tag:blogger.com,1999:blog-168082693469796351.post4609084338513534891..comments2023-10-11T08:25:52.392-04:00Comments on hemodynamics: The Differential: Pain vs. FOS vs. Pain + FOSJoe Wrighthttp://www.blogger.com/profile/00869712616542504302noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-168082693469796351.post-51681459375657393582007-11-29T01:54:00.000-05:002007-11-29T01:54:00.000-05:00We may never find the right answers but I believe ...We may never find the right answers but I believe we're asking the right questions.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-168082693469796351.post-25494122135498833672007-11-26T23:32:00.000-05:002007-11-26T23:32:00.000-05:00One more thing--in terms of talking to people abou...One more thing--in terms of talking to people about their addiction--I am trying to find ways of doing this. But the problem is that the line between people with chronic pain and people with addiction can't be drawn very easily. There are an awful lot of people who I think have both. (Kurt Cobain being a prominent example.) So how do you talk to people about the overlap? There are some folks who seem to be able to do this, but I'm not yet one of them.Joe Wrighthttps://www.blogger.com/profile/00869712616542504302noreply@blogger.comtag:blogger.com,1999:blog-168082693469796351.post-67905004762530514572007-11-26T23:18:00.000-05:002007-11-26T23:18:00.000-05:00Thanks to both of you for your reminders of what p...Thanks to both of you for your reminders of what pain is all about--the pain that we need opiates to treat. Both of your posts are good reminders of why doctors can't just clamp down on the supply and start treating everyone like a drug seeker. The fact is most people who get opiates don't like anything about them other than that they treat the pain. And most people don't get addicted when we give them. It's really a very small percentage of people who have problems with these meds--but the problems are big ones, as Chris's post points out.<BR/><BR/>Chris: at least in my state, the rules about suboxone are really strict. There are very few authorized providers--and none in my hospital currently. This is really a frustrating situation, for so many reasons.<BR/><BR/>We need better support in this country for drug treatment; suboxone is a perfect example.<BR/><BR/>Another example: I can prescribe methadone to someone for chronic pain--but I can't prescribe it to treat drug addiction, unless I'm a specially authorized provider. (Again, this literally is against the law.)<BR/><BR/>You can see how the system ultimately reinforces the same artificial distinction between medicines and "drugs"--even when we have medicines that could help treat drug addiction.<BR/><BR/>jJoe Wrighthttps://www.blogger.com/profile/00869712616542504302noreply@blogger.comtag:blogger.com,1999:blog-168082693469796351.post-27915259010989962342007-11-25T22:37:00.000-05:002007-11-25T22:37:00.000-05:00This post comes at an interesting time for me. On...This post comes at an interesting time for me. On Friday my mom (69 y.o.) fell and broke her humerus up near the shoulder. They discharged her from the ER with a sling and a note to call the orthopedist's office to follow up on Monday, and a Rx for Percocet (5/325) q 6h. It's not enough to take away her pain. I know it's for all the reasons you stated that the PA was so stingy, but my sister and I ran into it in the hosptial (different ones) after our c-sections. One day post abdominal surgery, the nurse was chiding my sister to not take the meds as often as ordered "because you should be weaning yourself." I know that pain is subjective, and have seen drug seeking behaviour, but the ER docs I work with do not cringe at pumping MS into a trauma patient who needs it. If only I could see my family on the receiving end of good pain management for acute needs...<BR/><BR/>I know the struggle you go through, and hope you continue to use your compassion and your judgment to make good deceions for your patients about opiates.<BR/><BR/>Thanks for the thought.Anonymousnoreply@blogger.com