tonight on CAWNATION 8 PM EDT

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“text book” case of a person dealing with mental health issues of addictive personality ?

New Florida law could force chronic painers to “go to the streets”

pt: told her insulin was limited to 4 units a day

A friend in Oregon had her meds denied by medicare today and was told her insulin was limited to 4 units a day denying her script for that too. The shit is getting deeper by the day but I am hopeful if you get involved with the politicians.

Oregon HERC Opioid Proposal Coming Up Thursday—Protestors Are Gearing Up

Oregon HERC Opioid Proposal Coming Up Thursday—Protestors Are Gearing Up

Oregon HERC Opioid Proposal Coming Up Thursday—Protestors Are Gearing Up

Meeting is suppose to start at  08/09/2018 1:30 PDT (4:30 EDT)

There is suppose to be a live feed of the meeting at:

We will be providing a webinar for those who are unable to attend in person: . Please feel free to share this with anyone who would like to view the meeting that way.

 

Maryland mom tests positive for opiates after eating poppy seed bagel

Maryland mom tests positive for opiates after eating poppy seed bagel

http://www.foxnews.com/health/2018/08/07/maryland-mom-tests-positive-for-opiates-after-eating-poppy-seed-bagel.html

A Maryland woman is blaming her false positive test for opiates on the breakfast she ate hours before giving birth. 

Elizabeth Eden was in labor at St. Joseph Medical Center in Towson last spring when doctors told her she tested positive for the drug. The new mother was shocked, especially when staff members told her she was being reported to the state.

“I was in labor. I was sitting in the bed. I was having contractions. I was on a Pitocin drip, and the doctor came in and said, ‘You’ve tested positive for opiates,'” Eden described to WBAL-TV.

Confused, Eden wasn’t sure what would have caused the false positive — but then she recalled the poppy seed bagel she had eaten earlier that day. Eden had learned in a school health class that eating poppy seeds could cause a false positive.

“I said, ‘Well, can you test me again? And I ate a poppy seed bagel this morning for breakfast,’ and she said, ‘No, you’ve been reported to the state,'” Eden told the news station.

For years, experts have confirmed that poppy seeds can register as opiates in urine samples, as long as they were eaten within 48 hours of the test.

“While poppy seeds don’t actually contain morphine, the seeds can become coated by, or absorb, opium extract during harvesting,” the United States Department of Agriculture explains on its website. “Opium is the milky substance that is extracted along with the poppy seeds from the seed pod of the opium poppy after all the petals have fallen off.”

Therefore, it’s possible for people to have a false positive test for the drug after consuming poppy seed-covered pasteries.

The test result meant Eden’s daughter had to stay in the hospital for five days in April while her mother was assigned a case worker. Eventually, after Eden explained the situation, the case worker closed the case.

The Federal Institute for Risk Assessment writes that until food manufacturers reduce morphine levels in poppy seeds, it advises against excessive consumption, particularly during pregnancy.

Arkansas Medical Licensing Board – cutting opiates for all pts ?

Oregon Patient Advocate can be heard tonight -08/07/2018

 

With most OD’s on ILLEGAL OPIATES Rep McSally wants to increase tracking of legal prescriptions

McSally proposes drug monitoring best-practices bill to combat nation’s opioid epidemic

www.riponadvance.com/stories/mcsally-proposes-drug-monitoring-best-practices-bill-to-combat-nations-opioid-epidemic/

Toward ending the nation’s opioid crisis in her home state and around the country, U.S. Rep. Martha McSally (R-AZ) on July 26 introduced the Prescription Drug Monitoring Program (PDMP) Best Practices Act.

“This crisis has plagued Arizona for too long,” Rep. McSally said. “We’ve taken steps to combat this epidemic but there’s still more work to be done.”

She said that’s why she introduced H.R. 6608, which would direct the U.S. Department of Justice’s Bureau of Justice Assistance to coordinate with the Centers for Disease Control and Prevention to develop best practice guidelines to bolster PDMPs, the electronic databases that track each state’s opioid prescriptions. H.R. 6608 also would simplify states’ adoption of PDMPs and establish a PDMP data-sharing pilot program for states.

“The opioid epidemic has torn apart families and ruined lives forever,” the congresswoman said, noting that 116 Americans die each day from a drug overdose.

“These victims come from every background – they are teachers, ranchers, retirees, and students,” she said. “No parent should have to bury their own child.”

Rep. McSally’s statement also pointed out that PDMPs may work as a powerful tracking tool to deter the misuse of controlled substances.

If enacted, H.R. 6608 would authorize guidance on the specific information that should be submitted to PDMPs, including the patients at the highest risk for misusing controlled substances and how to identify incorrect prescription trends. Additionally, guidance would focus on the best practices on treatment options for prescribers, and how to spot and address roadblocks to implementing the guidelines, according to McSally’s statement.

