THE MME SYSTEM should be totally removed from any opioid dosing

I asked perplexity the following: I find in FDA max dose – on long term – high intensity pain pt – to be 1600 mg/day and for Oxycodone being 400 mgs/day. But using the MME system ratios that 1 mg of Oxycodone is equal to 1.5 mg of Morphine. Does this suggest that the MME […]

Fentanyl overdoses among seniors surge 9,000% — A hidden crisis few saw coming

A deadly new wave of fentanyl-stimulant overdoses is claiming the lives of older adults at unprecedented rates. https://www.sciencedaily.com/releases/2025/10/251012054606.htm Summary:Overdose deaths from fentanyl mixed with stimulants have skyrocketed among seniors, increasing 9,000% in just eight years. Once thought to affect mainly the young, the opioid epidemic’s fourth wave now engulfs older adults too. Cocaine and methamphetamine […]

Study Dings Medicare Advantage for Cancer Surgery Quality

MA plan design may steer patients to specific centers, researchers suggest https://www.medpagetoday.com/publichealthpolicy/medicare/117949 Key Takeaways Enrollment in Medicare Advantage among those undergoing cancer surgeries increased from 32% in 2016 to 46% in 2022. Medicare Advantage enrollees were less likely to undergo cancer surgery at high-quality hospitals versus traditional Medicare beneficiaries. These findings suggest the Medicare Advantage […]

MAINE RESIDENTS: You are living in a proper pain management DESERT

Greetings pain Warriors  Janet Mills has not been listening to our attempts to resolve Maine’s hostile environment toward legacy pain patients led by the New England drug task force, Noah Nessin, and Janet Mills  POSTED ON FB GROUPS + YOUR/MY FEEDS .. 10/15 ASAP: Mark – you know about Governor Mills’ abdication of duty better […]

Want to Call CDC to Report a Possible Disease Outbreak? Fuhgeddaboutit

It’s likely no one will answer the phone, a former CDC employee says https://www.medpagetoday.com/publichealthpolicy/washington-watch/117943 Thinking of calling CDC to report a potential disease outbreak? Don’t bother; no one will answer, a former CDC employee said Tuesday. “If it’s an infection that is being seen in the hospital in four different patients, and the infection control […]

When the MEDIA puts a solution to the opioid crisis ON OUR TV

FYI

My time that I am capable of dealing with my blog and pt’s issues may get restricted going forward. We were just told that the independent pharmacy that we have been patronizing for abt 10 yrs is not going to be in the Humana  Part D next year!  This guy owns the only two independents […]

Narxcare – what it IS and what it is NOT

These are several audio presentations about Narxcare      

Hospitals Called Out for Unnecessary Back Surgeries on Seniors

Analysis turned up 200,000 unneeded procedures that cost Medicare $2 billion over 3 years https://www.medpagetoday.com/surgery/orthopedics/117856 The Lown Institute called out dozens of hospitals for performing unnecessary surgeries on Medicare beneficiaries with low back pain, putting patients at risk of serious complications with no evidence of clinical benefit. Its analysis focused on high-volume hospitals that performed […]

Is the “CURE” worse than the DISEASE?

Risks of Tramadol Likely Outweigh Benefit for Chronic Pain https://www.medpagetoday.com/neurology/painmanagement/117842 Drug didn’t meet efficacy threshold and doubled serious adverse event risk, analysis suggests The opioid analgesic tramadol reduced chronic pain levels compared with placebo, but appeared to double the risk of harm, a review of 19 clinical trials suggested. In a meta-analysis and trial sequential […]