2017 in review … what killed us

Today is 06/17/2019.. who will not be here tomorrow

2016 in review … what killed us

6775 Americans will die EVERY DAY – from various reasons

2700 people  WILL ATTEMPT SUICIDE

140 will be SUCCESSFUL – including 20 veterans

270 will die from hospital acquired antibiotic resistant “bug” because staff won’t properly wash hands and/or proper infection control.

350 will die from their use/abuse of the drug ALCOHOL

1200 will die from their use/abuse of the drug NICOTINE

1400 will contract C-DIF from Hospital or Nursing home because staff doesn’t properly wash their hands are adhere to infection control  

80 WILL DIE mostly elderly.

850 will die from OBESITY

700 will die from medical errors

150 will die from Flu/Pneumonia

80 will die from Homicide

80 will die in car accidents

70 From ALL DRUG ABUSE

 

http://www.romans322.com/daily-death-rate-statistics.php

Here is the list from the end of 2016 if interested in comparing
United States of America
RealTime
CURRENT DEATH TOLL
from Jan 1, 2017 – Dec 31, 2017 (11:36:39 AM)


Abortion*: 1090465
Heart Disease: 613479
Cancer: 590862
Tobacco: 349505
Obesity: 306566
Medical Errors: 251098
Stroke: 132915
Lower Respiratory Disease: 142741
Accident (unintentional): 135861
Hospital Associated Infection: 98860
Alcohol: 99859
Diabetes: 76380
Alzheimer’s Disease: 93409
Influenza/Pneumonia: 55149
Kidney Failure: 42702
Blood Infection: 33417
Suicide: 42713
Drunk Driving: 33760
Unintentional Poisoning: 31713
All Drug Abuse: 24970
Homicide: 16775
Prescription Drug Overdose: 14979
Murder by gun: 11477
Texting while Driving: 5981
Pedestrian: 4993
Drowning: 3909
Fire Related: 3495
Malnutrition: 2768
Domestic Violence: 1458
Smoking in Bed: 779
Falling out of Bed: 598
Killed by Falling Tree: 149
Lawnmower: 68
Spontaneous Combustion: 0

Totals of all categories are based upon past trends documented below.


Sources:
http://www.cdc.gov/nchs/fastats/deaths.htm
http://www.cdc.gov/nchs/data/hus/hus15.pdf#019
http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf
http://www.druglibrary.org/schaffer/library/graphs/graphs.htm
http://www.alcoholalert.com/drunk-driving-statistics.html
http://www.cdc.gov/nchs/fastats/suicide.htm
http://wonder.cdc.gov/wonder/prevguid/m0052833/m0052833.asp
http://www.cdc.gov/motorvehiclesafety/Pedestrian_Safety/factsheet.html
http://www.cdc.gov/HomeandRecreationalSafety/Water-Safety/waterinjuries-factsheet.html
http://www.nfpa.org/categoryList.asp?categoryID=953
http://www.dvrc-or.org/domestic/violence/resources/C61/
http://www.time.com/time/magazine/article/0,9171,1562978,00.html
https://s3.amazonaws.com/s3.documentcloud.org/documents/781687/john-james-a-new-evidence-based-estimate-of.pdf

 

I am being completely weaned off my meds, & suspect I will kill myself with the amount of pain I am in, & will be by the time this is over (the wean that is). Already can’t function.


My husband committed suicide after being abandoned by his pain dr.


Please pray for me as I am on the brink of suicide! I don’t want to die but can’t handle the pain anymore! The doctor that I am currently seeing will not give me enough pills to last all month every month… I have to wait until Oct to get in with a pain management doctor whom I already know by others that I know sees this doctor that he will help me, need prayer to hold on until oct… I keep thinking of my family who needs me hear.


“We just lost another intractable member of our support group two nights ago. She committed suicide because her medications were taken away for interstitial cystitis (a horribly painful bladder condition) and pudendal neuralgia, both of which she had battled for years


D D., journalist and prescribed fentanyl patient for a dozen years joined me on air last weekend with her husband and spoke of her suicide plan should the only relief from constant agony be heavily reduced or taken away.


I was told last Friday that my Dr. will be tapering my meds again . When I told him I didn’t think my body could take another lowering he stated ” it wasn’t my
License on the line”, I stated ” no , but it’s my life on the line”!!!!! I can not continue to live this way . I can not continue to suffer in agony when my medications and dose where working just fine before and I was a productive member of society . I can no longer take this. I have a plan in place to end my life myself When I am forced to reduce my Medications again . I just can’t do it anymore .


On Friday at around 9 p.m. U.S. Navy veteran Kevin Keller parked his red pickup truck in the parking lot at the Wytheville Rite-Aid, walked across the grass and stood in front of the U.S. Veterans Community Based Outpatient Clinic next door.

Sick and tired of being in pain, he pulled out a gun, shot a hole in the office door, aimed the gun barrel at his head and ended his hurt once and for all.


As a longterm pain patient with a current unsupportive pain dr, I just thought I’d share the reality of the position I’m in right now…

I’m in very bad pain all the time for very legit and well documented reasons. My pain dr however never gives me enough meds to help me. He just keeps reducing them, which is causing me to be in even more pain and suffer so much more. My quality of life also continues to go downhill at the same time. I was just given a letter by him recently too about some study indicating an increase in deaths if you take opioids and benzos. It stated he’s no longer going to give pain meds to anyone who is taking a benzo. I take one, because I have to, for a seizure disorder, not because I want to. He told me to pick one or the other though, plus went ahead and reduced my pain meds some more. He doesn’t seem to care the least bit. I’ve looked hard and so far I can’t find another one to get in to see near me at this time, but I’m desperately still trying. Unfortunately, they’re few and far between here, in addition to the wait for an appointment being long. I’ve even called hospice for help. So far, they haven’t been of much help either, because I don’t have a dr who will say I have six months or less to live. I told them either choice my pain dr is giving me is very inhumane, so I’d rather just quit eating and drinking, to the point where I pass away from that, while I get some kind of comfort care from them. I don’t really want to though, although I do have a long list of some very bad health problems, including a high probability that I have cancer and it’s spread. Am I suicidal? No. Will I be if my pain and seizure meds are taken away. Highly likely. I never ever saw this coming either. I don’t have a clue what to do and the clock is ticking, but I’m still fighting for an answer. So far, I can’t find not even one dr to help me though. Not one. I know my life depends on it, but at what point will these drs let my suffering become so inhumane that I just can’t take it anymore. I just don’t know right now. It’s a very scary place to be in for sure. That I do know.


