How opioids are best used for pain management
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- Опубликовано: 2 июн 2024
- From our free online course, “The Opioid Crisis in America”:
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A variety of experts discuss the ways in which opioids can be used to treat specific pain under specific conditions. Experts include a pharmacist, psychiatrist, and emergency department physician.
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IF ONLY YOU CAN convince congress ?
The “Opiate Crisis” has been debunked, over exaggerated percentages, and completely fabricated information.
Moral obligation? Where are the government agencies and physicians admitting that they have a moral obligation? It’s been proven that it’s illicit fentanyl that is the problem.
Guys a joke live with a terminal illness and have pain everyday we can talk
I am a pain patient not an addict...I'm in insurmountable levels of pain and all doctors I see, blame it on fibromyalgia and there is nothing they can do for me 😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭 idk where to go I need inpatient pain management and psych med changes or get me off everything reach ground zero then treat pain get it under control next get ADHD under control then depression should minimize if not disappear. Why? Because depression is from being in this pain And doctors not helping me and treating me like an addict I'm not...I am a pain patient....but why ADHD? 1 because I can't focus on a single task am exhausted at the end of the day with nothing to show for it because I literally would just get started on something and then find something else needing done and start that and rinse and repeat so when my soon to be ex husband partly cuz of this reason, would ask what I did all day and I was like o busted my but starting to do a bunch of things and couldn't stay on task and am exhausted with nothing to show as usual...didn't even get the one thing asked to do done....go me....of course this doesn't help the self esteem....so depression...and if I have the ADHD under control I could get things done one at a time and actually have things done which will make me feel accomplished which will lighten my depression tremendously....any other questions?
People who don’t have chronic pain don’t understand the destruction it causes.
Exactly!!!!
So tue
They are damn insensitive and the work would be a better place if doctors suffer more pain.
Put them in a locked room for several hours past the pill due time and give them an unmasked pain experience. Then tell them to suck it up like the so called pain management Jerks tell us! One Quack once told me toSUFFER! MOTHER FAKER!
Exactly I used to get told you are exaggerated the Pain! I say fuck you!
Opiods allow people who are in pain to live a normal life. Instead of curled up in bed wishing to die, they can get up, make their own meals or order food. Workers who would apply for disability might be able to extend their work career by two or three years, increasing productivity for US companies. Of course, a doctor must always approve a prescription. Laws presently state that a doctor must approve a prescription each month. This minimizes the chance of negative side effects and increases the lifespan of the sick and the elderly. Thank you for standing up to the barrage of negative propaganda in this country.
Thanks. How does this Smug Harvard Dick Dr know "the pendulum swung too far to over-treatment"? Maybe for the abuse of some people, millions suffer. I know doctors and really no one cares all that much. Opioids work better for chronic pain. Tylenol and nabumetone are hard on kidneys; more so than oxycodone.
Of course, 15% in pain depends on it after a year. Probably a much larger percentage remains on nubumetone. What does the 15% really mean? My mom only needs two 5 mg of oxycodone daily and she can't get it. Would it be ugly of me to wish all Harvard doctors the pain my mom has?
Wonder how much he gets paid and by whom? He talks for those with the money.
Undertreating pain leads to self medicating and suicide
I saw a video where a patient was told to go get her (previously prescribed) medication on the street "like everybody else". This was said to her by a doctor!! I was labeled as a drug seeker by an emergency doctor. After 2 days I had gone back to the ER and was found to have a mass on my back for which I needed emergency surgery. I found out that the doctor thought that I was drug seeking about 2 weeks before I finally got discharged home. I was so angry that I cried and had to bite my tongue to stop the tears because I didn't want to show how hurt I was. If I had been told in a timely manner, I would have fought harder for my pain relief, and I did ask several people many times and the doctors were on my side about pain medication, but the hospital works in teams and if 1 team member doesn't want me to have pain relief for any reason, that one person is enough to stop it even if the whole rest of the team was for pain medication being given! In the last hospital I was in, it turned out to be a clerical worker (?!!!) who overrided the doctors orders of morphine, the medication that I had been on before, which she ordered for me qid prn, which meant 4 times a day as needed. Finally, I thought, thank you Lord, but I heard the voice from the front desk repeat the order and the owner of the voice, the clerical employee, denied it. My heart sank again. I have tears as I write this, it still hurts me so. This is a heartbreaking thing to endure. I am going to fight this, though, somehow. I'll start with a letter to the college, and I'll get my records and if I can't find help, I'll do it by myself and not just for my case but for all people who have been treated so poorly by those who have sworn to above all, do no harm. Thank you for reading this, and for your comments too. I pray that you're in good health and that this will never happen to you.
Btw, this happened in Canada, where I was born, oh! ha ha 61 years ago tomorrow.
Absolutely
Thank you for stating the cold hard facts. Blessed Be Pamela and all that live with severe chronic pain.
What’s truly sad is chronic pain patients who have been on opioids for many years are getting tapered or cut. So let’s make seniors detox and sit on the couch and just wait to die.
