Being in survival mode b/c of undertreated pain makes me feel apathetic. I would benefit from CBT, but won’t do it b/c ins. coverage req. a dx. code, and THAT would add a psych dx to my #EHR. R/N MDs are using a psych dx to justify taking pts pain meds away. I can’t risk it. #ipp
This makes me think about the evidence that shows a mulitimodal, psychosocial approach works best. I wonder if they know I’d be choosing massage therapy over $ UDTs. But I don’t have that choice. I’d be choosing CBT, but I don’t have that choice. @VanilaSingh @BethDarnall
$600 a year with private insurance is what I spend on having my pee tested. Imagine how many massage and CBT sessions I could have for that. If some of these barriers would be lifted, patients could then have the freedom to self-manage.
If pain relief is taken away in the form of MMEs, that means fewer patients will be ABLE to take the steps to self- manage. No ones getting better laying in bed, which is the story of so many that had their pain meds restricted.
TBH millions of patients are so pissed off for being treated like toddlers and tortured by their MDs and HHS, that there’s no way they’re buying into the alternatives that are being mandated.
The National Pain Strategy was not a bad thing. The problem with the core plan of the NPS was targeting full-agonist pain meds in a “keep-away” style game in order to study the alternatives. We just need to admit where we went wrong and steer things in the right direction.
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