The patient was being denied the medicine that had been alleviating his pain and committed suicide because, “he couldn’t live with the pain anymore. He could not see a future. He had no hope. He had no life.”


I am a chronic pain patient who has been on fairly high doses of opiates for about nine years now. My dose has been forcibly reduced since the cdc guidelines. I moved to Oregon from Alaska and can’t find a doctor to prescribe my medication. I pray I have the strength not to take my own life!


Zach Williams of Minnesota  committed suicide at age 35. He was a veteran of Iraq and had experienced back pain and a brain injury from his time in service. He had treated his pain with narcotics until the VA began reducing prescriptions.


Ryan Trunzo committed suicide at the age of 26. He was an army veteran of Iraq. He had experienced fractures in his back for which he tried to get effective painkillers, but failed due to VA policy. His mother stated “I feel like the VA took my son’s life.”


Kevin Keller, a Navy veteran, committed suicide at age 52. He shot v after breaking into the house of his friend, Marty Austin, to take his gun. Austin found a letter left by Keller saying “Marty sorry I broke into your house and took your gun to end the pain!” Keller had experienced a stroke 11 years earlier, and he had worsening pain in the last two years of his life because VA doctors would not give him pain medicine. On the subject of pain medication, Austin said that Keller “was not addicted. He needed it.”


Bob Mason, aged 67, of Montana committed suicide after not having access to drugs to treat his chronic pain for just one week. One doctor who had treated Mason was Mark Ibsen, who shut down his office after the Montana Board of Medical Examiners investigated him for excessive prescription of opioids. According to Mason’s daughter, Mason “didn’t like the drugs, but there were no other options.”


Donald Alan Beyer, living in Idaho, had experienced back pain for years. He suffered from  degenerative disc disease, as well as a job-related injury resulting in a broken back. After his doctor retired, Beyer struggled without pain medicine for months. He shot himself on his 47th birthday. His son, Garrett, said “I guess he felt suicide was his only chance for relief.”


Denny Peck of Washington state was 58 when he ended his life. In 1990, he experienced a severe injury to his vertebrae during a fishing accident. His mother, Lorraine Peck, said “[h]e has been in severe pain ever since,” and his daughter, Amanda Peck, “said she didn’t remember a time when her dad didn’t hurt.” During the last few years of his life, Peck had received opiates for his pain from a Seattle Pain Center, until these clinics closed. After suffering and being unable to find doctors who would help with his pain, Peck called 911. Two days later, Peck was found dead in his home with bullet wounds in his head. A note found near Peck read: “Can’t sleep, can’t eat, can’t do anything. And all the whitecoats don’t care at all.”


Doug Hale of Vermont killed himself at the age of 53. He had experienced pain from interstitial cystitis, and decided to end his life six weeks after his doctor suddenly cut off his opiate painkillers. He left a note reading “Can’t take the chronic pain anymore” before he shot himself in the head. His doctor said he “was no longer willing to risk my license by writing you another script for opioids”  (see attachment A for details of the problem as relyed by his wife Tammi who is now 10 months without a husband as a direct result of the CDC guidelines to prevent deaths)Bruce Graham committed suicide after living with severe pain for two years. At age 62, Graham fell from a ladder, suffering several severe injuries. He had surgery and fell into a coma. After surgery, he suffered from painful adhesions which could not be removed. He relied on opioid painkillers to tolerate his pain, but doctors eventually stopped prescribing the medicine he needed. Two years after his fall, Graham shot himself in the heart to end the pain.


Travis Patterson, a young combat veteran, died two days after a suicide attempt at the age of 26. After the attempt to take his own life, Patterson was brought to the VA emergency room. Doctors offered therapy as a solution, but did not offer any relief for his pain. Patterson died two days after his attempted suicide.


54-year-old Bryan Spece of Montana  killed himself about two weeks after he experienced a major reduction in his pain medication. The CDC recommends a slow reduction in pain medicine, such as a 10% decrease per week. Based on information from Spece’s relative, Spece’s dose could have been reduced by around 70% in the weeks before he died.


In Oregon, Sonja Mae Jonsson ended her life when her doctor stopped giving her pain medicine as a result of the CDC guidelines.


United States veterans have been committing suicide after being unable to receive medicine for pain. These veterans include Peter Kaisen,Daniel Somers, Kevin Keller, Ryan Trunzo, Zach Williams, and Travis Patterson


A 40-year-old woman with fibromyalgia, lupus, and back issues appeared to have committed suicide after not being prescribed enough pain medicine. She had talked about her suicidal thoughts with her friends several times before, saying “there is no quality of life in pain.” She had no husband or children to care for, so she ended her life.


Sherri Little was 53 when she committed suicide. She suffered pain from occipital neuralgia, IBS, and fibromyalgia. A friend described Little as having a “shining soul of activism” as she spent time advocating for other chronic pain sufferers. However, Little had other struggles in her life, such as her feeling that her pain kept her from forming meaningful relationships. In her final days, Little was unable to keep down solid food, and she tried to get medical help from a hospital. When she was unable to receive relief, Little ended her life.


Former NASCAR driver Dick Trickle of North Carolina shot himself at age 71. He suffered from long-term pain under his left breast. Although he went through several medical tests to determine the cause of his pain, the results could not provide relief. After Trickle’s suicide, his brother stated that Dick “must have just decided the pain was too high, because he would have never done it for any other reason.”


39-year-old Julia Kelly committed suicide after suffering ongoing pain resulting from two car accidents. Kelly’s pain caused her to quit her job and move in with her parents, unable to start a family of her own. Her family is certain that the physical and emotional effects of her pain are what drove her to end her life. Kelly had founded a charity to help other chronic pain sufferers, an organization now run by her father in order to help others avoid Julia’s fate.


Sarah Kershaw ended her life at age 49. She was a New York Times Reporter who suffered from occipital neuralgia.


Lynn Gates Jackson, speaking for her friend E.C. who committed suicide after her long term opiates were suddenly reduced by 50% against her will, for no reason.  Lynn reports she felt like the doctors were not treating her like a human being (Ed:  a common complaint) and she made the conscious decision to end her life.


E.C. committed suicide quietly one day in Visalia California.  She was 40.  Her friend reported her death.  “She did not leave a note but I know what she did”.  The doctor would only write a prescription for 10 vicodin and she was in so much pain she could not get to the clinic every few days.   We had talked many times about quitting life. Then she left.  She just left.


