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CDC Opiate Prescribing Guidelines: What You Need to Know:PainExam Podcast Featuring Larry Kobak, Esq
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- čas přidán 14. 12. 2022
- Larry Kobak, Esq. on CDC Guidelines: What You Need to Know!
Dec 14, 2022
1 CME Available
What you need to know: The Updated CDC Clinical Practice Guideline for Prescribing Opioids for Pain
#PainExam, #NRAPAcademy, #usra, #BrooklynPainDoctor, #LongIslandPainDoctor, #ultrasoundtraining, #regenerativepainmedicine, #opiates, #PainExamPodcast, #nerveblock, #opioids, #ultrasoundtraining, #painmanagement, #painphysician, #painspecialist
Monday, November 21 at 6:00 pm EDT
NYSPS Legal Briefs
New 2022 CDC Guidelines on
OPIOID USE FOR TREATMENT OF PAIN
The CE experience for this Webinar is powered by CMEfy - click here to reflect and earn credits: earnc.me/p1nfCi
#PainExam, #NRAPAcademy, #usra, #BrooklynPainDoctor, #LongIslandPainDoctor, #opiates, #cdc, , #PainExamPodcast, #nerveblock, #ultrasoundguidedjointinjections, #ultrasoundtraining, #painmanagement, #painphysician, #painspecialist
The Guidelines state very clearly: “Nonopioid therapies are preferred for subacute and chronic pain.” If you are using opioids for subacute or chronic pain, which including both terms, means treating pain for 1 month or more, your chart must contain some justification for the use of opioids. This is an extremely important matter. Appropriate reasons, such as a prior treater, attempted various nonopioid treatments of some kind that failed. There must be a very good reason why opioids were tried. It must be documented.
Larry Kobak, Esq.
Senior Counsel
Frier Levitt
ATTORNEYS AT LAW
101 Greenwich Street, Suite 8B
New York, NY 10006David Rosenblum, MD, creator of PainExam.com, AnesthesiaExam.com, PMRExam.com, NRAP Academy and International Pain Academy Co-Founder presents an excerpt from his live regional anesthesia and interventional pain management CME courses on how to safely identify the brachial plexus nerves in the axilla and perform an ultrasound guided axillary nerve block. Dr. Rosenblum gives courses on regional anesthesia and ultrasound guided pain procedures in NY and around the world. For more information, go to www.NRAPpain.org or PainExam.com/events
Patients can schedule a consultation by going to www.AABPpain.com or calling:
Brooklyn Office 718 436 7246
Long Island (nassau) Office 516 482 7246
We’re trading one problem for another. Chronic pain patients are being punished and judged. Stigma is palpable and a powerful burden for a person who already has the burden of pain on a daily basis.
Well said! I agree 💯 %!!!
HALLELUJAH!! Yes!!😔
So what do we do to FIGHT THIS ISSUE?!
If I even mention pain my doctor threatened to dismiss me from his practice. So nothing has changed.
Still in severe pain. Doctors are still unwilling to help.
Not sure there's any way we can fight this except find a drug dealer. And I certainly can't afford one of them. Barely surviving now. Be well...
@@Galaxylord2 you should report him to the medical board AFTER you find a doctor willing to treat your symptoms adequately. Discriminating against people simply because they’re in pain is unethical.
Let’s fight back. I’m suffering
is there a law firm thats BRAVE ,they sued the big pharma & won for the STATES , how bout us pain patients ?
Same here! Hope you get what you need.
You too
Me too!!! I am with you all the wayyy… Always the ones who need it
The drs, all other "medical community" along with their associations (ex AMA, specialty associations), ie: the ones with the $ & any actual societal/political pull should have joined together at the very first whispers that this was coming to bring massive class action suits against those who have usurped the practice of medicine, destroyed the dr-patient relationship, took away suffering patient's right to humane treatment, humiliated them, took away their right to privacy by uploading all their information into various fed & state databases.
They failed themselves & their patients miserably by cowering like scared cockroaches, by continuing to participate in what Human Rights Council classifies as Forced Medical ł0rłure.
Chronic back pain sufferer here. My Dr. Left the practice. Total cold turkey cut off after 15 years of Tylenol #3 with no red flags. I feel for us chronic pain patients being made to feel judged and looked down on.
