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Pain Medicine: Emergency Room Doctors More Likely to Prescribe Opioids to Whites Than Minorities

A new study has found that while emergency room prescribing of opioid pain medications for ER patients complaining of pain has increased in recent years, doctors are less likely to prescribe them for minority patients than white ones. Even in cases where patients complain of severe pain, such as kidney stones, the difference holds.

The study, "Trends in Opioid Prescribing by Race/Ethnicity for Patients Seeking Care in US Emergency Departments," was published this week in the Journal of the American Medical Association. It analyzed more than 150,000 ER visits between 1993 and 2005 and found racial differences in prescribing in all US regions, in both urban and rural hospitals, and for all types of pain.

The study found that the prescribing of drugs for pain in the ER rose during the period in question, from 23% of those complaining of pain in 1993 to 37% in 2005. That increase reflects increased understanding of the necessity of pain management by physicians. Now, doctors in accredited hospitals must ask patients about pain, just as they monitor vital signs. But while prescribing is on the increase, the racial divide remains.

According to the study, 31% of white patients in pain were prescribed opioids, compared to 28% of Asians, 24% of Hispanics, and 23% of blacks. When it comes to the severe pain related to kidney stones, whites got opioids 72% of the time, compared to 68% for Hispanics, 67% for Asians, and only 56% for blacks.

"The gaps between whites and nonwhites have not appeared to close at all," said study coauthor Dr. Mark Pletcher of the University of California, San Francisco.

Researchers are looking for reasons for the discrepancy. Pletcher suggested to the Associated Press that minority patients "may be less likely to keep complaining about their pain or feel they deserve good pain control."

Linda Simoni-Wastila of the University of Maryland, Baltimore, School of Pharmacy told the AP the findings could reveal some doctors' suspicions that minority patients could be drug abusers lying about pain to get narcotics. She said that according to her own research, blacks are the least likely group to abuse prescription drugs.

The study's authors suggested that the finding could indicate either that doctors are less likely to see signs of pain reliever abuse in white patients or that they are underrating pain in minority patients. Whatever the reason, it seems that the racial injustice associated with drug prohibition reaches even into the emergency room.

"It's time to move past describing disparities and work on narrowing them," Dr. Thomas Fisher, an emergency room doctor at the University of Chicago Medical Center who was not involved in the study, told the AP. Fisher, who is black, said that even he needed to be careful not to let subconscious assumptions inappropriately influence his prescribing decisions. "If anybody argues they have no social biases that sway clinical practice, they have not been thoughtful about the issue or they're not being honest with themselves," he said.

Permission to Reprint: This article is licensed under a modified Creative Commons Attribution license.
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This has been going on for years!

As a pain doctor, I noticed that an attitude amoungst many physicians, including those of color, was that the races that got less pain medication deserved them less. There is also a discrimnation against women, as compared to men. Until the crazy attitude, that the DEA knows better than doctors, how to treat the patients' pain, ends, the people will be the real losers. They are placed into a type of chronic torture after already having the bad luck to suffer form chronic intractable pain. Blacks were seen as "lazy" and Mexicans were just "over-emotional". Women were "hysterical"! (term related to uterus) Sad thing is, not only are pain patients treated this way, but so are many other medical patients. Their complaints go ignored and unheard, by doctors "too busy" to listen!.

A close relative has been cut off of her pain medicine by her family doctor. While, at the same time, another doctor (surgeon) has come up with the fact that has had wide-spread cancer! Oh, but the family doctor knows better. He has all of her records documenting the possible presence of this cancer. He told her the spot on her X-ray "was nothing"! And, he still harasses her about taking her pain medication, which she does properly as prescribed! I guess that bone pain from the cancer does not deserve treatment because she is just another "hysterical" woman!

When are doctors going to stop acting like cops and treat the patients! They don't listen any more. (They over-delegate those resposibilities to subordinates) And when are cops going to stop thinking that "all pain doctors are just drug pushers"! They, at the same time, say all people, that have to take opiates, on a daily basis, for pain control, are "addicts"?

The DEA, drug task force, or any other cops have no business in any doctor's pratice, if they can't get it right, in the first place!! What the heck ever happened to physician/patient relationship (and/or) doctor/patient confidentiality? The drug war is truely a war against the American people! Time for the cops to suffer for their abusive actions, and not the patients!

Where are you Located?