This is such a sick mentality. I go to Puision wellness & get my pain meds. I'm 71 years old & after being treated with such disrespect at the Core Institute, integrated pain Mgt. And Pain Canters of America. I pay out of pocket $215.00 a month to get treated with compassion, empathy & respect. The U.S. Government needs to step in and monitor these organizations for such horrible inhumane practices. I'm on Medicare & my insurance Carrier is very good but when it comes to pain management it is very inadequate. If you can afford $ 215.00 a month it is well worth it. my friend. Take care Arnold Bourbon Amaral
Yes, it is horribly sad. I worked as a nurse for 39 years. Pain in the senior years is so underlooked and they suffer. Now I'm on that side. I became disabled a year ago due to two pulmonary embolism. I have medically proven slipped disc and arthritis in my back. My knees are both bone on bone. I told my family doctor for months how bad my pain was. Took a year for her to refer me to a pain clinic. I had my initial visit last month. Clean drug screen. Now I wait for my appointment this month to see if they will actually order anything ? I worked 12 hour shifts for 39 years striving to be a kind and compassionate nurse. Now that I'm suffering no help there for me. I pray for all of our seniors who are suffering with no help.
Keep the gov out of our bodies, seems like that would be easy but when it's a dictatorship it's a lot harder
It's a genocide... nobody can deny this... then fentanyl is put into street drugs.. oh, just blame China.. hell, we (Americans) allowed our politicians to send almost all manufacturing jobs overseas.. another type of genocide is coming..
This is so wrong I did not one thing wrong for them to take them aaway
This video was made 6 years ago...I would love to hear these contributors comment on the CURRENT (2023) state of pain management now that the destruction these CDC "guidelines" and the MANDATORY restrictions imposed by states have caused is now complete. As an MD being persecuted by my state board for managing less than 30 patients with chronic pain medications, I would really like to hear from these people, especially the last speaker. Should I just tell my patients to treat their pain with street drugs? Is that what you want? Because that is what is causing the current opioid overdose crisis.
it’s barbaric what’s being done to chronic intractable pain patients, and there are thousands of people that have been on long term care management with opioids without any negative repercussions but gaining quality of life. PERIOD! This guy (5:52) has obviously not experienced chronic pain himself, I wouldn’t wish this on my worse enemy, but perhaps this guy needs a taste of what living in chronic pains does to a person. The more I hear him the more I hope for him to experience chronic pain and denied medication. Pain is pain!
In a wheelchair due to chronic pain caused by four car accidents. Went from being treated for pain to being treated like a drug seeker. Now I'm not working sitting at home. I'm 54.
That is how the government is always throwing the baby out with the bathwater.the people that are dying have a number of substance in their system alcohol sedatives heroin and who knows but they don't talk about that
@@karengiorella2690I'm sorry that you were treated like that. I was too and I was labeled a drug seeker when I actually needed emergency surgery on my back. I only found out about this because I went back to the hospital at the insistence of a friend who came over and saw me in bed, looking like hell. I'm 61 now and I'm doing worse than before. I consider myself very fortunate to have some small amount of pain relief but I want to go back to what I had before, which is supposedly weaker than what they changed me to but doesn't really work for me. They treat ,me like I'm the filthiest, most evil and vile drug addict who gets babies hooked on drugs from the street. This, all because at the hospital, they changed my meds from morphine to methadone so now I am taking a drug that doesn't work for me like the weaker morphine and I have to go to the grottiest part of the city to get the prescription for it and I'm being treated by the doctor there like something she stepped in. All while the other patients there are the addicts who have caused this problem (they didn't mean to) and are the people passed out in the street that other people have to step over. I feel bad for them, they didn't want to be what they've become, but until they're ready for help what can anyone do? And in the meantime, you're not working and in a wheelchair and I am limping along with pain from 2 back surgeries and 4 knee ones and we're only getting older and doctors think we're drug seekers!! We deserve better. And so do thousands of others like us!!! All I can say is keep pushing, keep trying to get help because if you quit, the dr.s will say that you didn't really need it after all. "Look, you went _____ (insert # of months) without medication and you didn't even ask for them so that tells me that you're all better now and see you got here without the use of unnecessary medication which you would surely have become addicted to. You should take our advice, we know what's best for you! I saved your life!!"
DO NOT LET THEM DO THIS !!! Even though we know they'll deny us, keep phoning their offices, everyone!! Keep calling. Don't let too much time slip by because what I just wrote above is how doctors think. This is the conclusion that they will come to. And, hey, you never know, they might finally take you seriously after a few million requests!!! But really, they might re-examine your case. It won't hurt to do this but it will hurt to do nothing.
Be brave. Don't be afraid of them. Be sqeaky wheels. Keep searching for a doctor who is right up on the latest findings and policy!! Things are already changing for us. It's been found that the crackdown was not helpful and they're admitting that it was a mistake. So keep up the good fight!!! We CAN have our lives back!! And we can save lives too.
@@karengiorella2690There are many of us. It’s inhumane what they are doing.
Why are doctors always saying “talk to your doctor about getting off opioids” when, if one is suffering extreme pain, like neuropathy, that will never go away only worsen, and only relief for QOL is the opioid, why would they stop. Properly managed usage helps many. And we shouldn’t be punished because the system itself cannot manage abusers.
This Doctor has no idea what it’s like to have medical conditions that surgery, physical therapy, injections and other medication does not help with chronic pain. Opioids were the last choice but they work.
Shame on you Doc, you have no idea what it’s like to have a medical condition that greatly reduces quality of life due to constant chronic pain.
But according to Dr. Weinerdog, the risk is just too much. What a poor excuse for a doctor he is.
Sadly our Government has taken away the Patient/ Doctor relationship. It is no longer what is or isn’t best for the patient. It’s BIG PHARMA dictating what’s goin on. They make more money off of detox centers and meds that may or may not work. The DEA has reduced PAIN Opioid medication by 70% since 2016. Now the DEA restrictions the number of Opioids a Pharmacy are allot….so monthly pain patients, those need pain relief from surgeries, cancer etc also must do without.