The country has lost so many pm Drs that you may wait a yr to only hear " we don't prescribed opioids for pain.I lost my decades of medical records when DEA attached my pm Dr.I been suffering ungodly since .I'm 67 now & I feel patients in Philly & suburbs are being punished cause the country's eyes are on Kennisington.I went through all the tried non opioids at age 40.never abused We need help
I hear you !
This is so infantilizing.
Solidarity with pain patients, past present and future. Opioids have existed for thousands of years, safely and effectively, evolving along side humanity for the relief of pain. Hyper growth profit, anti revolutionary govt agencies, and the prison industrial complex have helped to create hyper synthesized substances of all sorts, ramping up their toxicity and addictive properties. Then deployed them into the population, reduced access to older safer ( read: less profitable) drugs and therapeutics, and waited for all hell to break loose.
(PS: benzodiazepines do not automatically create overdose dangers when combined with stable opioid pain relief. There is so much hypermythology spun into these narratives, and these medications are often vital to relieving chronic and acute symptoms including reducing development of concomitant illness caused by untreated anxiety)
A country that doesn’t treat pain isn’t a credible part of the civilized world. Let alone the vilifying, stigmatizing, exploiting, gaslighting and abusing people in pain. How cruel and strange it is for institutional authority to hide behind paper Angel wings, spyglass and cudgels in hand.
Agency is the key to any democratic society. But in our competitive, for-profit hierarchical culture, management, narratives, fear tactics, and surveillance replaced consent, autonomy, and concordance.
Show me all the data where the PATIENTS have been consulted in forming these data sets, tracking/rating/reporting apps, and “recommendations”.
Addiction obsessed cultures have permanent underclasses, manufactured in order to generate an endless source of exploitable profit and status.
It is no measure of health to be well adjusted to a profoundly sick society.
Doctors need to fight the corporate captured state, for their patients, or pick another profession.
This is such a grift. And it’s gross.
Pain patients should not have to fight like this. Where are you, medical professionals? Aren’t you tired of being policed too?’oy.
I agree that the innocent are having to pay the price for those who abuse the medications.
Unfortunately this is becoming the "strang new world" we live in. Their are already being hurt, their are now people being killed in the hospital, because no pain controls other than ibuprofen or in essence, Tylenol strength acetaminophens. This MUST be turned back!
The general public is essentially - going to be in a whole new world of hurt, if this continues AND IT IS ALREADY HAPPENING. It's being reported that a Cleveland hospital is now considering just such protocols, meaning no opioids for pain control at all, as "standard procedure."
💜🙏🏻
Recently I passed a 7mm kidney stone without medication, because the pharmacy took 11 days to fill the pain med prescription. It was an awful few weeks and once the pain subsided the Urologist just shrugged the responsibility. Now I am facing a foot surgery and my orthopedic surgeon has been notorious for under-prescribing, so I addressed it ahead of time. I suggested that he either allow me to stay in the hospital for the first three days or he prescribe a stronger medication for the first three days then give me what he gave me last year for the same surgery? He did neither of those thing, in fact he subscribed less recovery meds and no hospital stay. I canceled the surgery and my spouse went insane. I am beyond frustrated with doctors who refuse to properly medicate patients in pain.
Oh my!!! My nutritionist with a DOCTORATE in Biochemistry taught is to take a half to one TEASPOON of BAKING SODA ... preferably in water ... to STOP THAT KIDNEY STONE PAIN.
It works. In A MINUTE!
Take it a couple or 3 more times a day ... that stone will turn to MUSH.
No ER needed.
No lithogralithotropsy needed. (I'm a medical transcriptionist and know what to velieve...DOCTORS OUGHT TO ALREADY KNOW BIOCHEMISTRY!
Not apple cider vinegar
Not lemon juice.
BAKING SODA.
I KNOW
Dehydration and caffeine are the culprits.
I know this reply is dated but maybe someone can benefit from it.
Firstly, just a disclaimer I currently have no health insurance, so I understand the costs involved.
If you’re having issues with pain management do your self a favor and (sideline) the GP’s, specialists, etc…
Look for a “Pain Management Physician” for help with acute and or chronic pain management.
Personally I have done this for anything from dental procedures to surgery.
Most physicians will tell you that they have received little to no education in regards to pain management.
So yeah so far it’s worked okay…
That being said, inevitably you may find a doctor that will take offense to such.
