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re: I keep hearing there is an opiod epidemic happening?
Posted on 2/12/18 at 10:46 pm to crispyUGA
Posted on 2/12/18 at 10:46 pm to crispyUGA
quote:
5 guys I went to high school in north metro-Atlanta have died from overdoses, 2 of whom were my friends. All of them came from middle to upper-middle class families. Pain pills ain't shite to frick around with.
There's a show on A&E called Intervention and the current season filmed in the northern suburbs (especially Marietta and Woodstock) known as "The Triangle." One of the addicts on the latest episode died last month (the hot stripper chick named Taylor).
0
Posted on 2/12/18 at 11:00 pm to FCP
quote:
Why not? Because you say so?
Because that high gets harder and harder to get requiring larger and larger doses ultimately to the detriment of the patient.
quote:
how could another person's pain alleviation affect your life at all?
Well, for starters I'm the one doing the prescribing and the one potentially on the hook for anything bad that happens to them.
If they were legal sure, IDGAF. But as long as I'm the one prescribing I have an obligation to do what's best for them regardless of how much they kick and scream and don't like me (and yes, I've been screamed at and even shoved for saying no before).
This post was edited on 2/12/18 at 11:01 pm
Posted on 2/12/18 at 11:08 pm to Roger Klarvin
I could see a PK addiction leading to weight gain, more sedentary lifestyle, and less focus on rehab / PT.. just furthering the back problems and keeping them hooked.
Scary cycle.
Im sure people dont like it when you tell them "lose weight, change your diet, and begin PT" over "heres 90 oxy cya next month".
Scary cycle.
Im sure people dont like it when you tell them "lose weight, change your diet, and begin PT" over "heres 90 oxy cya next month".
This post was edited on 2/12/18 at 11:11 pm
Posted on 2/12/18 at 11:14 pm to Roger Klarvin
quote:
A big part of the problem, in addition to the things I listed above, is that we've developed this mindset in America that the only acceptable level of pain is no pain. We believe that if we're in ANY pain we are not being adequately treated.
Excellent point
Posted on 2/12/18 at 11:23 pm to Roger Klarvin
quote:
Sure, but these should be prescribed by YOUR surgeon and only for a very brief time.
Agreed, but you would need to define "brief time". That shite brought me a hell of a lot of relief for about five or seven days.
quote:
A big part of the problem, in addition to the things I listed above, is that we've developed this mindset in America that the only acceptable level of pain is no pain. We believe that if we're in ANY pain we are not being adequately treated
Agree 100%
quote:
We're living longer than ever before, and getting old generally hurts a lot. Taking enough pain medication to get high and forget you're in pain isn't the solution.
I don't think elderly care is the source of these problems, but I could be mistaken. Any data to back that up?
Drawing back on elderly care in general would do wonderful things for this country as far as healthcare expenses go, but opiods are, as far as I am aware, not a big driver of a costs, addiction, etc. for people over 65.
quote:
That's the thing most people don't realize: The pain relieving effect of opiates is real, however the effect that generates the most relief is the high itself. And being high doesn't mean falling over yourself or exhibiting obvious behavior associated with that.
Kind of goes back to your first point: don't abuse the shite.
Posted on 2/12/18 at 11:32 pm to AbuTheMonkey
1 week of oxy or norco is reasonable after a major orthopedic surgery.
Where patients (and doctors) get in trouble is when they go back to their PCP and say they are still hurting, the PCP refills it, and it becomes a vicious cycle. People start forgetting the daily aches and pains they had before being on the opiates and don't want to go back to that. Moreover, you develop hyperesthesia where you are hypersensitive to physical stimuli and any little thing causes you pain. It's why opiates are an AWFUL choice for neuropathic pain or "fibromyalgia" pain, long term it makes it worse.
Where patients (and doctors) get in trouble is when they go back to their PCP and say they are still hurting, the PCP refills it, and it becomes a vicious cycle. People start forgetting the daily aches and pains they had before being on the opiates and don't want to go back to that. Moreover, you develop hyperesthesia where you are hypersensitive to physical stimuli and any little thing causes you pain. It's why opiates are an AWFUL choice for neuropathic pain or "fibromyalgia" pain, long term it makes it worse.
This post was edited on 2/12/18 at 11:33 pm
Posted on 2/12/18 at 11:35 pm to weagle99
There are 110 opioid pills prescribed for every 100 people in Louisiana. That's enough for every man, woman and child in this state to have one. That's insane. The doctors are improving for sure, but it's way too little way too late.