There are over 300 urgent prescription medications that are not available.
This is life treating, it’s by design and we need to look no further then our Government and on down the line.
The tragic thing the word Opioids is being throw in with illegal drugs, NOT PRESCRIPTION. Last year 700 people in the US died of prescription Opioids. The others were illegal Manufactured Opioids made by Mexico, China working with the U.S. Government and Politicians 🤔❤🙏😔🇺🇸@@terryprater8115
Doctors are sadists! How can they not treat chronic pain patients!
Yes it's became a human rights issue
It's the government threatening them
It’s because they are drug dealers for that comission/kickback. They want to keep you as a customer not help you get better
I have stage 3 crps. I've tried everything from ketamine and lidocaine treatments, nerve blocks, surgery, spinal chord stimulator, chiropractic, massage, acupuncture, calmare treatment, everything there is that docs can prescribe I've tried. I've found a regimine that works and I have the worst pain on the national pain scale without a cure medically. Until God heals me, I am waiting and take medicine. The issue is, AlL doctors now in texas and California where I'm from and live is all innovative and they said that there is nothing else I can try and these are the best specialists and hospitals. I have also tried injections. Doctors won't even see me or want me to get off all mg medicine due to the law changing! And I have NO history of abuse! I am wheelchair bound and even with all the pain meds I'm in extreme pain...but now my doctor is stopping my medicine and all pain management doctors are no longer helping people like me. It's changed a lot in the past few years. I thought since I tried everything it would be easy to continuemy care, but it isn't. I've even tried kratom and cbd. I am now being left with nothing. They want me to just go off them all or move to another state that is still using opoids. I am trusting God that He will make a way with my healing. What I have is called the suicide disease and I've started a non profit ministry helping others to overcome all types of things through Christ. Now I'm complete bedridden as they are taking me down. My doctors have told me that more people are dying now then ever since opoids are being cut or taken away. Those that arent taking it as prescribed or shohldnt have had those meds to begin with are now ruining it for all those with legitimate medical conditions that nothing else has helped medically. Praying for everyone who is in my situation. My husband and I believe for the best. What I have is worse than cancer and chemo pain, amputation of digit and child labor without medications on the national pain scale. It's time for the government to care about people like me who have tried everything else.i got hurt by a chiropractor 13 yrs ago and been on the same medicine for 10 yrs now and I haven't went up. There should be a law against this as yes... its a human rights issue
@@lukeblissenbach9557 then where are the law firms, ??
I live in PA and I've been in chronic/acute pain throughout my whole body. I've tried all the non narcotic pain relievers and they have done little to no pain relief from them. The doctors I have don't want to prescribe me opiates b/c they have a negative opinions about them. I was once on opiates and they worked really well but the opioid "epidemic" took my pills away. I hope one day I can find a doctor that will work with me in Pennsylvania to get rid of my pain. I don't think I should have to suffer b/c a large group of people just want to get high. I just want to be able to live my life which I can not do in all this pain. I'm 36 and can barely get out of bed b/c of all the pain. Really sucks when you get thrown into a label of being a junkie when you just want to relieve the pain you are in. Its sad to see so many people going to the street to try to get relief and taking the chance that they might die putting god knows what into your body. I find a lot of doctors who are just scared they might go to jail if they give out narcotic medicine. I feel a lot of these doctors don't care about the patients anymore.
I'm the same age and in same boat, I just getting tired of hurting and going work and providing for my family getting harder everyday and gov worried bout MY body. They should be worried bout keeping our rights, instead of taking them away for our own good
@@rustyshackleford3320 So very true. Sorry you are going through this issue as well. Sad that my body my choice only applies to abortion.
try kratom !
@@EDD519 I've tried kratom at several different dosages and it didn't really help with my pain. It just made me feel dopey and sick. I know a few people that seem to do well on it.
@swanjames3137 I was on codeine many years ago when I was prescribed it before the government and the media turned opiates into something evil in our society's mind. I found it to work almost as good as a small milligram vicodin or percocet but not quite. Sadly just like vicodin and percocet, codeine is illegal w/o prescription as well. No matter whats wrong good luck getting any of them.
Ive been in severe pain for my failed back surgery. It's not getting better. These saved my life and give me life so I can live just a little.
Ill refer you to this mate who still got em..
Mycodree
Exactly, a minimum life I have but at least I not go insane from pain
In the same boat my friend. God bless you.
Same here two spinal fusions 7 years ago
This new era of sophistication. Gotta call bullshit on that!
I have been treated for chronic pain for many years by pain specialists at pain management clinics with a combination of treatments: nerve blocks, trigger point injections, spinal nerve ablation procedures, physical therapy, psychotherapy, and pharmaceutical medication - for neuropathic, musculoskeletal as well as posttraumatic pain from injuries and several serious medical conditions.
I take the narcotics agreement as well as my pain treatments very seriously; an example being in 25 years I have never had a dirty drug screen. I also use only 1 pharmacy, go to my appointments, follow my doctor's advice, etc. The result: after being pretty much housebound for years, I got my life back.
At the age of 63 I'm living a really happy life thanks to my doctors, my medical treatment, and my medication. Saying I got my life back isn't really accurate....I have a better life now.
Anyone needing treatment for chronic pain should ask their primary care provider for a referral to a pain specialist.
Cancer survivor here. I had major surgery where they went through my low back. 7 in incision. Peeled back my muscle and removed a tumor from iliac crest bone. Then used bone cement to reconstruct it. I was sent home with 5mg of hydrocodone #20. I wished I was dead for at least a week. That's 24/7. It was excruciating.
