I am a 60yr old woman who has been on opioids for chronic pain for over 20 yrs. I have NEVER abused the medication and in all that time I have only had one increase. Those of you who leave comments that do not suffer from chronic pain, and whom also judge others who need these medications, have no idea what you are talking about and therefore, no place to comment. In fact, unless you have suffered from chronic pain day in and day out, to year in and year out, I can guarantee that if you had to live your life in chronic pain, you too would do anything to make it stop, or in most cases, get a bit of relief from it. Chronic pain destroys your life and also has a tremendous impact on your loved ones as well. Please believe me when I say, it is no way to live. It's really quite simple....what is the point of life, if you CAN'T live!
I have first hand experience of the over prescription of opiates. If you would like to know more please contact me directly. I do not like to make any of this info public. I know of more with the same experience.
I don't know what it's like to have chronic pain. Do you know what it's like to lose a child to overdose? "No place to comment," yeah just try to stop me. "Chronic pain destroys your life and also has a tremendous impact on your loved ones as well." No question. Addiction? Same.
@@wheatonna I am so, so, so incredibly sorry for your loss, dear. You are right when you say 'I have no idea what it's like to lose a child', so I cannot give any comment on that. I only know about living a life in chronic physical pain and its impact on depression. I am NOT an addict, either, and putting that label on me is one which I will forever fight. Let me be clear that opioids for chronic pain must only be used when ALL other alternatives have been tried and they MUST be taken responsibly. Again, you have my deepest and sincere sympathy.
@@wheatonna addiction destroys lives but the solution isn't to force people to buy pills on the street. It's to provide a safe and consistent supply of reasonably priced pharmaceutical grade meds and gradually taper them off under the supervision and support of a medical professional. (I say this as a person who's had 3 of my closest friends overdose - and die - in the last 2 years)
If you have severe pain and you cannot even function, an operation is not an option then yes you need some freaking pain medicine for chronic long-term pain
The way it's set up now systematically marginalizes chronic pain patients. My husband has been left high and dry multiple times and treated like a criminimal. We finally moved to Mexico where he has access to ethical health care. I almost puke everytime I see the propaganda from USA hospitals about how much they care.
Sandra and Dave my son is in the same position with a true chronic agonizing illness, and We NEED to move there also but have no idea where to go or how to go. But he is intent on taking his life otherwise. I have to get us there 😢can you tell me how you chose a safe place?
How else will you manage your constant pain? unless they come up with a better solution than opioids then us chronic pain sufferers will be left to die in agony with this rhetoric
I wonder when will this Video reach a million views. Perhaps the Pharma companies paid TH-cam to not suggest this video. I came here for my research on opioid epidemic, it is very insightful and TRUE.
Bhadresh Chaudhary we are also in a benzodiazepine epidemic that is 10x worse...the withdrawal syndrome lasts years...not weeks or months like this man's
@katie b, thats so true. and money is always the root of it. In the uk they help who they want to help but its never enough or its too much? The gps havent a clue. I have never even been asked why i take drugs and what do i get out of them? Its always you have to do this this and that...
@@jennifercoral613 not quite I would say. Yes pharmaceutical companies did and continue to do harm. I suspect the small views is because what he says is based on the disease model of addiction and the system that classifies drugs as good and bad which is totally false... The story he said is totally incomplete and some of it is wrong...
I am gathering, my son died October 29, 2019 after being 'started' through Orthopedic surgery following a ski accident breaking his clavicle! I am furious! February 2016 he was prescribed for months, there were several "treatments" which is deficient!!!! Now, I am without my child, who was brilliant and I want this to Stop! Writing my THIRD book about this as a Mother, Medicine Woman, and truth-teller! I appreciate your talk very much - Thank you! By the way, my son had a very different response to opioids and he was hyper, sweating and not slowed down he was happy and busy! I rarely meet anyone else who has this experience and I am want to interview others who had this experience as well. This was a business venture and it took advantage of our people, our children, leaving us broken, crushed and trying to put our lives back together after absolute fight or flight level STRESS for in our case, over 2.5 years with the final thrust of pain being the death! My goodness, who does this? Selfish people!
@@djkk464 thank you, I have learned he had a sympathomimetic toxidrome which made it seem as if he were taking a stimulant with diaphoretic, spastic, agitated, and it was a lot!
I know that many times people who have ADHD, me being one, that our reactions to drugs can be the opposite of the drug's intended effect. I once unknowingly took a Xanax, my friend gave it to me because I had wrenched my back and told me it was a mild muscle relaxer she had. I was still scrubbing my floors at 3 am. Never took anything stronger than an extra strength Tylenol after that experience! Also, told her off! Lol
@@bonitadiablo yes, I agree and I believe that UNDERNEATH "ADHD," is thyroid deficiency and that this produces the sympathomimetic effect that I observed with Xanax and Opiates with my son. Thanks for your support.
I have young onset Parkinson’s Disease. I will turn 58 this week. I just started taking Percocet last week. I’ve had PD officially for over 20 years, but knowing the early symptoms now (loss of smell, swallowing issues, sleeping issues, constipation, etc.), it is clear that I’ve had PD for over 30 years. Most of my life. And pain. Lots of pain. Even when doctors recommended opiates, I refused. I am going to have Parkinson’s the rest of my life. I wanted to put off opioids as long as possible. And here I am. PD is chronic and progressive. Opioid use for the last 20 or so years of my life has always been my health care plan. Addiction to opiates IS THE PLAN. It’s part of seizing some quality of life. Unless you have a cure for PD, I’m going to have more and more severe pain. I plan to use opiates for the rest of my life. I have to plan for or need of rehab. Not being needlessly in excruciating pain is a good thing. And the pain level of 1-10 is ridiculous. I’ve had a kidney stone. I’ve had an inner ear infection. My idea of a 5 is probably a 10 for you. And why should I be made to bear it? I don’t have a drug problem. I have a pain problem. How dare any of you tell me to take ibuprofen and just deal with it. Come talk to me when you’ve had PD for 30 years.
This guy is on the board of directors of a group called PROP (Physicians for Responsible Opioid Prescribing). The executive director is psychiatrist from New York named Andrew Kolodny. PROP had a big role in shaping the 2016 CDC Guidelines for Prescribing Opioids for Chronic Pain. Kolodny has no background in chronic pain. Johnson's an ER doc. Their primary goal is to stop people who suffer from chronic pain (cancer survivors, gun violence survivors, sickle cell sufferers, victims of traumatic injuries, car crashes, war injuries, people with arthritis, CRPS, trigeminal neuralgia AKA the "suicide disease", and countless other conditions) ... to stop these people from receiving relief from the most powerful family of pain medications - opioids. Kolodny worked in NY Public Health w Thomas Frieden, who later became CDC Director. PROP beliefs have infiltrated the nation's practices of pain management to a degree which is close to complete saturation, influencing state gov'ts, insurance providers, medical boards, individual healthcare providers, etc. Their beliefs have caused harms that have escalated since 2016, prompting agencies such as the American Cancer Society, the AMA, Human Rights Watch, the CDC, FDA, HHS and countless other medical entities to raise red warning flags. Their tone has increased over time to the point where the AMA, in a June, 2020, letter to the CDC, is practically SHOUTING, emphatically stating that misinterpretations of some of the reasonable points of the CDC Guidelines and various assertions based on weak to very weak evidence have harmed many, many people. HHS put out a report on pain management best practices in May, 2019, with an entire chapter on the CDC Guidelines, addressing some of the weak contentions. The CDC is in process, albeit very slowly, of revising those 2016 Guidelines. PROP, which was part of the "Core Expert Group" in 2015, is now, notably, excised and has been replaced by actual experts in chronic pain and, amazingly enough, a few actual chronic pain patients, one of whom is Kate Nicholson. Nicholson was a civil rights attorney at the DOJ for 20 years, specializing in disability rights. She wrote the regulations under the current guidelines for the Americans With Disabilities Act. Most of her time at DOJ was directing disability cases nationwide from a reclining lawn chair, as a spine surgery gone bad had her in such constant pain, she could only do her work from a reclining position. Her pain was made tolerable by opioid pain medications. She has been a fierce advocate for chronic pain patients. She was selected for the new CDC Opioid Workgroup in July. The bottom line is that this guy, Johnson, and his ilk, have been dismissed from their position in the CDC, causing more harm to people in pain. His positions have been well addressed and countered by the above mentioned groups. Viewing this American medical debacle through the lens of human rights can be done by checking out the Human Rights Watch report from December, 2018. It is titled "Not Allowed to be Compassionate" which refers to the DEA/DOJ cracking down on doctors who they deem are "over-prescribing" although there is no federal standard and federal law enforcement agents don't have any training in chronic pain management. Doctors are quite justifiably anxious at having their careers under the microscope of feds who don't have a clue about pain management while also having the power to destroy them via medical boards and public humiliation. DEA/DOJ has gone after many, many good docs, even some who were pioneering pain treatment so as to REDUCE opioid use. So, docs tread with extreme caution, some abandoning pain treatment altogether, .... "Not Allowed to be Compassionate".
