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11/28/2008 01:26 PM

Pain, and why you not have to suffer in California

Drpatty

Pain, and why you not have to suffer in California

By: Mark Norwood. Head Nurse & CEO:

MED-HELP.COM & MED-HELP.NET

In my own experiences as a patient and a nurse, I have found that too many States do not allow the use of narcotic analgesics as treatment for patients with chronic intractable pain.

Patients all over the US are suffering needlessly from doctors who are too scared to prescribe narcotic pain medication for fear of having their license revoked. Other doctors are just not properly trained in how to treat patients with the use of narcotic analgesics. Their are also those doctors from poor or third world countries who do not believe in treating patients adequately for pain. They usually come from a back grown where (in their own culture) pain is something that you just have to get used too and learn to live with. This is a Travesty!

Treatment of patients in severe or chronic pain with the use of narcotic analgesics is not only safer today with the new "hi tech" long acting narcotics, it is also more practical. Patients are far less likely to overdose with these new classes of long acting narcotics than 10 years ago when repeated dosing of short acting narcotics was the routine of the time.

I myself am tired of hearing patients tell me that their doctor has told them that they are just going to have to learn to live with the pain, (or) go in to some type of pain program. Pain Programs/Clinics Do Not use narcotic therapy as a part of their treatment plan and the worst thing is that referring doctors know this!! The use of narcotics as a part of there therapy is forbidden and other ways of controlling pain such as mind over matter as an example are the routine of choice. You can not take a patient in severe chronic intractable pain and try and tell them that they can out think it! To those doctors that use this approach I say, cut off your right finger, or better yet go out and get hit by a truck and then come back and try one of these therapies! Only then will they understand.

And to those doctors that say you are a drug seeking patient, Or he has a drug seeking personality, I say to you YES I am seeking drugs for my pain! What am I supposed to do, act like I do not really need them?

What doctors have to understand is that patients who are labeled drug seeking are just that! They are seeking to get out of pain. Studies have shown that patients suffer from chronic intractable pain, are not the typical drug addict looking for a fix! Rather they are looking for relief and to just live a normal life with some type of control over their pain.

And those doctors who do give out lets say 25 (or) 50 pills a month and have a patient sign a drug contract I say ("it just does not work that way"Wink

If a patient is in more pain on a certain day he/she is going to need more pain medication to make it through that day. Before the patient knows it he has used up his supply, And all he gets for his/her trouble is a lecture from the doctor. PAIN CONTRACTS DO NOT WORK!!

Better yet put your patient on a longer lasting pain medication like Oxycontin or a narcotic patch like Fentanyl, and give your patient a supply of short acting pain medication for break through pain. This will not only make the patient more comfortable but less likely to ride the roller coaster of ups and downs that short acting pain medications can cause.

California NOW is one of the most recent states for adopting a law to treat patients with chronic intractable pain. The law states that doctors will not be prosecuted for treating their patients with opiate pain medications. Patients also have the right to Not under go corrective surgery (if available) to treat the patients pain, and remain on narcotic pain management if it is their wish to do so.

Doctors here in California NO longer have to fear of loosing their license to treat such patients, And No longer have an excuse for Not treating their pain patients accordingly and humanely with opiate agonists.

Please read the SB 402 The California Pain Patient's Bill of Rights below and show it to your doctor or congressman to get the relief that is constitutionally yours.

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01/21/2009 04:51 PM
Noca
Noca  
Posts: 144
Member

Canadians don't have to suffer in pain. All you need to do is get a referral to a pain clinic, and they hand out opioids like candy.

01/21/2009 05:06 PM
ottawagirl
ottawagirl  
Posts: 54
Member

Hi -

I'm Canadian and I couldn't disagree more. I live in Quebec, and our regional pain clinic is in Ontario (which is all of 5 mins over the bridge) and I can't get a referral to save my life - they won't see Quebec patients. Even when I was in Ontario, it's still not that easy, we have HUGE wait lists and getting referred to the right people is like waiting for a miracle. The doctor shortages here are insane.

Perhaps Canada is better in some aspects of medical care, the States are better than us in others (ex - Mayo Clinic - we don't have those here unfortunately) but trust me, I'm suffering here!! LOL You're not alone :0)

I'm sorry to hear you're having a hard time getting access to the care you need, but unfortunately, it's a pretty wide spread problem, one that spans far beyond North America...

All the best,


01/21/2009 05:26 PM
mommadukesliz46
mommadukesliz46  
Posts: 83
Member

wow i cried when i read that, i wish i could move to ca tomorrow ... that was like the story of my life...i wonder if new york will ever adapt to that, i doubt it....i am having such a hard time finding a md who will even see me, the main reason noone here is taking my insurance right now, and we are losing md left and right and the ones who are excepting also treat the majority of drug and alcohol abuser you are lucky to get anything more than motrin 800mg because if you come in with any knowlegde you must be abusing....god it just makes me sick thinking how we have to live i just wish the md could spend just one week, hell one day in my body then i bet he would be willing to write the proper meds!!!!! liz

01/21/2009 05:35 PM
Noca
Noca  
Posts: 144
Member

Your problem arose because you were coming from Quebec(out of province health insurance issues). Yes you are correct, the wait time is long, approximately 9 months for me. But there is hope, you can always keep phoning them and ask for cancellations.

Post edited by: Noca, at: 01/21/2009 17:36


01/21/2009 06:09 PM
mitzigirl
mitzigirl  
Posts: 14118
VIP Member
I'm an Advocate

Hey Noca good to see you here once again..Hope your pain is under control and I have heard you guys have a better health care system but long waits..Drpatty ever state needs to adapt to CA thinking..I am sorry Ottwagirl that you have not had your pain needs met and that you will find the help you need soon. I also hope momma that you will find someone who will take your insurance and that you can get the help...I have been blessed with doctors out of Vanderbilt who are not afraid to treat my pain and keep trying to keep me comfortable..They are not afraid to write scripts for what I need my problems come about when I have to go to our local ER for other health problems and they want to argue I dont need all I take and I will become an addict...Well guess what I am an addict and I have to be to survive in this body and live as much of a normal life as I can....I hate dealing with those people...

Hugs and Blessings,

Viv


01/21/2009 06:12 PM
ottawagirl
ottawagirl  
Posts: 54
Member

Yes - the inter-provincial thing is a problem. But they won't take you even if you offer to pay out of pocket to attend (that goes for any other doc/specialist). I'm trying to get back to the Ontario side asap. But even then, just because there's a pain clinic, doesn't mean you get in. I've been waiting a year to see a pain doc. I really do feel we're all in the same boat, hurting, and no relief in sight...

Most of the specialists I've seen, it took about 1 yr to get in. It's unreal to think that in North America, people who are suffering are still waiting for months and months to be seen.

It's sad :0(


01/21/2009 06:20 PM
mitzigirl
mitzigirl  
Posts: 14118
VIP Member
I'm an Advocate

That is terrible ottawagirl and I feel so bad for you I wish there was something I could do it is awful to have to wait that long when your in chronic pain..because it affects everything..

Hugs and Blessings,

Viv


01/21/2009 06:21 PM
Noca
Noca  
Posts: 144
Member

At least I got on ODSP after only waiting 3 days.

01/21/2009 06:36 PM
ottawagirl
ottawagirl  
Posts: 54
Member

thx viv

I faught tooth and nail to build my treatment team, and I'm still at it.

Noca - 3 days?! My lord that must be some kind of record! LOL You're very fortunate to have gotten that huge piece of the puzzle put in place.

Best of luck to us all!

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