Hi I was wondering where you are located? I am a 33 year old mother of 2 and I have chronic lower back pain. My doctor tells me that it is because I am to skinny and there is nothing that he will do for it. I have told him on many occasions that Arthritis in the back runs in my family on my fathers side. He told me that I am to young for this to happen to me. I again went last week because the pains is so bad, and when I wake up in the morning it takes me forever to get out of bed. I am so stiff I actually have to crack my back to straighten out. My tail bone on the bottom of my back seems to be in the shape of a Y and that is where alot of the pain seems to be coming from. He again told me that it was because I am to skinny. Yes I am a small framed woman but I should not have to suffer because of it. I try and go shopping with my children and I cant even walk through the store without my back and legs killing me! What do you suggest that I do?

back pain

Hi,

 I suffer from debilitating back pain, and have for about 8 years. My Dr.. had me on morphine, (which is weird because morphine doesn't help back pain.) Anyway I took it for about six years. I couldn't take any more. I was going crazy. I finally went to a spine center. They deal with mostly spine issues. I was to the point I couldn't' bend to wash my kids hair in the tub. I had more injections then I care to think about. They didn't work, except the coccyx injection, it hurt but was so worth it after. They finally went in and clipped the nerves in the lower part of my back. I am pain free still, and it's been six months. They say it can last for some people years, I hope it helps. I have to take no pain meds at all, and I can get out of bed in the morning and it doesn't take 20 minutes.

Pain

It is truly over whelming with what has been taking place over the last couple of years. I have been in pain (off and on) since I was 11 years old and I am now 40. I have been under medicated and over medicated. Of course now I am being under medicated - again.

Certainly there Is a problem. However, the "powers that be", imho, are going about things wrong - for a lack of more time and energy.

All I want is to live my life. I have lost so much already. Now I am on the verge of having my business plan funded by a venture capitalist who knows an old friend. Any one who owns a business or who has ever tried to get VC funding knows what a feat it is to obtain such funding.

Yet, here I am - with a quarter the medication I need in order to enjoy my life and in Full Fear that if I do not find a doctor who will be willing to give me the amount of medication I need to function - I will Fail in my life once again. And so many people, that are depending upon me will lose out.

I am so tired of being punished because of what someone chooses to do with their freedom!! And all I want is a chance to have a life.

This topic blows my mind. I cannot even begin to fully grasp my anger. As I sit here my pain has been out of control for hours but I cannot take an other pill for nearly two more hours. Why must I suffer like this when the medication I need is available? I am tired of being angry, sad, depressed, grumpy and so forth all because I need more life giving medication that our society feels ought to be afforded to me. : ( ::::::::::::

The whole situation is just beyond words for me.

blindsided

I am a 38 year old stay at home mother.  I was taking care of my wheel chair bound mother until she died this Jan 12, 2011.  I had went to the local ER in our county back in August of 2010.  I was complaining of severe leg pains. I explained I had diabetes, and neuropathy.  I explained how one evening I looked to my husband and said "wow, my legs are starting early tonight" and with 10 minutes of that I was in the floor banging my head. I told my husband this was different, this wasn't restless leg.

I had access to some pain meds, that were not mine and took one to see if the pain would ease. It did, but as it wore off it came back in full force. I later went to the ER and I'm sorry to say, "I guess honesty is not the best policy". I told them what I had taken.  The first thing I did as the doctor came in was to have her sit and this is almost word for word what I said to her  "I know I have diabetes, and I know this sounds like neuropathy, but its not, its different. I don't want any pain meds, I just want to know what is causing this pain"... I explained that I had slipped and fell on 3 different occasions with only one being what I considered to be severe.   She promised me she would run some tests and see what might be going on.

Well, she ran blood work.  Ok, I understand that is usually step one.  Then she put in an IV of fluids; I know dehydration can cause leg cramps.. so ok..  I specifically asked them to stay away from any meds that might contain stuff in it like the OTC PM meds.  They can make my legs worse.  So next thing I know I have something added to the IV that brings me to my feet.. Not sure what it was, but it had to been in the same family as those OTC i warned them about.  Then she gave me Xanax (sp?) which at the time super upset me. I knew where this was going.  For someone who wanted no meds when I came in, they had me in real pain by time they cocktailed me up. 

I complained at the time my legs where killing me.  The doctor came in and asked at that point if i was depressed... I replied "only when my legs hurt so bad I want to vomit".. so then she game me something for nausea, lol.  and left.

At this point I knew I was up a creek without a paddle or a good doctor.  After a while they had me so drugged I don't remember much but I knew my legs still hurt.  My mother got a ride up to the ER to pick me up.  She said at this point, she knew something was terribly wrong with the doctors attitude and said mine was getting a bit rough in itself.  I was angry.  She promised to help find out what the problem was not medicate me.  She did the blood work, that was all.  She never even looked at my legs, never touched me.. honestly.  Neuropathy, Neuropathy was all she would say.  *My lab work came back Negative for Narcotics by the way.

I left there with no prescription pain meds, just a horrible case of a bad buzz.  I don't drink or use illegal drugs because I don't like that buzzed feeling.  So now I had a major buzz and was in major pain.  My mother looked at the doctor and said " I know my daughter, she is in pain. If she had come just for the drugs, she'd laid back 20 minutes ago and shut up.. if she says her legs are still hurting her they must be, or she would be passed out".

