- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: Gillibrand with the big opiod fix
Posted on 3/20/19 at 11:48 am to prattalumni
Posted on 3/20/19 at 11:48 am to prattalumni
quote:
Are you suggesting a one size fits all kind of treatment? That's sounds like some broke arse communist system.
No, you are again thinking far more narrowly than I am.
Since the 1960s, trust in institutions has plummeted. Think about how we perceive things like the media, organized religion, teachers and public education, police and the legal system, the federal government, etc now vs a half century ago. We used to say "This person is an expert, we trust them more than ourselves."
Thanks to innumerable scandals and the explosion of free information via the internet, now people can be especially skeptical of anyone in a position of authority. While largely beneficial to society, this isn't inherently a good thing. Your family doctor is probably more informed and better prepared to take care of you than WebMD and the old lady at the health food store.
There are consequences to empowering patients - physical, social, and financial - that will sometimes outweigh the benefit. I'm just saying we can't ignore or overlook those consequences.
My chief worry is that the eroded trust in authority will lead to the creation of medical echo chambers, just like it has in every other corner of once-respected institutions. Look no further than the rash of deaths of celebrities while under the care of concierge doctors or the anti-vacc movement. That is where I fear this will all end up, on a large scale.
1
Posted on 3/20/19 at 11:57 am to Jbird
quote:
If we want to end the opioid epidemic, we must work to address the root causes of abuse. That’s why @SenCoryGardner and I introduced legislation to limit opioid prescriptions for acute pain to 7 days. Because no one needs a month’s supply for a wisdom tooth extraction.
How fricking stupid. Following two open heart surgeries I was prescribed oxycodone for the better part of three months. Does this bitch expect people to recover from major surgery in a week?
Posted on 3/20/19 at 12:04 pm to Jbird
quote:
Because no one needs a month’s supply for a wisdom tooth extraction.
Probably true...However, I would think an end of life cancer patient, might need more pain medication than the person who just got a tooth pulled.
Posted on 3/20/19 at 12:22 pm to BulldogXero
quote:
The solution is to let people make their own decisions about what to put in their bodies. Stop punishing innocent people because of those who abuse.
I agree but there’s a lot of fake stuff out there on the street largely because of the crackdown. Prices go up because it’s not available and people resort to h or entrepreneurs are getting pull presses and making fake tabs laced with fentanyl. People on the street are getting a lot more stuff they don’t know what it is they’re putting in their bodies. That’s their problem for sure but is a side effect of all of this. Dunno what the solution is, legalize lortabs? It beats driving them to heroine imo.
Posted on 3/20/19 at 12:36 pm to Snipe
quote:
was written a 30 day prescription for a tooth extraction about 1 year and a half ago.
Who the frick is your dentist and is he 70? That's an insane amount of pills. Also why is a doctor writing opioids for bursitis?
Posted on 3/20/19 at 12:45 pm to Muthsera
We already have medical echo chambers telling us that opioids are sinful. Wait until you come across a quack for a doctor that is hell bent on a certain treatment or diagnosis that almost kills a loved one or yourself and tell me how much you respect his "knowledge". Doctors do know more, but it is not the be all end all of treatment and shouldn't be. Knowing more doesn't get you healed, it's utilizing the correct treatment plan with the correct diagnosis that works.
My father trusted the doctor's every word as gospel and refused to admit how sick he was. He thought the doctor would know if he was in any serious danger. He died with septic shock. I hope you are never put in that position.
I'm probably more passionate for patient care because of past experience but I am am in no way trying to dismiss the medical profession as unknowledgable. Just that our prejudice shouldnt dictate certain treatment plans for the whole because of a few addicts.
My father trusted the doctor's every word as gospel and refused to admit how sick he was. He thought the doctor would know if he was in any serious danger. He died with septic shock. I hope you are never put in that position.
I'm probably more passionate for patient care because of past experience but I am am in no way trying to dismiss the medical profession as unknowledgable. Just that our prejudice shouldnt dictate certain treatment plans for the whole because of a few addicts.
