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Posted on 1/11/18 at 10:04 am to SabiDojo
quote:
I would take edibles for pain management in a heartbeat.
If your ankle hurts enough for you to do weed or drugs, I believe it's time to cut off your foot.
Posted on 1/11/18 at 10:05 am to SabiDojo
quote:Scruffy has a bad right shoulder from years of baseball.
I deal with pain but I don't take any of that stuff. Even when I sprained my ankle a few years ago (bad sprain, leg swelled up all the way to the knee), I said no when the doctor was ready to write a script.
It is managed perfectly with going to the gym 4 days a week.
Seriously, opioid addiction is a MASSIVE problem in the USA right now.
Hell, there was a study done that showed that 8 US states have more opioid prescriptions than residents. LA is one of them.
This is a big problem.
Posted on 1/11/18 at 10:06 am to YoungManOldMan
quote:
If your ankle hurts enough for you to do weed or drugs, I believe it's time to cut off your foot.
wat
Posted on 1/11/18 at 10:07 am to Rouge
quote:
Great in theory, but PCPs are not wanting to prescribe either
Only because there is a Pain Mgt. specialty now that will take over the responsibility. If there were not, they would do what they did for decades prior. The PCP, ortho specialist, internal MD, or whoever was handling the care of the patient would prescribe. And they did so understanding that it was the exception to use heavy opiods for every day chronic pain. They understood the danger in creating an addict. They treated the actual problem, not strictly the subjective pain complaints.
quote:
Pain management is an actual need that does not always go away and does not involve dope addicts. Problem is that physicians don't know how to tell the difference because they cannot relate to constant pain that cannot be fully fixed.
It's a need if they would do what they promised, which was to wean patients off of heavy pain medication and teach them coping mechanisms outside of those heavy meds. Instead, using non opiods and lifestyle changes, encouraging them to gradually become more active, develop behavior to get them out of the depression that comes with extreme opiod use, etc.
quote:
Problem is that physicians don't know how to tell the difference because they cannot relate to constant pain that cannot be fully fixed.
Yeah, right.
Pain Mgt. doctors are the ONLY ones that can relate to pain.....Sorry, it's not the fault of all other doctors EXCEPT miraculously Pain Mgt. doctors who supply endless supplies of pills.
quote:
Maybe they need clinics within the damn pharmacies that will dispense as needed. Then they can control supply and work towards restricting outside sales.
Not saying that's a bad idea at all. But finally recognizing the danger of chronic pain med abuse, and how many people are unable to function in any productive form because of the addiction, is a start. Many of these Pain Mgt. Clinics have created addicted, depressed zombies that cannot function in the real world, and live day to day chasing their next pain fix to bring them to a minimal baseline. It's sad. I see how it destroys good people every day.
Posted on 1/11/18 at 10:08 am to FCP
it's a sleazy business and borderline criminal. I'd argue 1/3 of the people who visit these places are looking for a fix. And I work in a cousin industry to this (risk management for healthcare organizations).
Posted on 1/11/18 at 10:08 am to Scruffy
quote:
Seriously, opioid addiction is a MASSIVE problem in the USA right now.
Watch Steven from 600lb life. The dude was prescribed so many different types of pain pills that it was a crime to now give him ANY.
Posted on 1/11/18 at 10:11 am to 50_Tiger
quote:There are teenagers that Scruffy sees with this same situation. They are usually sickle cell kids, but they are so heavily addicted and end up selling their meds.
Watch Steven from 600lb life. The dude was prescribed so many different types of pain pills that it was a crime to now give him ANY.
We are no longer permitted to give them anything.
Hematology and treatment of Sickle Cell Disease creates monsters as well.
This post was edited on 1/11/18 at 10:12 am
Posted on 1/11/18 at 10:13 am to Festus
Not to mention the opioid epidemic is the leading cause of medication malpractice claims, and accounts for nearly 10% of all medical malpractice claims. It's insane. The vast majority of these claims are from pain management clinics. It has driven up medical malpractice insurance for ALL doctors to record highs.
