Open main menu ☰
HealingWell
Search Close Search
Health Conditions
Allergies Alzheimer's Disease Anxiety & Panic Disorders Arthritis Breast Cancer Chronic Illness Crohn's Disease Depression Diabetes
Fibromyalgia GERD & Acid Reflux Irritable Bowel Syndrome Lupus Lyme Disease Migraine Headache Multiple Sclerosis Prostate Cancer Ulcerative Colitis

View Conditions A to Z »
Support Forums
Anxiety & Panic Disorders Bipolar Disorder Breast Cancer Chronic Pain Crohn's Disease Depression Diabetes Fibromyalgia GERD & Acid Reflux
Hepatitis Irritable Bowel Syndrome Lupus Lyme Disease Multiple Sclerosis Ostomies Prostate Cancer Rheumatoid Arthritis Ulcerative Colitis

View Forums A to Z »
Log In
Join Us
Close main menu ×
  • Home
  • Health Conditions
    • All Conditions
    • Allergies
    • Alzheimer's Disease
    • Anxiety & Panic Disorders
    • Arthritis
    • Breast Cancer
    • Chronic Illness
    • Crohn's Disease
    • Depression
    • Diabetes
    • Fibromyalgia
    • GERD & Acid Reflux
    • Irritable Bowel Syndrome
    • Lupus
    • Lyme Disease
    • Migraine Headache
    • Multiple Sclerosis
    • Prostate Cancer
    • Ulcerative Colitis
  • Support Forums
    • All Forums
    • Anxiety & Panic Disorders
    • Bipolar Disorder
    • Breast Cancer
    • Chronic Pain
    • Crohn's Disease
    • Depression
    • Diabetes
    • Fibromyalgia
    • GERD & Acid Reflux
    • Hepatitis
    • Irritable Bowel Syndrome
    • Lupus
    • Lyme Disease
    • Multiple Sclerosis
    • Ostomies
    • Prostate Cancer
    • Rheumatoid Arthritis
    • Ulcerative Colitis
  • Log In
  • Join Us
Join Us
☰
Forum Home| Forum Rules| Moderators| Active Topics| Help| Log In

OT: prescription opiod deaths and increasing #s of prescriptions

Support Forums
>
Prostate Cancer
✚ New Topic ✚ Reply
1 2
❬ ❬ Previous Thread |Next Thread ❭ ❭
profile picture
RandyJoe
Veteran Member
Joined : Jan 2015
Posts : 540
Posted 9/5/2017 9:52 AM (GMT -8)
Son-in Law is a Nurse Practitioner in an Emergency Department. With the new restrictions on opioids, NPs are restricted from prescribing them. He has a friend in a very rural ED (which only has one MD on call, and is staffed by NPs and PAs for the most part). Just recently, this friend of his had a patient who was involved in a car accident and suffered multiple facial fractures. The patient was transferred to a trauma center about 1 1/2 hours away, but during the time he was in the rural ED and on the ride to the trauma center, this man had to suffer. The Georgia Legislature passed a bill allowing PAs and NPs to prescribed pain meds in emergency circumstances, but Governor Deal vetoed it.

There is a data base that shows when a patient last had a prescription filled for controlled substances, and for what dosage and how many pills. Medical professionals recognize drug seeking behavior, and can check up on their patients in order to prevent "doc shopping" to obtain additional drugs. Political knee-jerk reactions often have unintended consequences....but usually just to those who follow the rules. Those who don't will find a way around them.
profile picture
BillyBob@388
Veteran Member
Joined : Mar 2014
Posts : 4855
Posted 9/5/2017 11:38 AM (GMT -8)

straydog said...
I saw the title of this thread & .felt compelled to comment. I have been a chronic pain patient for nearly 30 years.

The stats in the original thread are not accurate by any means. This can has been kicked around for yrs in the CP forum. This study lumped everyone in one pot. This is your junkies who OD that has a plethora of drugs in their system not just a narcotic, young & elderly people that died of other causes but just happened to have a narcotic in their system & they scream narcotics. Studies have shown the percentage of addiction for true chronic pain patients are very low. Will they build up a tolerance, absolutely it will happen with many drugs taken long term.

The pill mills need to be shut down along with drs that over prescribe. The over prescribers started with GP's that did not have the proper knowledge of the drugs they were prescribing. The reps visited their office with the newest & best for the month. The rep was seen by an employee in the office because the dr was too busy. Also he is not a pharmacist & his training was extremely limited about narcotics. Remember the days a patient could go in & say "doc I could barely get out of bed this morning because of back pain." Voila, you walked out with a script with refills. Those days are gone.

Now we have the DEA, CDC & NIH heading things up. There are guidelines drs go by to keep from being flagged. Some of these things are good but some are horrendous to chronic pain patients. We are going to see the suicide rate go up & use of illicit drugs sky rocket. Street drugs are cheap & very easy to obtain. The government screws up enough think what this has done to legitimate people.

