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Message
WH Opioid commission unveils drug supply limits to help stop epidemic
Posted on 9/27/17 at 10:42 pm
Posted on 9/27/17 at 10:42 pm
Looks like decent progress being made
from cbs news:
LINK
from cbs news:
quote:
New Jersey Governor Chris Christie held the third formal meeting of President Trump's ongoing Commission on Combatting Drug Addiction and Opioid Crisis, where officials in the pharmaceutical industry and government detailed new partnerships and efforts in the hopes of limiting the use of opioid prescriptions for combatting pain and recommending new treatments for pain management without the use of addictive substances.
National Institutes of Health Director Dr. Francis Collins advised the commission that the agency is looking to build partnerships with researchers across academia, government, prescribers and patients to "cut in half the time needed to make available prescriptions that are non-addictive."
quote:
PhRMA CEO Stephen J. Ubl also announced another significant step in the effort to curb the abuse of opioid prescriptions, telling the commission that the company will support limiting the supply of opioids to 7 days, as opposed to the traditional 30-day supply for short-term pain management and minor treatments
LINK
16
Posted on 9/27/17 at 10:43 pm to HailHailtoMichigan!
Good...its fricking ridiculous
Posted on 9/27/17 at 10:46 pm to HailHailtoMichigan!
One of the few bipartisan issues left. This shite is totally out of hand and it seems like everyone agrees.
Posted on 9/27/17 at 10:47 pm to HailHailtoMichigan!
Biggest thing that needs to happen - AMA has to remove pain as a vital sign - stop with the mentality that a patient has right to be pain free
Posted on 9/27/17 at 10:53 pm to HailHailtoMichigan!
quote:This seems like one of those things that could actually help or do the complete opposite. Is there any study that supports this as effective? And if there isn't, why don't they try do a little pilot study to see if it's even worth it.
limiting the supply of opioids to 7 days, as opposed to the traditional 30-day supply for short-term pain management and minor treatments
Unfortunately the government had an uncanny track record of trying fix a problem which instead ends up making it worse. This had already happened opoids crisis as their attempt to limit the abuse of prescription meds had only led to people abusing far more dangerous illegal opoids.
So unless there is evidence elsewhere, I'm going to be highly skeptical that any solution that involves more government regulation and involvement is going to be ineffective, or worse, detrimental. And Chris Christie, and his nanny state views, just seems like the wrong person for the job as he seems far more likely to double down on the policies and regulations that didn't work in the first place.
Posted on 9/27/17 at 11:02 pm to genro
quote:I'm unfamiliar with the decision making processes and guidelines. But are you referring to instances where even the mere presence of even minimal pain is used? Because that makes sense to me. However, there has to he some general thresholds where pain is high enough that it couldn't be overlooked. Of course, the problem always is that there is so much subjectivity in it.
Biggest thing that needs to happen - AMA has to remove pain as a vital sign - stop with the mentality that a patient has right to be pain free
Posted on 9/27/17 at 11:06 pm to genro
quote:
Biggest thing that needs to happen - AMA has to remove pain as a vital sign - stop with the mentality that a patient has right to be pain free
Very few if any physicians or healthcare providers hold the view that a patient has the right to be pain free. Patient reports pain as a 10/10, if they can get the pain to an 8/10 thats a win for medicine and vital signs are improved. There is an entire subspecialty of pain management, not pain elimination.
Posted on 9/27/17 at 11:11 pm to genro
I always get crap for bringing this up but it’s true...we need to stop giving nurses and their professional organizations so much influence when it comes to hospital policy. The ANA is a bigger problem than the AMA. JCAHO can kick rocks too.
Posted on 9/27/17 at 11:11 pm to AMS
quote:Not really. Because pain isn't really a vital sign. The 10/10 scale is retarded, and patients lie to get their pills.
if they can get the pain to an 8/10 thats a win for medicine and vital signs are improved.
quote:Pain management clinics/docs exist, in part, for the same reason abortion clinics/docs exist. Because regular PCP's are ethically opposed or simply don't want to deal with that bullshite.