This post was edited on 1/11/18 at 10:15 am
Posted on 1/11/18 at 10:14 am to Scruffy
quote:
stems back to a certain way that people view the medical field, ISO.
ISO = In Scruffy’s Opinion
Your dedication to your craft is unmatched
Posted on 1/11/18 at 10:17 am to Rouge
quote:
Pain docs think that just about all patients are dope addicts Too much risk and not enough reward Sucks for people with real issues
Yep. My cousin has fibromyalgia and if he doesn't get his medicine for it it's almost like the flu. Soreness, vomiting, nausea, diarrhea, the whole works. It really is a terrible disease
Posted on 1/11/18 at 10:20 am to Rouge
Yep. In addition to medication, a true pain management clinic should be comprehensive. At a minimum it should include other pain reduction measures such as biofeedback training. The vast vast majority simply push pills for pain. With that being said, most patients only want medicine and are unwilling to try alternative methods, such as biofeedback, even as an adjunctive treatment.
Posted on 1/11/18 at 10:21 am to cas4t
You are correct. And I don't know if it's been mentioned, but for whatever reason, Louisiana is ranked #1 out of 25 states studied, in opioid long term use for injured workers.
Posted on 1/11/18 at 10:22 am to FCP
Without knowing the doctors in that particular pain management center, I see doctors switching from local pain management clinics all the time. Sometimes it’s better offers elsewhere, sometimes it’s bc of the DEA restrictions on the amount of opiates they can prescribe per patient and total.
Posted on 1/11/18 at 10:31 am to Scruffy
quote:comparing a shoulder issue to degenerative muscle and joint problems, especially in the back, is laughable
Scruffy has a bad right shoulder from years of baseball.
It is managed perfectly with going to the gym 4 days a week
For the record, I have no pain prescriptions, nor do I need any.
I just know that some pain is real and unending. That pain cannot be fixed, regardless of the level of hubris that some physicians possess. That pain can only be controlled.
Hopefully medicine will get smart enough to weed out the addicts so that those who really need the help can get what they need without persecution.
Posted on 1/11/18 at 10:32 am to Festus
I wonder how many Louisiana docs that work within the state workers' comp system are also paid by pharma companies...i actually don't know that answer, not being coy. But this is Louisiana we are talking about.
Posted on 1/11/18 at 10:34 am to Ba Ba Boooey
quote:
Without knowing the doctors in that particular pain management center, I see doctors switching from local pain management clinics all the time. Sometimes it’s better offers elsewhere, sometimes it’s bc of the DEA restrictions on the amount of opiates they can prescribe per patient and total.
new legislation in LA limits amount of opioids at "point of sale" and also a database has been created in recent months that LA doctors are required to check every 90 days to ensure a patient isn't "doc shopping". This is bad for business if you're in the sleazy business of pain management.
This post was edited on 1/11/18 at 10:34 am
Posted on 1/11/18 at 10:36 am to Scruffy
quote:
Scruffy is willing to state that the vast majority of medical problems people face can be fixed with lifestyle changes.
If by lifestyle changes you mean essential oils then I agree with you. It's a shame what modern medicine has done to people.
Posted on 1/11/18 at 10:37 am to Rouge
quote:
Hopefully medicine will get smart enough to weed out the addicts so that those who really need the help can get what they need without persecution.
they are doing just that through mechanisms mentioned above. This in and of itself is bad for PM clinics. A PCP should be the one prescribing these drugs, period. The reason they are so paranoid to do so now is because of the PM clinics, and the lack of checks and balances. They don't want to prescribe to an addict, that addict die, and they are the ones sued for medication malpractice by the family. Hard to blame them. With the new database, a PCP has access to more info on a patient's drug history, and in theory should be able to more confidently prescribe.
This post was edited on 1/11/18 at 10:38 am
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