As CDC Guidelines Approach One-Year Anniversary, Questions Loom

By Lynn Webster, M.D. / February 18, 2017 /

“Next month will mark the one year anniversary of opioid guidelines released by the Centers for Disease Control and Prevention – guidelines that discourage primary care physicians from prescribing opioids for chronic non-cancer pain,” writes Pat Anson in the February 15, 2017 edition the Pain News Network newsletter. My Expectations for CDC Opioid Guidelines One…

Constipation Isn’t a Fitting Punishment for People With Pain

By Lynn Webster, M.D. / February 11, 2017 /

Deb was in a near-fatal car accident. Her arms, legs, and pelvis were severely injured and would require multiple surgeries. She relied on opioids to ease the pain. Along with her other day-to-day medical challenges and constant setbacks, she suffered from constipation which her doctor attributed to her use of painkillers. But he offered no…

Hurting Pain Patients Is Not the Way to Solve the Opioid Crisis

By Lynn Webster, M.D. / February 4, 2017 /

  “The insurance industry appears to have played a major role in the development of a new strategy by the federal government to combat the abuse of opioid pain medication,” writes Pat Anson, editor of Pain News Network. This Orwellian act by powerful insurance companies in collaboration with the US Department of Health and Human…

Can You Feel My Pain?

By Lynn Webster, M.D. / January 28, 2017 /

  Are patients qualified to determine whether or not opioids help in treating their pain? Pain Medicine Advance Access published a study that was conducted at the Back and Pain Center, University of Michigan, in Ann Arbor, MI. The Back and Pain Center is an outpatient tertiary care pain clinic where patients are evaluated for…

Creating Positive Change for Babies, One Word at a Time

By Lynn Webster, M.D. / January 20, 2017 /

I’ve been critical of the media’s language in describing aspects of the opioid crisis. To solve the opioid crisis, we have to understand it and use terms that are factual but without spin. I believe the media could be a force in motivating people — the public as well as lawmakers — to take constructive…

What Happens When Pain Changes a Cop’s Perspective?

By Lynn Webster, M.D. / January 13, 2017 /

  A cop who arrested addicts is now experiencing life as a pain patient and has a much different perspective.  You can read Nick Selby’s first-person account of “what happens when pain meets bad health policy and bad drug laws” in the Washington Post. He tells his story well, and it’s one that’s familiar to…

President Obama, Overprescribing Isn’t the Only Reason for the Opioid Epidemic

By Lynn Webster, M.D. / January 7, 2017 /

  President Barack Obama wrote in the January issue of the Harvard Law Review, “As their [prescription opioids] use has increased, so has their misuse.” This is true, but blaming only overprescribing of opioids for the current opioid crisis demonstrates a lack of understanding about the complexity of the problem. The putative argument President Obama…

Misguided Repeal to Cure Opioid Crisis Ignores Patients’ Pain

By Lynn Webster, M.D. / December 28, 2016 /

Once again, I read the Intractable Pain Act (along with the section of it known as the “Pain Patient’s Bill of Rights”) which was passed by the Tennessee House and Senate in 2001 and repealed in 2015. I did not see anything in the legislation that supports the statement made by Knox News columnist Frank…

Media Reports About Opioids Have the Wrong Focus

By Lynn Webster, M.D. / December 22, 2016 /

The headline reads, “As prescription opioid addiction rises, help from doctors lags.” That belies the following statement by Washington Post reporters Scott Clement and Lenny Bernstein: “Despite the high rate of dependence, the poll finds that a majority of long-term opioid users say the drugs have dramatically improved their lives. Opioids relieve pain that is…

The Disturbing Myth of the Gateway Drug Theory

By Lynn Webster, M.D. / December 17, 2016 /

  In 2012, Vanyukov et al published an article describing two separate views on the role that drugs play in initiating an addiction (Drug Alcohol Depend 2012;123:S3-S17). One is the “gateway theory” and the other is the “common liability to addiction concept.” The gateway theory places the drug as the primary factor in initiating a…

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