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Originally Posted by slumlord


Had a bad few days, used them 20 in a week then I was up chit creek.

I got on their internet portal and left a renegade50 style ass reaming email. She gave me a partial fill of the 20 again but pharmacy would only dole out 9 pills.

Got a referral to Pain Mgt specialist. The only will give me Lyrica.

Horse shît
.


Absolutely pure and unadulterated horseshit.

I'm about as pleased with the "Best Medical System in the World" as I am with the Best Political System in the world right now.

slummy, I hope you can get something figured out. No one with your background needs to have that kind of BS from the "medical establishment".


The desert is a true treasure for him who seeks refuge from men and the evil of men.
In it is contentment
In it is death and all you seek
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Wait until you get Medicare for all.


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To your original point.

Do you want medicine to be evidenced based? Multiple studies have shown opioids to not be affective for chronic pain an should not be first line therapy. Doctors usually go to the opioids first and never try the stuff they should, mostly because the patient complains and it's just easier to give the patient what they want.

Drugs that affect nerve conduction should be used first. Patients who take them in correct doses report not having pain while taking. Patients taking opioids report having pain even while taking. Long term has shown non opiate therapy to actual change a patients perceived pain level. Opiates have not.

People love their narcotics, and it's pretty understandable why.


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Originally Posted by Kodiakisland
To your original point.

Do you want medicine to be evidenced based? Multiple studies have shown opioids to not be affective for chronic pain an should not be first line therapy. Doctors usually go to the opioids first and never try the stuff they should, mostly because the patient complains and it's just easier to give the patient what they want.

Drugs that affect nerve conduction should be used first. Patients who take them in correct doses report not having pain while taking. Patients taking opioids report having pain even while taking. Long term has shown non opiate therapy to actual change a patients perceived pain level. Opiates have not.

People love their narcotics, and it's pretty understandable why.


Just as many studies have found that opioids ARE effective for both acute and chronic pain. So what exactly does the "science" say?

You have an agenda, and an opinion, but come into this talking "science". What a fraud, just like the liberals all talking "science" and none of them even knows what the word means.


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Originally Posted by HuntnShoot
Originally Posted by Kodiakisland
To your original point.

Do you want medicine to be evidenced based? Multiple studies have shown opioids to not be affective for chronic pain an should not be first line therapy. Doctors usually go to the opioids first and never try the stuff they should, mostly because the patient complains and it's just easier to give the patient what they want.

Drugs that affect nerve conduction should be used first. Patients who take them in correct doses report not having pain while taking. Patients taking opioids report having pain even while taking. Long term has shown non opiate therapy to actual change a patients perceived pain level. Opiates have not.

People love their narcotics, and it's pretty understandable why.


Just as many studies have found that opioids ARE effective for both acute and chronic pain. So what exactly does the "science" say?

You have an agenda, and an opinion, but come into this talking "science". What a fraud, just like the liberals all talking "science" and none of them even knows what the word means.


My agenda is just as a 25yr pharmacist who deals with opiates every day, but I'm sure you know better.
As I said before, lots of docs just give the patient what they want because it's easier. Everyone is an expert at medicine except the ones paid to do it.
I get it. You like your opiates. It's understandable.


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Unless you have lived in chronic pain for several years,your opinion is invalid...

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[/quote]


My agenda is just as a 25yr pharmacist who deals with opiates every day, but I'm sure you know better.
As I said before, lots of docs just give the patient what they want because it's easier. Everyone is an expert at medicine except the ones paid to do it.
I get it. You like your opiates. It's understandable.
[/quote]

Like.


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My pain Doc gave me some stuff years ago that worked to good.

The next time i saw him i asked for something not quite as strong.

I have never asked for any meds from him.

He was the second Doc that found that i had a fourth disk blown so he knows what is wrong with my back.

The hydrocodone i told him when they rescheduled it if it was going to cause him trouble he could have them.

Not everyone goes to the Pain mgmt. folks just for the best drugs i went to get something to keep me out of the operation room for the fourth time.

So far it has worked.

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Originally Posted by ingwe
Originally Posted by stxhunter
Know a couple of people who became heroin addicts because they couldn't get a script anymore.



Heroin was the "go to" when folks couldn't get scripts....very popular for a few years....


At that point they aren't chasing pain, they are chasing the rush.


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Originally Posted by Kodiakisland
Originally Posted by HuntnShoot
Originally Posted by Kodiakisland
To your original point.

Do you want medicine to be evidenced based? Multiple studies have shown opioids to not be affective for chronic pain an should not be first line therapy. Doctors usually go to the opioids first and never try the stuff they should, mostly because the patient complains and it's just easier to give the patient what they want.