Jesus after that surgery they just gave you vicodin? 🙏 😢😮 that one seems worthy of a morphine pump. At least for the first few days!
@@christopherleubner6633 it was awful!
Omgg 😮 please join the doctor patient forum and see if you can sue
My chronic pain doesn't last 2 to 3 days..
But according to Dr. Weinerdog, it does. Then you have all of those leftover opiod pills just sitting around just calling out for someone to overdose on them. What an idiot he is.
Instead of opioids my Doctor prescribed naproxen sodium 2x A day 500mg for 20+ years and now my kidneys are in stage 4 failure. Doctors can save a person from n dying and do amazing things but after a Traumatic injury almost getting a leg or arm ripped off a broken back or neck. They can keep you from dying but then they do not take into consideration the long term health issues you have and need lifetime support for.
I'm lucky in that my pain management doctor gives me 40 to 50 mg of oxycodone a day. I've been taking this nearly daily for 3 years. It's been life-saving.
Lucky lucky you🎉I'm allowed 1 hydroco a day😊
My Pain Dr. prescribes five Vicodin 10-300 and a Fentanyl patch. This seems to help control most of my pain...thank you for sharing...
@@johnmitchell8925 Does this dose help with your pain?
Same. It’s barely there.
I get two@@johnmitchell8925
I had a traumatic spine injury.. I’m 25 and have perment nerve damage through out my legs and have paralysis In my legs. I’m in pain . I can’t live with this. I need help with pain but drs are afraid to prescribe opioids.
This so true
I be had 5 spinal fusion neck to low back with hardware . Find a good pain management doctor and keep moving . Or swimming , gentle stretching and walking if you can . It’s absolutely heartbreaking the suffering we go through even with opioids . It gives a little Quality of life . Your in my prayers .
Go to a pain management doctor. Only way.
@Mentally Misunderstood I pray the spirit of suicide is bound and returned to hell where it belongs in the name of Jesus! Don’t stop fighting - advocate for yourself and tell them the pain is so unbearable you have had thoughts of suicide to just get relief and pray that the Doctors will have some empathy and meet you at least half way ♥️
I had a tragic car accident and got a TBI & Spinal injury. And got widespread sever burning all over my body calls Reflex Sympathetic Dystrophy Syndrome. I've tried may kinds of different pain meds or meds they say help with pain. But nothing helps like opites. That truly works. I'm disabled from this accident and have severe fatigue. I've seen many drs stops trying pain properly.
The only reason why Drs stop is cause of the CDC guidlines.
Now we're on the phase going to fast to the left.
There needs to be a middle ground.
It's sick to see drs see it's okay to torture patients.
We just have to start sue for inhumane pain and suffering for not prescribing pain meds.
If you have a chronic painful condition .
That Gabapendin and other non opoids don't do nothing for a serious pain attack.
We suffer and they protect the hospital.
I see my husband suffer with lower back pain level 8-9 even tears in his eyes he had back surgery 1 year ago.
He takes them only about 2-3 times a week.
If he don't have them
You can’t really deduce that in five days the outcome will be the same if that is your lifeline to sleep. If you give me someone who has not slept in five days they are going to be knocking on death’s door, whereas if the pain was addressed especially low back pain they will at least be able to sleep for roughly 4 hours a day and in five days that outcome would truly be different.
get rid of everything fattie or fried , get real healthy and you still gotta DIE , now we have to suffer in chronic pain before we die !
I've been on pain meds and then had gotten off them for a bit but my pain in my back came back to me at 15 years old if it were not for the Dr I have now who is just the best and he really has good bedside manners and also being on pain killers is not a bad thing cause face it if you need it you need it I know cause I've been on basically every pain killer out there and finally landed on hydromorphone 4 mgs 4 times a day and it has been helping but thank you for making this video
Thank you for indicating how necessary opiods can be.
I have chronic pain but my doctor won't help. So now I drink to help me get me through the day, I hate drinking.
Try kratom
Go to a pain management Dr, to help with your chronic pain...
@@cr-nd8qh Yes. I take it about 3 times a day. But it doesn't last as long as oxy. And it tastes terrible. I always have to eat something sweet after taking it. But it does work.
I am a pain patient treated like an addict out here on my own I could use some help with my insurmountable pain levels please
I’m I am suffering every day!
I have cancer. Diabetes. A Neurological, circulation problem involving the basilar artery and general pain in neck, lowerback, between the shoulder. I'm almost 70. I have been in high to severe pain for 6 months straight. My doctors, PAs and nurse say, Take a tylenol. Who says such cruel things? Apparently a lot of them. After a operation for my cancer i was sent home from th4e hospital with no prescriptions. I am in bed 99% of the time, in pain.
I forgot to say that my operation went for about 3 hours and I was discharged about 12 hours later. With my foley cath bag still full of red colored pee and blood.
Now y’all need to do better with actually treating peoples pain. I’ve been in chronic pain from my back and hip - had almost two different failed steroid injections… prescribed tons of different things and none of them are working. Yet doctors won’t prescribe me what actually works … opioids. I have to suffer every single day.
It’s gotten so bad that I have thought about getting hit by a car to make things worse so I can hopefully get some medication that would actually help.
I’ve thought about changing my gender since men are listened to and get results quicker than women.
I’ve thoughts about lying and saying I already have a drug problem and going to the addiction clinic and getting them to prescribe me suboxone or methadone.