Jessica, a patient with RSD/CRPS committed suicide when the pain from her disease became too much for her to bear. A friend asserted that Jessica’s death was not the result of an overdose, and that “living with RSD isn’t living.”


https://mobile.nytimes.com/2016/02/27/business/media/sarah-kershaw-former-times-reporter-dies-at-49.html?referer=https://t.co/qcSF8qOBp6?amp=1


http://www.news-press.com/story/news/crime/2014/09/08/death-investigation-at-groves-rv-park-in-fort-myers/15280035/


http://www.kpaddock.org/


https://m.facebook.com/FibroPrince/posts/948610075216801


http://www.pharmaciststeve.com/?p=14073


http://www.pharmaciststeve.com/?p=14574


http://www.pharmaciststeve.com/?p=15023


http://linkis.com/painnewsnetwork.org/7IoUl


http://linkis.com/whotv.com/2016/11/10/ibRof


https://articles.al.com/news/index.ssf/2016/12/alabama_pain_centers_troubles.amp


https://www.painnewsnetwork.org/stories/2016/12/22/chronic-pain-patient-abandoned-by-doctor-dies#.WFwJ5-Lk6Xg.twitter


http://linkis.com/painnewsnetwork.org/oKRZ5


http://linkis.com/www.seattletimes.com/tgyL7


https://edsinfo.wordpress.com/2017/04/20/%ef%bb%bfpain-and-suicide-the-other-side-of-the-opioid-story/amp/


http://www.bendbulletin.com/topics/5342867-151/opioid-crisis-pain-patients-pushed-to-the-brink


https://www.painnewsnetwork.org/stories/2017/5/26/patient-suicide-blamed-on-montana-pain-clinic


https://www.painnewsnetwork.org/stories/2016/5/27/are-cdcs-opioid-guidelines-causing-more-suicides?rq=suicide


http://www.pressofatlanticcity.com/news/breaking/man-who-set-himself-on-fire-at-northfield-veterans-clinic/article_b7a4a712-f04e-11e5-a39b-3f42b9138511.amp.html


Aliff, Charles


Beyer, Donald Alan


Brunner, Robert “Bruin”


Graham, Bruce


Hale, Doug


Hartsgrove, Daniel P


Ingram III, Charles Richard


Kaisen, Peter


Keller, Kevin


Kershaw, Sarah


Kimberly, Allison


Little, Sherri


Mason, Bob


Miles, Richard


Murphy, Thomas


Paddock, Karon


Patterson, Travis “Patt”


Peck, Denny


Peterson, Michael Jay


Reid, Marsha


Somers, Daniel


Son, Randall Lee


Spece, Brian


Tombs, John


Trickle, Richard “Dick”


Trunzo, Ryan


Williams, Zack


Karon Shettler Paddock  committed suicide on August 7, 2013  http://www.kpaddock.org/


https://www.facebook.com/photo.php?fbid=1616190951785852&set=a.395920107146282.94047.100001848876646&type=3&theater 

Jessica Simpson took her life July 2017


Mercedes McGuire took her life on Friday, August 4th. She leaves behind her 4 yr old son. She could no longer endure the physical & emotional pain from Trigeminal Neuralgia.


www.disabledveterans.org/2017/08/16/veteran-commits-suicide-front-amarillo-va-emergency-department/

Another Veteran Suicide In Front Of VA Emergency Department


 Depression and Pain makes me want to kill self. Too much physical and emotional pain to continue on. I seek the bliss fullness of Death. Peace. Live together die alone.


 Dr. Mansureh Irvani  suspected overdose victim  http://www.foxnews.com/health/2017/08/18/suspended-oral-surgeon-dies-suspected-overdose.html


Katherine Goddard’s Suicide note: Due to the pain we are both in and can’t get help, this is the only way we can see getting out of it. Goodbye to everybody,”   https://www.cbsnews.com/news/florida-man-arrested-after-girlfriend-dies-during-alleged-suicide-pact/  


Steven Lichtenberg: the 32-year-old Dublin man shot himself   http://www.dispatch.com/news/20160904/chronic-pains-emotional-toll-can-lead-to-suicide  


Fred Sinclair  he was hurting very much and was, in effect, saying goodbye to the family.  http://www.pharmaciststeve.com/?p=21743


Robert Markel, 56 – June 2016 – Denied Pain Meds/Heroin OD  http://www.pennlive.com/opioid-crisis/2017/08/heroin_overdose_deaths.html


 Lisa June 2016  https://youtu.be/rBlrSyi_-rQ


Jay Lawrence  March 2017  https://www.painnewsnetwork.org/stories/2017/9/4/how-chronic-pain-killed-my-husband


Celisa Henning: killed herself and her twin daughters...http://www.nbcchicago.com/news/local/Mom-in-Apparent-Joliet-Murder-Suicide-said-Body-Felt-Like-It-was-On-Fire-Grandma-Says-442353713.html?fb_action_ids=10213560297382698&fb_action_types=og.comments

Karen Boje-58  CPP-Deming, NM


Katherine Goddard, 52 –  June 30, 2017 – Palm Coast, FL -Suicide/Denied Opioids  http://www.news-journalonline.com/news/20170816/palm-coast-man-charged-with-assisting-self-murder


https://medium.com/@ThomasKlineMD/suicides-associated-with-non-consented-opioid-pain-medication-reductions-356b4ef7e02aPartial List of Suicides, as of 9–10-17


Suicides: Associated with non-consented Opioid Pain Medication Reductions


Lacy Stewart 59, http://healthylivings247.com/daughter-says-untreated-pain-led-to-mothers-suicide/#


Ryan Trunzo of Massachusetts committed suicide at the age of 26  http://www.startribune.com/obituaries/detail/18881/?fullname=trunzo,-ryan-j  


Mercedes McGuire of Indiana ended her life August 4th, 2017 after struggling with agony originally suppressed with opioid pain medicine but reappearing after her pain medicine was cut back in a fashion after the CDC regulations. She was in such discomfort she went to the ER because she could not stand the intractable pain by “learning to live with it” as suggested by CDC consultants. The ER gave her a small prescription. She went to the pharmacy where they refused to fill it “because she had a pain contract”. She went home and killed herself. She was a young mother with a 4 year old son, Bentley. Bentley, will never get over the loss of his mom.


