Aa
narcotic laws
Isn't there a law that states a doctor who gives you narcotic pain meds for several years then discharges you, that he has to, at least, write you out a prescription for one month so you can find another doctor?
Thanks.
I've been on the link and have read it.
It is very much like the pain management sessions that I went on.
The discussed all those elements listed on that introduction and there was also a psychologist present, a physiotherapist, and another person who did relaxation and she talked us through it with breathing and visualisation. A lot of people said that the relaxation did help them.
I have read your profile and am sorry to learn that you are living with severe spinal problems and chronic pain.
Best wishes.
I've been on the link and have read it.
It is very much like the pain management sessions that I went on.
The discussed all those elements listed on that introduction and there was also a psychologist present, a physiotherapist, and another person who did relaxation and she talked us through it with breathing and visualisation. A lot of people said that the relaxation did help them.
I have read your profile and am sorry to learn that you are living with severe spinal problems and chronic pain.
Best wishes.
MVP is a Most Valuable Player. sorry -- it's an Americanism that originates in baseball.
Pain psychology is a specialty of health psychology, and training is focused on the biological, phychological, and social aspects of disease.
When I speak of pain psychology, I'm really talking about clinical pain psychology -- doctors that treat patients.
Pain psychologists are PhD level clinical psychologists with all the training that implies, as well as medical training specific to their field, usually in post-graduate fellowship programs. Thus, many pain psychologists are far more knowledgeable about the anatomy and physiology of pain disease than most physicians. They are familiar with treatments and outcomes..
What makes them different from medical doctors is their focus on helping the patient adjust to and function in a life with pain and chronic disease, providing the individualized psychological tools necessary to assist in the process. They have a role in teaching people about their disease and assist with problem solving with the many challenges of chronic pain.
Start here for an introduction.
http://healthpsychology.org/what-is-health-psychology
Pain psychology is a specialty of health psychology, and training is focused on the biological, phychological, and social aspects of disease.
When I speak of pain psychology, I'm really talking about clinical pain psychology -- doctors that treat patients.
Pain psychologists are PhD level clinical psychologists with all the training that implies, as well as medical training specific to their field, usually in post-graduate fellowship programs. Thus, many pain psychologists are far more knowledgeable about the anatomy and physiology of pain disease than most physicians. They are familiar with treatments and outcomes..
What makes them different from medical doctors is their focus on helping the patient adjust to and function in a life with pain and chronic disease, providing the individualized psychological tools necessary to assist in the process. They have a role in teaching people about their disease and assist with problem solving with the many challenges of chronic pain.
Start here for an introduction.
http://healthpsychology.org/what-is-health-psychology
Great that you found a good way to manage your pain and that your pain psychologist has been a valuable asset to managing your pain.
I have not come across a pain psychologist. Is this the same as a physiotherapist?
I studied counselling so know that CBT stands for Cognitive Behavioural Therapy - I have not come across about CBT helping with pain management. PM = pain management.
Sorry, but I have no idea what MVP means. Would love to know.
I have not come across a pain psychologist. Is this the same as a physiotherapist?
I studied counselling so know that CBT stands for Cognitive Behavioural Therapy - I have not come across about CBT helping with pain management. PM = pain management.
Sorry, but I have no idea what MVP means. Would love to know.
No one should expect medication to relieve all of their pain.
When one becomes severely opioid tolerant, pain relief from opioids maxes around 25%.
Effective pain management requires multiple modes of treatment, whatever they may be. Each treatment or behavior change can reduce pain a point or two. Put them together, and you have pain under control for today, or for this moment.
Treating pain requires teamwork, and although pain doctors believe they're "captain" of this team, I have found in my long experience with pain that a good pain psychologist is the MVP.
Doctors come and go, but a pain psychologist can notify you of newer treatments, help you finding the right treatment provider, offer advice on medication and therapy, and help find a new doctor when needed. They can help you learn to manage your medication, and help you find pain reducing strategies through CBT.
I've known my pain psychologist for 20 years and he's been the most valuable member of my pain care team. If you require pain management and do not have a pain psychologist, you're likely missing out on some of the benefits of PM.
Best wishes.
When one becomes severely opioid tolerant, pain relief from opioids maxes around 25%.
Effective pain management requires multiple modes of treatment, whatever they may be. Each treatment or behavior change can reduce pain a point or two. Put them together, and you have pain under control for today, or for this moment.
Treating pain requires teamwork, and although pain doctors believe they're "captain" of this team, I have found in my long experience with pain that a good pain psychologist is the MVP.
Doctors come and go, but a pain psychologist can notify you of newer treatments, help you finding the right treatment provider, offer advice on medication and therapy, and help find a new doctor when needed. They can help you learn to manage your medication, and help you find pain reducing strategies through CBT.
I've known my pain psychologist for 20 years and he's been the most valuable member of my pain care team. If you require pain management and do not have a pain psychologist, you're likely missing out on some of the benefits of PM.
Best wishes.