Most chronic pain patients are seen by pain mgt drs. You go once a month, take your meds in for a pill count & do a UA. That UA better be clean or you are kicked to the curb. I have no problem with this protocol. Also, a patient must have scans to show the need for medication. There is a prescription monitoring program in effect, they know what a patient takes & how much & how many scripts each dr writes.

Personalities play a role with narcotics. Some people have an addictive type of personality & they are the ones that will most likely abuse their meds. If a person says they feel euphoria on their meds they don't have pain. I have never had that so called "high." Pain medication works on pain receptors. If you get high you don't need the drug.

I have been on both sides of this fence with narcotics. I worked many years with shots & meds. My boss would have fired me in a minute if this had interfered with my work product. I worked in the legal field there was no room for error. Without some medication daily I would have no life. Granted at 64, I am a little slower. I use a cane & rollator because of very limited ability to walk. Yes I drive my car, I would never get behind the wheel if I thought for a second I would put someone in jeopardy. Like any other person I want to be able to do every day things, go out to dinner with my husband & kids. I keep my grandson after school & in the summer. We stay busy with soccer, he plays golf & I am the one that chauffeurs him. We have a place at the lake & we all go there & play around whether it's out in the boat or fishing. We love this life. We take motorcycle trips with our friends or go day riding. My ability to participate in these activities are doable because I take some pain meds. Am I pain free, absolutely not I will never be pain free but with some help I can still have a life. For the ones that say push past it, spend one day in my shoes then talk to me.

Yes we have a problem with the drugs coming into our country. But folks, we have a bigger problem with the illegal drugs being made & sold right here. These people making a lot of these drugs are very intelligent & are making big money by producing the product. A lot of these are college educated that make far more money cooking than they could have in a career they went to school for. I don't think they will ever win the war on street drugs.

Their time & money would be best spent going after the illegal drugs & suppliers. Leave the legitimate patients alone. The average person thinks chronic pain people are after a buzz & all they want to do is sit around on their arses & do nothing all day. I am sure some do that. That isn't living & certainly not in my plan.

Thanks, Susie, for that very informative post!
profile picture
Purgatory
Elite Member
Joined : Oct 2008
Posts : 25448
Posted 9/5/2017 3:02 PM (GMT -8)
Susie: your post was the best in defense for the CP community. You said better, what I was trying to say in my first post.

My oncologist told me on day one, that the goal was never going to be 100% pain free. And he was right. On my best days, pain level 4. You never get use to pain and its many manifestations, you learn to adapt and adjust.

Dr. also said (so does my Pain Manager) that addiction not a real issue, if your body really needs the meds for the pain, and if you never, ever abuse even a single pill.

Thanks for your factual input on a touchy subject.
profile picture
lifeguyd
Veteran Member
Joined : Jul 2006
Posts : 691
Posted 9/5/2017 7:19 PM (GMT -8)
My concern with regular users of opiates is knowing they are out there DRIVING CARS. about a year into my oxycodone use (which was very regulated), I found myself nodding off on longer driving trips. Once I discovered this problem, I started preparing to quit. It was difficult and I still suffer pain as most other meds do nothing for me. However it was necessary for me to drive, so I was detoxed and that was 5 years ago. I hope someone can share the physical trauma you go through to quit even legally prescribed opiate drugs.
profile picture
Tim G
Veteran Member
Joined : Jul 2006
Posts : 3054
Posted 9/11/2017 8:50 PM (GMT -8)

lifeguyd said...
My concern with regular users of opiates is knowing they are out there DRIVING CARS. about a year into my oxycodone use (which was very regulated), I found myself nodding off on longer driving trips. Once I discovered this problem, I started preparing to quit. It was difficult and I still suffer pain as most other meds do nothing for me. However it was necessary for me to drive, so I was detoxed and that was 5 years ago. I hope someone can share the physical trauma you go through to quit even legally prescribed opiate drugs.

I agree. Because there are an incalculable number of drug-impaired drivers, I practice defensive driving in hopes of avoiding any close encounters with a drug-addled driver.

To take this further, there are many medications that can cause drowsiness. I take two.
Thankfully, I am able to take them only at bedtime. Many drowsiness-inducing drugs also carry a warning to avoid alcohol when taking these medications. Beer's criteria for older patients suggests that physicians carefully consider the use of certain medications because of their negative effect on cognition and balance.
✚ New Topic ✚ Reply
12


More On Prostate Cancer

Positive For Prostate Cancer

Positive For Prostate Cancer

7 Ways To Stay In Control And Reduce Stress While Battling Cancer

7 Ways To Stay In Control And Reduce Stress While Battling Cancer


HealingWell

About Us  |   Advertise  |   Subscribe  |   Privacy & Disclaimer
Connect With Us
Facebook Twitter Instagram Pinterest LinkedIn
© 1997-2023 HealingWell.com LLC All Rights Reserved. Our website is for informational purposes only. HealingWell.com LLC does not provide medical advice, diagnosis, or treatment.