If so then simply find another, they are a dime a dozen.
Good luck!!!
My ex had kidney stones and they labeled her a drug seeker. Had they bothered to view a couple frames lower they would have seen the partially passed stones in her bladder. I showed the doc that on my laptop and he told me I was not supposed to view the CT scan disk and I'm not a licensed doctor. Rather than admit the mistake the doctor tried to hide behind legalistic BS rather than accepting the radiologist missed the stones. It was beyond messed up bull 💩
Psoriatic Arthritis I'm sure is one of the most painful progressive debilitating disease and Dr's refuse to do pain management after yould already been on it 20 years! 😢 crazy how us with chronic pain can't get relief! Laws need changed!
I stopped all care for my chronic condition in 2017 after my doctors decided to stop caring.
Recently I had a doctor inform me I need to trust a doctor and get back into care.
My comment, *"Trust? You want me to trust you? Don't use big words you don't understand."*
Since when does the germ warfare CDC have the say on civilian medical practice?
6 years ago , they (CDC) said BOO ,and all the brave Dr`s got scared !
Good question, right? 😮
If you told the founding fathers, that in a few hundred years the government would be so all knowing, that they would keep track of every pill that all Americans would take and that pharmacists and doctors would act as agents of the government, to deny a patient's care, what would they say?
The CDC has been causing problems for pain patients forever.
They don't, but the cowards called "drs inc PA's, NP 's, RN's etc", let themselves get steamrolled when they refused to join together to stop this right from the get go. The totality of "the medical community" along with their lil agencies (ex AMA, USPF) needed to join together at the first whispers this was coming to bring massive class action law suits against the usurper's unlawful intrusion & takeover of the practice of medicine.
However, they CHOSE not to. Instead of doing anything to help themselves & the people who pay their salaries (their patients), the cowards scattered like scared cockroaches. With their autonomy now gone, the Dr-Patient relationship now destroyed, they left their suffering patients abandoned with nowhere else to go.
All of this due to one sadistic psychopath's hysterical PR0P -ag@nda ["dr" Kolostomy], fear & gaslighting campaign & the psychopathic sadists at the (D( who did the same; both of which have no legal authority to do what they've done.
Not to mention the violations against C0n5t!tuti0n/BOR, Human Rights Treaties, The Americans With Disabilities Act. Human Rights Council classifies this as: Forced Medical ł0rłure; & indeed it is.
Now, after most states have codified these "suggestions" into law, (D( was finally forced to admit that their data was wrong, and that their "suggestions" were/are being widely misinterpreted & misapplied. But does this matter, did these statements & admissions help anyone? NOPE, as planned the damage has already been done & the body count of suffering pain patients who have succumbed to their health conditions, are not living anylonger or are now completely incapacitated due to stroke, seizure or heart attack sustained during WD after they were cut off or force tapered, those who were forced on to the 5łreeł with tainted substance because they had nowhere else to go, and those who to my & others' absolute outrage have un alived themselves because their necessary, life giving/sustaining medication had been unjustly taken or kept from them.
Punished, humiliated, gaslit, lied to, thrown away like garbage; ultimately ł0rłured to death just because their bodies are unable to produce enough Endorphin & require a supplement.
The US can no longer consider itself a safe or humane environment, the "medical community" can no longer be considered itself top tier or excellent as its members sold themselves & their patients out to a fake, hysterical, sadistic, gaslit, PR0P- @gand@ filled fear campaign & did nothing to stop it.
Here is THE REAL EPIDEMIC; a war against the most vulnerable amongst us, against sick & suffering patients, the disabled, injured veterans. A WAR DECLARED UPON PEOPLE.
The (D( "guidelines" & any states who codified them into law need to be abolished & rescinded. Everyone & anyone who had a hand in this unlawful intrusion into medical practice & ALL of the so called "medical community" who forced suffering patients off of their necessary medications & abandoned them need to be prosecuted for crimes against humanity, forced medical ł0rłure, patient abandonment, discrimination against the Disabled under the (ADA). They need to pay for all the lives they crushed, productivity lost, and all the lives they took due to self deletions.
@Human Rights Watch, please spotlight this as it's 2023 and nothing has changed, in fact it's much worse.