Suicides: Associated with non-consented Opioid Pain Medication Reductions


“Goodbye” Scott Smith: Vet w/PTSD committed murder/suicide. Killed his wife then himself today 11/27/2017


http://www.sfchronicle.com/news/crime/article/Ex-California-lawmaker-charged-with-aiding-wife-12405065.php

Pamela Clute had been suffering from agonizing back problems and medical treatment had failed to relieve pain that shot down her legs While California’s assisted suicide law went into effect a couple months before Clute’s death, the law only applies to terminally ill patients who are prescribed life-ending drugs by a physician. Clute wasn’t terminally ill


Kellie Bernsen 12/10/2017 Colorado suicide


Scott Smith: Vet w/PTSD committed murder/suicide. Killed his wife then himself today 11/27/2017


  Michelle Bloem committed suicide due to uncontrolled pain


John Lester shot himself on Jan. 8, 2014.


 Anne Örtegren took her life on Jan. 5  


 Debra Bales, 52 – Civilian – January 10, 2018 – Petaluma, CA – Denied Pain Meds/Suicide


 Aliff, Charles – Could not locate info!
He may be able to help! Charles Aliff – https://www.facebook.com/profile.php?id=100009343944744…


Brunner, Robert – Could not locate info!


Cagle, Melvin – http://www.objectivezero.org/…/The-Veteran-Spring-Why-a…


Chaney, Rocky – Denise Chaney – I WOULD LIKE YOU TO INCLUDE ROCKY WAYNE CHANEY HE WAS 70 YEARS OLD BORN MARCH 15 1946 DIE MARCH 24 2016 US ARMY VIETNAM. HE HAD PROSTATE CANCER WHICH SPREAD THROUGH OUT HIS BODY AND HE HAD LEWY BODY DEMENTIA HE DIE AT BEAUREGARD MEMORIAL HOSPITAL DERIDDER LOUISIANA OF BRAIN INJURY/DEATH AND CARDIAC ARREST DO TO ABNORMAL EEG BECAUSE OF SEVERE GENERALIZED SLOWING SUGGESTING DIFFUSE CEREBRAL DYSFUNCTION. HE HAD CEREBRAL BRAIN INJURY IT WAS ALL AGENT ORANGE CONNECTED


Harold Hamilton – http://www.dispatch.com/…/chronic-pains-emotional-toll…


Hartgrove, Daniel – http://www.legacy.com/…/name/daniel-hartsgrove-obituary…


Ingram III, Charles – http://www.pressofatlanticcity.com/…/article_b7a4a712…


Jarvis, Michael http://www.chicagotribune.com/…/ct-indiana-doctor…


http://www.nydailynews.com/…/indiana-man-kills-doctor…


Kevin Keller, 52 – US Navy – July 30, 2014 – Wytheville, VA
http://www.swvatoday.com/…/article_65866e4c-18f6-11e4…


Kershaw, Sarah – https://mobile.nytimes.com/…/sarah-kershaw-former-times…


Kimberly, Allison http://feldmanmortuary.com/…/Allison…/obituary.html…


Lane, Keith – Timothy Shields
August 8, 2017 · Colon, MI I would like you too include Kieth Lane . US Army , Vietnam in country , combat wounded . He died recovering from ulcers surgery of a stroke and heart attack in Battle Creek VA medical center in Michigan .
http://www.legacy.com/obi…/sturgisjournal/obituary.aspx…


Lichtenberg, Steven – http://www.dispatch.com/…/chronic-pains-emotional-toll…


Markel, Robert – http://www.pennlive.com/…/08/heroin_overdose_deaths.html


Miles, Richard – Could not locate info!


Murphy, Thomas – http://www.objectivezero.org/…/The-Veteran-Spring-Why-a…


Paddock, Karon http://www.kpaddock.com/


Denny Peck, 58 – Civilian – September 17,2016 – Seattle, Wa https://l.facebook.com/l.php…


http://www.seattletimes.com/…/the-whitecoats-dont…/…


Peterson, Michael – https://l.facebook.com/l.php…


Reid, Marsha – https://www.painnewsnetwork.org/…/daughter-blames…


Simpson, Jessica – https://www.facebook.com/photo.php?fbid=1616190951785852&set=a.395920107146282.94047.100001848876646&type=3&hc_location=ufi


Daniel Somers, 30 – US Army – June 10, 2013 – Denied Pain Meds/Suicide http://gawker.com/i-am-sorry-that-it-has-come-to-this-a…


Son, Randall – http://www.wpsdlocal6.com/…/woman-says-marion-va…/…


Bryan Spece, 54 – USMC – May 3, 2017 – Great Falls, Montana – Denied Meds/Suicide https://www.painnewsnetwork.org/…/patient-suicide…


Tombs, John – http://www.objectivezero.org/…/The-Veteran-Spring-Why-a…


 Jennifer E. Adams age 41 of Helena  December 20, 1976April 25, 2018


 https://youtu.be/0ACgV0aLIAk


pass it on …

See the source image
TO DO LIST:
☑️ File a complaint against ICE with Office for Civil Rights & Civil Liberties, within Dept. of Homeland Security 202-401-1474
☑️Call the RNC and blast them for trying to blame their policy on the Dems, as they engage in horrific cruelty. Let them know we’re on to their lies. 202-863-8500
☑️Call the White House Comment line. Speak your mind as you choose. 202-456-6213
☑️Call the DOJ Comment Line. Tell Jeff Sessions how you feel about separating children from parents at our border 202-353-1555
☑️Call the United Nations, and tell them they must intervene, in any way they can 1-212-963-1234

Please call and share.

 

Man stole cancer patient’s painkillers before dumping body in woods, docs show

http://www.wtol.com/story/38449491/marci-satchwell-death-man-stole-cancer-patients-pain-medication-before-dumping-body-in-kentucky

COVINGTON, KY (FOX19) –

A murder suspect is accused of stealing a cancer patient’s medication before dumping her body in a wooded area last week.

Kenneth Jones, 38, targeted his own cousin, Denita “Marci” Satchwell, in a plot to take her painkillers, according to court documents filed in Kenton County.

58-year-old Satchwell was a Stage 4 lung cancer patient and in “frail and in poor health,” documents show. Police called Satchwell an “easy target” for the robbery because she had a large number of painkillers in her Covington residence.

Satchwell was reported missing a little over a week ago. Her body was found Friday in the woods of Rabbit Hash, Kentucky.   

The cause of her death is not known.

Covington Police discovered that Jones and an underage accomplice planned and carried out the robbery at Satchwell’s house, which “resulted in the death of the victim,” court documents show.

