July 5th, 2010 by Shadowfax in Better Health Network, Health Policy, Opinion, True Stories
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I don’t know what’s going on with American College of Emergency Physicians (ACEP) lately, but it’s disheartening. Their abdication of responsibility and engagement during the healthcare reform debate was depressing. Then there was a rigged poll designed to elicit a predetermined result. Now I see a bizarre op-ed piece in USA Today entitled “Opposing view on drug addiction: Don’t make us ‘pain police'” and authored by ACEP President Angela Gardener. An excerpt:
The patient-physician relationship is sacrosanct, demanding candor and trust. In the emergency department, trust is built in nanoseconds because patients and doctors do not have prior relationships. Knowing that any pain prescription will be entered into a large, public database might prevent patients from being truthful, or in the worst case, from seeking needed care. … As an emergency physician, I can assure you that the drug abusers who use the emergency room simply to get a prescription drug fix represent a micropopulation of the 120 million patients who seek emergency care every year in the USA. … Put bluntly, if legislators have money to spend, they should spend it where it will do the most good for our patients, and that is not on drug databases.
I really don’t know what to say, other than to wonder whether Dr. Gardner and I practice in the same United States in which abuse of prescription drugs is growing exponentially and in which “drug-seeking” patients are a part of each and every shift worked in the ER, where deaths due to overdoses of prescription medications are on the rise, and where diversion of narcotics is a serious and growing problem. Read more »
*This blog post was originally published at Movin' Meat*
June 24th, 2010 by Edwin Leap, M.D. in Better Health Network, Health Policy, Opinion, Research, True Stories
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Every day in the emergency department I am confronted by pain. In fact, the treatment of pain is one of the most important skills emergency physicians, indeed all physicians, possess.
For instance, I recently cared for a child with sickle cell disease who was having a pain crisis which involved severe leg pain. His life is one of frequent, intense pain. I gently, and repeatedly, treated his pain with morphine until he had relief. I see hip fractures; all broken bones hurt. I am thrilled to alleviate that discomfort. Pain is one of the things I can fix, if only temporarily. It makes me happy to see the relaxed face of a man or woman with a kidney stone or migraine, who suddenly smiles and says “thanks!”
But pain is also the source of so much subterfuge. Emergency department are full of individuals who use controlled substances for recreation. I know because they have pain that is entirely unverifiable. They have terrible right flank pain with no gall-bladder, no pancreatitis, no kidney stone (documented by CT), no pneumonia or rash. They have nothing to cause the pain. And yet, dose after dose of narcotic later, snoring in their ER stretcher, they look up at me with hazy eyes and say, thickly, “Cann I gettt somethinn elsss for paaiin…it hurtssss so…bad. zzzz. Itzzz a tennn.”
So I began to wonder about science and the pain scale. Read more »
*This blog post was originally published at edwinleap.com*
June 6th, 2010 by BarbaraFicarraRN in Better Health Network, Health Tips, News, Research
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A recent report from the Centers for Disease Control and Prevention (CDC) states that one in five U.S. high school students have taken a prescription drug that they didn’t get from their doctor.
According to the 2009 National Youth Risk Behavior Survey (YRBS) that was released today from the CDC, the survey asked more than 16,000 high school students if they’ve ever taken a prescription drug such as Oxycontin, Percoset, Vicodin, Adderall, Ritalin and Xanax. Read more »
*This blog post was originally published at Health in 30*
April 10th, 2010 by David Kroll, Ph.D. in Better Health Network, Opinion, True Stories
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Last July we wrote about the 40th anniversary of the Apollo 11 moon landing and spoke of Buzz Aldrin’s autobiography about his battle with alcoholism in the years following. The post drew a comment from a reader who I’ve renamed “Anon.” It read:
Thank you so much for this post.
I am a recovering drug addict and am in the process of applying to graduate programs. I have a stellar GPA, have assisted as an undergraduate TA, and have been engaged in research for over a year. I also have a felony and was homeless for 3 years.
I don’t hide my recovery from people once I know them, but I sometimes, especially at school, am privy to what people think of addicts when they don’t know one is sitting next to them. It scares me to think of how to discuss my past if asked at an admissions interview. Or whether it will keep me from someday working at a university.
I’ve seen a fair amount of posts on ScienceBlogs concerning mental health issues and academia, but this is the first I’ve seen concerning humanizing addiction and reminding us that addiction strikes a certain amount of the population regardless of status, family background or intelligence.
I really appreciate this post. Thank you.
While I’m not a substance abuse researcher, many drugs of abuse come from my research area (natural products) — think cocaine, morphine and other opiates. I also have special compassion for folks with the biochemical predisposition to substance dependence, as I come from a long line of alcoholics, including my beloved father who I lost way too early.
With that said, I’m sure you understand how Anon’s comment hit me and how grateful I was for her appreciation. So moving, in fact, that I raised her comment to its own post. Since many of you are in academia and serve on graduate admissions committees, I figured you’d have some good advice for her. Well, you did. Read more »
*This blog post was originally published at Terra Sigillata*
March 25th, 2010 by Harriet Hall, M.D. in Better Health Network, True Stories
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One night in 1882, a critically ill 70-year-old woman was at the verge of death at her daughter’s home, suffering from fever, crippling pain, nausea, and an inflamed abdominal mass. At 2:00AM, a courageous surgeon put her on the kitchen table and performed the first known operation to remove gallstones. The patient recovered uneventfully. The patient was the surgeon’s own mother.
This compelling story is the beginning of an excellent new biography of William Halsted, the father of modern surgery, Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted, by Gerald Imber, M.D. Read more »
*This blog post was originally published at Science-Based Medicine*