I don't think they know what they're talking about when they think they know it all. Stop hurting people let them enjoy the life they have or what they have left. My husband has terminal cancer and he can't get what he needs because you think you know it all
In short he’s saying we will harass any doctor who’s thinking of prescribing Opioids.
Well Mr. Doctor, what about the DEA who are relentless and still say they are going by the original unlawful CDC recommendations.
So true!!! How about putting an agency who follows a Medical Science Discipline in charge of Licenses of Doctors and Pharmacists??? There is so much Circular Reasoning behind a negative opinion regarding Opioids and a Law Enforcement Agency who Prosecutes the Laws that is both the premises of their argument as much as the conclusion... Legally they lack proof that their "War on Drugs" has any logic!!! Their hidden interest is to grow the War on Drugs and have job security while they actually force the legal or legitimate medically needy dependence onto the streets... Truthfully, NO ONE WANTS FENTANYL!!!
Eventually, they will have to change. They need the 90 MME to convince juries that the doctors are overprescribing. When it is finally learned that the 90 is no longer there, how will the juries be persuaded to find them guilty? There is still a 50 MME, but it is written differently than it was in the old guideline. Also, the public is getting angry and disillusioned when doctors are too afraid to prescribe them or their loved ones opioid pain meds after surgeries or serious accidents. Some of the public will end up on juries. The word is getting around that people can't get pain meds when they need them the most.
I have cancer and other old age health issues. The doctors say that they do not prescribe pain killing pills for cancer.
the ol quacks are lieing ! they did until 6 years ago !
Thank You
This is very unfair to a person at the end of life would be the ONLY exception.
Intractable cancer and end of life pain IS ONE OF THE EXCEPTIONS . It’s cruel to let a terminal patient endure pain, rather than give acceptable pain medications. I would get a referral to a pain specialist and get another opinion. As a retired RN I feel patients do have the right to have access to effective pain control.
BTW, have YOU ever broken your toe. It’s excruciatingly painful.
@@islandbirdw why ONLY exception?? Have you any idea what other diseases cause horrendous pain?
This is so infantilizing.
Just treat the damn pain. Let patients testimony be your first and most important guide. Informed trusted patients whom are given agency and concordance are excellent partners with their doctors.
If you need all these additional mangers and consultants and cops just to verify the patients pain and treatment.. what did you go to medical school for?
This has just gotten creepy.
Well, maybe "creepy" - BUT DEFINITELY is swiftly being mis-applied, and already legacy patients and others you'd never expect ARE being cut-off entirely, while many are being tapered down to almost negligible levels, and the majority are being over-tapered and/or tapered down at unbelievably low levels, and that's just it! It is happening all across the United States unless you are fortunate enough to live in Minnesota, recently Arizona, and in Oklahoma where a chronic pain patient went for the same type of rules that Minnesota had, Arizona is on it's way but through her hard work and the help of 3, 4 other chronic pain patients, and was law in Oklahoma before Arizona moved forward. ❤ 😊
@@ScooterClues surveillance tech that non consensually gathers info on you in order to actually incarcerate, destroy lives, especially when it does so by qualifying virtue, whether or not a human is worth pain relief, and when it’s for profit.. and when it says “we’re helping!” .. that’s as creepy as it gets.
Yes this situation is an abomination & completely inhumane.
Just look at the forums utilized by med school students & other medical community; you'd be disgusted at how they all view pain patients. Pain patients are the butt of their jokes. All of them strategizing how to make more money giving repeated invasive injection cocktails that more often than not cause more harm, more pain, more recovery, more accumulated scar tissue, lowered immune systems. They are all infected with their own EGO's & PR0P- @gand@. Truely disturbing.
@@ScooterCluesIt's almost as if they want people to turn to street drugs and vastly increase those numbers they're so worried about. Maybe someone is incahoots with certain people from Mexico or China 🤔
Just let the legal drug companies sell to pharmacies and pharmacies sell to patients. "We don't need no stinkin' prescription in order to get opioids pain medicine. Opium poppies will grown anywhere. We are generally able to balance the benefits vs the risks of opioids - we can do that ourselves. And if we mess up who do we harm? We harm only ourselves. We must be free to do that. That is unlike the careless use of antibiotics which can cause harm to others, as well as to ourselves - when we use antibiotics carelessly we make bacteria more resistant to the antibiotics and the bacteria don't limit themselves to infecting just ourselves; those bacteria that we made more resistant can infect others too. So it makes no sense that there is far more strict control over prescribing opioids than there is over prescribing antibiotics.