And of course I have thought about trying to find it the illegal way…
Of course I won’t do any of these things. But you know shit is bad when you’re depressed, your quality of life suck, you can hardly function and can’t focus on much of anything other than the pain once it gets to its highest threshold. Which is usually maxed out once I stand and do about 1-3 hours of cleaning - easy tho ha too like wiping the counter, emptying the sink and loading the dishwasher, and folding laundry. Things like vacuuming, sweeping, and God for it - mopping, are something I avoid.
But hey, let’s just keep upping my lyrica and cymbalta because clearly they’re working. I’m sure I’ll end up with 4x the failed injections I already have before they finally listen to me. And see I’m not just a “hysterical woman” who’s being emotional or exaggerating my pain.
I’ve been living in chronic pain for half of my life - from fibromyalgia, and I think they just chalk it all up to that. And because I’m “used” to being in pain I handle it well. I have a high pain tolerance, but when it’s bad. It’s bad. But they won’t help. I’ve been seeing a pain management doctor and he still won’t help me. I don’t even want opioids to take every day (unless the pain is causing extreme discomfort on a daily basis) I just want them for when it flares up to the point where I am unable to walk straight up and have to use a cane and am limping. That’s all I want. Is some damn help.
Being in Canada - I suspect they just want to push people like me to apply for MaID (medical assistance in dying) because it’s cheaper on the healthy are system. It doesn’t seem like they give a crap about people anymore because they’re so damn scared of over prescribing they won’t prescribe at all. Like please do tell me how Tylenol will help. I take a minimum of 4 robax just to find about a 10-20% decrease in pain. I can’t take enough because the Tylenol would harm my liver. The depression and sadness of losing my life to this pain is so overwhelming and just hard to accept. I used to go on hikes and climb mountains and now I can’t grocery shop because it’s too painful most of the time.
And it’s not just me who it wears on. It’s also my family. I’m not as effective as a housewife - I don’t carry my weight and contribute enough because I’m always in pain and if I push myself it’s just worse for the next couple days or week.
I hate to say it but isn’t the risk of me becoming addicted outweighed by how crappy my quality of life is right now? That’s a risk I am more than willing to take if it means I can play with my daughter, fold laundry, go for a walk with my family, not feel like I’m going to collapse from the smallest amount of activity regain g me to bare weight.
I just want some help. It’s getting worse by the day and spreading and I’m just stuck here thinking - only another 5-7 years before they’ll start believing me and actually helping me. Then I feel completely apathetic and just dread what the future holds. My life had been stolen from me already.
You just summarized my life. Every word and examples that you've shared is my reality.
It really should be up to the patient whether they want to take the risk of addiction or not imo. Sometimes all other options have been explored and it should be the PATIENTS CHOICE. They are the ones experiencing severe pain and desperately need help 💔
prescribing an NSAID has been shown to INCREASE back pain in the long run.
Does anybody know if Marijuna / Cannabis helps for back pain attack
I use it every night for sleep. It helps to relax but doesn't really kill chronic pain. Everyone's different so it's worth a try.😊
That's baloney. The outcome of giving someone an opioid for severe back pain or any other kind of severe pain is the same that is not true. If I've been up for 5 days or more my pain level gets to a point where I can't get it down. If I go to ER and they give me a shot to break the pain cycle and the pain is relieved I'm able to sleep pain becomes manageable
I have done EVERY treatment available for Endometriosis. Nothing helps and there is no cure. Some women are lucky and can treat it with birth control, others are not. I am now practically bed-bound and I haven't worked in 10 plus years. The last time I had a job, I had a prescription for two, 5 mg Percocet a day. I was still in a lot of pain but it reduced it enough to where I could work. That's nothing compared to some of the doses people get and they still took me off of them!!!!! I still go for pelvic physical therapy, acupuncture, etc. etc. but none of it helps like actual opiate medication
I don’t understand why some people are having such a hard time obtaining medicine that works and it’s not a problem for others? I must greatly vary between states
Yes, some states are more or less restrictive. Depends on the news regarding the so called opioid crisis. Nevermid it is being driven by illicit fentanyl. It is incredibly messed up that a doctor can't prescribe a few pain pills for a couple days for a tooth or ear infection but ypu can go to the street corner and ask the friendly dealer for fentanyl and it costs about 10 bucks for enough to kill like 10 people. The system is irretrievably broken 💔 😢 💩💀
I wish all you doctors would get on the same page as the patients who have chronic rheumatoid arthritis unless there’s a cure for this condition that you’re not sharing with us.
I was diagnosed with Rheumatoid Arthritis in 1992. I was prescribed Percocet for the excruciating pain. After 30 years on painkillers, my doctor wants to wean me off. I’m 57 years old and still in pain even with the Percocet. It’s not my fault that some people abuse their medication. I’m scared. Plain and simple.
Same here, was diagnosed with RA at 38 years old, 63 now and my idiotic doctor is forcing me to go to pain management clinic. Who cares if I’m 63 and prescribed lortab? Just let me live out the rest of my life as pain free as possible, your group of doctors are the ones who have give me my medications for 25years. I’m not abusing my medicines so don’t include me in the opioid crisis. They’re not kidding when it’s said that you must take control of your health yourself because these new doctors don’t know a thing about chronic conditions.
Just took 5 mg of oxycodone. How long does it take to work? 20 minutes feel nothing?
30 min
@@lildizzydot743 Never worked.
@@ediebehnke2059 I get 5s too wat kind did u take
Take 2
That is a low dose, I was on 10mg every four hours up to six a day, and 50mcg fentanyl patch every 48 hours and it helped with my pain...