There is an entire subspecialty of pain management, not pain elimination.
Posted on 9/27/17 at 11:12 pm to HailHailtoMichigan!
I'm not a drug user but I am curious why most on this board think weed is good and opiods are bad.
Posted on 9/27/17 at 11:15 pm to BamaFan365
Not sure if serious. Opiods are far more addictive, physiologically damaging, lethal, aren't psychoactive...
Posted on 9/27/17 at 11:17 pm to BamaFan365
One can stop your breathing. The other (to my knowledge) does not.
Posted on 9/27/17 at 11:19 pm to genro
Haven't really been around either and never had a reason to research
Posted on 9/27/17 at 11:20 pm to genro
quote:
Biggest thing that needs to happen - AMA has to remove pain as a vital sign - stop with the mentality that a patient has right to be pain free
frick you, my dad would shoot himself tomorrow if his opioid meds were taken away. He has trigeminal neuralgia. Look it up, its nicknamed the suicide disease for a reason. I would have to risk felonies growing the shite myself to try and keep him from wanting to die. They don't fix his pain, they just lessen it enough for him to live ALMOST an ok life. He is still stuck in his recliner all day, every day.
Also, his doctor is 1.5 hours away, he cant go every fricking 7 days.
We are throwing the baby out with the bath water in this whole ordeal. Christie is the worst possible person to head this whole thing up. But none of ya'll actually want to hear how to fix this whole thing. You just want a "quick fix" that will cause others pain because you've never dealt with any of this shite yourself.
Posted on 9/27/17 at 11:23 pm to VaBamaMan
I am sorry about your Dad.
The simple solution is the make exceptions for a few specific conditions, the rare 1% of opiod users who truly need it. Like your Dad.
Chronic back pain or knee surgery recovery don't get to be on that list
The simple solution is the make exceptions for a few specific conditions, the rare 1% of opiod users who truly need it. Like your Dad.
Chronic back pain or knee surgery recovery don't get to be on that list
This post was edited on 9/27/17 at 11:24 pm
Posted on 9/27/17 at 11:23 pm to BamaFan365
quote:
weed is good and opiods are bad.
One kills you. One makes you hungry.
One is highly addictive. One is not.
One is a gateway to heroin. One is not.
One is easily mistaken for something else, one is easily identifiable.
One is easy af to take the wrong dosage, one is impossible to take the wrong dosage.
Want a few more reasons, or are you good?
Posted on 9/27/17 at 11:24 pm to YipSkiddlyDooo
Right. Because it's the NP's that have been writing the majority of the narcotic RXs?? It's like winning the lottery if you can get a NP to write for an antibiotic when you have a 2 week sinus infection.
The PCP's bought into big pharma lies like you can't get addicted if you're in pain.
The PCP's bought into big pharma lies like you can't get addicted if you're in pain.
Posted on 9/27/17 at 11:26 pm to VaBamaMan
quote:
But none of ya'll actually want to hear how to fix this whole thing
Enlighten us.
quote:
my dad would shoot himself tomorrow if his opioid meds were taken away. He has trigeminal neuralgia.
Is there a reason your father hasn't actually been treated, and is instead just being fed pain pills?
Posted on 9/27/17 at 11:26 pm to NCNurse
This is brilliant pharma thought. Providers everywhere are less and less profitable every year, boom, three more visits a month. Writing habits don't change, new fees for everyone, profit.
Posted on 9/27/17 at 11:27 pm to VaBamaMan
I agree with you that access to medication isn't the problem. At some point we have to take responsibility for our actions . I have been on opioids and fortunately they don't give me some ultimate high . Restrictions have just lead to heroin problem . We need to find a better solution . I think this about all drugs but don't have answer on how to help the addicted
This post was edited on 9/27/17 at 11:30 pm
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