PROP is a fringe group full of horror. I'm so happy that they got booted! I hear that the new CDC guidelines do not have the 90 MME limit. However, the 50 MME is still in there, the last that I heard.
Yet they still ask you to rate your pain. Why? They aren't going to treat it. They have no independent clinical judgment, and only follow randomized clinical trials, "best practice" guidelines, Board of Pharmacy regulations, and laws. A machine would make a better doc.
This is all good and fine, but if your not a canidate for surgery, with degerative disc disease, multiple array of bulging and herniated disc, gone thru literally dozens of ablations, epidurals, and MRIs . I've had to be on pain meds since 1989. I've been with a pain management Dr. for the the past 20 yrs. I've taken my meds as directed with no problem, no overdoses, no abuse. Some days if my pain level is lower, I don't need to take them. My only addiction is, I must be able to move! I refuse to sit around the house, never go out, and turn into a weak useless being. I'm not a soap opera or reality show junky. Not going there. So if that means I will be on pain meds for the rest of my life, so be it. So please don't forget the millions of people who are able to move and have a full life because of pain meds.
I appreciate a lot of Chris's points, well taken. What about the real chronic pain folks who can work and function because opioids help. They have been left out to dry. Another TED talk by Sefan Kertetesz. He actually talks about the folks in chronic pain. It is a good talk as well.
@@stevehutchinson119 They concluded this without talking to patients. It would allow me to wash dishes shower clean talk without crying sit without begging to die.
What does chronic pain patients do, when they've been on opioids for say, two decades? This is what I have wondered quite often. Don't know the answer, but as an ex-addict, I do know that there is a limit on how much opioids human body can take. What happens when you are at that limit, after being on them for years, and doctor refuses to up the dose. How many people will up the dose on their own, and eventually end up overdosing?
@@visionary556 good point… I think maybe if the health insurance situation changes, and more people are allowed to get alternative therapies and have it at least partially covered by their health insurance, that would be good to use in conjunction with. Or even in conjunction along with a slight reduction if needed. Your question about tolerance is indeed valid, but there are many people who don’t develop a tolerance Who still seem to have their regular routine cut off way too quickly but no financially possible relief to offset it with the climate these days regarding opiates.
@@bestiefswlady5251 Let's hope all kinds of alternative therapies became easier to access. And that they can provide at least some kind of relief from pain to these people. Don't know what would be the perfect way to treat chronic pain. I would think, that with opiates, it also depends very much on the patients age. I ain't a doctor, but I would guess it's not as big of a problem to describe opiates to 65 year old chronic pain patient, than to someone, who's in their twenties or thirties. At least with older patient there's not so much time for it to become a problem. Can't imagine what it would be like, if one would suffer from chronic pain, and get described opiates in their early twenties.. How will these people be able to.. ..well, live their lives at the age of 40 or 50, when even opiates don't get rid of the pain anymore. My sympathies goes out to them. Cause tolerance will increase no matter what you do. If you are human, and you are on these drugs for extended period, body will get used to them, and need more to get rid of the pain.
What is this man's solution? Taking me, a chronic neurological pain patient, off a simple opioid medication and placing me on a pill that cost $400 a month. Oh yes, I can still OD on this sorry substance... But for some reason my Dr. is now Happy
I pray ALL physicians become REQUIRED to take a BENZODIAZEPINE WITHDRAWAL EDUCATION COURSE...THE PAWS LAST FOR YEARS AND THE PAIN IS HORRIFIC...WORSE THAN A DMN ROOT CANAL...
Good talk. I'm from Australia. I have a good doctor. here. Plus you need to see a different doctor once a year to monitor your drug use and if need be help you out with a rehab program.
Being s chronic pain patient I don't think we should take enough to not feel any pain at all Yes this is the way we should talk about it honestly with real facts and real answers
Why did the audience find the handful of pills funny…it’s quite telling, it wasn’t supposed to be. The US may also want to look at their food industry, the ties between corporate and Govt runs across the US and the ppl do not benefit. Greed …
quit blaming the meds, I'm cutting way down, it's the young people living on the streets taking fentanyl who are making us the elderly suffer, big brother, has to blame someone other than themselves!
How about a video from someone on how to handle chronic pain in an 80 year old. Instead of telling us all how bad the cures are. Just a few years ago I was active, ping pong, long walks, sailing, golf, etc. After getting off all opioids due to the govt and people like you I can sit around and watch tv all day and die faster due to lack of exercise and diet. If you are going to say don't do this , also give a suggestion on what to do to enjoy your last years on the planet.
Well that is a good description of the problem ; So what about the victims? So now the hot investment 's are methadone clinics ,You want to talk about irresponsible ?You never get off that and the clinic will bring you up to a dose that is absurd ; and not dose you if you cant pay ,no compassion and whats more frightening is the lack of expertise,The problem is horrible if your caught up in it .
He is right about system. We need new medical system starting from medicine approval organization ran by public not government. That would be great start
All poor people do not suffer with mental health issues =) Many poor people are disabled in some way though, and I can't imagine poor being too fun. Hopefully, we can work together as a community and make it better for us all?! Hopefully people who need help, get the help they need and don't give up because they're here for a reason. Take care.
The "drug crisis" are happening all over the world. The whole pain being the fifth vital sign should have stayed. When you are dealing with severe pain in people with Rare incurable diseases ( remember most are progressive diseases) there's no other medication but Rx opioids that'll give them quality of life ! Tylenol is great for everyday use ( no label ever said) We need safe and effective medication when we live with Intractable pain. CNS pain diseases such as RSD, a disease I have lived with for sone 30 years, along with Lyme, last stage OA from the Lyme and many others, what would the government like for us to do after we're force tapered and ready to die from extremely high blood pressure, along with fluctuating pressures, the inability to care for ourselves anymore. Nursing facilities would be flooded with calls lonfer wait lists! Families burdened, and many pain patients, I imagine, would go to the streets out of desperation for relief from that horrific severe pain! They too would perish from the poison & fake meds out there. GOD HELP US! STOP with opioid manufacturers bashing. They're the same companies who manufacture med for your diabetic Mom or Dad. The same companies that sell antibiotics that save lives every day. The insanity with putting innocent Drs in jails and prisons. The federal government robbing them andntheir families of a lifetime of earnings. Their homes, marriages they lose literally everything for doiythe job they were trained to do. To First Do No Harm. Th sudden turn on legal medications happened so abruptly for some of us that it killed us! Please dont minimize what happened to these patients and their families. Because the war is on us. And We didn't do a thing to deserve the suffering that was laid upon us..
17:24 Had my first back surgery at 18 and have had multilevel spinal problems(Cervical and Lumbar). I also have Trigeminal Neuralgia an extremely painful permanent disease. I have hear this by doctor for half my life that I have been in chronic pain. Over the course of that I have tried ever thing from shots to ablations to nerves and years of PT. I have done CBT(Dr. Rachel Zoffness) based therapy and Biofeedback(Dr. Inna Z Khazan). While this is important to do nothing as every been as effective at letting me life a productive life without going on the poverty trap that is disability in the US as Opioids have. They are such an important tool in my toolbox that I doubt I would still be here without them as they are that important.