I am so worried about the next gen of drs who will not give opioids. As the video says- suffering needlessly. It’s still happening. If I lost my pain dr idk what I would do. It’s so scary out there for those of us with multiple pain diseases. Even on my medical chart it says I am a “drug seeker” and i wish i could sue
My doctor refuses to give me any and I'm in a lot of pain I have oral chronic pain
Change your doctor
@@tootone2357 not that easy most won't cover my insurance
What do you do for people like me who will never be pain free? I'm 61 now and I've had 11 sugaries on my back and looking at another one soon.
Kindergarten approach. Educating is one thing but here you ignore the fact that many people have tried every medicine on the market and the only thing that works just a little might just be opioids. Out of that 15% , I am sure a good portion have chronic pain that wont really go away no matter what you treat them with.
They need to spend more of curing and not patching up thats the problem here
safe pain relief! we are very advanced in medicine now but big pharma will never allow the treatments that are safer and treat they would stop making as much money. So they release drugs which create a balancing act system so they sell more products.
I'm far more concerned about the BENZO crisis. There is zero informed consent for patients. Taken as prescribed, even for just a few weeks, is enough time to do major damage. Countless people around the world are enduring horrific side effects, tolerance, withdrawal (discontinuation syndrome). It damages receptors, creates worsening symptoms and even new illnesses (iatrogenic illness). The most horrific side effect of all... AKATHISIA. We need to do far better with informing patients. Unfortunately, most doctors are clueless when it comes to risk and how to taper safely. Opioids are actually a treatment for Akathisia. There is no cure or magic pill for Akathisia. It's a medication injury, so more meds (particularly psych meds) are like throwing fuel on the fire. I wish more doctors would take the time to learn how opioids can save the lives of people injured by psych drugs. It doesn't fix it, but it does make the person more able to cope and survive it. Akathisia is truly the most horrific experience in existence, which is why the suicide rate is so high. There's a study through the Mayo clinic showing how opioids can be used for refractory RLS. Akathisia is in the "family" of distressing movement disorders. Patients with Akathisia should be treated with great compassion and dignity and be given opioids so they can survive. Akathisia needs time. Patients should not needlessly suffer just because OTHER people abuse this drug. For many people with chronic/distressing pain, it's a lifesaver.
It is a hidden epedemic! with very distressing discontinuation syndromes worse than opioids in many case!
After many years of taking 40mg a day for panic attacks and anxiety and as a muscle relaxant I finally stopped the Valium.
I’ve been on pain meds for 10 years. I moved to Missouri to file for disability. Mercy Clinic in Troy Mo stop after 2 scripts with no notice and just let me withdraw at 59 with no notice. I can’t find a pain doctor. I just want to curl up in bed and do nothing. I have neuropathy 3 neck surgeries osteoarthritis back pain too
It would be nice to hear their current opinion in 2024. As a long term Chronic Pain Patient with 3 Spinal Fusions Cervical Spine, 1 Implant Cervical Spine, Blown Discs L2-L-5, Arthritis Entire Spine, Fibromyalgia, no I can’t take meds aimed for Fibromyalgia due to allergic reactions. Chronic Daily Migraines stemming from neck and Occipital Nerve. I’ve had Occipital Blocks, they helped for 8 days but PM Doctor said not cost effective. For who??? I’ve had 6 years of Lumbar Injections that only caused dried out bone on bone pain.
I am so I'll from chronic pain mamy years n now I'm 67 n they took them away
I think some people experience pain different. I do not experience it the same as I did when I was a kid. I feel the hurt but I don't experience the emotion part that makes kids cry as much unless it is something stupid I did to get hurt.
Mr. (not Dr.) Weiner, is an ignoramus. Patients with CHRONIC pain aren't going to get better. That's why they call it chronic. "What is the use in prescribing strong pain meds whenever you know that when you stop taking them, the pain will come back?" Geez. How do some of these people keep their medical license? I believe that any doctor who does not experience severe chronic pain themselves should not have any say in how everyone else manages their pain. BTW, as of 9/23, there are reports of many patients taking their doctors and hospitals to court for NOT prescribing the necessary pain medication for them. I hope that you, Mr. Weiner, are one of those so-called doctors. 😡
Recently you have never been in pain.central nervous system pain is different .study LUPUS MS.
This guy is preaching the bull that is all over the medical field. "your lying, here's an aspirin, and your bill. " while i have life long pain from RA, and I can't walk half the time. I want a complete ban on medical personnel receiving any pain medications for a year. maybe they would understand what long term pain will do to you.
It’s different for them. They can get whatever they want. There has to be some type of repercussions for doctors who refuse to prescribe pain medication. I am a physical therapist and I mostly deal with veterans and I will tell you that I’ve seen many good people, who served this country get so fed up with being pain medications they end up taking their own life… or they end up on the street because trust me, if you are desperate enough for pain relief you will go to the street and use heroin, even if you were the furthest thing from being a junkie before. I’m over it. Have some dignity and empathy and allow people the pain relief they deserve! Many of these people fought for the freedoms these doctors are now abusing!!!!
Everybody's pain tolerance is different part one person can stand in the next person it's just miserable
Heroin was the worst experience once I got addicted. But it always took the pain away. Now I wake up everyday clean but miserable from nerve pain.
This is ehy i encourage anyone who finds that these make life functional. Set up a seven support piller system. Each day of the week you connect with two. Your significant other and one other. All decisions on ig you are getting to far in must be unanimous and you'll go to rehab if they believe you are getting to far.
