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re: Honest Question about the "Opioid Epidemic"
Posted on 11/28/17 at 1:26 pm to Evil Little Thing
Posted on 11/28/17 at 1:26 pm to Evil Little Thing
Mostly for severe pain. People just have different levels of tolerance. But, yeah, OTC meds and sucking it up a little bit for minor/non-chronic pain should be encouraged more.
1
Posted on 11/28/17 at 1:27 pm to RoosterCogburn585
People who become addicted to substances by in far are weak minded people. They have no will power.
Posted on 11/28/17 at 1:27 pm to RoosterCogburn585
quote:
How much of the blame for this so called epedemic belongs on the doctors and the pain pill companies and how much blame belongs on a society who has created a "victim" mentality?
It depends on what kind of situation you are in.
If you are talking about the 20 year old junkie who was goofing around with oxycontin and found themselves addicted and are now hustling on the street full of track marks hooked on cheap heroin, living in filth, it's solely on them.
If you are talking about a person who got in an accident and needed pain meds more and more to cope because the just could not get rid of the pain and so went pill shopping , got cut off and now hustles for cheap smack....I don't think you can blame all of that on the user totally. I knew an engineer who fell off a scaffold on a job he was working , messed up his back and hip and the even after the hip healed, was still needing ever increasing amounts of of oxycodone to mitigate the pain and became addicted.... I'm not sure you can blame him solely
A lot of times guys like this move onto heroin because their docs cut them of and buying the pills on the black market is very expensive, so they move on to heroin because it is now cheap and in large supply and you get the same effect if not greater for less than half the price.
It's a tough situation if you have ever had to deal with someone who has become addicted.
Posted on 11/28/17 at 1:28 pm to drunkenpunkin
quote:
It's not high blood pressure medicine or insulin. Nobody is prescribing pain medicine that is not requested and telling a patient they need them. Nobody dies from pain. People taking pain medicine when they aren't in pain or an Advil would do, prescribed or not, are at fault.
Go get your chest cracked open twice in seven days (hint, theyvalso break most if not all of your ribs when they do it) and see how effective Advil is.
Posted on 11/28/17 at 1:33 pm to KiwiHead
I do agree that sometimes people in chronic pain end up addicted just trying to control their pain. And it's very sad. But, most junkies didn't get hooked because they were trying to control pain. They enjoyed being altered and sought it out continually. Even if a doctor asks if you need a refill on pain medicine, you can say no or no take the medicine if you don't have pain. Most of the problem is solved right there.
Posted on 11/28/17 at 1:34 pm to drunkenpunkin
quote:
I was given IV dilaudid once and it made me understand for the first time how people get addicted. But while coming down from it, I had the absolute worst panic attack of my life. No thanks!
They had me on a dilaudid drip following both my surgeries. I will say it was amazing at making you not feel pain or even having a care in the world for that matter. Thankfully I didn't have any side effects when they took me off that and went to (I think) Percocet, or it may have been straight to Oxy. I'm not really sure. I know when I came home from the hospital theyvhad me on Oxy but before that I think I may have been on Percocet for a couple weeks.
Posted on 11/28/17 at 1:35 pm to JetFuelTyga
quote:
At least you get Percocet from your patients.
Here it has gotten to the point where "nothing works on me but Dilaudid"
Some of my oral surgeon friends get this one alot. As a dentist ive only had someone ask for Dilaudid once. almost laughed at them.
Posted on 11/28/17 at 1:42 pm to Vinny V
quote:
Some of my oral surgeon friends get this one alot. As a dentist ive only had someone ask for Dilaudid once. almost laughed at them
Someone wanted a dilaudid drip for a visit to the dentist?!? Holy shite. That's what they gave me immediately following open heart surgery.
Posted on 11/28/17 at 2:21 pm to drunkenpunkin
quote:
Even if a doctor asks if you need a refill on pain medicine, you can say no or no take the medicine if you don't have pain. Most of the problem is solved right there
I won't debate that scenario nor will I deny that a lot of people do it for kicks because they like the altered state. But, there are a lot out there who found themselves addicted due to real pain management...or mismanagement. A lot of these pill mills do it solely for the money and don't even really examine the patient, just give out scripts.....there was some medical practice in Mobile where he two docs involved were "writing scripts" while on vacation....made a fortune.....ended up going to jail
Posted on 11/28/17 at 2:37 pm to MLCLyons
quote:
Pharmaceutical companies are pushing them like candies.
