originally posted by: Wulfrida
a reply to: Serdgiam
Why should he suffer because we are losing the war on drugs?
He shouldn't, that's been one of my main points.
It seems we are having two different conversations. Ill take partial responsibility for the miscommunication.
The issues, as I see them, are as follows:
Legitimate patients are not receiving proper pain management due to the environment that has been precipitated by a somewhat emotional crusade to "do
There is a lot of confusion, conflation, and overlap between short term, terminal patients, long term patients, and addicts. There are very different
considerations for the different scenarios and they shouldn't be approached as being all the same thing.
Much of the misunderstanding on the topic is caused by ignorance about things like dependence versus addiction, truly living in chronic, severe pain,
and long term versus short term considerations.
This is all exacerbated by the attitude that higher doses always
result in less pain and the concept that pain can actually be eliminated
completely. This can end up creating substantially higher addiction potential in nearly all patients, which funnels right back into the vicious cycle
of perception between doctors and patients.
In other words, for your situation specifically, there shouldn't even be second thoughts about whether to prescribe opioids. If it turns into a long
term maintenance program, that should continue while also
considering the other factors that come into play.
Again, treating things like meditation and acupuncture as alternatives is part of the problem. They are not. Presenting them as such makes many want
to discard them as completely as some doctors accept them as a true alternative. Its an unnecessary clash that directly results from the manufactured
That manufactured environment is, in my opinion, intentional. What exactly is being attempted is hard to say, but it remains clear to me that the
current approach is doing little more than hurting legitimate patients.