Duloxetine 60 mg twice a day helped my nerve pain. Consult your doctor
I cant get and never have gotten any pain meds except for 30 days after a six hour back operation installing metal rods, im in pain 24/7 but whats gonna be crazy is when there are no meds for anybody since china makes them .63 years old and worked my whole life for this shit ,rant over
It’s all BS. Everyone is different not everyone has an addictive personality. People that have moderate to severe pain need the medication. It’s sad that doctors just don’t care suffer and needs to stop. We need better doctors we need better healthcare.
Not everyone can or has the financial ability to stay home on limited activity to heal. Which is why most people stay in pain. The constant wear and tear on injured tissue does not allow healing. And it can take years to qualify for any type of disability. Even if its obvious that chronic pain has greatly decreased or prohibits their ability to work. The trauma keeps coming when a person loses their home and way to support themselves. Never mind losing any quality of life. Thats what usially goes first. There is a place for opiods, even long term use , when all other treatments are utilized and come up short. Some pain is chronic, longterm and debilitating. Its just that simple.
The medical system is a joke I just got out of the hospital stuck there 2 weeks in overflow supposed to go to the burn unit from this Steven Johnson syndrome and because of my past they were doing everything to avoid IV pain medication but luckily a nice young doctor took control
So what about someone that comes in to their trauma center, with their arm ripped off after a car accident they are going to deny that patient fentanyl?
Harvard is cruel to pain patients!
Opioids saved my life
70% of the are high during this video. Sometimes I wonder why there is such huge lack of them in many hospitals (opioids). Then u go for black market because u think paracetamol is a jock for some.
What do you do when you're ALLERGIC to just about everything BUT a couple of opioid medications? It is no picnic being in constant pain ESPECIALLY when your options are limited.
There are two types of people , one person is not in chronic pain all the time and doesn’t suffer daily , the other person is suffering in chronic pain and wishes they would die , I am the one who suffers every day , people who are like the first person I mentioned really do not understand what chronic daily pain is and if they had an in grown toe nail they would call 911 and ask for heroin , but us who suffer are left to suffer and see psychiatrist like we don’t really matter and we are nothing but drug addicted monsters 👹, I’m going to tell you life is short and being curled up in a bed while outside the window life goes on and life can be the most beautiful thing with the freedom we have , why take all that away from a human being because they suffer dearly why ???????
Over treatment-really?? There is a difference between over treatment of those you have chronic pain and those that have a sprained ankle-don't you think? Why would you start off with the strongest pain killer instead of the bottom of the pain killers? Any one understand the way the big phar works? Regional blocks? Any one ever have one of those?, Weather a patch of injection-not good when side effects kick in, especially the side effects, that damage the nerves. And they have to make sure they get the right spot.
One comment is all I have: chronic daily migraine! 🎤 💨…..🤯
I have tried the less powerful and NO they don’t do the job!
PAIN ! cannot be proved ! there is no guage/ scale that proves or disproves !
Bs I'm in pain all the time more than 3 day
He was talking about acute pain there not chronic. He was specifically saying that overprescribing narcotics for acute pain led to the opioid crisis. However, recent research suggests that the effect doctors had on the crisis is smaller than we previously believed
Narcotic is a pejorative term..
I had sciatica nerve pain for 8 months, finally got a neurosurgeon 5hat gave me the right pain pills that really help me and never had to depend on them because the nurse was pinched and got better. Other Dr's put me opioids said they are no good for back pain. He was right.
Why did you pinch your nurse? Did she like it? 😁
@@terryprater8115 Sorry nerve was pinched, my fat fingers hit the the wrong keys. My backs been fine for years now just worked it's way out on its own.
@@terryprater8115she was pretty and the nerve was locked away
Opioid medication never cured chronic pair, ever.
Why take the risk? Because I'm begging every known higher power for death maybe? 🤔
How about them dispensers being put in home of every pain patient home
I mean the medication dispensers they have
I would like all these doctors to suffer my multifaceted chronic pain over 40 years and spend a day in my shoes. There is no cure for my medical conditions. What is amusing they will do a 180 in the next ten years. Haven’t got a clue.
are ops bad.....and then they dont say are aps good? right from the beginning they are. so what we have here is a biased point of view. what we need is to take the prescription pad away from doctors and government and allow people the freedom to treat themselves
no one will write a script !
Suicides' are up because of doctor stop helping . I could tell you so much but care
I've been an RN my whole life and have had several back injuries and have hurt not just my lo back but also my cervical spine. I had an excellent chiropractor but unfortunately he passed away at 50 yrs old from cancer. We were the same age and since then have also had several knee arthroscopies and finally a horrible knee replacement. There was never someone as gifted as he was and have never been able to get that kind of help and care again.
I've been on opiods for several years and they allowed me to function in my nursing practice and also enjoy hiking, biking, snow shoeing, and cross country skiing as well as
kayaking.
Continued from below......