@@eagledice2008 I'm dependent not addicted as there is not an emotional competent. This is really important part of not becoming addicted. There is also the genetic part where I don't have large amounts of euphoria that others report. No, I"m still in pain even on the opioids & the other non opioids that I have to take. This is because their use in my context is for function not being depressed on the couch. Something both me and my doctor agreed on early on. There is a big difference between being drunk and taking medication to get more functionality out of a disabled body. That "high" your talking about does not really happen in the way your describing. This is likely due to the wide scale and unbearable pain that I have. To top that all of I have been dose stable of years now. Meaning no increases and I'm still getting relief from their use. Does stability as been achieved by using low dose THC/CBD/CBN/CBG. Those combination have seen results in the scientific literature keeping opioid dosages low from a specific way they operate together in the brain. All that is to say your wrong.
@@mousethefoo1230 unless someone’s been really hurt or had continuous pain throughout life they wouldn’t understand. I totally agree with you. The guy in the video is a bureaucrat plain and simple. I would like to hear from doctors that Have actually been dependent on opiates before I’m sure it exists
@@bobs6129 I know he would not understand but there might be people who are resistant to opioids just based on the stigma it could help them. To you last point is how I know drive the point home with doctors now. The vend diagram of doctors who have chronic pain and who use opioids is a circle or dam near it. I have seen videos here on youtube of that specific cohort of people. One had a doctor who developed fibromyalgia and he said they uses to consider it a pysc problem he was in medical school 15 years before the video was shot. Even people who preach chronic pain as a Bio/Pysc/Social problem like Rachel Zoffness PHD will still discount opioids. As far as I know she does not have chronic pain, which for me verifies that few doctors really understand.
What's missing here? The solution to chronic pain! Just let people be in pain is all I could gather. I was hoping to here alternatives to opioids. No alternative was offered. ☹
There needs to be a massive civil and criminal lawsuit against Perdue and other pharma companies on behalf of all victims. I am talking huge monetary lawsuit. Detox and rehab centers should be 100% funded by these companies.
We need to find ways to “solve” chronic pain. Orthopedics should revolutionize itself as they are also responsible for this with operations. I think the solution is to invest more in regenerative medicine.
How else will you manage long term excruciating pain? unless they come up with a better solution than opioids then us chronic pain sufferers will be left to die in agony with this rhetoric
Western medicine and it’s correlated lifestyle does not allow for you to actually heal from chronic pain. That’s too much like right for western medicine to get to the root of an ailment.
Chris, the Space study (Krebs 2018) that you cited is very flawed: The average dose for the opioid group was 22 MME (around 20 mg Hydrocodone daily), which is outside typical therapeutic dose for someone with moderate to severe OA pain, yet the non opioid arm had high doses of acetaminophen, ibuprofen, as well as other meds like Cymbalta, Gabapentin, and Tramadol Tramadol, an opioid, was used in the non-opioid arm of the study. The scope of the study was quite small, which in and of itself isn't a problem, if it weren't applied to those outside the scope of the study As stated above, CPP's other than with OA were excluded, and well as anyone on chronic opioid therapy, which is a problem because it's applied to all CPP's with all painful conditions Does not represent or apply to patients with a significant history of using opioids for CNCP, yet it is applied to all CPP's taking opioids Initial opioid limit was 200 MED/day; changed/reduced mid-study (so it's quite possible they didn't prescribe enough opioids for adequate pain relief, yet in the non opioid group, the medications were in high doses and many different meds were used) Of 4,485 with prior month health record of back or lower extremity pain, only 265 enrolled.1,843 declined to participate and 2,377 did not meet pain diagnosis and severity criteria (common exclusions: fibromyalgia, migraine, opioid or benzo use, mental health condition and substance use disorder). Problems with how it's been applied: 87% were male, yet it is frequently used as a reason to force taper conditions specific to women like endometriosis They excluded chronic pain patients yet it's applied to all chronic pain conditions like Fibromyalgia, Lupus, Crohn's, and even Sickle Cell Disease They excluded those dependent on opioids yet it's applied to all dependent on opioids and used as a reason to force tapers Even though both groups had decreased pain and increased function, it's used to show that opioids don't work for pain yet it's also used to show OTC meds do work for pain The study chose chronic pain conditions that don't typically receive opioids for treatment, and then applied it to ALL chronic pain conditions SPACE Trial was misapplied by major publications claiming the study proves that opioids don't work for chronic pain. SPACE Trial showed few adverse outcomes in the opioid arm and zero cases of OUD, doctor-shopping, or death, yet it is repeatedly used to show that the risk of addiction is higher than we thought
I broke a knee this winter and am back to no restrictions on movement after 7 weeks in a brace. Excruciating pain for the first few nights is necessary and informative. Feel it and heal it.
9:05 the Jix "study" was not even an article. It was a five paragraph letter to the editor. It was a small study of patients in a controlled hospital setting!
Wait, you said no studies show opioids don't work for long term chronic pain? Yes, yes they do!! It is possible to take opioids daily, without becoming addicted mentally. The body gets used to it, but it also helps with the pain and gives the person a better quality of life. With the ability to be physically active, take care of their family, go grocery shopping, because pain isnt forcing them on the couch or in bed.
Quite a few years ago there was a BBC lunchtime news feature on a trial to cure chemical addiction. It was reported to be +90% effective in the trials so far. It worked by measuring the frequency of the drug and then passing electrical current of the same frequency through 2 electrodes the patient held in their hands. This caused the body to quickly start to excrete the substance out through the skins pores.The clinic room even had an en-suite shower to wash it all off. I forgot all about it for years and now can find no mention of it on the net.I wish I had recorded it but I had missed the very start of the feature and thought I’ll just record the evening news and get the whole thing. It wasn’t on the evening news however.
Stopping at the nine minute 30 second marker. This is an example of collateral damage. Chronic pain, suffers, and pain suffers in general, are caught in the middle of a war between greedy people. You don’t care about what happens in the world they just care about money.
Drugs are not always the answer.. Sometimes there are alternatives.. it depends on the case.. People don't want to take the time to work on each individual or even give alternatives any credit..
Nor will the government, for instance a chiropractor does wonders for my "conditions" but it's classed as alternative medicine... yet that doesn't make sense , and the amount of harm minimization that occurs from the benefits of this practice is priceless and beyond their comprehension.. minimizes the need or relevance of opioid medications therefore minimizing things such as addiction , accidents, over medicating etc ...
“Because a system driven to sell services thrives when patients are in a state of chronic disease.” This is our real epidemic. People are putting their poor health into the hands of an industry that needs them to be sick to thrive. I gave up on this sinister system long ago, and that means I’m on my own. At least I’m not on any “medication” now in my 6th decade of this life, which is almost unheard of. But it’s all most people have. What choice do they have? The opioid epidemic is just a symptom. What’s next? Unnecessary vaccines that are causing healthy people to die suddenly, perhaps?
So those of us who have incureable health problems, who dont abuse, and need medication to live life with little pain, like only taking 3 vicodin a day, have to be put to the side, and have medical industry tell us we dont need, just take gabapentin that screws with my head, are left to suffer?!?!
While on opiates, I was literally vomiting every day for YEARS. I have been in more pain through my withdraw than I haven’t ever have beforehand. Ever. I haven’t puked much in my withdraw (thankfully) but again, literally was every day while on drugs.
The state of chronic pain is prescriptions opioids are down over 50%, illicit overdoses are up over 1000% during the same time period, [SAMHSA] and half a million opioid pain patients are dead from 100% preventable suicide after rapid and forced. Start treating intractable pain with the actual clinical gold standard, or patients will continue to lose functionality, suffer, and die. Saying pain patients can magical think their way our of pain is the new hysteria. Treat complex intractable with safe, legal and effective opioids and save lives. Rx opioids were never the issue, and the numbers show it. It's 99.44% illicit. We know this now, and we knew it then.
At present, 400,000-500,000 Americans are estimated to have died of opioid overdoses since the turn of the millennium, then all opioid-related deaths such as accidents, suicide, hepatitis, etc. are added, while the number of deaths in covid 19 is estimated at 87,000.
