Dr Waller. You are my hero. Very well presented. There is very little neuroscience education regarding opiods and chronic pain.Why are they not teaching this in medical school and residencies. It looks like big pharma has more sway on our prescriptions than science.
So.. I read many of the comments. I'm just here to say thank you. Videos like this spread light on things I never thought about. I don't have to agree with everything, but I know good information when I can compare it with other countless sources.
As a chronic pain patient, I can vouch for the good doctor: Staying more active helps (if possible) the "mindfulness" approach helps too, in general a multi-faceted approach does help. HOWEVER, let's be honest -- doctors are under intense, career ending pressure from the both their state and federal governments. If you're a pain patient, Uncle Sam has become your new doctor. So these are more than "guidelines". If you want to keep your license to practice medicine, you will need to follow this new formulaic (the MME calculator) approach. While doctors still have a small degree of latitude, I get the sense they don't like the interference any more than we do.
If you have never dealt with chronic constant pain 24 hours a day, 7 days a week for over thirty years you have no idea what your life is like. Don’t judge me and tell me I can Meditate and exercise my pain away. You are telling these long time chronic pain patients to deal with it through all other kinds of therapies, exercises etc. Do you not understand that most (if not all) of us have already done everything we can to help ourselves. I am very proactive with my pain issues. I have done acupuncture, physiotherapy, meditation, yoga, exercises. I have been on every possible drug which I have had severe side effects. Cannot tolerate any of them. I have been poked, prodded, had needles stuck in most parts of my body. After all these years I am learning to deal with it as best as I can. I do swimming as often as possible. I do meditation and breathing exercises. When my energy allows, I also do gentle yoga. You have no idea the energy and effort it takes out of me just to these things. When my pain gets out of control, my blood pressure goes up, my blood sugar goes up, my anxiety goes up. I cannot function and cannot take care of myself. I cannot cook, shop, or do any of my exercises. I have absolutely no quality of life. When I take my meds, I can take care of myself, I can shop, go swimming, exercise, go for lunch with a friend. I do not abuse my meds. I take a low dose and only take them when necessary. I have never got “High” from them. I know opioids are not good for me, but I think after living(or surviving) for over thirty years in chronic pain, at age 77 I deserve to live the few years I may have left in as much comfort and as pain free as possible. 😅
What about me being given ibuprofen after surgery from the same doctors who gave opioids to people with a sprained ankle. So I developed a high tolerance for pain by a corrupt doctor and medical practice...Karma is beautiful
Great presentation unfortunately, most chronic pain people who have been on opioids for years can not fathom being off of them and will rationalize and justify why they must stay on them and if you take them away you're evil Trying to distinguish that he is talking about percentages of people, not EVERYONE, I know the push back at the pain clinic I was at has been intense "you hate me and want me to suffer" etc Not realizing that most of the suffering we were going through was FROM the opioid dependency But thats impossible to tell someone until they themselves go through the process (and yes, doctors who cut off opioids without following guidelines should be sued for malpractice) Its a complicated issue, but the vast majority of people on long-term opioids are not being helped by staying on them
There is no incidence of death from pain? Are you forgetting how many people have been killing themselves to escape pain? It's not merely frustrating to be in so much pain you vomit, to where you can barely crawl to the bathroom. You dismiss those of us with lethal levels of pain. Even if you disagree with how you treat that pain, denying the lived reality of severe chronic pain patients, is not a good start for this conversation.
Yeah I say that's BS about taking them away from people with chronic pain I have MS and I could not function without my pain medication I'm sorry man I just do not agree with you there.
Not opinion, just following the data. For a small percentage of patients (like yourself), opioids may be the only source of relief. However, for the large majority of patients, they only make things worse.
