We have distinct quantifiable primary drivers of inflammation, pain, neuropathy, beyond our physical ability to control with endorphins, requiring exogenous help.
Let's get out from under this 'imaginary' label.
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Couple that with exaggerated climb in 2000s prescribing, factoring OUT parallel quadrupling of major skeletal surgery increases, cancer survival advances...
"When he came to, he was on the floor. He had rolled out of the wheelchair and hit his head. A gaggle of worried-looking medical staff stood over him. They asked if he was on drugs."
In most ER, he would have already been hit with two doses of NARCAN.
#alphagal allergy syndrome breaks all rules, stands as example of how much we don't know. This guy got lucky. I have YET to meet medpro that knows this, except for my allergist.
Had I not studied myself and searched for answers, my PCP would have found them thru MY anaphylaxis.
Would it have been flu shot I refused? (2 of 4 have mammal component)..
Maybe the acid blocker I refused, in a gel-cap?
Would I have passed out during colon prep for procedure I refused?
How long before first 'incident' gets me narcanned? Hell I'm probably allergic to it too.
@DEEGILES0410 "total resolution relating to the marketing of Suboxone is more than $2 billion — the largest-ever resolution in a case brought by the Department of Justice involving an opioid drug."
Suboxone, the newest and most effective gateway drug, 'Prison Heroin', easy to smuggle.
@DEEGILES0410 "Buprenorphine emergency department (ED) visits for nonmedical use of the drug have increased fivefold from 2005 to 2011 – up to more than 20,000 ED visits involving buprenorphine products for nonmedical purposes.."
@DEEGILES0410 "Suboxone may also be becoming a preferred drug of abuse for individuals seeking an opioid-like high, and many may be choosing this drug over other opioids."
EXACTLY as Kolodny intended when he started pushing Suboxone in 2005.
The attached tweet references discussion where MS layed out plans to intercede in WA state deliberation of a pain patient rights bill, to insert mandatory monthly UDT as a requirement.
This is not a moderate position.
AMA position IS a moderate position.
AMA agrees with #25PsychoCPP that UDT does not improve outcome, is fraught with interpretation error, and acts as an access denial tool.
And their disapproval is referencing CDC guideline recommendations of patient initiation and once-yearly!
Urine Drug Testing is a flashpoint among many pain care patients, who resent being forced to submit, pay for procedure that can only DENY care, with no benefits, no medical necessity.
Certain advocates like Dr. Michael Schatman, have alienated patients with his UDT support.
Dr Schatman's online advocacy is frequently attacked for his promotion of UDT.
AND many patients join in with him, to denigrate those fighting this civil-rights intrusion into our care. We're told we are threatening a movement.
Yet, there's an elephant in the room...
UDT has become a criminal enterprise, racketeering on a scale equal to Mafia-style infrastructure.
Crooked execs, politicians, provider orgs, doctors, scheming to rob insurance, Medicare, Medicaid, and patients of Hundreds Of Millions of Dollars.