Opioid crisis

mukk_in

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devin553344

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Sobering news. Who's to blame? Here, my doc told me to lay off even some prescription drugs that were considered opioid. Don't all doctors do that?

https://www.washingtonpost.com/inve...7f0e60391e9_story.html?utm_term=.728673cdde1d

I had a surgery and the doctor must have used a dirty scalpel because it got infected and I was put on pain killers for over a year. I became addicted to them and only after 3 years was I able to get off of them. It was a terrible experience. But I needed the pain killers for the first year.

They are working hard on non-addictive prescription level pain killers. When they succeed this will all be behind us. They came close with soboxone, but it is still slightly addictive and has withdrawals that are terrible. There are other less addictive alternatives also that are fairly effective at relieving pain. I had a foot surgery not long ago and was given one of the less addictive pills. No problem stopping it at all :)

Here's a link to their success and break thru in the non-addictive pain killers:Opioid crisis breakthrough: Non-addictive painkiller found effective
 
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bèlla

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I can only speak for morphine, but I can attest my ER exercised caution before administering it and tried other solutions first. For high levels of pain, you don’t feel the full effect of the drug. Just the reduction of your discomfort.

I was on it for several days and was given two pain killers upon release. Including morphine. But when the pain began to subside I felt the full effect of the drug; it was awful. The minor lessening allowed me to feel its force and it was overwhelming. I never took it again. My doctor provided something different due to the addictive properties of each.
 
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mnphysicist

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In part, physician rankings which included pain control governed reimbursement... so if the docs pay is tied to making patients comfortable, then that's what they are going to do, even if it might be a bit on the high side of things. Today, that system is no longer the case...

A surgeon friend has a saying... inquire about pain control prior to any non-emergency surgery. If they say ibuprofen, tell them you need to seek care somewhere else. Folks really do need pain control early on, as movement is often key to recovery... but the psycho-social-altmed world sees dollar signs and hopes to capture some of it with their non-evidence based woo. Opioids have an important role in medical care, even though reimbursement systems and corporate gamesmanship led to over prescribing for a period of time.

The good news with a greying population, is that those folks are going to make a big stink when today's shiney rocks, essential oils, calming music and speech, light therapy, and other woo fail to provide adequate pain control.
 
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GodLovesCats

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Sarah G

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We have started having this issue here in the Netherlands too. As @mnphysicist mentioned, ranking and rating is an issue. If people experience a lot of pain after a simple surgery (tonsillectomy for example) they will leave the hospital a poor review online. So, the hospital prescribes painkillers more suited to palliative care. General Practitioners are also vulnerable as patients will switch doctor if they don't feel satisfied (and they won't be satisfied with chronic pain). It's terrifying from an addiction point of view but also I would be so worried that there wouldn't be much left to try by palliative care stage if I had already started on the strong stuff for lumbago age 40 or something.
 
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GodLovesCats

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Sarah, it does not even require permanently switching doctors to get more pills. I read people go to other doctors to get prescirptions, knowing they can't get more from the same doctor. I call it "doctor hopping."
 
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joshua 1 9

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Who's to blame?
The FDA is to blame. It it their job to regulate drugs and the drug companies. Pharmacists and Doctors are going to be held accountable also for fueling this epidemic. Re 18:23 says: " the nations were deceived by your sorcery.” The Greek word for "sorcery" is: pharmakeia, this is the Greek word that we get the word pharmacy from. God does give us herbs for healing but that is different from the witchcraft and sorcery that we read about in the Bible: rev 21 "7 The one who is victorious will inherit all things, and I will be his God, and he will be My son. 8 But to the cowardly and unbelieving and abominable and murderers and sexually immoral and sorcerers and idolaters and all liars, their place will be in the lake that burns with fire and sulfur. This is the second death.”
 
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joshua 1 9

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We have started having this issue here in the Netherlands too. As @mnphysicist mentioned, ranking and rating is an issue. If people experience a lot of pain after a simple surgery (tonsillectomy for example) they will leave the hospital a poor review online. So, the hospital prescribes painkillers more suited to palliative care. General Practitioners are also vulnerable as patients will switch doctor if they don't feel satisfied (and they won't be satisfied with chronic pain). It's terrifying from an addiction point of view but also I would be so worried that there wouldn't be much left to try by palliative care stage if I had already started on the strong stuff for lumbago age 40 or something.
My father served our community as a doctor for over 50 years. Back then they would NEVER prescribe opioid the way they do now. To avoid a day or two of pain people spend the rest of their life in misery. Or even worse they leave their drugs lay around for their kids to get into. Often people will get a prescription filled just in case and they will never end up using it themselves. Even our fire chief here warns people about leaving that stuff lay around the house for their kids to get into it. With all the abuse and neglect they have had to deal with a lot of death. As the Bible says: The wages of sin is death.
 
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Arcangl86

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The FDA is to blame. It it their job to regulate drugs and the drug companies. Pharmacists and Doctors are going to be held accountable also for fueling this epidemic. Re 18:23 says: " the nations were deceived by your sorcery.” The Greek word for "sorcery" is: pharmakeia, this is the Greek word that we get the word pharmacy from. God does give us herbs for healing but that is different from the witchcraft and sorcery that we read about in the Bible: rev 21 "7 The one who is victorious will inherit all things, and I will be his God, and he will be My son. 8 But to the cowardly and unbelieving and abominable and murderers and sexually immoral and sorcerers and idolaters and all liars, their place will be in the lake that burns with fire and sulfur. This is the second death.”
The FDA has power over prescribing which is what the crisis is being fueled by.
 
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joshua 1 9

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I can only speak for morphine, but I can attest my ER exercised caution before administering it and tried other solutions first. For high levels of pain, you don’t feel the full effect of the drug. Just the reduction of your discomfort.

I was on it for several days and was given two pain killers upon release. Including morphine. But when the pain began to subside I felt the full effect of the drug; it was awful. The minor lessening allowed me to feel its force and it was overwhelming. I never took it again. My doctor provided something different due to the addictive properties of each.
The drugs plug into the receptor that the bodies natural pain killer (hormones) use. The same hormones that the body supplies for women when they have their baby. So when people take drugs they block the bodies ability to deal with the pain. Oxytocin
 
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joshua 1 9

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GodLovesCats

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GodLovesCats

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The solution to the so-called drug “epidemic” is simple: don’t take drugs. I don’t have an alcoholism problem because I don’t drink in the first place. Problem solved!

This post screams ignorance. If you actually clicked on the first link I posted, which is to Medline Plus and explains opoiod use disorder itself, you would totally understand it is not simple at all. And if you click on ANY links to information about the opioid epidemic statistics, you would totally understand it is REAL.

Seriously, think about this before you post an uninformed opinion. This is a true medical diagnosis, not a political issue.
 
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Petunia

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The solution to the so-called drug “epidemic” is simple: don’t take drugs. I don’t have an alcoholism problem because I don’t drink in the first place. Problem solved!

It isn't that simple. Some people have illnesses that cause them to have life long severe pain. Not just pain from a headache, muscle ache or post-surgery. They have to have some kind of relief. The solution is for the drug companies to make safer medications... or provide working alternatives.
 
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