@@HMAInstituteonAddiction YOUR WRONG CHECK OUT DR. FOREST TENNANT, M.D. THE PROBLEM IS UNDER MEDICATING A PATIENT , AND BEING TURNED DOWN DO TO YOU ALL AND THE CROOKED MEDIA MAKES IT LOOKS WORSE. I AM A MEMBER OF THE NATIONAL KRATOM ASSOIATION THAT YOU ALL TREID TO BAN. THE DEATH RATE IS SO HIGH DO TO NO.1 THE BORDER MIXED HERION AND FENTANYL COMING UP FROM MEXICO NO.2 PATIENTS ARE KILLING THEM SELFS DO TO THE SUFFERING SUCH AS SHOOTING THEM SELFS IN THE HEAD. THE WAR ON DRUGS HAS GOT TO STOP. CHECK THIS VIDEO OUT GUYS: ---->>> czcams.com/video/cR0QJxt5sI4/video.html
@@HMAInstituteonAddiction ALSO ITS CALLED TOLERANCE NOT ADDICTION WHEN A PATIENT SAYS THEY NEED A HIGHER DOSE. I OVERDOSED ON TIANEPTINE SODIUM WHICH IS AN ATYPICAL OPIOID POWDER THAT TOOK AWAY MY PAIN BUT ONLY LAST ABOUT 2 HOURS MAX , POWDER IS SO HARD TO MESSURE OUT SO I WAS FLOWN TO LOUISVILLE,KY. I BOUGHT THE POWDER CAUSE MY PAIN CLINIC KIKED ME OUT FOR HAVING A BENZO IN MY SYSTEM THAT I WAS RX'D FROM ANOTHER DOCTOR. NOW IM IN PAIN ALMOST EVERY OTHER DAY IF NOT EVERY DAY. I AM A HIGH FALL RISK PATIENT NOW CANNOT WALK ON MY OWN IN ALOT OF PAIN. YES I HAVE TREID MEDITATION , CHIORPRACTOR , PT/OT BUT THEY ONLY HELP WITH PAIN MEDICATION. AND MY MOTHER GIVES ME MY MEDICATIONS SAFE IN A LOCKED BOX SHE GIVES ME THEM. TELL ME HOW THAT IS ADDICTION.
Yep it’s so easy for these “intellectuals” to parrot the data of others. This is the kind of Dr that does Non-Intervention Pain Management meaning you are subjected to all sorts of overly expensive procedures like injections, nerve block, surgery, the list goes on. All of which are short term and cause more trauma and injuries every time they are done let alone the massive financial burden. I don’t think he understands that a person can be opioid dependent and not be “addicted”. My definition of addicted is someone that will do almost anything to get their drug of choice when they no longer have a adequate supply. Totally different words and totally different definitions yet these guys want to blur proper definitions and substitute with a one that supports their argument. A person that has no physical injuries or conditions that cause them pain are the ones that get addicted, people in actual intractable pain don’t develop addictions as the medication takes a different pathway in people that don’t have pain vs those that do. I have zero compassion for the ones that take opiates for the sole reason to get high. If they quit then they will go into withdrawals like a pain patient would except once they get over it they can move on with their lives while those living with daily chronic pain are guaranteed to be worse off and in even more pain before starting treatment. There are so many stories of cancer patients and other terminally ill people that are denied pain medication that would allow them to have some dignity while waiting to die. I guarantee you that if a loved one or himself was denied pain medication for it’s intended purpose he would do a total 180 on his current views. Plus he seems willfully ignorant the hoops people must go thru to get adequate treatment. You are treated as a criminal most times when going to the doctor as they are alway looking for ways to get the patient to slip up. Then trying to get prescriptions filled for opiates you are treated like a criminal again then often treated as a pariah by most of society. Doctors like this have forgotten the patient is the one suffering, not the other way around. So when a person has to endure the scrutiny by most the world it only makes their situation much worse just because opiates are so evil.
Dr Waller. You are my hero. Very well presented. There is very little neuroscience education regarding opiods and chronic pain.Why are they not teaching this in medical school and residencies. It looks like big pharma has more sway on our prescriptions than science.