Posted on 3/20/19 at 12:54 pm to NoHoTiger
quote:
However, I would think an end of life cancer patient, might need more pain medication than the person who just got a tooth pulled.
My mom passed away this past November. She had stage 4 breast cancer that metastasized to her brain and lungs. We did hospice at home for about 4 months. They'd roll up with a fed ex package every 14 days that had a bottle of 84 5mg roxicodone. AND a bottle of morphine sulfate. Hospice folks are quite liberal, and understandably so. "Give it to her whether she wants it or not to stay ahead of the pain and not try to catch up to it."
Posted on 3/20/19 at 12:59 pm to SSpaniel
quote:
My mom passed away this past November. She had stage 4 breast cancer that metastasized to her brain and lungs. We did hospice at home for about 4 months. They'd roll up with a fed ex package every 14 days that had a bottle of 84 5mg roxicodone. AND a bottle of morphine sulfate. Hospice folks are quite liberal, and understandably so
Sorry, brother. But good for those caregivers. Nobody should have to live in pain in 2019.
Posted on 3/20/19 at 1:01 pm to Jbird
quote:
Because no one needs....
This right here really pisses me off. Maybe the most dangerous phrase in our world
Posted on 3/20/19 at 1:07 pm to Snipe
Snipe,
I am a doc. It seems HIGHLY unlikely that anyone would write a “30 day supply” (120-180 tablets) for a wisdom tooth extraction.
My suspicion is you are lying, exaggerating, ignorant or all of the above.
If your doc truly wrote you for over 100 tablets for a wisdom tooth extraction , he or she should be investigated.
One problem we run in to now is the inability to refill over the phone. So I can’t write for a small amount amount and refill for patients who need more. So we tend to write for a a larger initial rx after surgery to save the patient the hassle of driving back to office to get a new rx .
I am a doc. It seems HIGHLY unlikely that anyone would write a “30 day supply” (120-180 tablets) for a wisdom tooth extraction.
My suspicion is you are lying, exaggerating, ignorant or all of the above.
If your doc truly wrote you for over 100 tablets for a wisdom tooth extraction , he or she should be investigated.
One problem we run in to now is the inability to refill over the phone. So I can’t write for a small amount amount and refill for patients who need more. So we tend to write for a a larger initial rx after surgery to save the patient the hassle of driving back to office to get a new rx .
Posted on 3/20/19 at 1:11 pm to GumboPot
quote:
Hopefully heroin feels better than hydrocodone because if hydrocodone high is similar to heroin then what's the BFD? It sucks.
Well, I have had morphine, which is supposedly the next thing to H - and I get how somebody could like the feeling, at first. I was in some fairly significant pain. My quack doctor diagnosed stomach virus, but it was almost certainly food poisoning in hindsight.
I was 15, hadn't slept in 30 hours, vomited everything up and was still dry heaving hours and hours after I should have gone to the hospital. I was trying to man up. When my parents woke up, they said, "You're still awake and vomiting? We're going to the emergency room."
So, under those limited circumstances, the relief was palpable. I couldn't get "more" sick to my stomach, I was completely pain free. Hell, I couldn't even feel the ground when I walked. It was like I was floating on air. I got home and slept probably 20 out of the next 24 hours and I was fine.
So, how junkies get literally anything done except shooting up is beyond me.
Posted on 3/20/19 at 1:12 pm to Jbird
What if they cut my damn foot off Gilli? Can I get a few more days Gilli? Gilli?
Posted on 3/20/19 at 1:12 pm to Jbird
quote:
Sen. Kirsten Gillibrand
?
@gillibrandny
If we want to end the opioid epidemic, we must work to address the root causes of abuse. That’s why @SenCoryGardner and I introduced legislation to limit opioid prescriptions for acute pain to 7 days. Because no one needs a month’s supply for a wisdom tooth extraction. Also....if you think this idea is stupid you're a racist.
Posted on 3/20/19 at 1:13 pm to prattalumni
quote:
It's a pendulum that has swung vastly in the opposite direction from the early 1990s, but damn it's getting ridiculous. Focus on the illegal stuff and stop victimizing legitimate use of these medications.