Again, I have never had a drug company prescribe a patient ANY medication. Whether it was our lack of understanding concerning addiction, patient satisfaction oriented care, or lazy medicine, there were medically trained professionals prescribing opiates for grown adults with the ability to make decisions for themselves.
They may not be completely innocent, but they are completely at fault.
Posted on 11/28/17 at 2:41 pm to saint tiger225
quote:
The problem is the upbringing and behaviors. People who are brought up around addicts are exposed to the behavior more. They may be more likely to try drugs when they're younger.
Did you read any of the posts in this thread from people that became addicts after taking pain medication as described by their physician for a real probable? This epidemic is not about teenagers popping pills in high school. Functioning adults successful in their career's have a accident, have back surgery, end up with chronic pain, are prescribed opioids by their physician, follow the prescription and are then addicted.
Posted on 11/28/17 at 2:42 pm to drunkenpunkin
quote:
Mostly for severe pain. People just have different levels of tolerance. But, yeah, OTC meds and sucking it up a little bit for minor/non-chronic pain should be encouraged more.
Worked with an old school ortho surgeon that would tell his patients "you had surgery. You're gonna hurt." Used to give them OTC meds.
Posted on 11/28/17 at 2:44 pm to INFIDEL
quote:
Worked with an old school ortho surgeon that would tell his patients "you had surgery. You're gonna hurt." Used to give them OTC meds.
Might work with some surgeries. But not all.
Posted on 11/28/17 at 2:46 pm to drunkenpunkin
quote:
Even if a doctor asks if you need a refill on pain medicine, you can say no or no take the medicine if you don't have pain. Most of the problem is solved right there.
What if at the end of the first prescription you are already addicted?
Posted on 11/28/17 at 2:52 pm to drunkenpunkin
quote:
Nobody is prescribing pain medicine that is not requested and telling a patient they need them.
Some people are. Now, this was a nurse, not my doctor, but I had surgery earlier this year. I woke from anesthesia and the nurse asked my pain level. I said maybe 6. She literally said "I don't believe you, it should be much higher." I told her that it was much higher...before the surgery corrected my issue. They gave me 20 pills and I took one, maybe two? A few years ago I got 20 lortabs for the removal of an ingrown toenail that was taken care of in the doctor's office. Again, took one. Unnecessary for that. They probably could have said take extra ibuprofen and it would have been fine.
Posted on 11/28/17 at 3:00 pm to INFIDEL
quote:
Again, I have never had a drug company prescribe a patient ANY medication.
This isn't strictly the point that was being made, was it?
I mean, docs are inundated by company reps doing detailing/counter-detailing 24/7.
You know? These gals:
...bringing in the crates of doughnuts and snacks for the staff, free CME packages for the docs and, oh, "By the way, we think our new drug, frickemall(tm), can be used to treat everything from eczema to CancerAIDS, but you use your best medical judgment, of course.
Now, let's get you booked on that seminar in St. Croix."Posted on 11/28/17 at 4:30 pm to cas4t
quote:
that's because they have a dependency on said drug and after quite some time of abuse, that dependency is physical in nature.
You say this as if that's the end all be all. YOU HAVE THE ABILITY TO STOP AT ANYTIME AND SEEK HELP!!
Posted on 11/28/17 at 4:31 pm to Howyouluhdat
quote:
You say this as if that's the end all be all. YOU HAVE THE ABILITY TO STOP AT ANYTIME AND SEEK HELP!!
you are a fricking idiot. that is all.
This post was edited on 11/28/17 at 4:48 pm
Posted on 11/28/17 at 4:37 pm to INFIDEL
quote:
Worked with an old school ortho surgeon that would tell his patients "you had surgery. You're gonna hurt." Used to give them OTC meds.
Might know a physician like this who tells patients they can have a prescription to man the frick up.
Posted on 11/28/17 at 4:41 pm to Ace Midnight
Drug reps only rep new drugs. If it has a generic, there is no rep visiting anyone. Also, while they can bring lunch, they can't do trips or go crazy like they used to be able to. Quite rightly.
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