So.. I read many of the comments. I'm just here to say thank you. Videos like this spread light on things I never thought about. I don't have to agree with everything, but I know good information when I can compare it with other countless sources.
As a chronic pain patient, I can vouch for the good doctor: Staying more active helps (if possible) the "mindfulness" approach helps too, in general a multi-faceted approach does help. HOWEVER, let's be honest -- doctors are under intense, career ending pressure from the both their state and federal governments. If you're a pain patient, Uncle Sam has become your new doctor. So these are more than "guidelines". If you want to keep your license to practice medicine, you will need to follow this new formulaic (the MME calculator) approach. While doctors still have a small degree of latitude, I get the sense they don't like the interference any more than we do.
If you have never dealt with chronic constant pain 24 hours a day, 7 days a week for over thirty years you have no idea what your life is like. Don’t judge me and tell me I can Meditate and exercise my pain away. You are telling these long time chronic pain patients to deal with it through all other kinds of therapies, exercises etc. Do you not understand that most (if not all) of us have already done everything we can to help ourselves. I am very proactive with my pain issues. I have done acupuncture, physiotherapy, meditation, yoga, exercises. I have been on every possible drug which I have had severe side effects. Cannot tolerate any of them. I have been poked, prodded, had needles stuck in most parts of my body. After all these years I am learning to deal with it as best as I can. I do swimming as often as possible. I do meditation and breathing exercises. When my energy allows, I also do gentle yoga. You have no idea the energy and effort it takes out of me just to these things. When my pain gets out of control, my blood pressure goes up, my blood sugar goes up, my anxiety goes up. I cannot function and cannot take care of myself. I cannot cook, shop, or do any of my exercises. I have absolutely no quality of life. When I take my meds, I can take care of myself, I can shop, go swimming, exercise, go for lunch with a friend. I do not abuse my meds. I take a low dose and only take them when necessary. I have never got “High” from them. I know opioids are not good for me, but I think after living(or surviving) for over thirty years in chronic pain, at age 77 I deserve to live the few years I may have left in as much comfort and as pain free as possible. 😅
What about me being given ibuprofen after surgery from the same doctors who gave opioids to people with a sprained ankle. So I developed a high tolerance for pain by a corrupt doctor and medical practice...Karma is beautiful
Great presentation unfortunately, most chronic pain people who have been on opioids for years can not fathom being off of them and will rationalize and justify why they must stay on them and if you take them away you're evil
Trying to distinguish that he is talking about percentages of people, not EVERYONE, I know the push back at the pain clinic I was at has been intense "you hate me and want me to suffer" etc
Not realizing that most of the suffering we were going through was FROM the opioid dependency
But thats impossible to tell someone until they themselves go through the process (and yes, doctors who cut off opioids without following guidelines should be sued for malpractice)
Its a complicated issue, but the vast majority of people on long-term opioids are not being helped by staying on them
There is no incidence of death from pain? Are you forgetting how many people have been killing themselves to escape pain? It's not merely frustrating to be in so much pain you vomit, to where you can barely crawl to the bathroom.
You dismiss those of us with lethal levels of pain. Even if you disagree with how you treat that pain, denying the lived reality of severe chronic pain patients, is not a good start for this conversation.
Sasha I don’t think he has ever heard about endometriosis.
I have a heart condition. If my meds for severe chronic pain were taken away, it could set off a heart attack and kill me.
They know not what they do. It was wise of the Native Americans whose insight involved not judging someone without walking a mile in their moccasins.
Just wait until he gets stricken.
You reap what you sow.
Yeah I say that's BS about taking them away from people with chronic pain I have MS and I could not function without my pain medication I'm sorry man I just do not agree with you there.
Not opinion, just following the data. For a small percentage of patients (like yourself), opioids may be the only source of relief. However, for the large majority of patients, they only make things worse.