The Doctor is spot on..If you have developed chronic pain due to injury, opioids are definitely not the answer. Opioids will give you short term relief but problem is the body becomes tolerant of this medication and you need to take more and more to get the same pain relief. Before you know it your pain will be as bad as ever, but now you will also need to deal with an Opiate addiction. I would not wish this on my worst enemy. Not sure if you will die stopping Opiates suddenly, but you will certainly wish you were dead getting off them. Please, for god's sake, think very carefully before taking prescription Opioids.. It's a very slippery slope leading to your worst nightmare.
I have heard that in the US, people get opioids after tooth extractions and things like that... its a shame. In europe, people with terminal illness get it, when it doesnt matter anymore if they get addicted.
Just curious, for those that do not wish to suffer from pain post surgery. (some extractions may turn into major surgery) What would you recommend for the 1-4 weeks and/or even longer recovery time frames. The CDC soon after had to send out additional information that refuted the people's harsh interpretation of the crisis.
krisztina kessel i agree that prescribing opiates long term after tooth extraction is taking it too far. Now, everyone’s pain threshold is different and some people are real pussies when it comes to pain and especially the dental procedures /teeth/the mouth, so the dr would have to judge according to the individual or course. For a real wusspants I could understand two-three days tops of a couple hydrocodone a day...that’s six doses. Too small to kill most people even if taken all at once (combined w alcohol or some sedative is of course a different story). But two or three days of two a day is plenty sufficient for almost anyone. That to me is a responsible yet sympathetic approach to it. Beyond two a day and beyond three days is completely unnecessary and just asking for trouble! Idk how the directors that irresponsibly over prescribe can live with themselves let alone keep their jobs!
I work with other women who rent shop space who take LORTAB for headaches? What are we thinking? Don't change our habits but if you have a headache your doctor will give you Lortab? After all my gathering thus far, reading parts of American Overdose and The Sackler Brothers really put this screw into place beginning in 1933 by design beginning with valium! Criminals!
@@Sketch1994 Hey Sketch, yes I have, and, I empathize, they are horrid and painful. My son, before he died from opioids just over a year ago, my only child had them (migraines) whole house had to be quiet. I have done natural wellness for clients 37 years, I'm almost 60, I hair tissue test for 5 now and I found out why the headaches, hormonal imbalances, why the anxiety, depresion, joint aches and pains, yes I did. I offer this through the mail, the hair is viable tissue sent by me to a lab of 40 years that gives us a 10-12 page patient report. My son had markedly elevated lead, arsenic and other heavy elements/metals. It took his sodium out of balance, his diet was also not copasetic with healing, he was a teen by the time I tested him and showed what "it" was. Same with one of the 3 dogs living here in our family, she had 2 hour seizures not anymore, she had elevated aluminum. $20 bottle of silica and that came down, along with careful dietary redirection. Yes, I have testimonials for decades by 100s. I am not a doctor, never wanted to be, I actually help people to help themselves. Just today a young man showed him why he can't sleep, focus and is moody.
3:21 This man either has no idea how opioids work or he's plain lying! They don't make you feel good to the point of ignoring the pain. They bind to opioid receptors which directly regulate pain vs pleasure and when dosed properly they tip the scale back to normal...not to high!
This is sad that the medical associations choose to pick making money rather than helping thief addicted customer off the legal drugs which basically destroys a persons life it's gradual and progressive ,spiralling down.
I have more trouble trying to maintain a 20 mg/day that I doubt if the effort is worth it. I figured out the formula for Aristotle's Bane, transported thru skin with DMSO. It's not safe at all, but it's what I can get.
I've been prescribed opioids on a reg basis for the past 2 months. Personally I don't like how they make me feel inside and only used 8 pills in 2 months. But I'm surprised at how easy it is to keep getting them. I have a collection now that I have to dispose of. Was told to bring them back for pharmacy to dispose of but I'm afraid they will reuse them for someone else 🤷
When I have extra pain pills, I lock them up and keep them in case of emergency, or if I find myself getting cut off. Many people in pain can't get them anymore. I NEVER give them away, because that's a felony.
Sometimes I feel like 95% of the planet is on OPOIDS. *I ask the LORD, this has to be a COMEDY SKIT because nobodys common sense is that awful. *You think I'm under the INFLUENCE? I shake my head about 5-6X everyday.
It's only a crisis if it affects white people, eh? What about the crack epidemic of the 1980s? That so-called "war on drugs"? Nah, don't wanna talk about that, huh?
One of the most amazing things I’ve ever heard!!! Thank you so very much❤️ Shame on all the pill pushers who created this mess that effects us all…. For a dollar bill… sad!!
Wow! Thank you Dr. Johnson. More doctors like you are needed in this country!
I am a 60yr old woman who has been on opioids for chronic pain for over 20 yrs. I have NEVER abused the medication and in all that time I have only had one increase. Those of you who leave comments that do not suffer from chronic pain, and whom also judge others who need these medications, have no idea what you are talking about and therefore, no place to comment. In fact, unless you have suffered from chronic pain day in and day out, to year in and year out, I can guarantee that if you had to live your life in chronic pain, you too would do anything to make it stop, or in most cases, get a bit of relief from it. Chronic pain destroys your life and also has a tremendous impact on your loved ones as well. Please believe me when I say, it is no way to live. It's really quite simple....what is the point of life, if you CAN'T live!
I have first hand experience of the over prescription of opiates. If you would like to know more please contact me directly. I do not like to make any of this info public. I know of more with the same experience.
🤗🤗🤗
I don't know what it's like to have chronic pain. Do you know what it's like to lose a child to overdose? "No place to comment," yeah just try to stop me. "Chronic pain destroys your life and also has a tremendous impact on your loved ones as well." No question. Addiction? Same.
@@wheatonna I am so, so, so incredibly sorry for your loss, dear. You are right when you say 'I have no idea what it's like to lose a child', so I cannot give any comment on that. I only know about living a life in chronic physical pain and its impact on depression. I am NOT an addict, either, and putting that label on me is one which I will forever fight. Let me be clear that opioids for chronic pain must only be used when ALL other alternatives have been tried and they MUST be taken responsibly. Again, you have my deepest and sincere sympathy.
@@wheatonna addiction destroys lives but the solution isn't to force people to buy pills on the street. It's to provide a safe and consistent supply of reasonably priced pharmaceutical grade meds and gradually taper them off under the supervision and support of a medical professional. (I say this as a person who's had 3 of my closest friends overdose - and die - in the last 2 years)
If you have severe pain and you cannot even function, an operation is not an option then yes you need some freaking pain medicine for chronic long-term pain
The way it's set up now systematically marginalizes chronic pain patients. My husband has been left high and dry multiple times and treated like a criminimal. We finally moved to Mexico where he has access to ethical health care. I almost puke everytime I see the propaganda from USA hospitals about how much they care.
I am not anti opioids. I am against big Pharma lying for decades, killing 100,000s, and creating the anti opioid environment.
Sandra and Dave my son is in the same position with a true chronic agonizing illness, and We NEED to move there also but have no idea where to go or how to go. But he is intent on taking his life otherwise. I have to get us there 😢can you tell me how you chose a safe place?
Having experienced taking morphine for 4 years due to chronic pain, I would like to award this man the Nobel Prize .
How else will you manage your constant pain? unless they come up with a better solution than opioids then us chronic pain sufferers will be left to die in agony with this rhetoric
Did you come out?how did you cure you pain?
@@newagemusic3203 The same way a grizzly bear deals with porcupine quills in its paw.
He wants to take our pain meds.
@@newagemusic3203 Many of these anti-opioid zealots will eventually be struck with chronic pain themselves. Then they will finally "get it".
I wonder when will this Video reach a million views. Perhaps the Pharma companies paid TH-cam to not suggest this video.
I came here for my research on opioid epidemic, it is very insightful and TRUE.
Bhadresh Chaudhary we are also in a benzodiazepine epidemic that is 10x worse...the withdrawal syndrome lasts years...not weeks or months like this man's
@@katiap6389 I am fortunate here. My doctor cut my Benzo dose almost in half, and I only suffered mild pain for a few months.
