Anyone who steps forward knows that patients with long term pain, who happen to be receiving prescribed opioids- appropriately- are
*being abandoned,
*losing docs with no one willing to step forward to help them
*facing extraordinary suffering, up to and including death from medical deterioration, pain, suicide
(We learn these stories routinely in our suicide study CSI:Opioids)
What
@ibdgirl76 bears witness too is a disaster brought on by more than one cause:
-a fight against pills that ignored the **people with pain**
-countless paid experts for the opioid litigation who have argued - fallaciously- that every dependence is an addiction, and who routinely use their social media to make light of the risks faced by patients with pain
-countless storytellers, journalists and politicians who have been taught to embrace people with addiction (or at least pretend to) while shunning folks with pain or dependence on a medication .
-a medical establishment that, having chosen to embrace prescribing excessively before 2011, made a fetish of “opioid stewardship” (as if our first duty was to guard the opioids and not the patients) and “deprescribing” (as if our first duty was to a implement procedural change in care and not to the patient who is our equal, in human terms)
Luckily: many of my colleagues and even the CDC’s 2022 Guideline have begun to understand.
But unluckily, people with pain and disability don’t have sufficient political power to cause journalists to ask better questions or to change national policy
But if you are a doctor or doctor in training,
please understand just because opioids were once overprescribed in the past, that doesn’t make it right to abandon people who might need them, or are dependent on them.
There are experts who could help us learn how to take the best possible care of patients. And it is not rocket science.
Every time someone simply says “I don’t prescribe those pills,” realize they are shutting their door on patients who are at high risk. They can learn to be smart and careful with this responsibility, and save lives.
But it has to start with a spark of conscience that says
“the patient is a real human being just like me. And I might be vulnerable to someday. And just as I would want someone to help take care of me, now it’s my turn as a prescriber or as a doctor to not abandon patients.”
Woke up to 100 messages from pain patients. Two are from pts whose doctors abandoned their practices leaving all pts without meds, and the rest are pts whose docs said they can no longer rx opioids, so deal with it.
@US_FDA have you considered actually addressing this crisis of pain pt abandonment?
@MartyMakary @JillianMichaels @megynkelly anyone?