2016 Cdc Guidelines For Prescribing Opioids For Chronic Pain (Page 8)

Updated

Hey all fellow patients out there, did you know the CDC has published a list of their proposed 2016 guidelines for doctors who prescribe opioids for chronic pain? That includes oxycodone, lortab, percocet, hydrocodone, opana, suboxone, morphine, and any other drug that has an opiate ingredient in it that so many of us count on to lead normal lives!

This affects all of us and the comment period ends on January 13 2016! That's about a week from now! You know the doctors are going to have to follow whatever federal rules pass so if you are worried that you might not get the care you need please go to the gov web site for the office of the Federal Register and submit your comments to them before it's too late!

"The Centers for Disease Control and Prevention (CDC) in the Department of Health and Human Services (HHS) announces the opening of a docket to obtain public comment on the draft CDC Guideline for Prescribing Opioids for Chronic Pain (Guideline). The Guideline provides recommendations regarding initiation or continuation of opioids for chronic pain; opioid selection, dosage, duration, follow-up, and discontinuation; and assessment of risk and addressing harms of opioid use. The Guideline is intended to be used by primary care providers (e.g., family physicians or internists) who are treating patients with chronic pain (i.e., pain lasting longer than 3 months or past the time of normal tissue healing) in outpatient settings."

https:/­/­federalregister.gov/­a/­2015-31375

Editor's note: Please note that the above statement "You know the doctors are going to have to follow whatever federal rules pass" is technically correct but may be misleading in this case because the CDC draft says that it is "not a federal regulation" and that "adherence to the Guideline will be voluntary."

Editor's note # 2: The title for this discussion thread has been updated to reflect the topic most effectively.

188 Replies (10 Pages)

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141

I'm So Sorry OAKLGIRL I knew when anyone goes that far out of the way to TRY and Find Help I know you hurt I do care I just wanted Anyone Who May at least check it out I can't do much I miss being active But I Can Walk I Don't Usally Wake up Hurting to much about a 2 not the Hell of 8/9 I wish your surgery had worked and you Did Not Offend Me I'm Teuwly Sorry That you did not Get Good Results I don't like Anyone To Hurt Suffering Is Terrible and A Friend on this thread Is Right the politicians no Matter The Party BL YOU ARE RIGHT ROBERT R and oakgirl I Pray Something Comes up That Can Help I can not Belive The Lengths The GOVT. is going to to take pain meds away from PEOPLE Who Need Thease to Walk and do anything no Matter how small it makes a person feel better about themselves. Less Pain Peace

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142

Okcgrl I have 3 disk in my neck from old fusion and it still hurts but I don't hurt as bad and the bone where my nerves came out at the bottom were to tight I wish you well.

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143

Thanks Robert. I know how sucky chronic pain can be. I wouldn't wish it on anyone. Other than the physical pain is the emotional pain of dealing with docs. Addicts and pill mill operators have made it rough for legit patients. Dr treats there lifelong patients like addicts now and pharmacists give you the old stink eye. There's a difference between addiction and dependence but it seems they have forgotten there hypocratic oath; to first do no harm.

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144

They have not learned the mistakes of the past look up the laws from the late 1800'S until 1980's it is repeating I wish I had link on me but can easily be found looking up through google history of... thank you all very much on personal experience of the laser surgery I take it all in sadly the nerve that is damaged is hurting him in the area no man can bare and has turned him into a bear.. I think he could handle it better anywhere else. That along with the whole process we all know the routine of finding an honest knowledgeable doctor. He had one but retired. Since he had one tell him phantom pain!?!? The next we rushed in and his jeans were still in dryer.. my fault so he had to wear ones a little tight.. sadly that was the doctors excuse his pain was from wearing tight jeans! They don't realize how ridiculous that sounded and how far from normal truth that was. And sorry men but it's hard enough to get most of you to doctors as it is especially going through that humiliation.

