Facts, Not Fiction

 
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    #61
    Quote Originally Posted by user4 View Post
    I have a hard time determining what comes first, 1) the marketing information that pain killers are in demand by MD prescription or 2) that supply increase leads MDs to respond liberally to patient demand for effective pain relief or 3) a small percentage of corrupt MDs drive up demand by giving addicts prescriptions.
    And the corrupt MDs who over-prescribe opioids to non-addicts and turn them into addicts.
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    #62
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    https://www.theguardian.com/world/20...pain-narcotics

    And the beat goes on...in India. 1.3 Billion people, what could go wrong?
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    #63
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    It's like the tobacco companies that surged into developing countries when smoking went down in the West... prey on the vulnerable...
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    #64
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    Quote Originally Posted by 18.99s View Post
    And the corrupt MDs who over-prescribe opioids to non-addicts and turn them into addicts.
    Quote Originally Posted by catson52 View Post
    I am told by doctor friends, that placing extra emphasis on patient reviews of doctors has exacerbated the bad situation. If a doctor hesitates to prescribe a strong pain killer (opiod), some patients "retaliate" with a very negative review.
    Exactly, and by the way it is the same in so many professional fields. MDs are judged critically by drug addicts and Professors are judged critically by the laziest of students. There is something a bit upside down with the culture of late.

    And what is the MD to do, the addict tells the MD what he knows the MD needs to hear in order to give the prescription. The MD doesnt mind too much being played, after all the patient told him every thing he had to hear about his pain to justify the treatment and who is the MD to judge the deepest motives of the mind and steer the patient to seek some other kind of help that he knows he will not seek. The addict even before he is too far gone learns the all the right phrases and the dance moves. It gets even more complicated as the pain, objective or subjective is as real as a nail to the skull for the patient. The human mind is a beautiful and amazing organ but it can also be a tragic one.
    Last edited by user4; 09-05-2019 at 10:46 PM.
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    #65
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    https://www.npr.org/templates/transc...ryId=757089868
    Just as we get the opiod epidemic under some control along comes Fenatnyl. 30,000 deaths a year and rising, courtesy of our good buddies the Chinese, oh and the U.S. Post Office.
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    #66
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    Quote Originally Posted by lonewolf View Post
    Certainly, doctors who knowingly over prescribe and those who bribe them should be prosecuted but the ultimate responsibility lies with the user. No demand, no supply.
    Exactly, and in fact our law books are well stocked with everything necessary to indict and prosecute the numerous MDs (though still a small percentage of them) that are over prescribing and any drug company salesman that bribes them to over prescribe.

    But such a law enforcement effort could never give the lawyers the $$s they covet from Purdue Pharma. And taking Purdue Pharma down is necessary to keep the narrative alive of the all-powerful-evil-corporation.

    This is not a political issue, there are voices on all sides falling under the spell of the big media zeitgeist, they are like children running through the poppies.

    I just had a conversation with a fellow, his father is addicted to pain killers, that man will lie and connive his own caring son to get the opiods he needs/wants. Any MD that sees the old man will get a well rehearsed schtick chok full of all the right stories regarding back pain or knee pain.
    When this guy is done with the MD and nurses there will not be a dry eye between them. If that is not reason enough to take every penny from Purdue Pharma what is ?
    Last edited by user4; 09-05-2019 at 10:48 PM.
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    #67
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    Quote Originally Posted by jeremyp View Post
    https://www.npr.org/templates/transc...ryId=757089868
    Just as we get the opiod epidemic under some control along comes Fenatnyl. 30,000 deaths a year and rising, courtesy of our good buddies the Chinese, oh and the U.S. Post Office.
    I agree that fentanyl is horribly abused by many addicts. And yet, prescribed and used correctly, it is a very useful tool in fighting pain.
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    #68
    Quote Originally Posted by user4 View Post
    his father is addicted to pain killers, that man will lie and connive his own caring son to get the opiods he needs/wants. Any MD that sees the old man will get a well rehearsed schtick chok full of all the right stories regarding back pain or knee pain.
    Believe me, we've heard it. He won't be fooling any experienced MD. The big tip-off is when you try to give them something other than the narcotic they are asking for, and they are always "allergic" to the other drugs you mention, trying to force you into giving them their drug of choice. But we know this in pretty well and can usually resist it.
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    #69
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    Quote Originally Posted by bobguild76 View Post
    prescribed and used correctly,
    There's the rub, for in that sleep of death...
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    #70
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    Australia joins the club, unfortunately

    https://www.concordmonitor.com/Opioi...ralia-28259405
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