Drugs that affect nerve conduction should be used first. Patients who take them in correct doses report not having pain while taking. Patients taking opioids report having pain even while taking. Long term has shown non opiate therapy to actual change a patients perceived pain level. Opiates have not.

People love their narcotics, and it's pretty understandable why.


Just as many studies have found that opioids ARE effective for both acute and chronic pain. So what exactly does the "science" say?

You have an agenda, and an opinion, but come into this talking "science". What a fraud, just like the liberals all talking "science" and none of them even knows what the word means.


My agenda is just as a 25yr pharmacist who deals with opiates every day, but I'm sure you know better.
As I said before, lots of docs just give the patient what they want because it's easier. Everyone is an expert at medicine except the ones paid to do it.
I get it. You like your opiates. It's understandable.


Like my initial post said. “It might be prudent to exhaust other forms of therapeutic options before using opioids.” But...

once those options have been explored and found lacking in pain reduction. Make opioids part of the therapy plan without making a person feel like they’re an addict for taking them.

Dependency is different than addiction. Being dependent on a medication that helps relieve chronic pain is not the same as being an addict who only wants opioids to get high. Big difference!

Why is it more important to make a dying person comfortable in hospice for a couple of weeks - yet the government is more than happy to allow people to live 5, 10, 20, 30 years in horrible pain? Ass backwards to me.

Doctors need to be allowed to make decisions based on individual patient needs.

Pharmacist need to fill the prescriptions and make sure the user understands how to properly take the medication.

And, people who experience a tragedy, need to stop looking for places to put their blame if a loved one ends up dead from overdosing on illegally gotten or incorrectly taken drugs.

I can’t find a single benefit in having the government in my medicine cabinet, bedroom, kitchen, or gun safe.

😎


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Originally Posted by ltppowell
[/quote]


My agenda is just as a 25yr pharmacist who deals with opiates every day, but I'm sure you know better.
As I said before, lots of docs just give the patient what they want because it's easier. Everyone is an expert at medicine except the ones paid to do it.
I get it. You like your opiates. It's understandable.


Like.[/quote]

I’m no expert. But, I got years of experience dealing with doctors, insurance companies and pharmacists who thought they were a doctor.

You’ll see. This will eventually change after chronic pain sufferers start suck starting pistols. Kidney failures increase and livers become ruined will be the new normal.

Congress will be revising the protocols once again.

The only solution that would advance this problem into the twenty first century, is pharma developing a pain medication that doesn’t have addictive side effects.

😎





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The last I'll say on it as it seems you really don't want to hear differing opinions other than your own.

I don't blame the patient at all and I'm not being facetious when I say I understand. I've seen a lot of lives turn for the worse from opiates. I have a problem with docs who just do what's easy instead of what's right.
I've been able to witness the journey of many an opiate user over several years. Usually, the dose goes up and the complaints of pain either stay the same or increase. The miserable bastard persona starts to rear it's head. Try to have a discussion of what the drugs are doing to them almost always ends in an inappropriate emotional outburst.

I've seen many people have a worse quality of life because of opiates for many reasons. They are constantly in pain and taking high doses of opiates. They have become accustomed to both and won't even try to switch therapy to decrease pain and decrease narcotics. It's a very illogical process, but it repeats itself daily.

You want your opiates. Again, I do understand that. I really do, because I see it every day. It's one of the worst parts of my job. Being paid to be a part of people's downfall. Don't think I don't feel some responsibility for it. Thankfully, younger docs are learning better ways of managing pain that will hopefully lead to a better quality of life for the patient. I don't need the government to form my opinions because i go with what my eyes are telling me,

Opiates have a place in medicine, but it's not the current large scale use for everything and anything.


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Originally Posted by Jim_Conrad
Maybe very locally...very temporarily.

With decriminalization, you will see increased demand won't you?

Especially since no one around you has decriminalized?

I would be concerned that addicts will move to Oregon.

I just dont see how decriminalization works with out a drastic reduction in price.

Oregon might be better off just supplying the dope for free. Probably be cheaper in the long run....work out a volume discount with the cartels.


Hell yeah they’re going to move here and property crime is going to go through the roof. This place has voted me off the island Jim and I am moving to the great state of Idaho.

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Originally Posted by Beaver10
Originally Posted by ltppowell



My agenda is just as a 25yr pharmacist who deals with opiates every day, but I'm sure you know better.
As I said before, lots of docs just give the patient what they want because it's easier. Everyone is an expert at medicine except the ones paid to do it.
I get it. You like your opiates. It's understandable.


Like.[/quote]

I’m no expert. But, I got years of experience dealing with doctors, insurance companies and pharmacists who thought they were a doctor.