Drs make me sick. As a chronic pain sufferer for 13 years, I wonder how these drs would feel if they suffered chronic pain day in day out?! I bet they’d be writing themselves a script for effective pain relief.
Did any doctors change their practice to fit the new guidelines? No. They definitely did not.
In the past year I have seen friends of mine go through agony because no one wanted to fill their pain perscription post surgery. Skilled nursing facilities, doctors, hospitals just dont want to write or fill the order or they "forget" to transfer the order. I had a spiral fracture of my lower leg bone down by my ankle from a nasty fall on ice at work. They prescribed Tramidol...... which did nothing. I lost 30 lbs in 3 weeks because from not eating because I was in so much pain. My decision will be that I have no intention of having surgery. This is sanctioned torture, imo.
Acute pain ? here today, gone tomorrow, NO hydrocodone ! CHRONIC PAIN IS forever ,the only relief is hydrocodone !!
Thank You you are correct.
going under the knife getting my icd put in[lidocaine only that hurt]
i was was like WTF where are the good drugs.
i read up. where are they.
getting your skin ripped from whatever it's connected to hurts.
the blue sheet didn't let me see anything.
the young assistant seeing my shriveled up junk[cold] was so embarrassing.
@@wolu9456 me too friend , I tried to get my pelvis hardware removed , they said to dangerous , take the pain meds, then they cut them off ! so you better use & like kratom , its ALL we have left !
My atypical facial pain was such, at the time that I _started_ on opioid therapy, that I needed at least 60 MMEs to subdue the pain, and I needed 60 MMEs very 4 hours, sometimes I needed another 60 after only 3 ours. Now and then I would be able to go 6 or even 8 hours without another 60 mg, so overall I needed at least 240 mg per day to get halfway decent effective pain relief. After about 5 years a tolerance slowly developed and my MD raised my dose to 270 MME's per day. I was able to function with that amount for another 5 years or more.
Dam we’re do you live because these laws are fixing to change and cut all of us off
i pray for the end of the war on drugs when innocent people won't have to interact with these freaks anymore
It is all about money. But good news income from ER’s and urgent care centers is dropping as ppl don’t go there as much because they offer no relief from acute pain. Let’s pull together, SAME seniors against medical exploitation ❤😊
That's pretty catchy, and sounds like something I'd be interested in. Pain (mis-)management is most definitely not the only avenue taken to exploit seniors and/or the general population in terms of medical finances or even just general/critical care.
Doctors showed us how to ride a motorcycle to the mountaintop.......and now they expect us to not leave the house because "it's better". Go Skrew........
What about rare disease pain!!!
MRI/CT to prove pain or high blood pressure with no other risks of HBP
They don't care. It doesn't matter what your Dx(s) are, patients with all forms of rare, severe, terminal, intractable conditions are being denied humane treatment.
@@Vexx_Line_ I sometimes think they want us to die… possible exception is if we continue working in a very important useful job (making it hard to just replace us) and cannot work without pain meds. Eg: the BBC reported that classified or secure documents lost protection upon the death of Justice William Rehnquist, Chief of the US SUPREME COURT at time of his death, about a decade or more ago. He gradually had worked up to taking (they reported) a HIGH DOSE of a controlled substance for back pain. (I do wish I’d looked into or they’d stated the exact med, but apparently it was sold by criminals so it was not mild; likely morphine I’d guess. Just a guess. His point had been that he could WORK due to pain only with that medication! He was unimpaired at work, - regardless of whether you agree with his legal decisions or not. Investigators visiting his doctor scared the doctor (his doctor FELT scared regardless of intention by regulators/security clearance folks) into STOPPING HIS PAIN MEDS WHEN HE WAS SUDDENLY A CANDIDATE FOR “CHIEF” Justice of the Court rather than continuing along as an Associate (the other 8 , extremely important but somehow the “chief” title worried administrators…) When in US GOVT w security clearance, for a decades long a career (potentially), one gets an updated security clearance every 10 years minimum. However, independently, of that practice, being “elevated” to a job with more clout (or perceived or actual power, or access to increasingly classified material) ) results in much more scrutiny being applied. Which is appropriate, I would agree. In his case however, reportedly the man’s reaction to having meds stopped that he’d only very slowly increased the dosage of over a period pd maybe decades, led to his having a hospitalization with radical withdrawal symptoms. At that point, apparently authorities relented, agreeing that while he might be deciding criminal cases involving drugs, there clearly was an argument that HE was not criminally diverting or unsung these medications, and was unimpaired at work while ON them, indeed maybe he’d be unable to work or find it radically harder to work without his meds. Reason prevailed. I’ve had people say I ought not repeat this without independent review of everything (or just be quiet “out of respect” for the public official). I should be clear this anecdote comes from my recollection of a BBC INTL (respectable news source) short report in the days following announcement of William Rehnquist’s death. I was surprised this was all now public information the moment he passed away. I don’t feel it’s disrespectful to report this, with that caveat in particular. There should be no shame in pain patients taking pain meds to get thorough their day (and night) whether working full time or not.