My mom, got them to just get the papers together and discharge me.  I went home almost ashamed. It was bad enough my family was suffering from my attitude attacks from being in severe pain. I refused to go back to the ER. I did what I had to do to get by as my mother declined and eventually passed away, I had to as her sole care taker.  

As I said she passed on the 12, my best friend made me go to the adjacent town's ER on the 17. The ER doc there was young, but he listened.  Because of my diabetes, and symptoms he got another senior doctor to come and listen to me as well.  After a bit of chatting and some actual doctoring... I had 3 compression fractures on my spine.  I was broken!!! I wasn't Crazy!!  I knew i wasn't.   I had a picture now and can prove it!!  

Ok.. Now here's where it gets really ugly.  The ER doc. said that they were old, had the other ER found them I could have possible went to a chiropractor for decompression which would have freed the tangled, pinched nerves, But now they were a bit old and calcified over which means a spine specialist.. NOT gonna happen.. no insurance, don't qualify for help.  The pain clinic recommended I find a family doctor to take me on for chronic pain.  RIGHT good luck on that one. But my mothers family doctor said he might make an exception if I can provide him with what medical history I can.  I got all excited.

I went to gather all my medical records. Then OH NO!!! The first ER doc labeled me as "Drug Seeking" or "Manic" and said since my labs for narcotics where 0 I was in "withdrawl"...  WHAT? HUH? NO!! my back was broken..

So now what? If I came into this doctors office with this paper, I'd kick myself to the curb. So now not only did they not diagnose me, they made the problem so bad that I would need surgery, and now they have hindered me getting any further medical attention.  Not to mention the months I spent in pain, scared to go back to the ER for help being the horrible treatment I got  (not just medically but personally).   

How do I fix this? I am scared to death to take this paper work into the new doctor who is going to review my records to see if he will help me.  He is the only doctor in 2 counties who said he would make an exception (only because he was my mothers doctor). I have no insurance, I don't have many options.  I haven't walked my dog in 6 months because of pain. I struggle day to day just to keep the house up. I about fall out in pain driving to the store, taking my kid to her games etc.  I need to find a job because of the economy to help out my husband financially, but I can't do anything.  Sitting here typing this has taken over one hour and I type fast.  I can't  sit, I can't stand, I can't lay down for very long.  I do good to get an hour and half sleep at night without waking and having to get up.

How do I get help?  How do I take this paper to this man without him laughing in my face after being labeled a "drug seeker"? I'm not.. I have proof of my pain now.  Is the fact I have proof now, going to out way her perception of me then? Do I have to have that on my record forever? Its not fair, I am not a druggie, isn't that almost like slander?   

Ok, I am sure you all have read enough. I am sorry for rambling, but my feelings were really hurt by her "notes" on my medical records. I would really appreciate any input.  I have been a "good sport" in pain for months, I am just tired now.

Thanks, NCBeth

Bias against women

If you are female and need to be treated in the ER it is always better if you have a man with you. I know this from personal experience. And many women who participate in online pain forums agree.

It's not right. It's just how it is.

I have never understood why doctors do not believe us when we say that we are in pain. I remember that one doctor told me that since I "could walk and talk" that I couldn't be in that much pain.

My pain control finally came a few years ago, but that was after decades wasted in hell.

Ruthanne

you are so right!

I suffered from endometriosis for 29 yrs.

I would go to the ER with my boyfriend and the doctor would talk to him about my period! - ?? Yup!

Well, when did her pain start? How bad does it really seem? As if I were Not even in the room! Or the patient for that matter!

I would Never got to the ER w/out a man unless I had no choice at all. Great advice. as sad as it is

Some people

It's amazing how a person with no basic intelligence or imagination will resort to childish" humor" in an effort to???As a person that's been on a waiting list for proper pain control forever,I can tell you it's no joke.Then again,neither were any of C's comments.

borden's picture

FYI

FYI, I deleted the meaningless comments to which this comment was responding. It was not a response to any of the comments appearing above now.

David Borden, Executive Director
StoptheDrugWar.org: the Drug Reform Coordination Network
Washington, DC
http://stopthedrugwar.org

chronic pain for 13 yearsI have suffered

I have suffered from chronic pain for 13 yrs and still do not get the dosage I need to come close to giving me enough pain relief to enjoy life. I am in so much pain at night I can't sleep more than 2 to 3 hours at a time. I am writing this at 5:30 am & have beeen up since 4am due to pain and have an appointment at 10:30 that I hope I can make it to with out falling asleep at the wheel. I have been trying to get my doc to believe me for years. You are right about taking your husband along, I did get the MRI I had requested 2 times before. I have raised 4 kids & have a degree in social services, I am an adult I don't lie about pain. I had all 4 with out meds, I can tolerate pain for a while but 13 years is too long.