Jones stored Satchwell’s body in the trunk of a vehicle overnight, police said.

Jones and the juvenile then drove to Boone County and dumped the body in the woods. After that, the pair tried to remove DNA evidence from the vehicle.

They are both charged with murder, attempted robbery and tampering with evidence.

A third suspect, Braedon Reaves, 18, is charged with facilitation to homicide.

Jones is being held at the Kenton County Detention Center on a $1 million dollar bond. 

Reaves is being held at the Kenton County Detention Center.

The juvenile is being held at the Campbell County Juvenile Detention Facility. 

Anyone with information regarding this case is asked to call Detective Jess Hamblin at 859-292-2375.

CVS to pt: please take your prescriptions to another pharmacy.. don’t bother us with them…

Hi Steve my name is xxxxx and I’m having a problem with CVS filling my prescription for Norcos. I’ve been going to them for several years but every other month it seems they run out of the meds. Waiting for delivery. Tell me to go elsewhere etc.  I’ve been getting the same prescription since 2008 now they say that my doctor is under investigation by the DEA and  CVS corporate has issued them an email ORDERING THEM NOT  to fill any of MY doctors medications. I already filed a complaint with the ADA  so now what do I do?DO I contact corporate? The DEA? I am so frustrated. Thank you for any suggestions you may have.

Sincerely,

How to find a independent pharmacy that is less likely to screw with the valid medical needs of pts

http://www.ncpanet.org/home/find-your-local-pharmacy

And what do you think is going to happen if CVS is allowed to purchase Aetna with its 42 million beneficiaries ?  As they mandate that those Aetna beneficiaries  have to have all their prescription(s) filled at a CVS store or their mail order pharmacies… Can we expect them to start tossing to “the curb” pts that CVS has determined is unwelcomed in their stores as prescriptions customers either because of the prescriber that they see and/or the specific medications that they take  IE: controlled substances.

 

AMA opposes CVS-Aetna deal

AMA opposes CVS-Aetna deal

https://www.healthcaredive.com/news/ama-opposes-cvs-aetna-deal/526112/

Dive Brief:

  • The American Medical Association pushed against the CVS Health-Aetna deal during a hearing on the proposed acquisition in San Francisco Tuesday, warning it will would lead to “likely anti-competitive effects on Medicare Part D, pharmacy benefit management services, health insurance, retail pharmacy and specialty pharmacy.”
  • Kristen Miranda, Aetna’s president of California and the head of the west territory, and Thomas Moriarty, CVS Health’s EVP, defended the merger’s potential benefits,
  • including reducing healthcare costs, improving care coordination and helping patients with chronic illness, such as diabetes.

  • AMA President Barbara McAneny said that the doctors’ group researched the matter for months, speaking to academic experts and others, but concluded the merger would lessen competition in many healthcare markets.

Dive Insight:

The $69 billion proposed CVS buy of Aetna is expected to close in the second half of the year. CVS and Aetna shareholders backed the purchase earlier this year. Company officials appeared before Congress in late February to discuss the deal and the Department of Justice is reviewing the purchase and its potential ramifications.

On Tuesday, California Insurance Commissioner Dave Jones held a hearing on the proposed deal, making it clear he has no decision-making power but wanting to give outside groups a forum to weigh in.

CVS and Aetna officials trumpeted potential cost savings in the deal. Moriarty said the merger could save $750 million in the first two years. He also spoke of the potential of CVS pharmacists taking a more active role in healthcare. Patients see their pharmacists more than they see their doctor. Moriarty said pharmacists could play a key role in complementing a doctor’s care.

Despite CVS and Aetna’s contentions, AMA President Barbara McAneny said that the doctors’ group ultimately concluded the merger would lessen competition in many healthcare markets.

“The AMA is now convinced that the proposed CVS-Aetna merger should be blocked,” McAneny said at the hearing.

The problems the AMA listed include:

  • A possible increase in premiums connected to an increase in market concentration in 30 of 34 Medicare Part D regional markets.
  • An anticipated increase in drug spending and out-of-pocket costs.
  • A reduction in competition in health insurance markets that could lead to higher premiums and a reduction in the quality of insurance.
  • The companies won’t be able to realize the efficiencies and benefits they’ve promised in the deal.

Other speakers also discussed concerns with the proposal, including worries about competition and what it will mean for consumers.

Supporters of the deal note the vertical merger will not raise the same competitive concerns cited in the DOJ’s opposition to Aetna’s proposed pact with fellow payer Humana in 2017. The CVS-Aetna deal is not the only vertical integration being discussed by a major payer. Humana is reportedly in early talks with Walmart on a deal that may involve strengthening partnerships or could even involve a purchase of the payer. And Express Scripts and Cigna are in the process of an attempted merger also.

The industry is watching the CVS-Aetna deal closely and whether the federal government will allow the purchase. If the vertical deal goes through, other payers and major companies will likely intensify talks for their own mergers. 

including reducing healthcare costs, improving care coordination and helping patients with chronic illness, such as diabetes.

“reducing healthcare costs” can simply be had by providing less care and/or having more and more care being provided by mid-level practitioners – ARNP, PA, NP

“improving care coordination” could mean that those pts having Aetna insurance will be locked into using CVS provided care thru their in store clinics “nurse-in-a-box” and required all prescriptions be filled at a CVS store and/or thru their mail order service ?

I wonder  if pts dealing with “chronic pain” will be considered “worthy” of getting help in managing their pain ?

CVS & Walgreens now providing/charging for a service that most independent pharmacies DO FOR FREE and SAME DAY

CVS to Offer Nationwide Home Delivery of Prescription Drugs

https://healthitanalytics.com/news/cvs-to-offer-nationwide-home-delivery-of-prescription-drugs

– CVS Pharmacy is now offering speedy home delivery of prescription drugs across the nation as a way to improve medication adherence, boster population health, meet consumer expectations – and potentially get ahead of competitors like Amazon who may launch similar services in the near future.

Customers will be able to receive their prescriptions as soon as the next day, CVS Health said in a press release, by placing orders through an app or by phone.  The service comes with a $4.99 delivery charge.

Same-day prescription delivery has been available since late 2017 in select metro areas, including San Francisco, Philadelphia, New York, Boston, Miami, and Washington, DC, for an $8.99 delivery fee.

Controlled substances, Medicare Part B medications, and medications that require refrigeration will be excluded from the delivery service, the accompanying FAQs state.

