tag:blogger.com,1999:blog-2263920188140464269.post4005988593714876321..comments2024-03-11T17:51:57.371-07:00Comments on Practical Bioethics: PROPOSED CDC GUIDELINES FOR OPIOID PRESCRIBING COULD UNINTENDEDLY MAKE THE BURDEN OF CHRONIC PAIN GREATER FOR MILLIONS OF AMERICANSPractical Bioethicshttp://www.blogger.com/profile/17111101925898726995noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-2263920188140464269.post-38894933483448021422016-04-12T19:36:38.544-07:002016-04-12T19:36:38.544-07:00I am a 48 year old RN, who has Osteonecrosis since...I am a 48 year old RN, who has Osteonecrosis since March 2013 I have had 3 joint replacement and a revision of 1 of those. Both Shoulders and a Knee. My orthopedic doctor has told me the question of if I will need hips and the other knee is irrelevant the pertinent question is when I need them. The disease is a result of use of corticosteroids for asthma. Until this recommendation we have worked together on pain control, I use heat, ice topical creams nsaids and have had a couple steroid injections and yes he prescribed narcotics. He has made a decision to no longer assist in chronic pain mgmt. As a provider I understand his position, as a patient I feel I am being forced to make very difficult life altering and potentially threatening changes because of the irresponsible behavior of others. I also have a clotting disorder and have had a tracheoplasty, so surgery is not taken lightly. Joint replacement surgery is difficult and not a sure thing. My issues are well documented, I have never abused opiods, followed scripts to the letter and now I am left searching for a doctor who will help me live with the pain, which is described by health professionals as being similar to bone cancer...ironically according to the CDC I would be able to obtain opiods much easier if in fact I did have bone cancer. Cancer has impacted many of those close to me, and I support caring for the pain associated with it, but there are many diseases such as Osteonecrosis that are not commonly talked about, that don't have huge media presence. What makes patients with other ailments less worthy of proper pain control. My story is not as unique as the cdc would like the public to believe. Patients with adequate pain control don't make headlines, we make dinner and take care of our families, we live with our diseases and take each day as it comes. I happen to be a newlywed, married for the first time in October, the impact of uncontrolled pain on my wedded bliss well its too early to tell as I have not had this challenge in the two years we have been together. It is common knowledge that caregivers do grow tired of hearing I am hurting, my husband swears he will never leave me, but I have 26 years of Nursing experience that tells me even the most dedicated loving spouse will reach a point when they wonder what they have gotten themselves into. I know the issues opiods have caused many families, I have a sibling with substance abuse problems . I believe the CDC is motivated by people tired of reading headlines of suburban teenagers overdosing, but to make it impossible for people to use 21st century medicine to make their lives better and more productive can NOT be the best option. There has to be a middle ground to address those of us not wanting to make headlines we just want to walk down the street with our families, sleep more than 2-3 hours, and have more days when pain isn't the deciding factor in what one can do or not do.joyrnhttps://www.blogger.com/profile/17666629938903435686noreply@blogger.comtag:blogger.com,1999:blog-2263920188140464269.post-49392409341964903132016-04-04T08:27:31.046-07:002016-04-04T08:27:31.046-07:00Reason pain meds work are we have particular dendr...Reason pain meds work are we have particular dendrytes in the brain......that fit like a hand when opiods are introduced. Having these established brain connectors, clearly show why opiods work. As far as releiving addictive qualities.....everytime they matrix or redesign a med they kill its usefullness. And to commit to the 1/60th rule with Fentynal is purely insane and sad. I traded 13000 mgs for 10 mg dispersed over 3 days. Under any logic.....do the math. Its obvious they don't care about the individual or take anything from except support....its funny but the only other dendrytes we have the pair with a pharmokinetic is for medical marijuana. We have the wiring already set in the brain....<br />Why the arguement and now forced direction which will lead to as many suicides as opiate deaths from diversion gives us only we're gonna have to pull a trigger amidst the agony that was releived for 15+ yearsAnonymoushttps://www.blogger.com/profile/17692601142261123678noreply@blogger.comtag:blogger.com,1999:blog-2263920188140464269.post-61676808902512921562016-03-16T10:53:03.225-07:002016-03-16T10:53:03.225-07:00If the massive effort to restrict access to vital ...If the massive effort to restrict access to vital pain medication were redirected instead to finding how to remove the addictive component of opioids the problem would be solved. Anonymoushttps://www.blogger.com/profile/17181774459403386634noreply@blogger.com