@katie b, thats so true. and money is always the root of it. In the uk they help who they want to help but its never enough or its too much? The gps havent a clue. I have never even been asked why i take drugs and what do i get out of them? Its always you have to do this this and that...
So did I.
"effective and compassionate medicine" this is the only time I've ever heard a healthcare worker describe it like that. wow.
The sad thing is the Dr's are going totally against their oaths because they are supposed to help
Why did this talk get no views??
@@jennifercoral613 not quite I would say. Yes pharmaceutical companies did and continue to do harm. I suspect the small views is because what he says is based on the disease model of addiction and the system that classifies drugs as good and bad which is totally false...
The story he said is totally incomplete and some of it is wrong...
Humans no longer like hearing the truth.
I am gathering, my son died October 29, 2019 after being 'started' through Orthopedic surgery following a ski accident breaking his clavicle! I am furious! February 2016 he was prescribed for months, there were several "treatments" which is deficient!!!! Now, I am without my child, who was brilliant and I want this to Stop! Writing my THIRD book about this as a Mother, Medicine Woman, and truth-teller! I appreciate your talk very much - Thank you! By the way, my son had a very different response to opioids and he was hyper, sweating and not slowed down he was happy and busy! I rarely meet anyone else who has this experience and I am want to interview others who had this experience as well. This was a business venture and it took advantage of our people, our children, leaving us broken, crushed and trying to put our lives back together after absolute fight or flight level STRESS for in our case, over 2.5 years with the final thrust of pain being the death! My goodness, who does this? Selfish people!
When you take high doses of opiates mainly (oxycodone) it's energizing it was made to be that way believe it or not.
I'm happy you shared your story
@@djkk464 thank you, I have learned he had a sympathomimetic toxidrome which made it seem as if he were taking a stimulant with diaphoretic, spastic, agitated, and it was a lot!
I know that many times people who have ADHD, me being one, that our reactions to drugs can be the opposite of the drug's intended effect. I once unknowingly took a Xanax, my friend gave it to me because I had wrenched my back and told me it was a mild muscle relaxer she had. I was still scrubbing my floors at 3 am. Never took anything stronger than an extra strength Tylenol after that experience! Also, told her off! Lol
@@bonitadiablo yes, I agree and I believe that UNDERNEATH "ADHD," is thyroid deficiency and that this produces the sympathomimetic effect that I observed with Xanax and Opiates with my son. Thanks for your support.
I have young onset Parkinson’s Disease. I will turn 58 this week. I just started taking Percocet last week.
I’ve had PD officially for over 20 years, but knowing the early symptoms now (loss of smell, swallowing issues, sleeping issues, constipation, etc.), it is clear that I’ve had PD for over 30 years. Most of my life.
And pain.
Lots of pain.
Even when doctors recommended opiates, I refused. I am going to have Parkinson’s the rest of my life. I wanted to put off opioids as long as possible.
And here I am. PD is chronic and progressive. Opioid use for the last 20 or so years of my life has always been my health care plan.
Addiction to opiates IS THE PLAN. It’s part of seizing some quality of life.
Unless you have a cure for PD, I’m going to have more and more severe pain. I plan to use opiates for the rest of my life. I have to plan for or need of rehab.
Not being needlessly in excruciating pain is a good thing.
And the pain level of 1-10 is ridiculous.
I’ve had a kidney stone. I’ve had an inner ear infection. My idea of a 5 is probably a 10 for you.
And why should I be made to bear it?
I don’t have a drug problem. I have a pain problem.
How dare any of you tell me to take ibuprofen and just deal with it.
Come talk to me when you’ve had PD for 30 years.
This guy is on the board of directors of a group called PROP (Physicians for Responsible Opioid Prescribing). The executive director is psychiatrist from New York named Andrew Kolodny. PROP had a big role in shaping the 2016 CDC Guidelines for Prescribing Opioids for Chronic Pain. Kolodny has no background in chronic pain. Johnson's an ER doc. Their primary goal is to stop people who suffer from chronic pain (cancer survivors, gun violence survivors, sickle cell sufferers, victims of traumatic injuries, car crashes, war injuries, people with arthritis, CRPS, trigeminal neuralgia AKA the "suicide disease", and countless other conditions) ... to stop these people from receiving relief from the most powerful family of pain medications - opioids.
Kolodny worked in NY Public Health w Thomas Frieden, who later became CDC Director. PROP beliefs have infiltrated the nation's practices of pain management to a degree which is close to complete saturation, influencing state gov'ts, insurance providers, medical boards, individual healthcare providers, etc. Their beliefs have caused harms that have escalated since 2016, prompting agencies such as the American Cancer Society, the AMA, Human Rights Watch, the CDC, FDA, HHS and countless other medical entities to raise red warning flags. Their tone has increased over time to the point where the AMA, in a June, 2020, letter to the CDC, is practically SHOUTING, emphatically stating that misinterpretations of some of the reasonable points of the CDC Guidelines and various assertions based on weak to very weak evidence have harmed many, many people. HHS put out a report on pain management best practices in May, 2019, with an entire chapter on the CDC Guidelines, addressing some of the weak contentions.
The CDC is in process, albeit very slowly, of revising those 2016 Guidelines. PROP, which was part of the "Core Expert Group" in 2015, is now, notably, excised and has been replaced by actual experts in chronic pain and, amazingly enough, a few actual chronic pain patients, one of whom is Kate Nicholson. Nicholson was a civil rights attorney at the DOJ for 20 years, specializing in disability rights. She wrote the regulations under the current guidelines for the Americans With Disabilities Act. Most of her time at DOJ was directing disability cases nationwide from a reclining lawn chair, as a spine surgery gone bad had her in such constant pain, she could only do her work from a reclining position. Her pain was made tolerable by opioid pain medications. She has been a fierce advocate for chronic pain patients. She was selected for the new CDC Opioid Workgroup in July.
The bottom line is that this guy, Johnson, and his ilk, have been dismissed from their position in the CDC, causing more harm to people in pain. His positions have been well addressed and countered by the above mentioned groups. Viewing this American medical debacle through the lens of human rights can be done by checking out the Human Rights Watch report from December, 2018. It is titled "Not Allowed to be Compassionate" which refers to the DEA/DOJ cracking down on doctors who they deem are "over-prescribing" although there is no federal standard and federal law enforcement agents don't have any training in chronic pain management. Doctors are quite justifiably anxious at having their careers under the microscope of feds who don't have a clue about pain management while also having the power to destroy them via medical boards and public humiliation. DEA/DOJ has gone after many, many good docs, even some who were pioneering pain treatment so as to REDUCE opioid use. So, docs tread with extreme caution, some abandoning pain treatment altogether, .... "Not Allowed to be Compassionate".
Wow! Thank you for the research on this...It’s always good to know the perspective of the presenter and not just accept it blindly.
You hit a Homerun with your skillful journalism. 100% correct! Thanks for your time.
PROP is a fringe group full of horror. I'm so happy that they got booted! I hear that the new CDC guidelines do not have the 90 MME limit. However, the 50 MME is still in there, the last that I heard.
Well stated!
Wonder who paid for his Tedx talk? Thanks for the info. Idiots in the comments are praising this guy for just toeing the DEA party line.
the problem with people like this is that they never believe anyone in pain now , Isn't that why people go to the doctor anyway
Got that right can't say it any better.
Yet they still ask you to rate your pain. Why? They aren't going to treat it. They have no independent clinical judgment, and only follow randomized clinical trials, "best practice" guidelines, Board of Pharmacy regulations, and laws. A machine would make a better doc.
I would listen to my doctor if he had this man's gains
This is all good and fine, but if your not a canidate for surgery, with degerative disc disease, multiple array of bulging and herniated disc, gone thru literally dozens of ablations, epidurals, and MRIs . I've had to be on pain meds since 1989. I've been with a pain management Dr. for the the past 20 yrs. I've taken my meds as directed with no problem, no overdoses, no abuse. Some days if my pain level is lower, I don't need to take them. My only addiction is, I must be able to move! I refuse to sit around the house, never go out, and turn into a weak useless being. I'm not a soap opera or reality show junky. Not going there. So if that means I will be on pain meds for the rest of my life, so be it. So please don't forget the millions of people who are able to move and have a full life because of pain meds.