Pain Meds

What I've noticed is doctors will give pain meds out to women like candy, but for men they suggest Tylenol or some other over the counter cure. If you do get pain meds for the exact same symptoms, they would give the guy Vicodin while giving the girl Percocet. For example: there's a better than average chance I have a slipped disc in ym back right now. I can't afford the visit to the orthopedic surgeon, so I have to rely on either the ER or clinic if it gets too bad. Their suggestion? A warm bath and some Alleve. Umm, been there, tried that, doesn't come close to helping. If you tell them the only thing that works is a 5th of Jim Bean they look at you like you're looking to get high when the reality is since you aren't using anything illegal and trying to manage the pain via the doctor and not being helped, drinking till the pain goes away or you pass out is a logical solution. I don't get it. I had a wisdom tooth out years ago and the dentist gave me a bottle full of Percocets, but back pain doesn't qualify as being as severe? Really? And they wonder why people turn to street drugs. It's because the are in pain and no one will help them. Why doctors even have the ability to prescribe pain medication is beyond me since they don't seem to like to.

Pain Meds

I am glad to know I'm not the only one who has an ongoing battle with doctors to get prescribed something to be able to function and live a productive life. It wasn't until recently (after 14 years) that I was diagnosed with lower lumbar facet arthritis. Go ahead and look up what tge symptoms are, basically I have lower back pain and widespread pain due to bone spurs on my lumbar that also inflames my nerves and causes a "binding" and "pulsing" pain from my buttocks and my thigh at the same time as my lower back hurting.. But for years I was told to take motrin and a heating pad.. And for years I was "tooyoung" I'm 35 now... But at what point do they actually start to listen aboutpain.. Just because I'm under 50 I guess I really don't have joint pain or arthritis, or tendinitis... In justfaking it to get pain meds... Like I really want to go through countless of hours and dozens of doctor visits because I'm addicted to pills.... I'd I really was I'd just buy them off the street. I can't wait to see our Heath care system fail so we can have a gov. Run system like most countries where the doctors don't have an agenda but to treat patients!! God bless America

How African American are View vs.Whites when req. Pain Rx

I had this constant pain in my groin area on/off for three years. It now very constant pain especially when I walk it has really become unbearable for me. Went to one Dr. who told me I would have to learn to live with this pain that 3 years ago. Well the pain is back and has not gone away or subsided with soaks, hot/cold treatment, otc Rx. nothing has help. This pain is so bad I can hardly walk well, went to the Dr. today

who did not examine me just asked questions, requested something for pain her advise was to keep soaking and take Advil/Aleve/ or Tylenol. No empathy no pleasent bed side manners, nothing. This how the majority of African Americans are treated when they request any pain medications. Doctors treat us as tho we are addicts w/o getting to the gist of ailments. Educated fools from Uneducated schools.

pain beyond our chronic pain

I just wanted to add that beyond the chronic pain from the multiple genetic causes of my pain for which I am once again being under medicated - I recently developed an infection in my right foot called Cellulitis. I believe that is how it is spelled.

Any way, I would honestly prefer to have a few kidney stones, a third degree burn and all of my painful conditions flared up at the exact same time than to be dealing with this gosh awful Cellulitis! But do you think for one moment my "doctor" (yes i use the term doctor loosely), would allow me to take any "extra" medication for the pain above and beyond my usual pain? No, of course he would not. So, I have now lost three weeks of working on my business plan. Not that he cares - of course.

I had surgery this past June. My surgeon is a narcotic Nazi! (sorry to use that word but it fits). He was the Only one I could find to do the surgery I have waited most of my life to have done.

Thank God above! The anesthesiologist who came to put me under for my surgery was my pain management doctor from way back when I was still a 'kid'.

He went up one side of my surgeon and down the other! My surgeon told me Not to wear my pain patch during surgery. He also planned on sending me home the same day to take my usual pain meds! My "old" doctor made it so I could put my patch back on and so I could take my break through medication before surgery began. He also made it so I could stay one night with an IV of pain medication!! I do not know what I would have done without having him come to my rescue! My post op pain was so severe I wanted to die. My "old" doc told my surgeon that he knew Nothing about pain management and that he was disgusted with his lack of compassion. I wish I could tell you everything. I mean he really stood up for me. I wish I could have had it on video to watch over and over!

Sadly, because of the way things are these days he no longer treats chronic pain patients!! : ( How awful is that a decent, compassionate human being has been forced out of helping countless people that suffer from chronic pain?? Sorry, just had to share this with you.