I see that you have a very strong view on the matter.
There are other pain management strategies that can be tried. Yes, there are times when medications need to be prescribed. But even with medications, pain can still be felt, depending on what the cause is.
I attended pain management sessions the other year to learn how to manage pain. There was a group of 12 of us of different ages and different disabilities. Some were already on strong medications that was not helping. We learned coping skills, relaxation techniques, gentle exercise to avoid muscle loss and mobility, diet, sleep, communication, pacing our day, taking rests when experiencing acute pain, etc. We were told that not all pain is a signal that you cannot work through it.
Acupuncture helps some people and hydrotherapy with specific exercises that are prescribed by a physiotherapist for the specific need of the patient is very good. It won't stop the pain, but it is a good form of exercise for people who are restricted and cannot exercise due to mobility problems. The water is much warmer than at a normal swimming pool. There are exercises that can be done when lying on the bed, sitting on a sofa or a chair.
Pain is felt in different degrees in different people. Someone's pain threshold may be quite high, and someone else's pain threshold very low.
Some pain is felt as pins and needles and some antidepressants work to reduce nerve pain.
Chronic pain can also lead to depression; depression, stress and anxiety will exacerbate any physical symptom - bit of a vicious circle.
There are other pain management strategies that can be tried. Yes, there are times when medications need to be prescribed. But even with medications, pain can still be felt, depending on what the cause is.
I attended pain management sessions the other year to learn how to manage pain. There was a group of 12 of us of different ages and different disabilities. Some were already on strong medications that was not helping. We learned coping skills, relaxation techniques, gentle exercise to avoid muscle loss and mobility, diet, sleep, communication, pacing our day, taking rests when experiencing acute pain, etc. We were told that not all pain is a signal that you cannot work through it.
Acupuncture helps some people and hydrotherapy with specific exercises that are prescribed by a physiotherapist for the specific need of the patient is very good. It won't stop the pain, but it is a good form of exercise for people who are restricted and cannot exercise due to mobility problems. The water is much warmer than at a normal swimming pool. There are exercises that can be done when lying on the bed, sitting on a sofa or a chair.
Pain is felt in different degrees in different people. Someone's pain threshold may be quite high, and someone else's pain threshold very low.
Some pain is felt as pins and needles and some antidepressants work to reduce nerve pain.
Chronic pain can also lead to depression; depression, stress and anxiety will exacerbate any physical symptom - bit of a vicious circle.
No doubt we are missing information here. But because of today's current bias against these medications, I like to err on the side of the patient until I have the facts.
Even if people in pain have no discernible signs of the cause of this condition, they are complaining of pain. I feel it is more important to treat that pain than to "mitigate the risk" of treatment. This is why we have medications like Tylenol with codeine, a compound that is sold OTC in many civilized countries.
The under treatment of pain in America, especially in the young adult and senior populations, is appalling. I hate to call it an "epidemic" as the word has lost its meaning, being applied to "opioid Rx related mortality" without respect to causality, and applied to a public health problem that affects a small fraction of a percent of all people receiving the therapy.
Relieve pain first -- that's compassionate medicine.
Treat pain before it develops into a chronic pain syndrome -- that's good pain management.
If problems like misuse of medication arise, deal with them when they pop up and not prior to any treatment. Don't plan by thinking that every opioid Rx is a potential for disaster -- that's foolishness and also happens to be an important part of our national strategy in treating pain.
People and their suffering should come first. Treat them, and deal with problems in treatment if they appear -- this is how we do every other kind of medicine.
I'll get off my soapbox -- yes, we don't know the facts in this case, and perhaps we never will. And yes, its possible that the OP made a mistake with her opioids -- some so-called contracts are so restrictive they seem to make as a setup for failure. People in pain need effect treatment for pain, and it is a practioner's moral obligation to make sure their patient continues to receive effective pain therapies, especially if he/she removes the opioid option.
This will require political change through pain patient pressure on state and federal government to stop prosecuting physicians who treat pain. When we stop dealing with our physicians as criminals, they can better use their clinical skills for helping a suffering person without worry of retaliation by their state medical board or the DEA.
Even if people in pain have no discernible signs of the cause of this condition, they are complaining of pain. I feel it is more important to treat that pain than to "mitigate the risk" of treatment. This is why we have medications like Tylenol with codeine, a compound that is sold OTC in many civilized countries.
The under treatment of pain in America, especially in the young adult and senior populations, is appalling. I hate to call it an "epidemic" as the word has lost its meaning, being applied to "opioid Rx related mortality" without respect to causality, and applied to a public health problem that affects a small fraction of a percent of all people receiving the therapy.
Relieve pain first -- that's compassionate medicine.
Treat pain before it develops into a chronic pain syndrome -- that's good pain management.
If problems like misuse of medication arise, deal with them when they pop up and not prior to any treatment. Don't plan by thinking that every opioid Rx is a potential for disaster -- that's foolishness and also happens to be an important part of our national strategy in treating pain.