I appreciate a lot of Chris's points, well taken. What about the real chronic pain folks who can work and function because opioids help. They have been left out to dry. Another TED talk by Sefan Kertetesz. He actually talks about the folks in chronic pain. It is a good talk as well.
The dr said opioids don't work for chronic pain.
@@stevehutchinson119 They concluded this without talking to patients. It would allow me to wash dishes shower clean talk without crying sit without begging to die.
What does chronic pain patients do, when they've been on opioids for say, two decades? This is what I have wondered quite often. Don't know the answer, but as an ex-addict, I do know that there is a limit on how much opioids human body can take. What happens when you are at that limit, after being on them for years, and doctor refuses to up the dose. How many people will up the dose on their own, and eventually end up overdosing?
@@visionary556 good point… I think maybe if the health insurance situation changes, and more people are allowed to get alternative therapies and have it at least partially covered by their health insurance, that would be good to use in conjunction with. Or even in conjunction along with a slight reduction if needed. Your question about tolerance is indeed valid, but there are many people who don’t develop a tolerance Who still seem to have their regular routine cut off way too quickly but no financially possible relief to offset it with the climate these days regarding opiates.
@@bestiefswlady5251 Let's hope all kinds of alternative therapies became easier to access. And that they can provide at least some kind of relief from pain to these people.
Don't know what would be the perfect way to treat chronic pain. I would think, that with opiates, it also depends very much on the patients age. I ain't a doctor, but I would guess it's not as big of a problem to describe opiates to 65 year old chronic pain patient, than to someone, who's in their twenties or thirties. At least with older patient there's not so much time for it to become a problem. Can't imagine what it would be like, if one would suffer from chronic pain, and get described opiates in their early twenties.. How will these people be able to.. ..well, live their lives at the age of 40 or 50, when even opiates don't get rid of the pain anymore. My sympathies goes out to them. Cause tolerance will increase no matter what you do. If you are human, and you are on these drugs for extended period, body will get used to them, and need more to get rid of the pain.
All doctors aren’t created equally that’s for sure.! Wish my dr was like this man.!
What is this man's solution? Taking me, a chronic neurological pain patient, off a simple opioid medication and placing me on a pill that cost $400 a month. Oh yes, I can still OD on this sorry substance... But for some reason my Dr. is now Happy
I pray ALL physicians become REQUIRED to take a BENZODIAZEPINE WITHDRAWAL EDUCATION COURSE...THE PAWS LAST FOR YEARS AND THE PAIN IS HORRIFIC...WORSE THAN A DMN ROOT CANAL...
"meeting corporate imperatives above all else". The free market giveth, the free market taketh away.
The sad part is many people have alot of pain as we age and we look for some thing to help us out of the pain, so it's a natural aging problem
One of the best Ted talks I've heard in a long time!
Good talk. I'm from Australia. I have a good doctor. here. Plus you need to see a different doctor once a year to monitor your drug use and if need be help you out with a rehab program.
Being s chronic pain patient I don't think we should take enough to not feel any pain at all Yes this is the way we should talk about it honestly with real facts and real answers
This guy looks like he never pushed a broom in his life. I’m just saying he doesn’t know a chronic pain is.
Why did the audience find the handful of pills funny…it’s quite telling, it wasn’t supposed to be. The US may also want to look at their food industry, the ties between corporate and Govt runs across the US and the ppl do not benefit. Greed …
quit blaming the meds, I'm cutting way down, it's the young people living on the streets taking fentanyl who are making us the elderly suffer, big brother, has to blame someone other than themselves!
How about a video from someone on how to handle chronic pain in an 80 year old. Instead of telling us all how bad the cures are. Just a few years ago I was active, ping pong, long walks, sailing, golf, etc. After getting off all opioids due to the govt and people like you I can sit around and watch tv all day and die faster due to lack of exercise and diet. If you are going to say don't do this , also give a suggestion on what to do to enjoy your last years on the planet.
IT'S AN INDUSTRY...
ALL INDUSTRIES ARE PROFIT MOTIVATED...
THEREIN LIES THE FAILURE.
WE USED TO HAVE 'MEDICAL ARTS'...
Well that is a good description of the problem ; So what about the victims? So now the hot investment 's are methadone clinics ,You want to talk about irresponsible ?You never get off that and the clinic will bring you up to a dose that is absurd ; and not dose you if you cant pay ,no compassion and whats more frightening is the lack of expertise,The problem is horrible if your caught up in it .
He is right about system. We need new medical system starting from medicine approval organization ran by public not government. That would be great start
Thats the whole TRUTH and nothing but the TRUTH so help me GOD
What creates addiction is lack of mental heath care to the poor.
All poor people do not suffer with mental health issues =) Many poor people are disabled in some way though, and I can't imagine poor being too fun. Hopefully, we can work together as a community and make it better for us all?! Hopefully people who need help, get the help they need and don't give up because they're here for a reason. Take care.
There's a lot more to it than that. Addiction is multi-causitive
Amen
Loneliness
addicted to golf, but i love to smoke weed.
The "drug crisis" are happening all over the world. The whole pain being the fifth vital sign should have stayed. When you are dealing with severe pain in people with Rare incurable diseases ( remember most are progressive diseases) there's no other medication but Rx opioids that'll give them quality of life
! Tylenol is great for everyday use ( no label ever said) We need safe and effective medication when we live with Intractable pain. CNS pain diseases such as RSD, a disease I have lived with for sone 30 years, along with Lyme, last stage OA from the Lyme and many others, what would the government like for us to do after we're force tapered and ready to die from extremely high blood pressure, along with fluctuating pressures, the inability to care for ourselves anymore. Nursing facilities would be flooded with calls lonfer wait lists! Families burdened, and many pain patients, I imagine, would go to the streets out of desperation for relief from that horrific severe pain! They too would perish from the poison & fake meds out there. GOD HELP US! STOP with opioid manufacturers bashing. They're the same companies who manufacture med for your diabetic Mom or Dad. The same companies that sell antibiotics that save lives every day. The insanity with putting innocent Drs in jails and prisons. The federal government robbing them andntheir families of a lifetime of earnings. Their homes, marriages they lose literally everything for doiythe job they were trained to do. To First Do No Harm. Th sudden turn on legal medications happened so abruptly for some of us that it killed us! Please dont minimize what happened to these patients and their families. Because the war is on us. And We didn't do a thing to deserve the suffering that was laid upon us..
17:24 Had my first back surgery at 18 and have had multilevel spinal problems(Cervical and Lumbar). I also have Trigeminal Neuralgia an extremely painful permanent disease. I have hear this by doctor for half my life that I have been in chronic pain. Over the course of that I have tried ever thing from shots to ablations to nerves and years of PT. I have done CBT(Dr. Rachel Zoffness) based therapy and Biofeedback(Dr. Inna Z Khazan). While this is important to do nothing as every been as effective at letting me life a productive life without going on the poverty trap that is disability in the US as Opioids have. They are such an important tool in my toolbox that I doubt I would still be here without them as they are that important.
You’re addicted opioids don’t work you don’t feel the pain because you’re drunk all the time
@@eagledice2008 I'm dependent not addicted as there is not an emotional competent. This is really important part of not becoming addicted. There is also the genetic part where I don't have large amounts of euphoria that others report. No, I"m still in pain even on the opioids & the other non opioids that I have to take.
This is because their use in my context is for function not being depressed on the couch. Something both me and my doctor agreed on early on. There is a big difference between being drunk and taking medication to get more functionality out of a disabled body.
That "high" your talking about does not really happen in the way your describing. This is likely due to the wide scale and unbearable pain that I have. To top that all of I have been dose stable of years now. Meaning no increases and I'm still getting relief from their use. Does stability as been achieved by using low dose THC/CBD/CBN/CBG.
Those combination have seen results in the scientific literature keeping opioid dosages low from a specific way they operate together in the brain.
All that is to say your wrong.