H.R. 6608, which is cosponsored by U.S. Rep. Kevin Cramer (R-ND), has been referred to the U.S. House Energy and Commerce Committee for consideration.

Addiction to Rx Opioids Falling

www.painnewsnetwork.org/stories/2018/7/14/addiction-to-rx-opioids-falling

A new report from health insurance giant Blue Cross Blue Shield highlights a little-known and rarely reported aspect of the opioid crisis: Addiction to opioid pain medication is declining, not increasing.

Blue Cross Blue Shield (BCBS) said 241,900 of its members were diagnosed with opioid use disorder (OUD) in 2017, a rate of 6.2 for every 1,000 BCBS members. The rate fell to 5.9 in 1,000 members in 2017, a decline of nearly 5 percent. The insurer said it was the first drop in the eight years BCBS has tracked diagnoses of OUD.

“We are encouraged by these findings, but we remain vigilant,” said Trent Haywood, MD, senior vice president and chief medical officer for BCBS said in a statement.

“More work is needed to better evaluate the effectiveness of treatment options and ensure access to care for those suffering from opioid use disorder.”

BCBS attributes much of the decline to a 29% drop in opioid prescriptions for its members since 2013.  A longtime critic of opioid prescribing hailed the findings as a sign of change.

bigstock-Addiction-504665.jpg

“It means that there’s light at the end of the tunnel,” psychiatrist Andrew Kolodny, MD, the founder and executive director of Physicians for Responsible Opioid Prescribing (PROP) told BuzzFeed.

“Unfortunately though, the genie is out of the bottle,” said Kolodny, a former medical director of the addiction treatment chain Phoenix House. “Millions of Americans are now struggling with opioid addiction. Unless we do a better job of increasing access to effective treatment, overdose deaths will remain at record high levels and we’ll have to wait for this generation to die off before the crisis comes to an end.”

Admissions for Addiction Treatment

The BCBS numbers should be taken with a grain of salt, since they include all types of opioid addiction, including those linked to heroin, illicit fentanyl and prescription opioids. A more accurate way to track addiction to opioid medication would be admissions to publicly-funded treatment facilities for “non-heroin opiates/synthetic abuse” – a category that excludes heroin, but includes hydrocodone, oxycodone, fentanyl and other painkillers.

A database maintained by the Substances Abuse and Mental Health Services Administration (SAMHSA) shows that treatment admissions for prescription opioids peaked in 2011 at 193,552 admissions and fell to 121,363 by 2015 – a significant decline of over 37 percent. It seems likely that admissions for painkiller abuse have fallen even further since 2015, as opioid prescriptions have continued to plummet, and more pain patients are abandoned or denied treatment.

The SAMHSA data also reveals another trend: While the number of people seeking treatment for painkiller, alcohol and marijuana abuse has declined, admissions to treatment facilities for heroin addiction have soared. In 2010, there were 270,564 admissions in which heroin was identified as the primary substance of abuse. By 2015, that number had grown to 401,743 admissions – an increase of nearly a third.

ADMISSIONS TO ADDICTION TREATMENT FACILITIES

  • Heroin
  • Rx Opioids
  • Alcohol
  • Marijuana
SOURCE: SAMHSA

Admissions for heroin addiction now surpass those for other substances, yet much of the nation’s spending and law enforcement resources remain targeted on opioid prescriptions. Many public health officials also cling to the myth the heroin epidemic was triggered by opioid overprescribing, even though heroin admissions outnumber painkiller admissions by a 3 to 1 margin.

“Epidemiological data show that as widely prescribed opioids became less accessible due to supply side interventions, heroin use skyrocketed,“ psychiatrist Nora Volkow, MD, director of the National Institute on Drug Abuse, recently told OpioidWatch.  Volkow was an early supporter of the CDC opioid guideline, one of the first supply side interventions, a strategy that she now characterizes as “naive.”

“Expecting that declines in rates of prescribed opioids could, by themselves, stem the tide of the opioid crisis is naïve and an oversimplification of the complex nature of the crisis,” Volkow said. “Legitimate questions have been raised about whether some pain patients might now be undertreated, and whether tightened prescribing practices over the last few years has contributed to the surge in overdose deaths from heroin and especially fentanyl.”

A recent study by SAMHSA found that deaths linked to illicit fentanyl and other synthetic opioids surpassed overdoses involving pain medication in 2016.  The study also found that drugs used to treat depression and anxiety are involved in more overdoses than any other class of medication.

“In 2010, there were 270,564 admissions in which heroin was identified as the primary substance of abuse. By 2015, that number had grown to 401,743 admissions – an increase of nearly a third.”

These people can’t even do SIMPLE MATH…

A INCREASE from 270,564 to 401,743 is nearly a 50% INCREASE…

IF there had been a reduction from 401,743 to 270,564 would have been a DECREASE of 30%

With these people … I wonder if 2+2 is still equal to FOUR ?