PAINED LIVES REALLY DON’T MATTER ?

This is what happens to chronic pain pts when they can’t get anyone to prescribe/dispense opiates to control their pain. If this pt dies of a stroke or heart attack… will their death certificate say that they died of “natural causes” or due to lack of appropriate care ?

I can’t count the times that I have heard from chronic pain pts that are being forced to lower or eliminate their pain management meds and their blood pressure starts rising and their PCP will start loading them up with different blood pressure meds. – sometimes 4-5 different types of meds and still their blood pressure remains at a level that is above acceptable levels.

It is generally considered “bad medicine” to add medication to a pt’s treatment plan to treat side effects of one or more of their therapies is causing…

Shouldn’t the rising blood pressure as their pain medications are lessened/eliminated be considered a side effect ? Here is a list of all the normal bodily functions that can adversely effected by under/untreated pain.

MAYBE PAINED LIVES REALLY DON’T MATTER to many healthcare professionals and many within various bureaucracies ? This pt made a FB post that going to a ER or Immediate care center would probably not get the pt any sort of treatment.

6 Responses

  1. They want us dead,,or in a shrinks office..40 billion in profits in 10 year’s for thee ,”addiction industry,” ,,They don’t give a rats ass about our forced suffer,or forced suicides,,,THEY WILLL LIE ON OUR DEATH CERTIFICATES,,,,JUST LIKE THEY always do !!!

  2. My pain mgmt dr sits on the Oklahoma Opioid Commission Board. He also happens to be one of the pain mgmt physicians that is approved for CE credits for the medical professionals who need their hours in Proper Opioid Prescribing. What he offers as to the commission board and the medical profession on the topic of opioid reduction and the negative effects it has on the compliant chronic pain patient are quite different. He’s shared with the medical community that rapid tapering, reducing those who’ve been on high doses forever will likely face increased blood pressure, decrease aerobic activity, increased fatigue and other chronic systemic conditions caused by the shock and trauma the body will be forced into. I had perfect BP before being rapid tapered, now I keep getting asked what BP meds I take, why I am not taking any? I refuse to be put on medications for blood pressure, something I would not need if my pain was controlled. This is something I have complete control over. If my pain mgmt dr feels that this is a fair and equitable trade off, so be it. I am waiting to hear his explanation, in his words.

  3. going to an ER or doc-in-a-box probably wouldn’t get him any treatment, but would very likely get him lots of verbal abuse…that’d sure help his BP & all other problems. I swore off ERs & such years ago, b/c the only thing I got was abuse. I’d rather die at home & let my dog & cats chew on my rotting corpse until someone noticed than kick off at a supposed medical facility after being abused.

  4. I believe you are right. My experience is that PAINED LIVES REALLY DON’T MATTER! I am a 75 year old palliative care handicapped intractable chronic pain patient. My pain clinic doctor has placed me on a Forced Medication Reduction (FMR) of 80% from my documented stable dosage. He said it was due to the CDC guidelines. I pointed out that in June, 2019 the CDC director stated in the NEJM that the guidelines are not to be used as an excuse to reduce the medications of intractable chronic pain patients (cpp). He ignored this fact and reduced my meds anyway.

    A second doctor at the clinic said that they were being persecuted by “enforcement agencies” and that to stay in business my FMR was necessary. Otherwise, they would not be around to help the other clinic patients. I almost responded with, “We who are about to die salute you”, and compare their actions to the T4 Program used in WW2 Germany to eliminate the “Useless Feeders” in their society. But, I knew this might get me kicked out of the clinic and so I kept quiet.

    I had one appointment with the clinic owner/doctor, and I asked him why there was no “push back” against these threats. He said he was receiving threatening letters about his “over prescribing”. I pointed out that there was no know acceptable definition for that term. That gave him a little pause, but not much. I pointed to the article in the NEJM. He said the CDC director has announced publicly multiple times that writing that article was a mistake on his part. I argued that the article was not retracted so whatever the CDC director said verbally was of little consequence as long as his article was still in print. I pointed to a document by my state government and the state medical board that said a doctor was allowed to prescribe above the “acceptable limits” as long as he provided medical documentation for doing so. He was not impressed and cited the fact that semi-recently 2 doctors in the state had been raided for prescribing at “too high a level”. I quoted from the CDC guidelines where patients and their doctors were to decide together an appropriate medication dosage, but the owner/doctor told me to go find another clinic and then reduced my meds at this appointment be another 25%.

    I find it ironic that these doctors/clinics are breaking existing laws in order to try and comply with the threats they receive. I am a disabled person and the clinic is withholding my appropriate/stable dosage of medication. That amounts to a “withholding of services” which is a definite violation of the Americans with Disabilities Act (ADA). At my age, the withholding of my stable medications is also an abuse of an elderly person and there are strict laws against doing this. In addition, the action of the clinic is a violation of my Civil Rights and Human Rights. Why would they do this when it appears that they are putting themselves in legal jeopardy by withholding my medications?

    The reasons are twofold. First, the clinic and doctors are more afraid of the enforcement agencies that are threatening them than they are of the violations of other laws on the “books” that might protect patients. Secondly, they believe that in today’s opioid phobic society, there is little chance of them being prosecuted for cutting/reducing a patient’s medications, and, this latter case, it appears that they are right.

    I have filed reports/complaints with every place I can think of for months now. That list included State and Federal elected officials, an elderly abuse report which finally ended up at the state medical board (but no response), the state office for handicap legal services, the FDA, the ACLU state office, the civil rights department of the DOJ, HHS, etc. To date, they have all provide some lame excuse as to why my case is not defensible, or arbitrarily refused to handle/accept my case, or did not respond at all. I had no better luck trying to hire a lawyer on my own. I am still trying, but this whole effort gets very tiring when those that are supposed to uphold the rights of the citizens of this country abdicate/abandon their responsibilities.

    I hope that the revised CDC guidelines will provide some relief from the situation that I and other people in the cpp community are facing. But, with PROP still influencing the CDC in how they rewrite those guidelines, I don’t see a very bright future for those of us with chronic pain.

    • Mr Wayne,,it is against the law,literally for the federal government to ,”interfere with the practice of medicine,” seriously,,,,but a law means nothing if they refuse to enforce it,,,maryw

  5. Not to mention severe whole-body frustration, bi-polar boredom, panic button syndrome, restless legs wiggle dancing, dumb doctor disease and other problems one can think of when lying around because one CAN’T GET UP TODAY!

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