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June
If we didn't have pain medication what would a person suffering with cancer or that had been in a horrible accident do? We have to have strong pain medication for people that need it. It's not the fault of the doctors if we choose to abuse them and the pill or other medication.
That would be like saying some people drive drunk so no one should have a drivers license.
We have to take responsibilty for ourselves and not put the blame on the doctors.
All that said, withdrawals from normal doses seem to be reported much worse than whats noted on the instructions or info regarding the drug.
A deep subject for verbal discussion. But thanks for noting that. :-)
david
Anyway. Long story short, I asked the specialist why are family dortors and every med school MD allowed to prescribe these massive amounts of very addictive and dangerous drugs when it is NOT in their area of expertise. His answer kind of shocked me.
He said that there are about 50 million people in this country in daily state of moderate to severe pain and there are around 1,800 board certified pain management specialists.
That a ratio of 2777 people in pain to pain doctors.
He looked at me matter of factly and said "how else are they going to get treatment? One specialist can't possibly treat that many patients responsibly." So yeah it's falls on the patients to educate and regulate themselves because the "system" can't possibly keep up.
It's really a total system failure and a really awful law enforcement overreaction.
I HAVE been at the receiving end of addicts' manipulations, fabricated or exaggerated pain stories, tears, and relentless pressure to get pain meds, but I have never been tempted to prescribe for wrong reasons, push meds on patients, or sell narcs to make $$. I usually end up having pretty good conversations with addicted patients and point them in a general direction of recovery. I think only once have I folded under a pt's pressure and prescribed requested narcs (small supply) just to get them off my back. and then the patient was told, and it went in the chart -- "DO NOT PRESCRIBE NARCS FOR THIS PATIENT -- DRUG SEEKER". if they come back in two days (the dog ate them, I dropped them in the sink, etc), they are turned away.
isn't it funny how no one ever goes to the doctor telling them the dog ate their allergy meds?? :)
there are (very few) docs who criminally abuse their controlled substance privileges, but they are usually caught and prosecuted...and lose their licenses, forever.
the pharmaceutical companies, in my opinion, are making a hekuva lot more $$ on antidepressants, cardiac meds, high blood pressure meds, and cholesterol meds -- pain medication is so out of patent that no one makes money on them anymore.
doctors are usually very reluctant to prescribe narcs b/c word travels and they end up with every addict in town (and three towns over) on their doorstep, trying to cop.
conspiracy is the least likely explanation for widespread abuse of narcs and other meds. humans are hard-wired to want to feel good, and in america (IMHO), we expect to feel extra good all the time b/c as a society, we are rich and spoiled. that's a more likely explanation for drug abuse, in my opinion -- too much of a sense of entitlement.
I work in surgery, and yes, there is post-op pain, and yes it is appropriate to prescribe narcs for this, and yes, most people don't abuse them. I am always amazed by pts who come back for their post-op checks and hey say, "well, I really didn't use the prescription you gave me b/c I really didn't have any pain".
for some people it's just not an issue, lucky souls.
If people want to escape through drug use, they WILL do it, my friend. I believe people need to look a bit deeper in themselves and see WHY they want to escape. Same with me - I've currently relapsed, and there's only ONE person who's responsible for it - and that's ME. I'm not pointing my finger at the drug companies, the doctors, etc. - the finger should be pointed at ME because I don't currently have the courage to go through the REAL pain of living my life without pills. Let's keep our eye on the ball here - let's put the blame where it belongs.
Lucy
I spend as much time now on the pain forum as it sometimes bothers me to hear of addicts obtaining huge amounts of painkillers on black market when legitimate pain patients are having such trouble obtaining their meds.
Of course I realize that legitimate pain patients become dependent and some become addicts
you are reacting to a few words in my post that maybe have been attributed to you by others. in many situations that I deal with, those characterizations are quite accurate. I don't know you, but you don't know me either, so again I say...don't judge. try to extend some of the understanding to others that you want for yourself.
I don't WANT to take these. I can understand those of you who would...I compare it to smoking. I LOVED to smoke..but I had to stop because I was wheezing way too much and had trouble breathing. Plus my doc kept telling me my pain would improve if I quit smoking. So I thought why not quit. I got such a buzz from smoking..especially the first one of the day. But I figured quitting these pills would be no harder or easier than quitting the smokes. I am 2 years smoke free this May 30th.
So pleaase Lizzie Lou, don't criticize people who cannot take certain meds. I have friends..all my friends, cannot take the Norcos!! But they can take those anti-inflammory meds.
believe me, it is crystal clear which pts are drug seekers, and those that truly have pain problems. I actually had a weekend call from a pt for percocet b/c a pt had "itchy feet". the pt was so out of it he coudln't even explain what he meant. and I've had pts nodding out in the office while I was (patiently) trying to elicit their history to deterimine if they had real pain issues, and falling asleep in mid-sentence. ridiculous.
opiates are one of the best and most effective pain medicines available, they are extremely useful for real pain and are very cheap, but the built-in drawbacks are 1) the risk of addiction and 2) the fact of tolerance over long-term use. no responsible md (most of them) will willingly addict a pt or buy into an addict's pressures to feed an addiction when pain is not the key element of a pt's problem. and no responsible md will regularly prescribe just to get pts off their back. "no" is a very effective tool for dealing with the pressures of an addict -- if an addict knows they will not get meds from a particular md, they will move on. none of them want to subject themselves to the frustration and humiliation of begging and pleading for meds if it's not going to get them what they want. but try to understand, that drs are only human and you can fool some of the people some of the time, so it possible that people who should not be continuing to be on pain meds will usually find some way or someone who will keep the ball rolling.
lizzie lou, I do agree with you that the point of this discussion is doctors over-prescribing vs pt responsibility. the pt's responsibility cannot be ignored, and addicts claiming to be victims in a vast conspiracy of greedy, avaricious doctors just doesn't fly.