@@mousethefoo1230 unless someone’s been really hurt or had continuous pain throughout life they wouldn’t understand. I totally agree with you. The guy in the video is a bureaucrat plain and simple. I would like to hear from doctors that Have actually been dependent on opiates before I’m sure it exists
@@bobs6129 I know he would not understand but there might be people who are resistant to opioids just based on the stigma it could help them. To you last point is how I know drive the point home with doctors now. The vend diagram of doctors who have chronic pain and who use opioids is a circle or dam near it. I have seen videos here on youtube of that specific cohort of people. One had a doctor who developed fibromyalgia and he said they uses to consider it a pysc problem he was in medical school 15 years before the video was shot. Even people who preach chronic pain as a Bio/Pysc/Social problem like Rachel Zoffness PHD will still discount opioids. As far as I know she does not have chronic pain, which for me verifies that few doctors really understand.
@@eagledice2008 it depends on the person. Some people respond more to opiates, some respond better to NSAIDs
You are apart of the business.
What's missing here? The solution to chronic pain! Just let people be in pain is all I could gather. I was hoping to here alternatives to opioids. No alternative was offered. ☹
Yes. I heard the doctor make no suggestions at all as to how we are supposed to live with chronic pain.
There needs to be a massive civil and criminal lawsuit against Perdue and other pharma companies on behalf of all victims. I am talking huge monetary lawsuit. Detox and rehab centers should be 100% funded by these companies.
Fda, cdc, and Dea are just as culpable if you ask me
Time for the US to take healthcare public
This is excellent! Spot on. People need to start listening to this man.
Absolutley
DOCTORS ALSO NEED TO SEE THIS.
I agree 100%. This should be on the news.
@@claudiaarzillo1626 correct
@djkk thats true. But there too busy to see it lol
Best thing is go natural pain killer meangda green Kratom , a natural pain killer
Thank you!
Opioids do work for my chronic pain. I never became addicted.
Yes you did
Obviously, u r in the minority
Try quitting then
@@BiblicalJosephXP I have way too much pain.
Please include a transcript to make this video/talk more accessible.
Excellent presentation Doctor
It begs the question, are they really in it for our safety? Or our suffering?
Slow death so they can profit longer
And yet doctors sign an oath "First do no HARM" .....
Just money they don't care for you or me
@brian i asked my dr to detox me off a pain killer and she refused point blank? But what doesnt break you makes you harder??
@@MsLaleeLoo No, they sign no such oath. Ever met one who has?
We need to find ways to “solve” chronic pain. Orthopedics should revolutionize itself as they are also responsible for this with operations.
I think the solution is to invest more in regenerative medicine.
No. Just bring opiates back for prescription.
Acupuncture is a great alternative way to relieve pain.
Why are people in the crowd laughing at this? Smh.
Why not start prescribing pain medication again? Instead of a lame apology.
Many,many people are becoming addicted to pain killers by being prescribed them and they the patient becomes unwittingly addicted to it .
Strong opiods don't take chronic pain away. They just make you happier.
3hy did we allow these same criminals to be in charge of our vaccines,?
How else will you manage long term excruciating pain? unless they come up with a better solution than opioids then us chronic pain sufferers will be left to die in agony with this rhetoric
The care quality of medical treatment you received must be so bad to have years of excruciating pain
Western medicine and it’s correlated lifestyle does not allow for you to actually heal from chronic pain. That’s too much like right for western medicine to get to the root of an ailment.
@@RunninChic620 Often times there’s nothing that can be done though - hence the terminology, “long term chronic pain patient.”
Chris, the Space study (Krebs 2018) that you cited is very flawed:
The average dose for the opioid group was 22 MME (around 20 mg Hydrocodone daily), which is outside typical therapeutic dose for someone with moderate to severe OA pain, yet the non opioid arm had high doses of acetaminophen, ibuprofen, as well as other meds like Cymbalta, Gabapentin, and Tramadol
Tramadol, an opioid, was used in the non-opioid arm of the study.
The scope of the study was quite small, which in and of itself isn't a problem, if it weren't applied to those outside the scope of the study
As stated above, CPP's other than with OA were excluded, and well as anyone on chronic opioid therapy, which is a problem because it's applied to all CPP's with all painful conditions
Does not represent or apply to patients with a significant history of using opioids for CNCP, yet it is applied to all CPP's taking opioids
Initial opioid limit was 200 MED/day; changed/reduced mid-study (so it's quite possible they didn't prescribe enough opioids for adequate pain relief, yet in the non opioid group, the medications were in high doses and many different meds were used)
Of 4,485 with prior month health record of back or lower extremity pain, only 265 enrolled.1,843 declined to participate and 2,377 did not meet pain diagnosis and severity criteria (common exclusions: fibromyalgia, migraine, opioid or benzo use, mental health condition and substance use disorder).
Problems with how it's been applied:
87% were male, yet it is frequently used as a reason to force taper conditions specific to women like endometriosis
They excluded chronic pain patients yet it's applied to all chronic pain conditions like Fibromyalgia, Lupus, Crohn's, and even Sickle Cell Disease
They excluded those dependent on opioids yet it's applied to all dependent on opioids and used as a reason to force tapers
Even though both groups had decreased pain and increased function, it's used to show that opioids don't work for pain yet it's also used to show OTC meds do work for pain
The study chose chronic pain conditions that don't typically receive opioids for treatment, and then applied it to ALL chronic pain conditions
SPACE Trial was misapplied by major publications claiming the study proves that opioids don't work for chronic pain.
SPACE Trial showed few adverse outcomes in the opioid arm and zero cases of OUD, doctor-shopping, or death, yet it is repeatedly used to show that the risk of addiction is higher than we thought
Addiction rate for prescription opioids is 3%. They always try to make it look like a lot more. Dr. Krebs, like Dr. Johnson, is very anti-opioid.
I don't think this guy understands the difference between opiates and opioids.
I broke a knee this winter and am back to no restrictions on movement after 7 weeks in a brace. Excruciating pain for the first few nights is necessary and informative. Feel it and heal it.
What is this doctors’ answer for chronic pain patients?
So now you understand the difference between a Doctor and a criminal with a degree in medicine?
What about alcohol? You know nothing about severe chronic pain.
9:05 the Jix "study" was not even an article. It was a five paragraph letter to the editor. It was a small study of patients in a controlled hospital setting!
Enlightening. 🕊️⚡
Chris Johnson nails it every time!
Addiction vs dependency ?
Wait, you said no studies show opioids don't work for long term chronic pain? Yes, yes they do!! It is possible to take opioids daily, without becoming addicted mentally. The body gets used to it, but it also helps with the pain and gives the person a better quality of life. With the ability to be physically active, take care of their family, go grocery shopping, because pain isnt forcing them on the couch or in bed.
Quite a few years ago there was a BBC lunchtime news feature on a trial to cure chemical addiction. It was reported to be +90% effective in the trials so far.
It worked by measuring the frequency of the drug and then passing electrical current of the same frequency through 2 electrodes the patient held in their hands.
This caused the body to quickly start to excrete the substance out through the skins pores.The clinic room even had an en-suite shower to wash it all off. I forgot all about it for years and now can find no mention of it on the net.I wish I had recorded it but I had missed the very start of the feature and thought I’ll just record the evening news and get the whole thing. It wasn’t on the evening news however.
Frequency of drugs and frequency of electrical current?.How both these metrics are related.Frequency of electric means amount of current?
This sounds completely made up. Chemicals aren't measured in Hertz, and it sounds like you're talking about aversion therapy, which doesn't work.
Sounds like bs
Stopping at the nine minute 30 second marker. This is an example of collateral damage. Chronic pain, suffers, and pain suffers in general, are caught in the middle of a war between greedy people. You don’t care about what happens in the world they just care about money.
Is it a reward to have pain managed? I think not.
Withdrawl is more painful.
Drugs are not always the answer.. Sometimes there are alternatives.. it depends on the case.. People don't want to take the time to work on each individual or even give alternatives any credit..
Nor will the government, for instance a chiropractor does wonders for my "conditions" but it's classed as alternative medicine... yet that doesn't make sense , and the amount of harm minimization that occurs from the benefits of this practice is priceless and beyond their comprehension.. minimizes the need or relevance of opioid medications therefore minimizing things such as addiction , accidents, over medicating etc ...
