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The Water Cooler
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Pain pill abuse.
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<blockquote data-quote="UnSafe" data-source="post: 2285726" data-attributes="member: 100"><p>Prescription drug abuse is a growing societal monster on all sides of the prescription pad. Patients that have either had severe pain that necessitated opiate based analgesics and received them long enough to develop a dependency or addiction, those with chronic pain and can't afford the cost of actually "Fixing" their painful problem, people that have addictive personality traits and "Click" with the opiate effects the first time they take a dose, recreational abusers that drift across the murky and indistinct line of addiction, those with a laundry list of psychiatric problems that lead them to self medicate or self destroy, etc., all combined with prescribers that would rather call, fax or write prescriptions for opiates instead of spending the time to work out (Arguably) more constructive solutions has resulted in a big, stinky mess. </p><p></p><p>A few "High Prescribers" (Prescribers that routinely prescribe large quantities of opiates for longer or indefinite periods, without a clear and documented plan for an end point) in a town or city tend to attract the above list of folks like moths to a flame. It's been going on for decades (Centuries), but has blown up over the last 20 years or so. If you haven't watched the 2005 documentary "Oxycontin Express", its worth viewing online. Prescription Monitoring Program? Awesome source of information IF prescribers use it when evaluation patients. I look up patients daily using it, and it's helped to identify those that either abuse, misuse or divert meds, but it's not perfect. Folks have already figured out ways around the database (Ask any retail Pharmacist) and some prescribers just don't take the 15 sec it takes to look up a dispensing history. </p><p></p><p>Ultimately, people with honest to gosh chronic pain <u>that can't be otherwise fixed </u>end up getting under treated and lumped in with the "Seekers, druggies, addicts, etc.. (Have I missed any derogatory terms here?) and the sneakier misusers continue to get huge quantities of unnecessary meds. There is no simple answer to the problem, but I suspect that at some point Plaintiff's Attorneys will find a successful way to start suing prescribers for "Addicting" their clients to opiates or benzos. That'll change everything.</p><p></p><p>Chronic pain patients- Find "Your" Pain Management Physician/ Service and stick to your contract. Don't wait for your Primary Care Doc to drop you or leave town. And whatever you do, stay out of the ER unless you have a valid medical or traumatic emergency. Running out of pain meds is not an emergency.</p></blockquote><p></p>
[QUOTE="UnSafe, post: 2285726, member: 100"] Prescription drug abuse is a growing societal monster on all sides of the prescription pad. Patients that have either had severe pain that necessitated opiate based analgesics and received them long enough to develop a dependency or addiction, those with chronic pain and can't afford the cost of actually "Fixing" their painful problem, people that have addictive personality traits and "Click" with the opiate effects the first time they take a dose, recreational abusers that drift across the murky and indistinct line of addiction, those with a laundry list of psychiatric problems that lead them to self medicate or self destroy, etc., all combined with prescribers that would rather call, fax or write prescriptions for opiates instead of spending the time to work out (Arguably) more constructive solutions has resulted in a big, stinky mess. A few "High Prescribers" (Prescribers that routinely prescribe large quantities of opiates for longer or indefinite periods, without a clear and documented plan for an end point) in a town or city tend to attract the above list of folks like moths to a flame. It's been going on for decades (Centuries), but has blown up over the last 20 years or so. If you haven't watched the 2005 documentary "Oxycontin Express", its worth viewing online. Prescription Monitoring Program? Awesome source of information IF prescribers use it when evaluation patients. I look up patients daily using it, and it's helped to identify those that either abuse, misuse or divert meds, but it's not perfect. Folks have already figured out ways around the database (Ask any retail Pharmacist) and some prescribers just don't take the 15 sec it takes to look up a dispensing history. Ultimately, people with honest to gosh chronic pain [U]that can't be otherwise fixed [/U]end up getting under treated and lumped in with the "Seekers, druggies, addicts, etc.. (Have I missed any derogatory terms here?) and the sneakier misusers continue to get huge quantities of unnecessary meds. There is no simple answer to the problem, but I suspect that at some point Plaintiff's Attorneys will find a successful way to start suing prescribers for "Addicting" their clients to opiates or benzos. That'll change everything. Chronic pain patients- Find "Your" Pain Management Physician/ Service and stick to your contract. Don't wait for your Primary Care Doc to drop you or leave town. And whatever you do, stay out of the ER unless you have a valid medical or traumatic emergency. Running out of pain meds is not an emergency. [/QUOTE]
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