The Opioid Crisis

[Skeptical Greg]

I think I'll recap with Seismosaurus' response to my original post.

Long ago I worked in the UK health and safety executive. My boss explained to me that the guiding principle of all health and safety activity was that "It's acceptable to kill 100,000 people so long as you do it one at a time. But you mustn't kill 10 or 100 people all at once."

 

[Klimax]

Thank you, I could not have demonstrated my point better.

Incorrect. All you demonstrator that there is something going wrong and it doesn't look like it is law, because it actually has explicit provision for cases like yours.

You mentioned "no documentation". What does it mean? (Forgot to ask)

They're actually exactly the same for severe pain. Not sure what the severe pain patients in the UK/Europe are being prescribed, tho.

Per linked article weak opioid, paracetamol and NSAID. (page 304) Unfortunately, it is only small selection of countries. For example mine si missing.

NSAID is not surprising, Ibuprofen (under Ibalgin here) is very commonly used here too for most pain even chronic. (It's cheap and works)

Page 305 has data on how adequate mediation felt. Unusual results. Would like to know if there is any correlation with type of per-country pain medication break down. (not analyzed in paper)

 

[The Greater Fool]

Incorrect. All you demonstrator that there is something going wrong and it doesn't look like it is law, because it actually has explicit provision for cases like yours.

Yeah, but for cases like my spouse's, the provision apparently comes with a side of AZ Certification and/or DEA inspectors up their arses, which brings with it a high and uncomfortable level investigation, time, and resource drain, all for NOT breaking a law.

You mentioned "no documentation". What does it mean? (Forgot to ask)

It meant that I was not going to provide my spouse's medical records.

We are talking past each other.
1) You are telling me that in European countries the prescribe less. Some not at all. Knowing my wife's situation, I know there must be others like her. I've read about several. The rates of opioid prescriptions in other countries don't relate to one specific persons experience in America, who has tried every evidence based treatment out there.

2) I am telling you my experience here in Arizona, and you are telling me it's not the law that the Doctors are citing, it's that the Pain Specialists are wrong.

The LAW has either the intended or unintended consequence of stopping Doctors from prescribing over 90 MME. Prescribing over 90 MME is not illegal but it will get an investigation by AZ and the DEA. The fact that it is having the consequence it is means it is a bad law.

You blame who you want. You are why the Gov of AZ is brilliant. He has everyone pointing fingers at everyone else while people like my spouse are not part of the discussion.