A Few Stories from a True Chronic Pain Sufferer & Patriot n Fear

First of all, I grew up totally normal, healthy rather tomboy girl: saving animals, riding blind horses, driving a big 'old John Deere, facing up to a Bull, surviving MANY painful injuries. I had a VERY high pain tolerance( and didn't want to look like a wussy). My whole family were Special Forces then cops or Agents, etc.-for the most part. Even in College, I was an athlete- trained dancer, singer, actress- performing starring roles. I performed injured: with stress fractures, concussions, dislocated shoulder, etc. Very painful stuff. After college, I went to Korea, and studied daily to get 2 Black belts. We did NOT use ANY pads, etc. And full contact sparred causing many more injuries: but NEVER show weakness! I was then "tapped" to join an agency that I'm still not at liberty to discuss...BUT about 8 years later into my career, I was doing something undercover to save our citizens from harm ( which I did) and I myself was placed in harm's way. I can tell you that I'm a survivor and a miracle. I should be dead. I suffered being poisoned , assaulted in every way, and tortured. We did not know what the Long term effects would be. Slowly, I started to get sick and in pain. They thought Fibro, then no. My Pituary gland had been destroyed and so I have dysautonomia. I had to get a pacemaker because my BP kept crashing and I kept breaking bones. The years of Dr shopping and being your own Advocate: YOU HAVE TO BE!!! It is almost unbearable. You are in pain,sick, can hardly get out of bed to even make it to some of these Drs who don't even look at you or touch you- CLEARLY thinking your a nut or "drug-seeker" and like I needed to waste that time! I once went to my regular Dr who could not find my BP by any means so she urgently sent me to a cardiologist. He couldn't find a pulse either! Thinking I'm a Zombie or something... He urgently called the E.R. That I was coming in and he wanted me admitted with full cardiac vest, etc. I went to hospital. They put me on cart( no man was with me - just my mom) they said they needed a urine test. I was NOT requesting any pain meds. They laid me down and did 2 "banana" bags( you know - saline hydrates you and raises your BP - so does lying down. Your BP is highest while you are lying down. ) I also suffer from VasoVagel Syncopae. It's Hypotension (low BP) that is highest lying down , gets considerably lower as you rise to sit and as you stand- whoa Nelly! Your BP might just crash! So, if you feel dizzy upon standing up quickly, get tested and take your time. Get up slower. Trust me. I have broken my arm( 2 surgeries ) crushed my face and almost died. Fallen every which way. You can't get down fast enough. And , of course, more pain to deal with. So... Back to that hospital. .. My Dr had sent me there. See, like you I'm sure, I try to stay out of E.R's like they are the Plague! They brought a Prisoner in and had him cuffed right next to my MUCH SMALLER cot touching. The nurse came back( she obviously had the results of the urine test) Now, mind you, I had given them a printed list of all the meds I was on when arriving. I don't overtake my meds or drink or do illegal drugs. She came to my cot, got in my face and literally spit in my face! She said " No wonder you've been passing out with this Fentanyl you are on!" I was on the Fentanyl patch at that time. That was all for pain. And I STILL had pain. And I could have taken 10 times more and STILL not have passed out ( as I will explain). She spit all over my face and was loud. Rude. Mean. My Drs who had sent me there knew this info too and still sent me but that was the full " By Jove, I've got it!" To her- the Nurse. They discharged me. After I was under orders to be admitted, yeah, right, I was basically kicked out because of something everyone already knew. Egregious! In response to the " Have a man with you" I have a good one for you. I was having surgery in LA at one of the TOP hospitals, TOP cardiologists. Again, my Mom was with me. I am admitted staying in a room for a few days after surgery. So, I have a nurse, nurses station right outside room AND my Dr and his entire staff 2 floors up. Before surgery it was discussed again and it is written IN BOLD on my chart that I can't take Morphine! I'm not allergic. It just doesn't work. Might as well give me Tylenol. ( Back Story: 1st Surgery in College weighed 95 lbs- I'm under anesthia - they are operating- I start to fully wake up! They are shocked- can't understand! Put me back under with more- we knew something was up with me then. Later...genetic tests proved it) So, I wake up after Surgery with pain pump with MORPHINE. I immediately call attention to the problem and demand nicely that it be changed. I am in PAIN ! I have had heart surgery! A bunch of nothing happens for hours. I didn't want to bother my husband who was out of the country since I thought me being the patient and with my Mom- my Dr right there- this shouldn't be a problem. It was. ONLY after breaking down and having my husband call from overseas- and I am not kidding, after he called the Nurses Station, my pain Pump was changed in under 10 minutes!!! Next day, the Dr takes all his residents, etc. On rounds. They come into my room. And I spoke up. I said: " what exactly is the problem here? SERIOUS Chauvinism at the least. I am the patient lying in this bed and I did not receive ANY attention - could not even get a CALL-BACK from you upstairs after surgery while I was suffering until after many hours my husband called and Boom! My needs we're taken care of. So, obviously that