You’ll see. This will eventually change after chronic pain sufferers start suck starting pistols. Kidney failures increase and livers become ruined will be the new normal.

Congress will be revising the protocols once again.

The only solution that would advance this problem into the twenty first century, is pharma developing a pain medication that doesn’t have addictive side effects.

😎



[/quote]

Beav, the only thing about that is everything has some sort of side effect. Some worse than others. Some may not be addictive, habit forming, etc, but they are likely to do other things. Like affect kidneys or liver or brain/nerves. I can't do NSAIDs anymore on Dr's orders, so I'm left with certain things that work OK, one of which gives me some really weird dreams at times. And makes me want to sit on the couch all day. Another one someone has mentioned gives me the "willy's".

One thing for sure though, when my back is really hurting there are a couple of things in the medicine cabinet that work really good. And I take them very infrequently and live in pain alot. And once this crap with The Corona is over, I'm going back over the hill for a shot in my back or maybe an ablation and see how that work.

Fuggin insurance companies pizz me off. Before I got the knee replaced I had some treatments with Synvisc or such. Along with the steroid shot I could get 4-6 months relief. F'n insurance company quit paying after the firs couple of treatments, not just for me but all customers. Determined it was an "experimental" treatment because some folkd got little relief, or it only lasted a month or so. Nevermind the thousands it did work for. We could just come up with the $2K ourselves.

Another one they won't pay for is something the retinal specialist prefers to use. Again, after a couple of treatments they sent notice they would no longer pay for it as it wasn't specifically made for that purpose. But it worked for me so IDGAF what purpose it was made for, my doc wants to use it.

The Best Medical System in the World needs some improvement still I say.


The desert is a true treasure for him who seeks refuge from men and the evil of men.
In it is contentment
In it is death and all you seek
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Stop whining...Your opinion does matter, and it’s been heard by me.

Unfortunately, your eyes are covered by your own hand that is only allowing you to see the downside by some doctors who may incorrectly prescribe opioids.

You must realize there are millions of patients in the US with different degrees and types of medical conditions. You are making what amounts to a blanket statement that opioids aren’t effective in treating certain types of chronic pain.

We are talking about people, on an individual basis, getting treatment from a good doctor. Not DrugsAreUs clinics that were prominent in most major cities....Not every doc is a pez dispensary and not every patient is a lazy, lying, fûck who only wants the pill in lieu of alternative therapies.

But, patients who have done the work. Suffered the pain and failures of “This treatment may work, let’s try it” from newbie doctors, should be prescribed something that has worked to lessen their pain.

I don’t take opioids. I was the primary care giver to my dad when he was still alive. I’ve seen it all, and then some.

😎


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Originally Posted by Kodiakisland
Originally Posted by HuntnShoot
Originally Posted by Kodiakisland
To your original point.

Do you want medicine to be evidenced based? Multiple studies have shown opioids to not be affective for chronic pain an should not be first line therapy. Doctors usually go to the opioids first and never try the stuff they should, mostly because the patient complains and it's just easier to give the patient what they want.

Drugs that affect nerve conduction should be used first. Patients who take them in correct doses report not having pain while taking. Patients taking opioids report having pain even while taking. Long term has shown non opiate therapy to actual change a patients perceived pain level. Opiates have not.

People love their narcotics, and it's pretty understandable why.


Just as many studies have found that opioids ARE effective for both acute and chronic pain. So what exactly does the "science" say?

You have an agenda, and an opinion, but come into this talking "science". What a fraud, just like the liberals all talking "science" and none of them even knows what the word means.


My agenda is just as a 25yr pharmacist who deals with opiates every day, but I'm sure you know better.
As I said before, lots of docs just give the patient what they want because it's easier. Everyone is an expert at medicine except the ones paid to do it.
I get it. You like your opiates. It's understandable.


It really chaps my arse when the pharmacists think they know better than the doctors. My best friend and long time hunting and fishing buddy was an M.D. He once prescribed cough syrup with codeine to a terminal cancer patient only to have a self righteous pharmacist who thought she knew better report him to the state for prescribing codeine cough syrup. My friend then spent two years and over $25,000.00 defending himself from the state medical board. When a glorified animated pill counter thinks they know better than an M.D. with nearly 40 years experience, and can with one email or phone call destroy a doctors reputation and life, without so much as a courtesy phone call to the doctor, that's a problem.