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145

My Dr told me on 9-8-15 that she would Not Prescribe Any Opioids at All For Any Chronic Pain patient. she messed up my medical Records so No Dr will Ever Help me again. Thanks Dr Shahady. I really appreciate that I went to the same Practice since 1985. She was a replacement for my Dr Stephen Thompson who passed away from Throat Cancer. I tell you He was a Great Dr and Friend. I'll never have that again after what Dr Shahady Did in Written Records. I'll never TRUST a Dr again. I was asked about things. I answered Honestly about Marijuana use and asked her Not to Put this in my Records. she said she would Honor my request and then Stabbed me in the Back by doing what I Asked Her Not To Do. Had I Known Dr Shady Had A lieing Honor is have Said NO. I would tell everyone Do Not Tell A Dr The Truth. It Will Bite You. Dr Thompson Knew me Very Well and never put the Marijuana in my Records, he Kept His Word. She Did NOT and on my last visit one of the Prescriptions that She Had Written Many Many Times she wrote Wrong. When I left that Day I Felt like I'd been hit in my Head. I Was in A Daze. I could not believe this Was going on. I got home and sent the Prescriptions off to my Mail order Pharmacy. when I ordered my fill in pain medication I was told the way it was written They Would Not Cover it. I called The Drs office to ask for this to be fixed to be told my prescription was over 6 months old and Actually It was 3 months old. she Would Not by a office Manager A Woman named Don. I just do not understand how you can have a Relationship you can Trust. it's A Must For A Dr or Lawyer you Must Be Able To Trust These Two Groups Of People, Who When You Need Either There Must Be That Relationship. Without it There is No TRUST, therefore You Can't Be Honest And Totally Candid. I Realize Some May think Me A POT Head that's on you But Sooner or Later it's Going To Be Something You Do And I Was Talking About Past Times, NOT NOW. I WAS NEVER ASKED TO TAKE A DRUG PANEL. I would have had I been asked But This Is the Situation I Find Myself in. I wrote to Dr Truedy Shady To Ask Her To Take any Reference To Marijuana use In My Past Out of my Records so my Records Are Useless. Isn't the Oath FIRST DO NO HARM? WELL IM HARMED. DO NOT TRUST YOUR DR.

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146

When you call to make appointment for new doctor make sure you can talk to them they are able to use personal judgment and do not have to only go off what is written in records the good ones know there are some rotten ones out there and will be able to help you. If you can talk to them before seeing records and explain so when they get them they can see honestly helps keep the prejudging at bay in most circumstances.

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147

I am so sorry this happened to you! It's like Dr Robert Cochran ( a former pain doc and author of The Opiate Cure) said. "Us doctors are the ones causing patients to behave like addicts. We lie to them and with pain contracts they don't trust us. We make them go to the streets. And this may seem paradoxal but is it possible that we can end addiction by prescribing More not Less opiates?" He was forced out by not only treating patients with care and higher than normal doses, but he CURED folks of things like multiple-personality, narcolepsy, and other conditions. I just missed him. I got his name from my school's administrator one month after he was forced to resign. He trusted and honored patients wishes and surprise surprise, not one death or overdose!

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148

Robert R., it is a drs responsibility to write things in your medical records that can affect your treatment. There is no way that a dr remembers things about patients because they have too many. If she hadn't written in your medical records that you told her you used Marijuana, it could hurt her in some situtions. If a dr makes a mistake and writes the wrong info in yoru medical records, you can ask them to change it. If they don't, you can submit a letter that is to be put in your medical records.

You said that the prescription was three month old, what did you do for pain meds for those three months ? It is always best to check prescriptions before leaving the drs office in case mistakes have been made. Most, if not all states have laws on how long Schedule II prescriptions are valid, as well as other prescriptions. Insurance companies also have rules on how long prescriptions are valid.