Docotors are human and although they do take that oath to not cause harm they aren't robots. Human errors account for many deaths all over the world because no one is perfect, not even doctors. We expect tham to be God when we need something and then blame them for our own ignorance???
Anyone suffering from this conspiracy theory attitude is not anywhere near being sober (not just clean) because to be sober to to be accountable.... plain and simple.
For headaches.
I ct'ed on April 2nd. I could still get the refills, but got really sick of the pills running my life.
It's been over a month and I'm still in w'd. Not sleeping well.
Restless legs, restless arms, general anxiety.
I'm so hoping it goes away soon.
I'm getting so tired of feeling like this.
I think you are not reading my posts very carefully and have your own prejudices against doctors, so it is fruitless to argue. I do my job and do it well, and I prefer not to be bullied into a point of view that I don't agree with or support.
I think if a person is going to be perscribed a pain killer for more than a month, there should be some kind of required education on addiction. We're required to study a book and take a test to get a drivers liecence and they used to make you watch a film to get birth control. More in depth information on what addiction is, needs to be given to people who are prescribed pain meds for any length of time.
We can't doubt that most people don't understand what addiction means, just by the way non-addicts react to us addicts. Most non-addicts think " well, just quit !".
So, No, I don't think the doctors are to blame, there's no conspiracy. Its a lack of education on "addiction".
I know the rule to "keep them(patients) from pain-no need to have it this day and age.Just devastated how it ruined our lives(those pills). He functioned (appeared) normally to others. What no one saw was the lack of motivation to get out of house, bed. Work, play........Even gaveup intimatcy.........knew that would happen. The money spent and the lies were(are) the worst part. I do not blame the doctors and I am reading from his subtle statements some dont buy his BS anymore and have cut off his xanax/Lomotil.
i feel that pain pills are something that are definitely needed...there are plenty of legitimate reasons that someone would actually need them. but at what point do you accept responsibility for "medicating" yourself for the feeling...no longer the pain?
now...before you respond that you had legitimate pain...you were in a horrible car wreck...that you have a herniated disc...whatever the reason...i do understand that most ppl ARE prescribed pain pills because they needed them. i just believe...and maybe i am wrong...that when you started taking them because of the way they made you feel...that "that" is the point you should accept responsibility and not put the blame on the doctor.
The doctor is not responsible for it . Me myself and I .I am also responsible for my recovery .
My frustration with my Dr started when I had come clean to her - told her about my opiod addiction, my love of pain pills - I had just started AA, and was trying to get, and stay clean from Alcohol and pain meds.
She then told me to try Tramacet - non addictive, not in the same catagory as the others I had taken. I knew the instant I took them that she was wrong, as soon as that calmness hit, that feeling of well being - but my addictive mind - thought - well you have 300 -( yes, in Canada it is a fairly new drug (1995), and no one really knows anything about it, I'm sure my Dr. just read the distributors information pamphlet - so it is prescribed very freely and in large amounts )- so I figured I would just use up that prescription, and then be done with it.
So now I am struggling with tramadol addiction - I know I should have thrown them away the moment I felt the first one kick in, again - I have no one to blame but myself for my behaviours - but I can't help but wonder what might be different if my Dr. had known a little bit more about the drug, and not prescribed it to me.
People do need to quit the blame game.
However, I do want to tell you an experience I had w/my old GP he started me on lortabs for pain (legit) he wrote me a script w/2 refills in march...continued to refill them w/2 refills each time until the following january then decided I needed to make an appt before he refilled any more (after he gave me the script refill w/2 more refills). That seems a little irresponsible on his part BUT I do take responsibility that at that point I was taking them for the buzz.
I do have to say that I was very surprised at how easily I was given pain meds (because 25 years ago, when I abused them, I usually couldn't) -- maybe the difference was that I am known and have a real clinical pain condition that has an end point in sight; and maybe docs saw ME standing out like a sore thumb 25 years ago, when I was drug seeking....but the basis of some of posts here is that I have been at both ends of the pressure and sometimes outright abuse that pts can put on docs for narcs...that is the stuff that is usually very recognizable and not accommodated or catered to.
I think sometimes ppl who are deep in addiction don't realize how they come off to others, and that combined with a victim mentality can result in some pretty harsh behavior. I think I can understand how "the guy with the rx pad" can look like the enemy -- either b/c they are perceived as overprescribing or too stingy with meds (or both!!!) -- but I appreciate those who make an effort to understand both sides of the issue.