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Deviation from guidelines is fine as long as the doctor is comfortable providing a explanation that a lawyer would not rule him over. CYA is the practice here. Prescribers do not know what to do. And no guidance has been given by the CDC other than taper off . perhaps this will lead to a national push to legalize marijuana because I cannot think of another solution at this time with the current drugs available on the market .
Marijuana isn't going to do anything to touch severe bone pain. Only opiates or similar will work for that.
The solution is better oversight of prescribing doctors. A doctor should definitely have the authority to prescribe that dose if necessary, but they should document the case properly and be subject to random oversight
NO...this is whats causing this problem now, doctors are so scared of the oversight, they fear SWAT teams raiding their offices and loosing their MDs, for giving out 'too many' opioid prescriptions!!
We train doctors to be responsible...if we rely on law enforcement to watch them now, why even allow these doctors to make other more important treatment decisions? Why not have law enforcement watch EVERYTHING they do? If doctors cannot be trusted to be responsible in giving out drugs, why should they be trusted for anything else?
Much easier said than done, though. Those laws and random inspections would be enforced by the DEA. They don't know what reason is, heavy-handedness is all they know.
That is why so many doctors have over-reacted, making the mess worse. If laws are the answer, I think they would have to be enforced by an agency other than the DEA.
Plus, its way too much of a conflict of interest for them to do this.
The DEA will always side with whatever benefits the drug cartels.
NO...this is whats causing this problem now, doctors are so scared of the oversight, they fear SWAT teams raiding their offices and loosing their MDs, for giving out 'too many' opioid prescriptions!!
We train doctors to be responsible...if we rely on law enforcement to watch them now, why even allow these doctors to make other more important treatment decisions? Why not have law enforcement watch EVERYTHING they do? If doctors cannot be trusted to be responsible in giving out drugs, why should they be trusted for anything else?
It's a fair point. What we are seeing is an over reaction to the pill mills that were common in Appalachia. Absolutely no doubt that had to be curbed, but how to do it without risking not getting treatment to legitimate needs? What's your solution?
NO...this is whats causing this problem now, doctors are so scared of the oversight, they fear SWAT teams raiding their offices and loosing their MDs, for giving out 'too many' opioid prescriptions!!
We train doctors to be responsible...if we rely on law enforcement to watch them now, why even allow these doctors to make other more important treatment decisions? Why not have law enforcement watch EVERYTHING they do? If doctors cannot be trusted to be responsible in giving out drugs, why should they be trusted for anything else?
There has to be a happy medium somewhere. A doctor prescribing unusual doses to 10 of his 500 patients shouldn't raise the same amount of red flags as a clinic prescribing enough opiates to sedate an entire small caribbean country for the next 20 years
It's a fair point. What we are seeing is an over reaction to the pill mills that were common in Appalachia. Absolutely no doubt that had to be curbed, but how to do it without risking not getting treatment to legitimate needs? What's your solution?
How about get government out of it? Let doctors go back to being doctors.
And yes, that means there are some patients who are already addicted because their careless doctor kept refilling an opioid prescription to a soccer mom for a broken arm suffered 2 years ago, but at least they can continue with a rather normal life, rather than contemplate suicide after getting cut off because of government regulations. Things definitely got worse after the government opioid crackdown in 2012, and now here we are.
How about some sort of internal double-check group, maybe comprised of other doctors, unrelated to government, to randomly audit other doctor's prescribing habits? Could something like that help fight the pill mills?
For those who are unsympathetic to those who kill themselves because their pain is unbearable, realize that you are just an accident or illness away from experiencing excruciating pain yourselves.
Oh come on, and you accuse ME of digging myself deep? LOL
Methadone is used to wean users off heroine in supervised treatment centers, that's widespread in many countries even right here in the US. Don't try to deflect, you know very well we're talking about the supply of Crack/Cocaine, Heroine, Meth, PCB, etc etc. Portugal isn't allowing private business to sell any of those let alone sell it themselves
Methadone is NOT used to wean anybody OFF anything...and its NOT free...its income based and patients are given enough to SWAMP them as a deterrent..they are given the highest possible dose for years at a time currently if you are positive from percodans they will introduce you to hard core street addicts and place you on methadone a much worse drug
Methadone is NOT used to wean anybody OFF anything...and its NOT free...its income based and patients are given enough to SWAMP them as a deterrent..they are given the highest possible dose for years at a time currently if you are positive from percodans they will introduce you to hard core street addicts and place you on methadone a much worse drug
i have a few friends currently on methadone
well not wean in the sense of eliminating the addiction but it is used to wean away from heroin and treat the withdrawal symptoms and intense sickness that would normally follow stopping to use H. In NYC there are some free treatment options and the ones with cost are covered through medicare
How is that in conflict with what we've been saying? The global policies you cite deal with how to handle users - isn't that what we've been saying, find a different way than to lock them up?
But do you think Portugal is letting drug shipments from Columbia sail through the border? Of course not, they are being hammered same as always just like the dealers. We must always go after the suppliers and dealers as the criminals they are, and take a treatment approach instead of a criminal approach to the users
the people understood these things with alcohol legalize it and bingo the source of cash is now gone THATS going after dealers..AGAIN absolutely everything you or anyone else despises about drugs is a direct result of its underground nature the high cost causes the crime duh!
i am a lifelong addict age 63 with 20years now sober Ive worked within the field of recovery for twenty years i am speaking from my entire life's experience not because uncle bob had a problem
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