People and their suffering should come first. Treat them, and deal with problems in treatment if they appear -- this is how we do every other kind of medicine.
I'll get off my soapbox -- yes, we don't know the facts in this case, and perhaps we never will. And yes, its possible that the OP made a mistake with her opioids -- some so-called contracts are so restrictive they seem to make as a setup for failure. People in pain need effect treatment for pain, and it is a practioner's moral obligation to make sure their patient continues to receive effective pain therapies, especially if he/she removes the opioid option.
This will require political change through pain patient pressure on state and federal government to stop prosecuting physicians who treat pain. When we stop dealing with our physicians as criminals, they can better use their clinical skills for helping a suffering person without worry of retaliation by their state medical board or the DEA.
If my doctor stopped prescribing something like that and discharged me from his practise, I certainly would want to know the reason why.
Like mentioned before, perhaps there is a "missing piece" that we have not been enlightened with.
Like mentioned before, perhaps there is a "missing piece" that we have not been enlightened with.
The other "missing piece" may be that the physician has been flagged by the Drug Enforcement Administration for writing "too many" opiate prescriptions. He won't tell you this. They put pressure on physicians who are so flagged because "eliminating opiates" represents the flavor of the month in today's political climate. As philnoir says this is called "opiaphopia". It should have a place in the DSM. Failure to prescribe an opiate does not constitute malpractice in the United States. If the physician has had DEA prpoblems, "Challanging" the doctor represents a meaningless exercise.
The best thing to do is to find another physician as soon as possible.
The best thing to do is to find another physician as soon as possible.
Sorry I don't know what UDT stands for.
I understand what you mean, and it is not good that people who do suffer a lot of pain and rely on these medications suddenly have nothing to help them, and not get weaned off slowly. I understand that suddenly stopping taking these drugs can cause withdrawal symptoms.
I have recently been prescribed with an opioid transdermal patches myself starting at 5 microgram/hour and the dose will get doubled in 4 weeks time.
There is a warning on the information label about it being a controlled drug and proof must be provided that the drug has been prescribed, if stopped by the law.
If it is the case that Chelsea was discharged because of what you say in your penultimate paragraph, then it is a sad state of affairs and I do hope that she either challenges the doctor that discharged her to get reinstated or finds another physician as soon as possible.
I understand what you mean, and it is not good that people who do suffer a lot of pain and rely on these medications suddenly have nothing to help them, and not get weaned off slowly. I understand that suddenly stopping taking these drugs can cause withdrawal symptoms.
I have recently been prescribed with an opioid transdermal patches myself starting at 5 microgram/hour and the dose will get doubled in 4 weeks time.
There is a warning on the information label about it being a controlled drug and proof must be provided that the drug has been prescribed, if stopped by the law.
If it is the case that Chelsea was discharged because of what you say in your penultimate paragraph, then it is a sad state of affairs and I do hope that she either challenges the doctor that discharged her to get reinstated or finds another physician as soon as possible.
Unfortunately, I've seen this happen, especially when it comes to UDT, and the immunoassay technique that is most often used is not always accurate.
So, while some people abuse their opioid medications (or would if they could), some PCPs are looking for any excuse to drop a pain patient -- and PCPs are the primary pain providers in America, with 100,000,000 people in pain, and only 3,500 trained pain specialists.
There's too many grandparents out there who have been dismissed from a practice because of a false UDT or because another of their physicians prescribed an opioid and they filled the medication w/o realizing the consequences. They don't understand and don't know where to turn.
I don't know Chelsea's story, but I do know that opiophobia is rampant in the practitioner community because they're concerned about being pressured by state medical boards and federal regulators for writing for too many controlled medications.
Big Brother is alive and well in American medicine and because of him, thousands of people are suffering from withdrawal and hyperalgesia.
So, while some people abuse their opioid medications (or would if they could), some PCPs are looking for any excuse to drop a pain patient -- and PCPs are the primary pain providers in America, with 100,000,000 people in pain, and only 3,500 trained pain specialists.
There's too many grandparents out there who have been dismissed from a practice because of a false UDT or because another of their physicians prescribed an opioid and they filled the medication w/o realizing the consequences. They don't understand and don't know where to turn.
I don't know Chelsea's story, but I do know that opiophobia is rampant in the practitioner community because they're concerned about being pressured by state medical boards and federal regulators for writing for too many controlled medications.
Big Brother is alive and well in American medicine and because of him, thousands of people are suffering from withdrawal and hyperalgesia.
The doctor is not obliged to give you a prescription.
If the doctor discharged you from his practise, you clearly didn't comply with the practise rules.
Doctors don't refuse to treat a patient or discharge them from their surgery for no good reason.
If the doctor discharged you from his practise, you clearly didn't comply with the practise rules.
Doctors don't refuse to treat a patient or discharge them from their surgery for no good reason.
I concur with philnoir.
There is no such law or obligation.
There is always a "missing piece" to this kind of story.
There is no such law or obligation.
There is always a "missing piece" to this kind of story.
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