“The national launch of our prescription delivery service, including the expansion of same-day delivery in five new markets, is delivering on our promise to make staying healthy simpler for every patient, regardless of where they live,” said Kevin Hourican, President of CVS Pharmacy.

“Through a fully customized digital experience, shoppers are now able to enjoy the convenience of CVS Pharmacy right at their doorstep.”

Delivering medications by mail is by no means a novel idea – mail-order pharmacy services are a standard part of many prescription drug plans, and may encourage lower costs and higher rates of medication adherence due to their convenience factor.

While some independent pharmacies also offer home delivery services within their communities, CVS Pharmacy is the first national chain to dive head first into the on-demand market. 

Customers can also add common health and household items stocked by CVS retail stores, including cold and flu remedies, vitamins, baby care items, and allergy medications, which enhances the allure for consumers who are getting used to being able to summon necessities with the tap of a smartphone app.

“The rollout of delivery from nearly all of our 9,800 retail pharmacy locations nationwide represents another step forward for us in delivering innovative omnichannel solutions that help people on their path to better health,” said Hourican.

The phrase “omnichannel solutions” immediately conjures up thoughts of Amazon, which has made near-immediate, consumer-oriented services a top priority as it expands into new areas of shopping, home services, and potentially the healthcare industry.

Rumors of Amazon breaking into the prescription drug market have been swirling for months, growing in strength as the commerce behemoth moves forward with its plans to disrupt healthcare alongside Berkshire Hathaway and JP Morgan & Chase. 

Other competitors may include Walmart, which is ramping up its grocery delivery services and offering free 2-day shipping on other items to compete with Amazon Prime. 

The staple mega-mart is also rumored to be in talks to acquire or partner with Humana, which could streamline the process of delivering prescription drug services to Humana members.

Walgreens is also in the mix.  The chain encourages customers to take advantage of free shipping of 30-day or 90-day prescription supplies through its mail order division. 

Walgreens’ free standard shipping takes between 5 and 10 days to arrive, however, and the pharmacy charges $12.95 for 2-day shipping and $19.95 for overnight delivery.  Whether prices will drop in light of the CVS Pharmacy announcement remains to be seen.

The CVS announcement is not unexpected in light of the fierce jockeying for consumer loyalty among a new suite of consumer-driven healthcare companies.  As these entities fight for market share – and race to secure and leverage the big data that will support their strategic decision-making – consumers may find themselves spoiled for choice.

Competition to craft a high-quality consumer experience could be a positive force in an industry that is moving towards value-based reimbursements.  Pharmacy companies that can create satisfied patients while potentially improving medication adherence and lowering drug costs could be among the most successful in this quickly changing marketplace.

Just look at any bottle of medication that has the original label on it… doesn’t make any difference if it is a OTC product or a prescription med.. most all have a FDA statement stating the required storage temperature… normally 59F – 86F… there are some exception to those storage requirements for certain medication.  Most independent pharmacies – who offer same day delivery AT NO CHARGE – your medication is typically kept in the required storage range. But when pharmacies place medications in some sort of carrier/delivery services  – USPS, Fedex, UPS, etc.. etc…  they are typically exposed to whatever the ambient temperature is — or in the case of summer heat – could be exposed to much higher temperature than ambient temperature.

Manufacturers, wholesaler, pharmacies are required to maintain medications under these temperature range…but.. when a pharmacy hands your prescriptions over to a delivery carrier(s) they don’t have to adhere to these temperature storage requirements.

There have been some studies concerning the potency of medication shipped and delivered to a “mail box” … in the summer in the southwest area and the medications tested LOST 50% OF THEIR STRENGTH.

Sounds like a medical-deity complex ?

he is being forced by Kaiser off his meds. (Which we have heard the same from others.. it’s totally happening there and at MAYO etc… super anti pain med mentality no exceptions. Then if you refuse they have a long reach to your regular Dr’s/ PM’s and you lose either way). But he works for the airlines…. making twelve grand a month at 52yo… since one of the reasons we can’t get a lawsuit together is our low net worth … this guy may be our ticket even at 52yo, especially if you guys know of other high earning, younger pain patients … maybe we could get a good law firm to take their case

 And you will love this, his PM at Kaiser says she is one of the original writers or at least worked on the CDC Guidelines …. Wow! And is threatening to pull his drivers license too, ya know to save him & us all from his addictive meds. Crazy!

I had this article that I authored recently published on National Pain Report website.

www.nationalpainreport.com/do-we-need-to-educate-the-professionals-8836437.html

Do we need to educate the professionals?

While I am not an attorney, this person seems like the IDEAL CANDIDATE to teach some of these large corporate healthcare providers – or deniers – a major lesson…that corporations attempting to practice medicine is not within their corporate mandate  nor do they have a the legal right to dictate how their employed prescribers practice medicine.

Attorneys generally look for two things FINANCIAL DAMAGES to a person and DEEP POCKETS  and apparently this prescriber has taken it upon herself to cause severe financial damage to this chronic pain pt that has a job paying $12,000/month and she is going to take away both this 52 y/o’s pain medication and his driver’s license.    Just do the math… $150,000/yr and he has at least another 13 yrs to work…  that is only abt TWO MILLION in lost wages not to mention other benefits that come along with that well paying job…

My money is on that this is not the only pt that this prescriber is doing this to… so how many pts protected under the Americans with Disability Act & Civil Rights Act is being discriminated against by this one prescriber and what if this is a edict from Kaiser to all of their prescribers treating chronic pain pts ?…  It is reported that Kasier has a annual operating budget of FIFTY BILLION !!! Can you say DEEP POCKETS ?

All it will take one Kaiser pt like this one and one of their employed prescribers that has just retired and/or ready to retire… and it will be just a matter of how many ZEROS will be on the settlement check from Kaiser.

And Kaiser is just one of untold number of corporate healthcare providers who are dictating how their employed prescribers are treating or not treating their pts.   All it will take is one law firm to latch on to this “GOLDEN GOOSE” and the rest of the law profession will start circling like vultures.

Steps You Can Take When You Receive the Wrong Medication and Get Sicker

Steps You Can Take When You Receive the Wrong Medication and Get Sicker

http://norfolk.legalexaminer.com/fda-prescription-drugs/steps-you-can-take-when-you-receive-the-wrong-medication-and-get-sicker/

In April 2018, leading pharmacy trade magazine Drug Topics published a feature titled “Your 10 Worst Pharmacy Mistakes.” One pharmacists wrote about directing a parent to give a child a teaspoon of an opioid-infused cough suppressant instead of 1 milliliter. The mistake resulted in the child receiving a dose five times larger than prescribed, which could have killed the young patient.