means the only people you care about are people with Penises" I said it. I meant it. They were guffawed: didn't know what to do. I wasn't smiling. When I was discharged, I went upstairs to tell my cardiologist off( who knew my situation and my need for more and stronger pain meds just to get relief of any kind) he was so - I don't know- he was getting old- he went off on me and my mom with the door open and said I had a problem( like I was a drug-seeker) which NO Dr who has treated me has ever said and it isn't true and HE never thought it. It was awful! He treated us awful because HE screwed up! So,I had genetic testing done and it's a double edged sword. You have your normal genetic structure and then all of these alleles ( as I understand it) and all of them can be damaged or backwards( again, I'm no Expert). Suffice it to say, that my genetic and allele damage or disruption or change has changed my body's ability to process and metabolize drugs. So, when I was poisoned... That could have killed or severely more so affected a "normal" person. And, now that I am a chronic pain sufferer and Cannot live my life without pain control. Without it, I cannot get out of bed and function like a somewhat normal person. I figure God let me live/ survive for a reason. It CANT be to just suffer lying in bed all day every day! There are Drug Addicts and Drug Dependents. We are not Drug Addicts. We are though Drug Dependent- meaning we need our pain meds to live normal lives- it is PROVEN that true chronic pain sufferers CANNOT get high!!! So, therefore we CANNOT be addicts! Addicts take drugs to Get High! We can't! We can only get a certain level of relief( and never TOTAL relief) to try to live somewhat normal lives. So, know the difference and advocate when ignorant people try to talk about stuff they know NOTHING about! Unfortunately, this is cops, DEA, judges, lawyers, lawmakers, nurses and even Drs! Unbelievable. I know Drs. That The system is making it impossible ( with our litigious society) for most Drs to make a decent living today. Cosmetic surgeons stand outside everyone else. Ob-Gyn Drs are niching down. I know of true stories where a life can be saved in an ER but only by calling in a surgeon and the surgeons are saying " No. I can't be responsible if she dies on the table". Aren't they SUPPOSED to try and save? Our society and justice system is making those choices too hard. Now, get to the Pain Drs. After years, I found a Godsend Pain Dr in CA. ( Too bad I just moved To SC- I'm screwed here). This Dr is smart, keeps educated, understands that each patient is a different and unique case, wants to help, goes out of his way to help. Amazing! But a couple years ago, the Board investigated him and "his care" meaning how much pain meds he was giving to ME and a few other of his patients. With insurance, etc. He closed his practice and went to another one Part-Time. Every script is copied and sent to the State, Feds, DEA - and they DO NOT treat everyone as an individual. My Dr personally told me. He said that they don't care about my PROOF of genetic tests that shows that I require 4 times as much meds as my "normal"twin and my body metabolizes it in 1/3 to 1/4 the time. They also don't care WHAT is wrong with me-what conditions, diseases, torture, etc. To them, everyone- every patient is just a number. And every number is allotted a certain amount of pain/ opioid meds per month ( the same for every one) that CANNOT be exceeded. So, who cares if you are dying of cancer or need more meds because you are a special case, etc. They don't. And if the Dr exceeds, he gets in BIG trouble and eventually run out of business. And this brings us to : MY BIG FEAR!!! Government hacks are controlling patient care and their medications now. I almost died and have suffered irreparably and will live in constant pain for my whole life by doing what I believed right and saving innocent lives. There is enough to keep the gov't busy... Believe me, rather than causing the suffering to suffer more. What I see happening and am TOTALLY afraid of:It's already happening. They have started to control how much meds we can get. Then, they started to cut that limit down. They are going to keep doing that. I'm already at an under medicated amount. Even Drs who WANT to help us can't and will be forced out. Drs will dwindle. It will get harder and harder to find one- to get in - to be covered. And then, when we are placed in that real rock and a hard place... What are we to do??? I am an upstanding citizen. Not a criminal. Never been arrested. I follow the law. But if they make the law so illegal that I can't LIVE- what will I do? People talk about getting meds over the Internet? Or making road trips to stock up? Or buying them illegally? Well, that wouldn't even work if there was not enough to go around. Will we have to fly out of the country to get our meds? And how will that work? I know that I don't want to do any of that. I want a Dr I trust and the meds I need. And that should be my right. But, believe me, too many people are too ignorant. If the agencies mandating these new laws knew what they were actually doing- they wouldn't be doing it. And BY doing it, they are actually making the illegal drug problem worse! People MAKE that fake oxy or whatever. I wouldn't want to take something that's not regulated. But they are forcing the herd that way. Pure IGNORANCE. We need to stand up and do something. Write to our legislators- a Grass Roots Movement. I don't know. But I do know that they are working the plan to leave us unable to live our lives- and that is a form of Torture.

