Adverse childhood experiences rewire the brain. The heightened response to stress that some children develop can affect the reward center of the brain and the executive functioning of the prefrontal cortex. It can also result in maladaptive behaviors associated with pain and addiction.
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I worried that the hospital’s choice to lessen the amount of drugs prescribed, rather than focusing on patients’ clinical needs, might mean my daughter’s need for pain control would be unmet. The idea of my daughter enduring inadequately treated pain haunted me, as it would any father, but as a pain specialist, it may have troubled me even more.
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This article, in a slightly edited form, first appeared on Pain News Network on May 31, 2019. “Treatment Box: Rebekkah’s Story” won an Emmy for Outstanding Special Class – Short Format Daytime Program at the 46th Annual Daytime Creative Arts Emmy Awards. The 6-minute video was produced by The Truth About Opioids, which is an opioid…
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Those statistics are difficult to read anytime, but they seem especially troubling as the United States commemorates Memorial Day. This is the time for us to acknowledge that those who have served our country deserve the best medical care available.
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This article, in a slightly edited form, first appeared in Consumer Health Digest on May 15, 2019. Everyone has heard the phrase “opioid addiction,” but few understand what that really means. Journalists, patients, and even many doctors believe they know what addiction is, but they are often wrong. This leads many people to be diagnosed…
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Black box warnings may be alarming. However, they are not meant to scare you into panicking and discontinuing medication that you need. Their primary purpose is to inform prescribers and patients about dangers they may pose.
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Unquestionably, prescribers should be held to a high standard of care at all times. However, it is the responsibility of state medical boards to hold them to that standard. It is not the DOJ’s role to determine the quality or boundaries of the practice of medicine.
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However, before we classify the chemical fentanyl as a WMD, we need to know what that would mean for its legitimate use during surgery, or for cancer and chronic pain patients. Access to the medication for the treatment of pain must be part of the calculus in assessing if a relatively safe and effective drug should be classified as a WMD.
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Will the DEA stop pursuing doctors who treat pain patients with levels of opioids that exceed the guideline’s recommendations? For Larry and other pain patients who have been forcibly tapered, the answer may be a matter of life and death.
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Forced Tapering Proposal On March 14, 2019, the Oregon Health Authority Health Evidence Review Commission (HERC) had planned to vote on a proposal that could affect thousands of Medicaid patients in Oregon. The proposal would limit Medicaid coverage of opioids to 90 days for chronic pain patients. Those who have been using opioids for more…
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