When a person dies from a overdose, Ck if they had an eviction notice, or lost job.or acute pain. The above could lead to a person to commit suicide.
When a physician cuts you 75% after surgery with complications for issues other than a spinal issue but a pancreatic tumor and tells you, "you can wait for the injection," for neck out of spite and continues to keep you from alternatives, what is a patient supposed to do. I told the doctor I don't know anyone to get drugs from. I will end up going to the city or where ever you go. Of course, I wouldn't!! I have no idea how to do anything like that. I don't know anyone who uses illicit drugs or any pain medicine I was offered Botox for migraines, and NEVER HAPPENED 1.5 yrs later, after massive rounds of triggers and spinal injections THAT made me very sick still didn't control my neuralgia and I had undiagnosed dystonia. I went to another doc for an injection. I asked for BOTOX for spasms after seeing a poster on the wall showing my shoulder up and head tilted. I had this for years NO ONE DIAGNOSED it. IT WORKED!!! Not entirely for the neck, but it helps for 2 months. I'm still at a level of 7 every day, maybe 5 some days. I have had 10s WITH JOLTS TO MY BRAIN EVERYDAY FOR YEARS!!! I cried in front of the doctor and NP. I told them I would be better off dead. I'm not doing well. I said I'll do anything and talk to a MENTAL HEALTH EXPERT. HE SAID NO! Then I developed skin cancer and cushings from injections lowering my immune system. I have had issues with hormones after surgical menopause with no HRT. I told the NP the injections were why my skin cancer was back with a vengeance. HE SNAPPED AT ME, and I lost it. THE DOCTOR SAID WE HAVE BEEN TRYING TO GET RID OF YOU SINCE YOU CAME HERE. WOW!!! NOW I KNOW WHY THEY INTENTIONALLY WITHHELD TREATMENT! They wanted me to fail or leave. I HAVE BEEN TORTURED BOTH PHYSICALLY AND MENTALLY BY THIS FACILITY!!! I have been abused since 2019. The revolving door of doctors all getting injections prior to 2019. My spine from the base of skull to tail bone has severely degenerated with severe stenosis, my neck is fused by bone growths, I have cysts, and I'm too hard of a patient for them to treat. OH, DID I SAY THIS DOCTOR WAS ARRESTED 2 MONTHS AFTER THEY SOLICITED ME TO COME TO THEIR PRACTICE? After the first two months of horrible treatment, I sought another physician, then covid lockdowns I was stuck! He has stigmatized me. I said I needed surgery the doctor suggested SUBOXONE! WHAT! I have delayed getting surgery or going to the doctor due to fear. They are responsible. So now what do I do? I never had a problem until I came to this facility!
SORRY FOR YOUR SUFFERING Is anything better?