Thanks for all you do.
110% agree. I've had five spinal surgeries. I'm fused from S-1 to L-1. I know pain more than most like your patient. A 7-day or even 10-day supply will not be enough after major spine surgery, fact.
I've got a bottle of around 50 oxcys in my gun safe right now. I haven't had to take any in months. Aleve is my first line of defense. I also have a neuro-simulator now. My doc knows that I won't abuse the drugs. Opiods shut-down my bowels and that makes this Tiger a grumpy boy.
I believe that some people just have addictive traits and others don't. It's the doctor's job to know their patients as good as humanly possible. That's not easy at all.
Get pompous government and the insurance companies out of the medical decision making. Docs have been warned and know of all the consequences. Patients have to be educated on the dangers of prolonged usage, up-front.
Posted on 3/20/19 at 1:15 pm to Mizzou Mule
quote:
Opiods shut-down my bowels
They have a pill for that now.
Posted on 3/20/19 at 1:24 pm to tomcatrav
quote:
One problem we run in to now is the inability to refill over the phone. So I can’t write for a small amount amount and refill for patients who need more. So we tend to write for a a larger initial rx after surgery to save the patient the hassle of driving back to office to get a new rx .
Almost no doctors in MS will write for any type of opiod . No GPs at least. Everything has to be referred to Pain Management Clinics. I've never been to one so I can't comment on them
Posted on 3/20/19 at 1:27 pm to Ace Midnight
quote:
Well, I have had morphine, which is supposedly the next thing to H - and I get how somebody could like the feeling, at first.
I was in the hospital being treated for a staph infection in my spine. The start of my back issues. I was being treated with antibiotics and morphine for pain, pre-surgery. The burning pain in my spine was so bad that I screamed while biting a wash cloth in my mouth. The docs set up the morphine drip but they over compensated. I became super angry, mean and pulled out a picc-line to my heart. I had super wild hallucinations (kind of cool to remember). I was awake for two days coming off the morphine.
Posted on 3/20/19 at 1:30 pm to Jbird
quote:
If we want to end the opioid epidemic, we must work to address the root causes of abuse. That’s why @SenCoryGardner and I introduced legislation to limit opioid prescriptions for acute pain to 7 days. Because no one needs a month’s supply for a wisdom tooth extraction.
I bet she and Spartacus never had 4 impacted wisdom teeth literally cut out.
I mean, no, a wisdom teeth removal doesn't typically require pain medication for more than a week, but that is painting with a broad brush. There are surely many procedures where more than a week of opioid pain medication is needed.
This post was edited on 3/20/19 at 1:36 pm
Posted on 3/20/19 at 1:38 pm to GumboPot
quote:
I had my wisdom teeth pulled and I took one hydrocodone and it made me feel as if I didn't lay down the entire time I was going to puke. Never took one again. In fact regular old Advil worked almost as good at revealing the pain without the side effects.
I wouldn't have survived my wisdom teeth extraction experience without hydrocodone. I had 4 pulled, three of which were impacted and one was partially erupted. I was also given Phenergan for nausea, plus I went home and slept and stayed in bed for a few days.
This post was edited on 3/20/19 at 1:39 pm
Posted on 3/20/19 at 2:04 pm to deltaland
quote:
I thought Trump already limited them? I know they changed the prescription limits over a year ago. You don’t get a month of painkillers for a wisdom tooth anymore.
Correct. In fact, most national pharmacies will no longer dispense anything more than a 7 day supply of any narcotic and no more than 50 morphine mg equiv per day. I had a post-op patient who I rx'd #30 Norco 7.5/325mg for. I wrote that he/she could take every 6 hours as needed, so the pharmacy does the math, says patient can take 4 per day for 7 days...then called and told me they could only dispense #28 instead of the #30 I wrote for.
Crazy how Walmart, CVS and some health insurers have limited opioid prescriptions without the feds making anything law...It's almost as if a vast majority of physicians and pharmacists really just want to do what they believe is best for the patient...
Page 3 of 4
Popular
Back to top
Follow TigerDroppings for LSU Football News