Last night I was contacted by a chronic pain pt. This pt is a chronic pain pt, but what she described to me was that she had a shattered patella.
In seeing her PCP, her BP was 220/110 and her PCP told the pt that he could not prescribe any more pain meds. He was at the “LIMIT” that he could prescribe.
The PCP called the pt’s pain clinic and that clinic was SO CONCERNED that they moved the pt’s appt UP ONE WEEK, so that made the pt’s appt at the pain clinic ONLY TWO WEEKS AWAY.
What I find interesting, both the PCP & the pain doc are EMPLOYEES OF THE SAME LARGE HOSPITAL SYSTEM.
In fact the hospital claims – on their website – to be the LARGEST HOSPITAL IN OHIO – 1,059-bed, teaching hospital , whose mission “to improve the health of those we serve.” Our caring and compassionate teams do this through providing the best patient experience possible, and is a Level II trauma center.
This is the chart from the American Heart Assoc on the various levels of blood pressure and classification, and this pt’s blood pressure falls in the HYPERTENSIVE CRISIS LEVEL (consult your doctor immediately)
I told the pt that I would contact both of the practitioners but the pt declined.
Filed under: General Problems
They don’t care props end game is that we die and one less pain patient!Its a shame the government is not stepping up to stop this mass genocide!
The problem that no one wants to talk about is it estimated that we have 50K-55K new chronic pain pt created every year
yea and this isn’t torture in the healthcare setting???please tell me what is then????wow,,U know,,if the truth isn;t told,,this will never get fixed,,this is torture in the healthcare setting,as bold as brass,,,and if a doctor could say by law,i have a right not to torture this patient,,and the dea thus could never touch em,,it wouldn’t fix this,mess??I tend to disagree, a law for humane care should of happen 100 year’s ago,,,and were suppose to feel sorry,,or prioritize above our truly medically ill in non choice physical pain those adults’ who have used opiates for non medical use??,hmmmmmm,,mw
I am one of the victims of The Pain Care Crisis. When my previous PM practice switched me from my pain medication that I had been stable on for 12 years, to Belbuca, my BP increased. I had always had low BP ( for 40 plus years). I am now on BP medication . Note: The Belbuca was causing blisters/holes on the inside of my mouth. PM would not look inside my mouth, NOR would they look at the pictures of the burning blisters in my mouth. Regarding my BP: in my EHR, my BP #’s were different each month. That PM practice hadn’t taken my BP in years. I fired that PM practice. I had been a patient of theirs for 17 years.
This crisis is NOW affecting the FOURTH VITAL SIGN: BLOOD PRESSURE!
Oh well, then The MD can just prescribe the Pt a boatload of BP MEDSZ
That may be what would seem like a SIMPLE SOLUTION, but I can’t remember the number of chronic pain pts I have talked to, whose opioids have been dramatically reduced or eliminated and taking a boat load of BP meds- all the various 4-5 categories of pharma BP meds and their pressure MAY move down very little. The simplest answer is that uncontrolled pain uses a different pathway to cause a pt to have elevated BP and it is not a pathway that the pharmas have pursued with med clinical trials.