I’m in Canada and at least we have ways to try psychedelics now a days for pain. Too bad I have a resistance to their effects for microdosing due to pain meds I’ve been on 🙁
My pain increases from a shattered wrist causing carpal tunnel surgery and permanent nerve damage (and malunion for continuing pain) then hit with Covid & H Pylori (eradicated)followed by so far 9 solid months of no way not to moan out loud pain in my abdomen/back (with another type of Endoscopic test upcoming to figure out if it’s serious) or enough testing to narrow down a IBD type diagnosis and Dr. won’t ever allow the pain medication to be effective by increasing it. I’m reacting with disorders and bad symptoms because I’ve been on sâme dose for at least 7 years so it’s very much like baby aspirin competitively. PROFESSIONALS PLEASE DON’T DENY THIS IS CHRONIC STRESS FROM NO PAIN RELIEF IS CAUSING MANY LIFE THREATENING IF NOT RUINING MY FUTURE REACTIONARY ILLNESSES INCLUDING CAUSING MY BODY TO NO LONGER HAVE ANY WAY TO HELP MYSELF FROM EFFECTS LIKE CORTISONE NOT ABLE TO
GO BACK TO NORMAL SO ILL NEVER BE ABLE TO HAVE THE FUNCTIONS OF THE BEAUTIFUL Body SYSTEMS TO HEAL LIKE BEFORE. YOU ARE DENYING OUR HEALING AND CAUSING PERMANENT DAMAGE.
You must fight to have your medical records changed!
I have been turned down by pharmacies saying that they don't take new paiñ patiënts
I ran into this problem with a new drug Nucynta ER I was starded on this to get trough the winter.
Who’s helping pain patients in Chicago?
Thank you
Nobody.
Probably not many. Look for an accredited pain hospital. You must have a referral and a very extensive medical record of exhausting every possibly therapy and surgery UNLESS you have stage 3 or 4 cancer... but then an oncologist and hospice would be involved. Good luck 🍀🤗❤ It is hell on Earth being a pain warrior. Also... if you are the patient and have exhausted all therapy and surgical options demand to have a patient advocate to help you. I'm so sorry if you are struggling 😢
@@CatalinaFOIA I'm not in Chicago, but in my case my doctor only asked me to try Gabapentin. I can't tolerate a high dose of it, so I am also getting opioids. I was not required to try any of those other alternatives. Some doctors are not as picky about how many alternatives you have tried.
@@jerryrobinson7856I am definitely glad it's available, but my issue with cannabis is that it makes me tired and not want to do anything. With seemingly minimal pain relief on my end. Though that may be because I can't handle a high intake of THC. And CBD is so damn expensive... There's kratom, but it's unregulated and long term effects are unknown, not to mention it has a sort of preparation time and you have to find what works for you, how much works for you, reliable clean sources (which are usually a bit pricey too). There's wild lettuce and moringa oliferia, but those also have very little research behind them.
Hydrocodone worked for me. I didn't abuse it. I don't want to sit around drooling on myself, nodding out. It doesn't always work, depending on my pain level each day - or my ability to tolerate said pain that is. But it got me off of the couch, able to do light yard work every other day or so, taking care of chores at home, taking care of my mom and house chores there... I wasn't Superman, able to do everything I wanted to get done in a day, but at least I was keeping up with things the best I could. Such a shame that people in much more pain than me can't even get mild pain relief. As they've grouped regulated and controlled pain management patients in with people doing heroin and now fentanyl on the street, dying from overdose. Now they've forced some patients that did abide by the guidelines and were taking pain medication safely and as directed to the street or the great beyond in search of pain relief (or relief withdrawal, with the prior opioid guidelines advising immediate patient termination).
I really hope things change. In my opinion, people should be made fully aware of the side effects and potential dangers and given a choice whether or not to take it. A lot of people would say no. It would also, potentially, keep a lot of others from doing street drugs. Reduce the market on the street even.
@@jerryrobinson7856 Well of course should all be free to seek help of whatever sort we wish, and it should be up to the person whether they want to risk surgery, or want to risk opioids. The _real_ reason for making opioids difficult to get is that they opium poppies are easy to grow and opioids are very effective at relieving pain and physicians cannot make nearly as much money from prescribing them, as they can make from performing advanced technology surgical procedures. So of course these surgeons don't want to have to compete with people who grow opium poppies in their back yard and find that that is all they need. It's called _restraint of trade." While some surgical procedures may indeed be worthwhile, the choice as to how to treat pain should be the patient's not the physician's. It is one thing to have a good sales pitch for fiddling around with someone's anatomy using knives and cautery, lasers and microwaves; it is another to prohibit simple opioids so that patients are pressured into cutting and cooking their body parts. These body parts will never grow back. In contrast, chemical changes in nerve function produced by opioids _will_ reverse themselves slowly, over time, should the person stop taking opioids or reduce their dose. Still, if you want to do nerve ablations that should be your prerogative too.