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149

BL the prescription is active for 6 months. It makes me mad when a person with a degree can't do simple math to count to 6 correctly that said what I did in the 70s has Nothing To Do with Now. The DEA got on Her Not Me. I've had 4 lower back 2 neck surgeries so I Have Proof Of Spinal Problems I Have a stash of Opiates enough to make it in a deal more pain than I like. But Till I Figure it out I'll make it there Are Ways To Go Around if you know what I mean. I'm into self Reliance I Don't Trust Many Humans anymore I'm not a sheep can't Be.

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150

Robert R., you really have no way of knowing what has been said to her, if anything. She may or may not have had something said to her. Drs frequently blame the DEA, state or federal laws, etc for things that they choose to do. It could also be a situation of her learning from the mistakes that another dr has made. Drs have a professional responsibility to put accurate info in the medical records about patient history. If you haven't had marijuana since the 70's and you didn't want anyone to know, you shouldn't have told her. Combining marijuana with opiates can be dangerous.

Many years ago, there was something that I wasn't going to share with our family dr. It was personal and had nothing to do with my health, his treatment or any future treatment. I told him this and I asked him how could we do it. He told me to come in and talk to him in his office after the office had closed. I did this and we talked for a while. What I said to him never appeared in my medical records.

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151

Robert Raper, sorry I forgot to add this. If you had done without the pain meds for three months, it was obvious that you didn't need them. Drs don't want patients stocking up on meds.

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152

Sounds like your doctor gIves you 3 advance scripts a visit and dated them all same day instead of post dating them.. new doctor not aa kind and didn't research it.

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153

Wanted to pass this article on. Felt important and sadly more related than they will admit. Look at the date of the study and categories:

local8now.com/content/news/Study-addresses-Tennessees-suicide-rate-370734981.html

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154

Jenny, there is nothing that says anything about pain meds or pain meds being taken away or those committing suicide being chronic pain patients. The article says two thirds of the suicides in Tenn involve firearms. Is there another link that I am missing?

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155

Whoa Jenny, that's a LOT of suicides in Tenn. or sounds like a lot. It could be the same or worse in Ohio or SC for all I know....It's interesting the majority took their lives by gunshot and not overdose of narcotic pain medicine. Actually, I do remember reading in the local paper in NE Ohio that opiate deaths are an epidemic the past 2 years. Funny those dumb a** don't see the reason for that. Two major pain clinics were shut down and the Dr's run out of town making it pretty much impossible for people to get their pain medicine. Hmmm. I'm not a brilliant DEA or FDA agent or Governor of the state and I figured that one out.

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156

Keikee, if the pain clinincs were shut down and the drs lost their medical licenses it is because they weren't prescribing according to federal and state laws. If the drs weren't prescribing responsibly, the chances are much greater that the patients getting prescriptions were abusing or diverting them.

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157

The CDC released their Guidelines for 2016 on March 18, 2016 and they are at the link below.

CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016-
cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm

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158

Thanks for straightening me out on that BL. I should clarify that the Drs working at the clinics weren't arrested or literally "run" out of town at gun point with DEA agents hot on their tails. What I mean to convey is that those drs left town in fear of losing their prescribing privileges since (according to what I've read on this website written by chronic pain sufferers suddenly facing the complete loss of or a major reduction of their pain medicines) practically every physician who was a prescriber of narcotics has either lied to their patients or really believe the guidelines are in fact LAWS preventing them from being able to continue prescribing for said patients.

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159

Keikei what really sucks is that doctors could be our biggest allies against the fearmongering DEA CDC and little Timmy's parents who blame doc for kid misusing his opies. all the pain doctors could band together helping our voice be loud enough to not ignored or blown off when we complain of inadequate pain relief. Thanks to all our coward doctors for continuing to 'do us harm'.

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160

Keikee, drs know what the laws are and aren't, they have to. Few patients take the time to actually look up state and federal laws and read things like the CDC Guidelines. It is very important for those tha suffer chronic pain to read and know for themselves exactly what laws, guidelines and recommendations say. It won't change what a dr is going to do but at least you know what might be coming up in the future.

As long as drs go by the laws and guidelines and don't over prescribe, they won't get into trouble.

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