Another pharmacist described how she believes she contributed to causing a co-worker’s death by dispensing powerful antibiotics to the individual right after the other woman went through a course of chemotherapy. Overusing antibiotics in cancer patients leaves them vulnerable to developing bacterial infections that will not respond to any medications.

Each day, mistakes by pharmacists and pharmacy technicians put patients’ lives at risk. The dangers increase in hospitals and nursing homes, where nurses and medical assistants administer multiple medications to individuals who often cannot describe how a new dosage or combination of drugs affects them. And, of course, patients and parents in their own homes lack the expertise to immediately recognize if the have been instructed to take an overdose, prescribed a medication that interacts badly with one they already take, or dispensed a medication intended for a different person.

Harm results from patients receiving the wrong drugs, the wrong doses, and the wrong mix of medications. Waiting too long between doses can causes life-threatening problems; so can administering doses too close together. And when any type of error is made, the outcomes can be severe.

The Institute for Safe Medication Practices reported that the “types of injuries reported in 2016 affected every body system and include severe damage to the kidneys and liver, fatal cardiac events, cancer, potentially life-threating allergic reactions, as well neuropsychiatric effects such as depression, suicidal thoughts, and aggressive and violent acts.” This, according to the ISMP, means that “the therapeutic use of drugs constitutes a major public health risk of the same order of magnitude as illicit use of drugs or violent crime.”

Pharmacists have professional and legal duties to limit the potential harm to patients. Meeting these duties requires them to double-check all filled prescription orders before dispensing them, educating other health care providers on how to recognize and safely administer medications, and counseling patients and parents on how to use drugs safely. The duty of pharmacists also extends to closely supervising and checking on the work of the pharmacy technicians who actually do much of the work related to filling prescription orders.

Patients do have some responsibilities for protecting themselves, as well. For instance, they should always read pill bottle labels and look at refills. If they spot anything different from what they have seen previously, they should bring the discrepancies to the attention of the pharmacist.

But, as noted, many patients cannot advocate for themselves. They rely entirely on the skills and professionalism of pharmacy staff, as well as their medical care providers. When a wrong drug or wrong dose harms them, they have rights to report and file claims for medical malpractice.

The first step must be seeking emergency medical care. Make sure the ER team knows all the medications the patient is currently taking. Include a list of health supplements, and be prepared to discuss what the patient ate and drank throughout the day on which serious symptoms or side effects occurred.

Make sure a knowledgeable pharmacist or physicians who was not previously treating the patient reviews all that information. If the review turns up evidence of a medication error, it is time to consult with a Virginia medical malpractice attorney who has experience helping victims of pharmacy errors. A case may well exist if the negligence resulted in death, hospitalization or the need for ongoing medical care.

Holding negligent pharmacy professionals accountable protects other patients from similar mistakes and secures money to pay the bills that the pharmacist’s error imposed.

Human Rights are just for other countries… we play by our own rules ?

The USA has been discriminating against numerous protected groups in our country for years… just chronic painers and addicts count in the hundreds of millions … and now they want to make it official that they apparently wish to continue violating the human rights of our citizens going forward

Pt is SOL because pharmacy/pharmacist doesn’t want to keep inventory for her routine medication

What is the pharmacy’s responsibility in filling an rx that they don’t have in stock? I live in Oklahoma. All schedule 2 Rxs must be submitted electronically ( or so I’ve bee told). Pharmacy law here states schedule 2 Rxs cant be transferred. How do I obtain my medication without having to wait another day or two?  And yes my rx is eligible for fill on the date written. Basically I was told – by WalMart’s Pharmacist… I was SOL.  Tried to get my dr to send to another pharmacy but he wasn’t in the office. Please advise. Thanks

 

response from pt:

Thank you!  I called my pharmacy to discuss what you said about DEA allowing schedule 2 rxs to be transferred to another pharmacy… they say OK law doesn’t allow this. Also I’m not allowed to pick up my original rx and take it myself to another pharmacy.  Walmart is the pharmacy in question. I’m going to take your advice on going to an independent pharmacy.  Walgreens here in town is just as unreliable about keeping meds in stock.  It shouldn’t be so hard to get meds!!!

Again thank u so much for your quick response and advice!

 

 

 

 

 

 

 

 

Within the last year, the DEA allowed pharmacies to transfer electronically submitted C-II’s to another pharmacy electronically… there still seems to be some hangups with states having to change their state laws to match the Federal DEA law and/or pharmacy computer system have not implemented the necessary software changes.  A pt can’t “pick up ” the electronic Rx because all hard copy prescriptions have to be physically SIGNED by the prescriber.  Having C-II’s electronically sent to a pharmacy can be very problematic being sent to pharmacies that is out of stock or just doesn’t want to fill it.

apparently one or more pharmacists at this particular Walmart in OK… was intentionally throwing this – and how many other pts – into cold turkey withdrawal without concerns about the pt’s quality of life (QOL) and them being able to function for a couple of days …waiting for them to get their ass in gear.

Some pharmacy practice acts states that (paraphrased)  a pharmacy is required to maintain adequate stock to be able to fill the typical/normal medications that they have requests for in their market place.

Kolodny: a drug (opiate) is addictive if it is prescribed for more than three days

Prescribing Opioids: How Many Are Too Many?

www.nytimes.com/2018/06/19/opinion/prescription-opioid-crisis.html

What’s the right painkiller prescription to send home with a patient after gallbladder surgery or a cesarean section?

That question is front and center as conventional approaches to pain control in the United States contribute, in the opinion of some experts, to a culture of overprescribing that aggravates the nation’s epidemic of opioid overuse and abuse.

Last year, Marty Makary, a surgeon, researcher and professor of surgery at Johns Hopkins School of Medicine in Baltimore, wondered why the answer wasn’t clearer. Even he admits that for most of his career he gave painkillers out “like candy.”

So he took an innovative approach toward developing guidelines: matching a right number of opioid painkillers to be prescribed for each of many procedures — a substitute for the one-size-fits-all recommendations that doctors have usually followed.

In December, he gathered a group that included surgeons, nurses, patients and others, and asked them, “What should we be prescribing for operation X?”

No one had a precise response. Dr. Makary didn’t know. Nor did the resident in the group. The nurse practitioner, the person who most often follows up closely with patients, said the answer would vary.