Anyway, was doing fine until I was totaled by a driver who totaled my car and nearly totaled me. This was 3 years ago and the pain is no longer controlled by the meds I was taking and have not been able to work since. For some reason, my primary feels that despite worse pain and now pain in a multitude of other areas, that the same doses should be sufficient. But....they're NOT. The lidoderm patches barely do anything and they don't even stay on long enough. My life is pretty miserable and haven't been able to work or do any of the activities that I loved. Shoulders are so bad I can't even walk my 2 small dogs!!. So hard to even wash my hair which I loved wearing in a French braid and just had 12 inches cut off a few months ago. Headaches have become a part of my everyday life whereas I never had a problem with them before. The meds that worked before the accident just don't do it and they don't touch the headaches or shoulder and knee pain. Before starting the opiods I got relief from advil for quite some time but eventually they weren't helping and I got bleeding ulcers so now cannot even take a baby aspirin. I can't stand being dependent on these drugs....and now my MC drug plan decided they are raising the price to $250
a month for the same 60 pills that used to cost me $132 per month!! And now, my MD
is finally raising the dose on that 1 Rx so that med just went up to $353 per month for 60 pills. And I thought the $250 was bad. I spent 3 hrs. on the phone with the
insurance company two days in a row and after 6 hrs got nowhere. How do they think people are supposed to be able to afford this on a fixed income.....and that's just 1 of the meds I take every month. My orthopedist suggested I go to a doctor who
could give me a medical Marijuana card and that's what I'll be trying to get this week. At least I've learned that is a much more natural way to go. Also, a friend has found a different chiropractor she likes so will try hers. Hopefully, she will be
able to help and will be trying some anti-inflammatory supplements as well.
This is no life. What does the government expect people to do??? I've taken care of others my entire life as a nurse....now I need
some help and it's no where to be found.
I wish all of you out there who are hurting everyday the best of luck.
We should become ors pr marry drs so we can get it easier
Tylenol with codeine does not help motrin dose not help ibuprofen never helped prevent my pain
Yeah this doc has never felt pain.....lol
You have no glue , Chronic pain patients don’t give away or sell meds , there life saving for us
Oh bullshit, there is no other pain medication that helps treat pain like an opioid! In New Zealand we do not have access to lignocaine patches big enough, regional blocks I can’t get, no ketamine infusions it’s ridiculous. You try live years in pain. I have tried every single possible other pain relief medication possible (clonidine patches, gabapentin, antidepressant meds, anti inflammatories, paracetamol… ) and nothing helps me personally. I have tried everything, therapy, diet, sleep, exercise, meditation, tens machine, heat therapy, I’m very aware of the pain cycle, the heightened nervous system blar blar. I understand long term opioid use is not effective either, but you can not even get opioids intermittently for flares, it’s ridiculous. I am a nurse and the stigma around opioid use is wrong, yes we they were over prescribed and yes people can end up abusing them and with addiction problems at the very worst die, but everyone who is in true pain( in their desertion of pain) is treated as if they are drug seeking now, it’s really not the right way to approach this situation. Dispense opioids in small amounts and for intermittent use at least.
This video and the medical opinions expressed is too equivocal. No real conclusions. Plus it's not current. I'm not sure from this if the original Guidelines in 2016 were even written yet.
Dr's don't care if you are in pain all thay care about themselves
Doctors will still prescribe opioids in appropriate situations. Clearly they are not handing them out left and right like used to be the case, but in many right circumstances people are still getting the meds they need
This is a totally false statement! 🤬
Epidemic of “under treated pain.” 😳
I have stage 3 crps. I've tried everything from ketamine and lidocaine treatments, nerve blocks, surgery, spinal chord stimulator, chiropractic, massage, acupuncture, calmare treatment, everything there is that docs can prescribe I've tried. I've found a regimine that works and I have the worst pain on the national pain scale without a cure medically. Until God heals me, I am waiting and take medicine. The issue is, AlL doctors now in texas and California where I'm from and live is all innovative and they said that there is nothing else I can try and these are the best specialists and hospitals. I have also tried injections. Doctors won't even see me or want me to get off all mg medicine due to the law changing! And I have NO history of abuse! I am wheelchair bound and even with all the pain meds I'm in extreme pain...but now my doctor is stopping my medicine and all pain management doctors are no longer helping people like me. It's changed a lot in the past few years. I thought since I tried everything it would be easy to continuemy care, but it isn't. I've even tried kratom and cbd. I am now being left with nothing. They want me to just go off them all or move to another state that is still using opoids. I am trusting God that He will make a way with my healing. What I have is called the suicide disease and I've started a non profit ministry helping others to overcome all types of things through Christ. Now I'm complete bedridden as they are taking me down. My doctors have told me that more people are dying now then ever since opoids are being cut or taken away. Those that arent taking it as prescribed or shohldnt have had those meds to begin with are now ruining it for all those with legitimate medical conditions that nothing else has helped medically. Praying for everyone who is in my situation. My husband and I believe for the best. What I have is worse than cancer and chemo pain, amputation of digit and child labor without medications on the national pain scale. It's time for the government to care about people like me who have tried everything else.i got hurt by a chiropractor 13 yrs ago and been on the same medicine for 10 yrs now and I haven't went up. There should be a law against this as its a human rights issue
It also depends on what state you live in if they have opoid abuse rates like Nevada Ohio and some others it is going to be very difficult to get anything for pain.
OMG!!! 🤣😂🤣 What rock are you living under? Geez.
Lidocaine patches...😂😆🤣😁
It's not worth the risk.
For the doctor.
The patient with chronic unremitting pain ends up paying the price for the doctor's fear of losing their licence even though there is no law restricting any doctor against properly prescribing opiods.
It's not about adequate pain relief, it's about doctors, some of whom were the same doctors guilty of overprescribing these same meds in the late '90s early 2000's, covering their asses. Not to mention how they treat chronic pain sufferers like low life drug addicts whenever you tell them that what they've prescribed isn't working.
Want a job working in pain management ? Easy, learn how to say no.