I chose chiropractor over meds....... Very happy with my decision 😁
“Because a system driven to sell services thrives when patients are in a state of chronic disease.”
This is our real epidemic. People are putting their poor health into the hands of an industry that needs them to be sick to thrive. I gave up on this sinister system long ago, and that means I’m on my own. At least I’m not on any “medication” now in my 6th decade of this life, which is almost unheard of. But it’s all most people have. What choice do they have? The opioid epidemic is just a symptom. What’s next? Unnecessary vaccines that are causing healthy people to die suddenly, perhaps?
Amen!
So those of us who have incureable health problems, who dont abuse, and need medication to live life with little pain, like only taking 3 vicodin a day, have to be put to the side, and have medical industry tell us we dont need, just take gabapentin that screws with my head, are left to suffer?!?!
While on opiates, I was literally vomiting every day for YEARS. I have been in more pain through my withdraw than I haven’t ever have beforehand. Ever. I haven’t puked much in my withdraw (thankfully) but again, literally was every day while on drugs.
Sounds like you didn't need them but kept the prescriptions going?
You were taking illegal fetanayl.
Excellent! Bravo.
Thank you doctor, to the point highly entertaining
The state of chronic pain is prescriptions opioids are down over 50%, illicit overdoses are up over 1000% during the same time period, [SAMHSA] and half a million opioid pain patients are dead from 100% preventable suicide after rapid and forced. Start treating intractable pain with the actual clinical gold standard, or patients will continue to lose functionality, suffer, and die. Saying pain patients can magical think their way our of pain is the new hysteria. Treat complex intractable with safe, legal and effective opioids and save lives. Rx opioids were never the issue, and the numbers show it. It's 99.44% illicit. We know this now, and we knew it then.
At present, 400,000-500,000 Americans are estimated to have died of opioid overdoses since the turn of the millennium, then all opioid-related deaths such as accidents, suicide, hepatitis, etc. are added, while the number of deaths in covid 19 is estimated at 87,000.
their killing us,
1,127,152 people have died from covid in america in 3 years
The Doctor is spot on..If you have developed chronic pain due to injury, opioids are definitely not the answer. Opioids will give you short term relief but problem is the body becomes tolerant of this medication and you need to take more and more to get the same pain relief. Before you know it your pain will be as bad as ever, but now you will also need to deal with an Opiate addiction. I would not wish this on my worst enemy. Not sure if you will die stopping Opiates suddenly, but you will certainly wish you were dead getting off them.
Please, for god's sake, think very carefully before taking prescription Opioids.. It's a very slippery slope leading to your worst nightmare.
This doesn't happen to everyone. I have been on a opioid for ten years and it has not happened.
I have heard that in the US, people get opioids after tooth extractions and things like that... its a shame. In europe, people with terminal illness get it, when it doesnt matter anymore if they get addicted.
Just curious, for those that do not wish to suffer from pain post surgery. (some extractions may turn into major surgery) What would you recommend for the 1-4 weeks and/or even longer recovery time frames. The CDC soon after had to send out additional information that refuted the people's harsh interpretation of the crisis.
krisztina kessel i agree that prescribing opiates long term after tooth extraction is taking it too far. Now, everyone’s pain threshold is different and some people are real pussies when it comes to pain and especially the dental procedures /teeth/the mouth, so the dr would have to judge according to the individual or course. For a real wusspants I could understand two-three days tops of a couple hydrocodone a day...that’s six doses. Too small to kill most people even if taken all at once (combined w alcohol or some sedative is of course a different story). But two or three days of two a day is plenty sufficient for almost anyone. That to me is a responsible yet sympathetic approach to it. Beyond two a day and beyond three days is completely unnecessary and just asking for trouble! Idk how the directors that irresponsibly over prescribe can live with themselves let alone keep their jobs!
I work with other women who rent shop space who take LORTAB for headaches? What are we thinking? Don't change our habits but if you have a headache your doctor will give you Lortab? After all my gathering thus far, reading parts of American Overdose and The Sackler Brothers really put this screw into place beginning in 1933 by design beginning with valium! Criminals!
@@MamaZShaman You probably haven't heard of chronic headaches or migraines...
@@Sketch1994 Hey Sketch, yes I have, and, I empathize, they are horrid and painful. My son, before he died from opioids just over a year ago, my only child had them (migraines) whole house had to be quiet. I have done natural wellness for clients 37 years, I'm almost 60, I hair tissue test for 5 now and I found out why the headaches, hormonal imbalances, why the anxiety, depresion, joint aches and pains, yes I did. I offer this through the mail, the hair is viable tissue sent by me to a lab of 40 years that gives us a 10-12 page patient report. My son had markedly elevated lead, arsenic and other heavy elements/metals. It took his sodium out of balance, his diet was also not copasetic with healing, he was a teen by the time I tested him and showed what "it" was. Same with one of the 3 dogs living here in our family, she had 2 hour seizures not anymore, she had elevated aluminum. $20 bottle of silica and that came down, along with careful dietary redirection. Yes, I have testimonials for decades by 100s. I am not a doctor, never wanted to be, I actually help people to help themselves. Just today a young man showed him why he can't sleep, focus and is moody.
That’s why Afghanistan and Iraq had to be invaded for their poppies
Bet-David brought me here...
Bet-David needs to learn the other side of the story. Many people who had their opioids taken away have committed suicide because of severe pain.
3:21 This man either has no idea how opioids work or he's plain lying! They don't make you feel good to the point of ignoring the pain. They bind to opioid receptors which directly regulate pain vs pleasure and when dosed properly they tip the scale back to normal...not to high!
Chris Johnson has a reputation of being an anti-opioid fanatic.
@@Cuinn837 Aka straight up lying!
This is sad that the medical associations choose to pick making money rather than helping thief addicted customer off the legal drugs which basically destroys a persons life it's gradual and progressive ,spiralling down.
Yeah then they threw Suboxone at it I've been weening off it a whiiile still get sick af when don't take crumb
I started clapping in front of my screen
I have more trouble trying to maintain a 20 mg/day that I doubt if the effort is worth it. I figured out the formula for Aristotle's Bane, transported thru skin with DMSO. It's not safe at all, but it's what I can get.
great content and great speaker
I've been prescribed opioids on a reg basis for the past 2 months. Personally I don't like how they make me feel inside and only used 8 pills in 2 months. But I'm surprised at how easy it is to keep getting them. I have a collection now that I have to dispose of. Was told to bring them back for pharmacy to dispose of but I'm afraid they will reuse them for someone else 🤷
When I have extra pain pills, I lock them up and keep them in case of emergency, or if I find myself getting cut off. Many people in pain can't get them anymore. I NEVER give them away, because that's a felony.
I don't know where you live, but they are not easy to get from a DOCTOR.
Remember to "Trust the Science" guys.
Liar.
why would they need to make an opiate increase dopamine?? why not just focus on cancelling out the pain?
Just say no... lock them up...
And the narcos are only the villains, eh? Purdue administration should be sharing accommodations with el Chapo
It makes me think about what they are doing with the Covid vaccines.
How much did you get paid to lie? How much in the tax payer trillion are you getting to lie about physicians and patients 😡😡😡😡
Sometimes I feel like 95% of the planet is on OPOIDS. *I ask the LORD, this has to be a COMEDY SKIT because nobodys common sense is that awful. *You think I'm under the INFLUENCE? I shake my head about 5-6X everyday.
Opiates don’t fix pain, they make you forget about the pain while simultaneously getting you hooked on them.
Bottom line is
It’s all about money just like everything else in America
Opioid crisis and tales of other medical system caused medical crisis.
It's only a crisis if it affects white people, eh? What about the crack epidemic of the 1980s? That so-called "war on drugs"? Nah, don't wanna talk about that, huh?
@@flexseal3905 the medical system is the third largest murderer in America.
@@flexseal3905 i don't know how your questions relate to the topic at hand. We are talking about the medical system of hospitals insurance etc.
Very stylish
Sackler family 😈
One of the most amazing things I’ve ever heard!!! Thank you so very much❤️ Shame on all the pill pushers who created this mess that effects us all…. For a dollar bill… sad!!