@@HMAInstituteonAddiction YOUR WRONG CHECK OUT DR. FOREST TENNANT, M.D. THE PROBLEM IS UNDER MEDICATING A PATIENT , AND BEING TURNED DOWN DO TO YOU ALL AND THE CROOKED MEDIA MAKES IT LOOKS WORSE. I AM A MEMBER OF THE NATIONAL KRATOM ASSOIATION THAT YOU ALL TREID TO BAN. THE DEATH RATE IS SO HIGH DO TO NO.1 THE BORDER MIXED HERION AND FENTANYL COMING UP FROM MEXICO NO.2 PATIENTS ARE KILLING THEM SELFS DO TO THE SUFFERING SUCH AS SHOOTING THEM SELFS IN THE HEAD. THE WAR ON DRUGS HAS GOT TO STOP. CHECK THIS VIDEO OUT GUYS: ---->>>
czcams.com/video/cR0QJxt5sI4/video.html
@@HMAInstituteonAddiction ALSO ITS CALLED TOLERANCE NOT ADDICTION WHEN A PATIENT SAYS THEY NEED A HIGHER DOSE. I OVERDOSED ON TIANEPTINE SODIUM WHICH IS AN ATYPICAL OPIOID POWDER THAT TOOK AWAY MY PAIN BUT ONLY LAST ABOUT 2 HOURS MAX , POWDER IS SO HARD TO MESSURE OUT SO I WAS FLOWN TO LOUISVILLE,KY. I BOUGHT THE POWDER CAUSE MY PAIN CLINIC KIKED ME OUT FOR HAVING A BENZO IN MY SYSTEM THAT I WAS RX'D FROM ANOTHER DOCTOR. NOW IM IN PAIN ALMOST EVERY OTHER DAY IF NOT EVERY DAY. I AM A HIGH FALL RISK PATIENT NOW CANNOT WALK ON MY OWN IN ALOT OF PAIN. YES I HAVE TREID MEDITATION , CHIORPRACTOR , PT/OT BUT THEY ONLY HELP WITH PAIN MEDICATION. AND MY MOTHER GIVES ME MY MEDICATIONS SAFE IN A LOCKED BOX SHE GIVES ME THEM. TELL ME HOW THAT IS ADDICTION.
Yep it’s so easy for these “intellectuals” to parrot the data of others. This is the kind of Dr that does Non-Intervention Pain Management meaning you are subjected to all sorts of overly expensive procedures like injections, nerve block, surgery, the list goes on. All of which are short term and cause more trauma and injuries every time they are done let alone the massive financial burden.
I don’t think he understands that a person can be opioid dependent and not be “addicted”. My definition of addicted is someone that will do almost anything to get their drug of choice when they no longer have a adequate supply. Totally different words and totally different definitions yet these guys want to blur proper definitions and substitute with a one that supports their argument.
A person that has no physical injuries or conditions that cause them pain are the ones that get addicted, people in actual intractable pain don’t develop addictions as the medication takes a different pathway in people that don’t have pain vs those that do. I have zero compassion for the ones that take opiates for the sole reason to get high. If they quit then they will go into withdrawals like a pain patient would except once they get over it they can move on with their lives while those living with daily chronic pain are guaranteed to be worse off and in even more pain before starting treatment.
There are so many stories of cancer patients and other terminally ill people that are denied pain medication that would allow them to have some dignity while waiting to die.
I guarantee you that if a loved one or himself was denied pain medication for it’s intended purpose he would do a total 180 on his current views.
Plus he seems willfully ignorant the hoops people must go thru to get adequate treatment. You are treated as a criminal most times when going to the doctor as they are alway looking for ways to get the patient to slip up. Then trying to get prescriptions filled for opiates you are treated like a criminal again then often treated as a pariah by most of society.
Doctors like this have forgotten the patient is the one suffering, not the other way around. So when a person has to endure the scrutiny by most the world it only makes their situation much worse just because opiates are so evil.
And it’s GABA not GAMMA. Lol