N. J. E. R. Halts Routinely Prescribing Opiates

This hospital wants to use alternative treatments to Opiates. For instance, if you dislocate your shoulder they want to do a nerve block and after that you can have Tylenol.

Another for instance was kidney stones. They want to give you lidocaine to hopefully tide you over until the stone passes.

I don't think the addiction issue lies with people first being introduced to opiates in the Emergency Room. I think it may lie more with the physician you follow up with after the E.R.

A preposterous statement from the Chairman of Emergency Medicine at St. Joseph's Regional in Patterson:

"We know two things to be true: All chronic pain starts with acute pain. And all addiction starts with the first dose," he said. "So if we can stop acute pain from becoming chronic pain, and if we never gave an opioid, no one would become addicted." http://www.nj.com/healthfit/index.ssf/2016/03/nj_hospital_er_leads_nation_in_avoiding_opioid_pai.html

Really? Have you never heard of recreational drug use?

Gah! This whole thing is stupid to me.

 

That's easier said than done, and it only applies to certain conditions, such as the kidney stone mentioned, although I don't see how Lidocaine would work for that. There are many medical conditions, such as mine, that cause long-term chronic pain, and the only thing that brings any kind of relief is an opiod-based medication. This is just another situation in which a group of people have made it difficult for legitimate chronic pain patients. Also, this chairman of emergency medicine comes off as someone who doesn't know what they're talking about. And most people don't become addicts after being treated with opiods for short-term pain. I've had teeth pulled. broken hand, broken arm, broken leg, busted knee, broken ribs, many ankle sprains, gout attacks, etc., etc., etc. and not become addicted. This is preposterous. Yes we do have a problem, but knee-jerk overreactions just hurt those with legitimate chronic pain. The truth is that if addicts find it harder to get pills they will just go to the street for heroin.

 

last time i was in emerge there was 2 obvious addicts just there to try and score

wasting the nurses time with their bullshit ...

wasting my time


i was pleased to see they didnt get anything

i declined whatever they offered me ...decided to ride it out (i was there for kidney stones)

 

I'm glad they didn't get anything too. People like that make it tougher on those of us who need the meds legitimately. As for kidney stones, damn I heard that was painful. I thought I had one and had a CT scan that showed nothing. It turned out to be muscle pain. My doctor said "believe me, you'll know it when you have a kidney stone". I heard that passing a stone is no picnic either.

 

meanwhile the cant poop because of opiates commercial every 15mins with actors that look like there isnt anything wrong with them...






fascinating...

 

My mother became constipated from darvocet. The doctor told her to use Haley's M. O. She couldn't find it so she didn't use anything.

Eventually, when it had become worse, she used Milk Of Magnesia. That caused her intestine to perforate. She had an emergency situation, which luckily I was there for so I got an ambulance to come for her.

Stupid old quacks and naive older patients need some educating on that one, I agree, Orison.

 

I don't have many issues with that. I guess it's because I eat a high fiber diet and drink plenty of water. I also take Metamucil 2-3 times per week, so things normally run smoothly. When I was in the hospital for back surgery I did have some problems though. I was in for 6 days and didn't have a bowel movement. They had me on Demerol first, then Morphine, then Oxycodone, and eating hospital crap. On the last day a nurse came in and said today was the day. I couldn't check out of the hospital until I'd had a bowel movement. I'm not kidding. She said if I didn't she'd have to give me an enema. Needless to say I didn't want that. She said that there was one thing she could try. So a few minutes later she came back in with a cup that contained a mixture of prune juice and Milk of Magnesia. Yes, it was as nasty as it sounds, but a couple hours later I was finally able to squeeze out enough to satisfy her and earn my escape from the hospital. Since then I haven't had many problems. The old adage about an apple a day keeping the doctor away has some merit.

 

what does recreational drug use have
to do with the doctors statement?.....what he said is true...when
do you think addiction starts?...the 100th dose?...and why is it preposterous?...

.it is actually very factual...

 

I think it varies from person to person, but I don't think anyone becomes physically addicted on the first dose. The 100th? Maybe. Maybe on the 50th. It depends on a number of factors. Yes, I agree that there's a lot of abuse, which is why I said that those people are making it harder for chronic pain patients.