anyways, I’ve been working on an article about recognizing the signs of prescription drug abuse and was wondering if you’d be interested in publishing it. Let me know what you think. Hope to hear from you soon!

By: Natasha Sat, 14 Dec 2013 20:17:18 +0000 Thread.

By: Natasha Sat, 14 Dec 2013 18:05:15 +0000 I am an Opiate addict, not by choice, but because of listening to my Doctor & not educating myself! I grew up being told, “Listen to your doctor.” And, “Doctors orders!” So when I was first prescribed narcotic medication I truly had no idea that this medicine would destroy my life! I don’t blame my Doctor though! I blame myself and the makers of Oxycontin! Look back at when this drug was introduced on the market, they advertised in every doctors office, magazine, hospital, they even had a poster in my gym! “Oxycontin will change your life!” Well… Yes it did! I think the cure would be to have cost effective Suboxone Therapy, or better yet how about the cure being used in many other countries: Ibogaine! No way! A cure! Big Pharm would’t allow a CURE! Too big of a business i. the Good Ole USA! I wouldn’t wish opiate addiction on my worst enemy!
Wish I could afford treatment to get off this roller coaster! Soon I think I’ll just check out of my life! Thanks Big Pharm!
To everyone treating addicts so horribly, do you REALLY think someone would choose ti be an addict? Everyone should be treated with compassion, even the Crack smoking Heroin addict living on the streets!
I’m sure many of you are good Christian folk? Would Jesus treat someone so humanly? Or are you better than him?

By: jaded ER nurse Sun, 08 Dec 2013 22:26:43 +0000 Absolutely!!!! Very well written doctor! I to have worked in a community where some of the facilities have enlisted case management and created a way of identifying patients who abuse the ER drug seeking. These patients are approached by the case managers and informed that the ER will not write them for anymore narcotics that it is their responsibility to follow up with their managing physicians to do that. They sign a contract and then when they preset to the ER, any of the ER’s in that same system, they are not written for narcotics. Obviously depending on the complaint the MD will treat it appropriately but if they have chronic pain issues they will not get a prescription. It’s amazing what addicts will do to themselves to get medications and if you’ve been in the ER for even a minute you become a little jaded! I like your mother even having kidney stones have refused narcotics and have asked for Toradol. I was written up because I wouldn’t give IV narcotics to a frequent flyer who came in with the same complaint because she didn’t have a ride at the bedside. We don’t have a policy for administering IV narcotics to stable patients. I informed the MD that the patient didn’t have a ride and asked for a non-narcotic intervention for this stable frequent flyer until her ride arrived. I’ve been told that we are in the “people pleasing business” and the majority of the patients that leave the ER are given a prescription for a narcotic! It’s ridiculous! Hospitals are into the money making and we don’t have enough respect for patients to do the right thing and instruct them to take Tylenol and motrin for pain. It’s disgusting!

By: jaded ER nurse Sun, 08 Dec 2013 22:15:01 +0000 WOW an ER doctor who isn’t a people pleaser….. can you do some talks and speak with some of your peers because it is getting out of control!!!! Both my sisters are addicts and it’s disigusting!!!!! I have heard on more than one occasion an ER doctor say “we’re in the people pleasing business.” After they have looked the patient up and saw that they have had many prescriptions written for narcotics by several different physicians! When we made pain the 5th vital sign we went wrong. I can assure you I am alllll about treating some pain!!!! I have had many kidney stones requiring interventions with internal and external tubes. I have refused IV narcotics and asked for Toradol, I do not like all the side effects of the narcotics. I get pain! I’ve had 3 C-sections so I get the need for narcotics needed for a short period of time! Seriously patients need to take some personal responsibility and change their lifestyles….. exercise, lose weight! Seriously do some PT get off the couch and stretch ect!!!!! I realize this isn’t all patients but the things patients present to the ER with and expect to be given narcotics is RIDICULOUS and just like you stated concerning. We are creating a society of addicts and when the patients with real conditions come in we are so jaded at times we cannot see it and treat them as the jaded professionals we have become!

By: Erika Wed, 16 Oct 2013 18:34:55 +0000 Whenever a new function, law, or regulation (in any study or topic) is implemented, the body responsible for creation of the new procedure heavily weighs the pros and cons of what they are trying to fix. There may be 90 people they are trying to target and successfully do so, thus fixing the problem. Then, there may be the other 10 people who are negatively affected and complain about it.

So ask yourselves, would you in the United States, want 16 year olds able to purchase alcohol as they could in a few other countries? All of those under 18 are going to lean on ‘yes’ and all those over 21 are going to lean on ‘no’ and any law enforcement or medical professional is going to lean on ‘absolutely not.’ So there may be 90 teens that would be negatively affected if they could purchase this substance, and 10 that are mature enough to handle it.

This is not about alcohol abuse, but the above statement does clarify a point. Some people would complain about it and suggest they NEED these substances, but there is just too many people who are simply addicts or sell it on the street to think about. The greater good would be preventing this, and reviewing continued use cases heavily to prove there is or is not a benefit for long term prescription.

By: bluenotesBb Tue, 15 Oct 2013 17:50:00 +0000 As someone who works in the addiction field, I also know and see every day the effects prescription drugs have on people, the number one cause? Doctors. Over and under treatment of pain. Oh, and more diversion comes from hospitals (not patients) and pharmacies than anywhere else.
Sadly, the ER docs are the ones getting the bad raps on this.

Here is a scenario; and a true story from a patient I once treated in my rehab…all names changed ofcourse…

Rex was a flower delivery driver by day, made regular stops at the local small community not for profit hospital. Rex was also drug dealer and addict. He also got to know a couple of nurses who also developed drug habits and or money problems(addiction knows no bounds) . These nurses would either skimp on what they gave their patients or found ways to divert narcotic meds and sold them to Rex who would in turn, sell and or take them himself. Ofcourse in time, everyone involved were eventually caught. These things can’t go on forever……many meds were put out into the community through this avenue, and others like it.
Rex eventually kicked his habit pretty well unfortunately he died of lung cancer some time later.

Can’t always blame the PC doc, and the undertreatreatment of pain will do nothing but send people straight to heroin. That happens everyday, more often than one would like to admit.

And still, We have no solution.

On a somewhat related note, I’m a healthy 40 something with no history of headaches…. who suddenly started developing headaches, after having a 3 day whopper my PC doc told me to go to ER. ER doc looked at me with complete shock when I refused narcotics…..they made my headaches worse. I wondered why he looked shocked, now I know. No one refuses these days…..I guess.