When is the doctor’s going to grow a pair and take the d.e.a. To coast they are not doctors
I have been on them for 20 Plus years 3:25 has No Trouble and it stops Chronic Pain due to Butcher Doctors is a Big problem.😮😮
I get threats and worries every time I seek pain meds. My father had major surgery and they would NOT prescribe pain meds for a hip replacement.... 2 of my doctors are saying they are receiving threats from state authorities for prescribing needed pain drugs
Sue those bastards for pain and sufferings.
My pmp has me as 330 out of 999 the low end…only one doc only 2 pharmacy’s …
Risk of OD…average…not about above average or high….pharmacy still said no
the druggies and the movie stars screwed it up for us regular folks that need the medicine
AMEN TO THAT!!
You can tell that this person has not been to school for the 12 years that most pain management doctors have been to
Interesting how the term painkiller is no longer used…and how he mentions protecting your backside before treating pain haha. These drs forget that homeless people overdosing on fentanyl dealt out by our own government isn’t the patients fault.
In Pennsylvania Can’t pay cash Not allowed
That's just fucked up.
that is fucked up.. i'm in south Florida and pay cash to my Dr. just to stay off the "radar", and i usually pay cash for my prescriptions (Methadone/Adderall/Klonopin) but my insurance covers them. only pay 10 dollars for all 3.
some of the different policies other states run are just crooked as hell. especially feel for the legit patients who get caught up in this bullshit that backfired hard.. now you can't go outside and swing a dead fuckin cat without hitting 2 or 4 Fentanyl Dealers/addicts. sad shit.
Report it to your state medical board, your representatives & any/all other avenues. Keep it short and to the point as you can.
A lawyer telling us how pain medicine should be prescribed. You fucking lawyers caused this mess in the first place.
The ATF just lost time for some large group to do the same to the DEA doctors are not in their mission. The mission statement of the Drug Enforcement Administration (DEA) is to enforce the controlled substances laws and regulations of the United States and bring to justice those organizations and individuals involved in the growing, manufacturing, or distribution of illicit drugs. The DEA works collaboratively with federal, state, local, and international partners to dismantle drug trafficking organizations and disrupt drug operations.
The DEA focuses on reducing the availability of illicit drugs in the United States and protecting the public from the dangers associated with drug abuse. This involves targeting all aspects of the drug trade, including drug cartels, money laundering, and the diversion of prescription medications.
Through its enforcement efforts, the DEA aims to improve the overall health and safety of communities by preventing and reducing drug addiction and drug-related crimes. Additionally, the DEA strives to educate the public about the dangers of drug abuse and promote drug prevention initiatives. Its mission is to create a safe and drug-free environment for all citizens of the United States.
a blood test for inflamation will tell if you are fibbing about PAIN !
A blood pressure reading will too, as well as an MRI/CT scan.
Neither of these statements are true. Inflammation isn't a direct indicator of pain or vice versa. As well as high or low BP signifying a person's pain for its subjective to each person and every person has various chemistry that Influence differences in Pain, pain that affects one differently than another, etc. 😅 Everyone would be screwed if that was the case.
@@CatalinaFOIAwrong. Maybe for actute. Chronic, not so much.
@@blackbuck4realSome of us are on blood pressure medicine as well. Our higher numbers from pain are just other people's average blood pressures
No one should be prescribed opiates
Next time you have surgery or whatever tell them that😅😅😅😅😅
@@pursedelighted go to Kensington Philadelphia. All the pain stuff your heart requires
Have a kidney stone or pancreatitis and say “ No opioids “ thank you! 😂
@@Joemon0929 I have widespread myofascial pain syndrome which makes kidney stones look like a trip to Disney land.
Opiates have NEVER, EVER cured ANY disease, EVER
infact opioids make chronic pain conditions worse after extended periods of time from structurally reorganizing the dorsal horn neurons, inducing opiate induced hyperalgesia amongst many other things.
I don't appreciate supporting white supremacists pharmaceutical companies at that
Trying living with flu like symptoms every minute of your life. Having fibromyalgia makes your joints and muscles feel like they are always on fire. Just because you can do without pain meds doesn’t mean we all can. They only way I can get out of bed in the morning is by taking them. I don’t qualify for ISSD SO THEY SAY. So, not working isn’t an option for me. So get off your high horse Johnny boy.