Posted on 2/12/18 at 11:39 pm to soccerfüt
quote:
Mostly poors
Absolutely not. This is one if the bigger parts of the problem. The epidemic is better hidden with the mainstream upper middle class and wealthy whites because they have money to maintain, don't hit bottom as quickly as poors, and nobody recognizes it until it's way too late. Well educated, wealthy housewives, professionals, you name it. I know first hand, an orthopedic surgeon who ultimately lost his career and family...also and a chemical engineer, LSU grad, his brother played Tiger football, he lost his home, family, and job. There are many more I'm aware of. Among the wealthy It's an insidious, stealth, addiction and does not discriminate in any way.
This post was edited on 2/12/18 at 11:43 pm
Posted on 2/12/18 at 11:43 pm to SuwMwf
quote:
There are 110 opioid pills prescribed for every 100 people in Louisiana. That's enough for every man, woman and child in this state to have one. That's insane. The doctors are improving for sure, but it's way too little way too late.
You mean daily I'm sure. Wouldn't be surprised if that is very conservative.
Posted on 2/12/18 at 11:53 pm to TurkeysAndBees
Yes. Very conservative. Re reading the article I had come across a long time ago and it says 113 prescriptions per 100 people prescribed in 2015. So I guess they can be in a multitude of pill quantities.
Posted on 2/13/18 at 12:17 am to Cosmo
quote:
White trash gonna white trash
You’re a piece of fricking shite FYI
I’ve had 7 people I know die from overdosing. None started out looking to use heroin. Several of those attended the same rehab as Tiger Woods.
This post was edited on 2/13/18 at 12:19 am
Posted on 2/13/18 at 12:23 am to weagle99
In June 2013 there were 7.2 billion people on planet Earth.
There are just over 325 million people in the U.S.A.
The last board education study materials I read in 2017 states 80% of the opioid medications are prescribed in the U.S.A.
325 million / 7.2 billion = 0.0451388889
There are just over 325 million people in the U.S.A.
The last board education study materials I read in 2017 states 80% of the opioid medications are prescribed in the U.S.A.
325 million / 7.2 billion = 0.0451388889
Posted on 2/13/18 at 12:25 am to SamuelClemens
Do you want an internet certificate for learning how to do percentages? You are an idiot if you don’t think opiates are an issue.
This post was edited on 2/13/18 at 12:26 am
Posted on 2/13/18 at 12:27 am to SlowFlowPro
quote:
it's a pain in the arse to get legal pain meds these days
True. I needed an emergency root canal and had to wait 24 hours. Excruciating pain. My former dentist wouldn't prescribe 3 or four pain pills to help me get through the night. fricking ridiculous.
Posted on 2/13/18 at 12:29 am to SlowFlowPro
quote:
it's a pain in the arse to get legal pain meds these days
I’m guessing you haven’t had an issue that requires pain meds recently. It’s not as easy as it used to be but it’s still not close to hard. I got a script last month for a lingering shoulder issue from an after hours clinic.
Posted on 2/13/18 at 12:37 am to CaptainPanic
I've also heard stories of the US military protecting the poppy fields from being destroyed in Afghanistan. In fact it was said that the Taliban actually trying to destroy the poppy fields to keep that shite out of their country, but G W Bush and company invaded and kicked the Taliban out (once was a US ally). There were many former soldiers stating on reddit and other sites that they were ordered to protect these fields.
Also in the early 2000s there was a big big problem with Drs in Florida prescribing opiates like candy. I remember there was a big bust putting away a lot of Drs who were writing insane amounts of opiate scripts. I don't live in FL, but there was even some close small towns in my state that had some Drs busted for this same shite, and this was at least 10-15 years ago.
Also in the early 2000s there was a big big problem with Drs in Florida prescribing opiates like candy. I remember there was a big bust putting away a lot of Drs who were writing insane amounts of opiate scripts. I don't live in FL, but there was even some close small towns in my state that had some Drs busted for this same shite, and this was at least 10-15 years ago.
Posted on 2/13/18 at 2:13 am to weagle99
It hits every demographic and it’s only gonna get worse.
Posted on 2/13/18 at 5:27 am to Ed Osteen
I think his point was that they are an american issue by and large
We have less than five percent of the worlds population yet 80 percent of the opioid prescriptions
We have less than five percent of the worlds population yet 80 percent of the opioid prescriptions
Posted on 2/13/18 at 5:46 am to DawgGONIT
That’s because the CIA is the biggest drug cartel in the world
It ran heroin from SE Asia during Vietnam, ran cocaine from Central and South America since the 80s and has been running heroin from Afghanistan since we’ve been there
It ran heroin from SE Asia during Vietnam, ran cocaine from Central and South America since the 80s and has been running heroin from Afghanistan since we’ve been there
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