A Few Stories from a True Chronic Pain Sufferer & Patriot n Fear

First of all, I grew up totally normal, healthy rather tomboy girl: saving animals, riding blind horses, driving a big 'old John Deere, facing up to a Bull, surviving MANY painful injuries. I had a VERY high pain tolerance( and didn't want to look like a wussy). My whole family were Special Forces then cops or Agents, etc.-for the most part. Even in College, I was an athlete- trained dancer, singer, actress- performing starring roles. I performed injured: with stress fractures, concussions, dislocated shoulder, etc. Very painful stuff. After college, I went to Korea, and studied daily to get 2 Black belts. We did NOT use ANY pads, etc. And full contact sparred causing many more injuries: but NEVER show weakness! I was then "tapped" to join an agency that I'm still not at liberty to discuss...BUT about 8 years later into my career, I was doing something undercover to save our citizens from harm ( which I did) and I myself was placed in harm's way. I can tell you that I'm a survivor and a miracle. I should be dead. I suffered being poisoned , assaulted in every way, and tortured. We did not know what the Long term effects would be. Slowly, I started to get sick and in pain. They thought Fibro, then no. My Pituary gland had been destroyed and so I have dysautonomia. I had to get a pacemaker because my BP kept crashing and I kept breaking bones. The years of Dr shopping and being your own Advocate: YOU HAVE TO BE!!! It is almost unbearable. You are in pain,sick, can hardly get out of bed to even make it to some of these Drs who don't even look at you or touch you- CLEARLY thinking your a nut or "drug-seeker" and like I needed to waste that time! I once went to my regular Dr who could not find my BP by any means so she urgently sent me to a cardiologist. He couldn't find a pulse either! Thinking I'm a Zombie or something... He urgently called the E.R. That I was coming in and he wanted me admitted with full cardiac vest, etc. I went to hospital. They put me on cart( no man was with me - just my mom) they said they needed a urine test. I was NOT requesting any pain meds. They laid me down and did 2 "banana" bags( you know - saline hydrates you and raises your BP - so does lying down. Your BP is highest while you are lying down. ) I also suffer from VasoVagel Syncopae. It's Hypotension (low BP) that is highest lying down , gets considerably lower as you rise to sit and as you stand- whoa Nelly! Your BP might just crash! So, if you feel dizzy upon standing up quickly, get tested and take your time. Get up slower. Trust me. I have broken my arm( 2 surgeries ) crushed my face and almost died. Fallen every which way. You can't get down fast enough. And , of course, more pain to deal with. So... Back to that hospital. .. My Dr had sent me there. See, like you I'm sure, I try to stay out of E.R's like they are the Plague! They brought a Prisoner in and had him cuffed right next to my MUCH SMALLER cot touching. The nurse came back( she obviously had the results of the urine test) Now, mind you, I had given them a printed list of all the meds I was on when arriving. I don't overtake my meds or drink or do illegal drugs. She came to my cot, got in my face and literally spit in my face! She said " No wonder you've been passing out with this Fentanyl you are on!" I was on the Fentanyl patch at that time. That was all for pain. And I STILL had pain. And I could have taken 10 times more and STILL not have passed out ( as I will explain). She spit all over my face and was loud. Rude. Mean. My Drs who had sent me there knew this info too and still sent me but that was the full " By Jove, I've got it!" To her- the Nurse. They discharged me. After I was under orders to be admitted, yeah, right, I was basically kicked out because of something everyone already knew. Egregious! In response to the " Have a man with you" I have a good one for you. I was having surgery in LA at one of the TOP hospitals, TOP cardiologists. Again, my Mom was with me. I am admitted staying in a room for a few days after surgery. So, I have a nurse, nurses station right outside room AND my Dr and his entire staff 2 floors up. Before surgery it was discussed again and it is written IN BOLD on my chart that I can't take Morphine! I'm not allergic. It just doesn't work. Might as well give me Tylenol. ( Back Story: 1st Surgery in College weighed 95 lbs- I'm under anesthia - they are operating- I start to fully wake up! They are shocked- can't understand! Put me back under with more- we knew something was up with me then. Later...genetic tests proved it) So, I wake up after Surgery with pain pump with MORPHINE. I immediately call attention to the problem and demand nicely that it be changed. I am in PAIN ! I have had heart surgery! A bunch of nothing happens for hours. I didn't want to bother my husband who was out of the country since I thought me being the patient and with my Mom- my Dr right there- this shouldn't be a problem. It was. ONLY after breaking down and having my husband call from overseas- and I am not kidding, after he called the Nurses Station, my pain Pump was changed in under 10 minutes!!! Next day, the Dr takes all his residents, etc. On rounds. They come into my room. And I spoke up. I said: " what exactly is the problem here? SERIOUS Chauvinism at the least. I am the patient lying in this bed and I did not receive ANY attention - could not even get a CALL-BACK from you upstairs after surgery while I was suffering until after many hours my husband called and Boom! My needs we're taken care of. So, obviously that means the only people you