In my own life, my mother had a primitive knee surgery in the 1970s, it was only supposed to last a few years then she would need more surgery. She made it to about 2014 before the knee gave out completely and she could no longer walk. Her knee would become dislocated just walking across the room. Problem was her muscles were not in good enough shape for a knee replacement, the orthopedic docs wanted her to work on the muscles before surgery. In order to work out the muscles, she needed one hydrocodone 10 mg-acetaminophen 325 mg tablet PER DAY. She had to go to a pain doctor for that, the pain doctor suggested she have her leg amputated!!! I got involved and took her to another pain doc in another medical system, same recommendation, have leg amputated. The medical systems were Stanford and University of California San Francisco.

What the #$## is wrong with a medical system that would rather a leg be amputated than prescribe one pain pill per day. And a giant up yours to the self righteous pharmacists who just know better than the doctors. The job of the pharmacist can largely be filled by an automated pill counting machine. If the pharmacist wants to make medical decisions, then go back to school and become a real doctor, not a wanna be second guesser.

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Originally Posted by Nestucca
Originally Posted by Jim_Conrad
Maybe very locally...very temporarily.

With decriminalization, you will see increased demand won't you?

Especially since no one around you has decriminalized?

I would be concerned that addicts will move to Oregon.

I just dont see how decriminalization works with out a drastic reduction in price.

Oregon might be better off just supplying the dope for free. Probably be cheaper in the long run....work out a volume discount with the cartels.


Hell yeah they’re going to move here and property crime is going to go through the roof. This place has voted me off the island Jim and I am moving to the great state of Idaho.


Nestucca, that is awesome!

Congrats on getting the hell out.

😎


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You should be praying more conservative move TO Oregon!

It's never going to work for Kommiefornia but maybe we can save OR.


The desert is a true treasure for him who seeks refuge from men and the evil of men.
In it is contentment
In it is death and all you seek
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Originally Posted by Valsdad
You should be praying more conservative move TO Oregon!

It's never going to work for Kommiefornia but maybe we can save OR.


The only way Oregon get’s saved is if every drug addict, addle minded homeless person and Liberal dipshît kills each other.

😎


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Originally Posted by CJWinWA
Originally Posted by Kodiakisland
Originally Posted by HuntnShoot
Originally Posted by Kodiakisland
To your original point.

Do you want medicine to be evidenced based? Multiple studies have shown opioids to not be affective for chronic pain an should not be first line therapy. Doctors usually go to the opioids first and never try the stuff they should, mostly because the patient complains and it's just easier to give the patient what they want.

Drugs that affect nerve conduction should be used first. Patients who take them in correct doses report not having pain while taking. Patients taking opioids report having pain even while taking. Long term has shown non opiate therapy to actual change a patients perceived pain level. Opiates have not.

People love their narcotics, and it's pretty understandable why.


Just as many studies have found that opioids ARE effective for both acute and chronic pain. So what exactly does the "science" say?

You have an agenda, and an opinion, but come into this talking "science". What a fraud, just like the liberals all talking "science" and none of them even knows what the word means.


My agenda is just as a 25yr pharmacist who deals with opiates every day, but I'm sure you know better.
As I said before, lots of docs just give the patient what they want because it's easier. Everyone is an expert at medicine except the ones paid to do it.
I get it. You like your opiates. It's understandable.


It really chaps my arse when the pharmacists think they know better than the doctors. My best friend and long time hunting and fishing buddy was an M.D. He once prescribed cough syrup with codeine to a terminal cancer patient only to have a self righteous pharmacist who thought she knew better report him to the state for prescribing codeine cough syrup. My friend then spent two years and over $25,000.00 defending himself from the state medical board. When a glorified animated pill counter thinks they know better than an M.D. with nearly 40 years experience, and can with one email or phone call destroy a doctors reputation and life, without so much as a courtesy phone call to the doctor, that's a problem.

In my own life, my mother had a primitive knee surgery in the 1970s, it was only supposed to last a few years then she would need more surgery. She made it to about 2014 before the knee gave out completely and she could no longer walk. Her knee would become dislocated just walking across the room. Problem was her muscles were not in good enough shape for a knee replacement, the orthopedic docs wanted her to work on the muscles before surgery. In order to work out the muscles, she needed one hydrocodone 10 mg-acetaminophen 325 mg tablet PER DAY. She had to go to a pain doctor for that, the pain doctor suggested she have her leg amputated!!! I got involved and took her to another pain doc in another medical system, same recommendation, have leg amputated. The medical systems were Stanford and University of California San Francisco.

What the #$## is wrong with a medical system that would rather a leg be amputated than prescribe one pain pill per day. And a giant up yours to the self righteous pharmacists who just know better than the doctors. The job of the pharmacist can largely be filled by an automated pill counting machine. If the pharmacist wants to make medical decisions, then go back to school and become a real doctor, not a wanna be second guesser.


Kodiak the Pharmacist hit a nerve, right here....😎


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