“Wow,” Dr. Makary remembers thinking that day. “We’re the experts, the heads of this and that, and we don’t know.”

After a couple of weeks of intense discussion, however, Dr. Makary’s group reached consensus and gave its blessing to guidelines setting maximum numbers of opioid-containing pills for 20 common medical procedures.

In some cases, the right number of opioids is zero, the group concluded. Indeed, it recommends no opioids for patients heading home after uncomplicated labor and delivery, or after cardiac catheterization, a procedure in which a thin, hollow tube is inserted into the heart through a blood vessel to check for blockages.

For certain types of knee surgery, such as arthroscopic meniscectomy, the guidelines recommend no more than 12 pills upon discharge, while a patient going home after an open hysterectomy could require as many as 20.

Optimally, Dr. Makary said, “no one should be given more than five or 10 opioid tablets after a cesarean section.” And for cardiac bypass surgery? No more than 30 pills.

How to Address the Pain?

Tens of thousands of Americans are dependent on opioid medications. An increasing number are dying from overdoses, both from prescription medication and street drugs. And many experts view post-surgery opioid prescription painkiller use as a gateway to long-term use or dependence.

A study published last year in JAMA Surgery concluded that persistent use of opioids was “one of the most common complications after elective surgery.” In that study, University of Michigan researchers found that 6 percent of people who received opioids for the first time after surgery were still taking them three to six months later.

With about 50 million surgeries in the United States each year, “there are millions who may become newly dependent,” said Chad Brummett, an associate professor of anesthesiology at the University of Michigan Medical School, who was the study’s lead author.

Smokers and those diagnosed with conditions such as depression, anxiety or chronic pain before their operations were found to be most at risk of long-term use. And other studies have shown that each refill or additional week of use makes for a greater risk of misuse.

Further research points to another reason for concern: If patients don’t take all their prescribed pills, the leftovers can be stolen or diverted to other people, who then run the risk of becoming dependent.

Still, there is debate in medical circles about just how effective recommendations and guidelines will be in stemming the epidemic. For one thing, some experts worry that if focusing on safe prescriptions comes at the expense of seeking alternatives to opioids, it will miss safer opportunities.

“Are there better methods than opioids in the first place?” asked Lewis Nelson, chairman of emergency medicine at Rutgers New Jersey Medical School. “Could you put a lidocaine patch over the wound, or is there a better way to immobilize a joint?”

Studies have shown that sometimes a combination of ibuprofen and acetaminophen can be just as good as — or better than — opioids. Dr. Makary agreed that alternatives should always be considered first.

Another concern is that guidelines for prescribing relief — even those aimed at acute, short-duration pain like what often follows surgery — have carry-over effects on patients with long-term pain.

The worry is prescribing limits will have the unintended consequence of also making it difficult for patients with chronic, long-term pain to get the medications they need.

A Different Focus: Duration

Lawmakers — desperate to address overdose problems — have begun doing something they usually avoid: setting specific rules for doctors.

Legislatures in more than a dozen states, including New Jersey, Massachusetts and New York, have set restrictions on the number of days for which supplies of pills can be prescribed for acute pain.

“States said that since physicians haven’t self-regulated, we’re going to do it for them,” Dr. Nelson at Rutgers said.

Congress, too, has held hearings and is considering similar legislation. The recently passed federal spending bill includes $3 billion in new funding to help states and local governments with opioid prevention, treatment and law enforcement efforts.

To be sure, the medical profession has also responded to the crisis, with medical societies and other expert groups offering a growing number of standards for prescribing opioids. Some recommend the lowest dose for the shortest period of time for acute pain. Others are more prescriptive. None is meant to address the needs of chronic pain patients or those with cancer.

And state rules vary. New Jersey’s, for example, says patients with acute pain should initially get no more than a five-day supply, while Massachusetts sets the cap at seven days for a patient being prescribed opiates for the first time. The Centers for Disease Control and Prevention, on the other hand, recommends three days.

Dr. Makary and some other experts say that while well intentioned, such durational rules are too blunt. A day’s worth of pills can vary, depending on how often the doctor instructs patients to take them. Under many state rules, patients could still head home with more than 50 pills.

“No one should have 50 tabs sitting in their medicine cabinet” for acute pain, Dr. Makary said.

Andrew Kolodny, a co-director of opioid policy research at the Brandeis University Heller School for Social Policy and Management in Massachusetts, supports guidelines but wants states to take their rules a step further, requiring that physicians warn patients that a drug is addictive if it is prescribed for more than three days. That would create a disincentive to prescribing more than three days’ worth of opioid painkillers, he added, and leave patients better informed about the dangers.

Dr. Nelson at Rutgers, who sat on the panel of the Centers for Disease Control and Prevention that developed recommendations, said durational rules — like those adopted by the states — can be effective, but he also called the Johns Hopkins approach an “excellent idea” that he has tried to implement. “It’s a lot harder than it sounds because of the large number of procedures and the diversity of patient needs,” he said.

To get around overprescribing, or setting one-size-fits-all guidelines, physicians at Dartmouth-Hitchcock Medical Center in New Hampshire have a developed their own data-based approach.

Richard Barth, the chief of general surgery at Dartmouth, and colleagues studied 333 patients discharged from the hospital after six common surgeries that included bariatric procedures; operations on the stomach, liver, colon and pancreas; and hernia repair.

They asked the patients how many opioid pills they went home with, how many they took, how many were unused and how much pain they experienced. The data helped them develop a way to recommend a specific number of pills.

“If they took none the day before discharge, then over 85 percent of patients did not take any when they went home,” Dr. Barth said. Dartmouth-Hitchcock now uses that finding as a recommended starting point for physicians. Under the guidelines, patients taking no opioid pain pills the day before discharge go home with none. Those who take one to three pills get 15, an amount Dr. Barth’s study found satisfied 85 percent of patients, and those who took four or more get 30 pills. Dr. Barth described that guideline as “very easy to implement and remember.”

Dr. Brummett, at Michigan, says the Opioid Prescribing Engagement Network, a collaboration of hospitals, insurers, physicians and others in his state, has used similar data methods to develop procedure-specific guidelines. “We believe patient-reported outcomes are a better way to guide than expert consensus,” he said.

For his part, Dr. Makary admitted it is harder to develop guidelines like those at Hopkins and Dartmouth, but he said the effort is vital.

“It’s mind-boggling to me” that so many opioid-prescribing guidelines do not specify the procedure, Dr. Makary said. “An ingrown toenail is not the same as cardiac bypass surgery.”

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