care about are people with Penises" I said it. I meant it. They were guffawed: didn't know what to do. I wasn't smiling. When I was discharged, I went upstairs to tell my cardiologist off( who knew my situation and my need for more and stronger pain meds just to get relief of any kind) he was so - I don't know- he was getting old- he went off on me and my mom with the door open and said I had a problem( like I was a drug-seeker) which NO Dr who has treated me has ever said and it isn't true and HE never thought it. It was awful! He treated us awful because HE screwed up! So,I had genetic testing done and it's a double edged sword. You have your normal genetic structure and then all of these alleles ( as I understand it) and all of them can be damaged or backwards( again, I'm no Expert). Suffice it to say, that my genetic and allele damage or disruption or change has changed my body's ability to process and metabolize drugs. So, when I was poisoned... That could have killed or severely more so affected a "normal" person. And, now that I am a chronic pain sufferer and Cannot live my life without pain control. Without it, I cannot get out of bed and function like a somewhat normal person. I figure God let me live/ survive for a reason. It CANT be to just suffer lying in bed all day every day! There are Drug Addicts and Drug Dependents. We are not Drug Addicts. We are though Drug Dependent- meaning we need our pain meds to live normal lives- it is PROVEN that true chronic pain sufferers CANNOT get high!!! So, therefore we CANNOT be addicts! Addicts take drugs to Get High! We can't! We can only get a certain level of relief( and never TOTAL relief) to try to live somewhat normal lives. So, know the difference and advocate when ignorant people try to talk about stuff they know NOTHING about! Unfortunately, this is cops, DEA, judges, lawyers, lawmakers, nurses and even Drs! Unbelievable. I know Drs. That The system is making it impossible ( with our litigious society) for most Drs to make a decent living today. Cosmetic surgeons stand outside everyone else. Ob-Gyn Drs are niching down. I know of true stories where a life can be saved in an ER but only by calling in a surgeon and the surgeons are saying " No. I can't be responsible if she dies on the table". Aren't they SUPPOSED to try and save? Our society and justice system is making those choices too hard. Now, get to the Pain Drs. After years, I found a Godsend Pain Dr in CA. ( Too bad I just moved To SC- I'm screwed here). This Dr is smart, keeps educated, understands that each patient is a different and unique case, wants to help, goes out of his way to help. Amazing! But a couple years ago, the Board investigated him and "his care" meaning how much pain meds he was giving to ME and a few other of his patients. With insurance, etc. He closed his practice and went to another one Part-Time. Every script is copied and sent to the State, Feds, DEA - and they DO NOT treat everyone as an individual. My Dr personally told me. He said that they don't care about my PROOF of genetic tests that shows that I require 4 times as much meds as my "normal"twin and my body metabolizes it in 1/3 to 1/4 the time. They also don't care WHAT is wrong with me-what conditions, diseases, torture, etc. To them, everyone- every patient is just a number. And every number is allotted a certain amount of pain/ opioid meds per month ( the same for every one) that CANNOT be exceeded. So, who cares if you are dying of cancer or need more meds because you are a special case, etc. They don't. And if the Dr exceeds, he gets in BIG trouble and eventually run out of business. And this brings us to : MY BIG FEAR!!! Government hacks are controlling patient care and their medications now. I almost died and have suffered irreparably and will live in constant pain for my whole life by doing what I believed right and saving innocent lives. There is enough to keep the gov't busy... Believe me, rather than causing the suffering to suffer more. What I see happening and am TOTALLY afraid of:It's already happening. They have started to control how much meds we can get. Then, they started to cut that limit down. They are going to keep doing that. I'm already at an under medicated amount. Even Drs who WANT to help us can't and will be forced out. Drs will dwindle. It will get harder and harder to find one- to get in - to be covered. And then, when we are placed in that real rock and a hard place... What are we to do??? I am an upstanding citizen. Not a criminal. Never been arrested. I follow the law. But if they make the law so illegal that I can't LIVE- what will I do? People talk about getting meds over the Internet? Or making road trips to stock up? Or buying them illegally? Well, that wouldn't even work if there was not enough to go around. Will we have to fly out of the country to get our meds? And how will that work? I know that I don't want to do any of that. I want a Dr I trust and the meds I need. And that should be my right. But, believe me, too many people are too ignorant. If the agencies mandating these new laws knew what they were actually doing- they wouldn't be doing it. And BY doing it, they are actually making the illegal drug problem worse! People MAKE that fake oxy or whatever. I wouldn't want to take something that's not regulated. But they are forcing the herd that way. Pure IGNORANCE. We need to stand up and do something. Write to our legislators- a Grass Roots Movement. I don't know. But I do know that they are working the plan to leave us unable to live our lives- and that is a form of Torture.

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