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MD Health Clinics
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IF ANY OF THESE PATIENTS COMMENTING ON THIS BLOG WERE SENT TO A MULTIDISCIPLINARY PAIN CLINIC (i.e. Bio/Psycho/Spiritual approach) WITHIN A FEW WEEKS, MAYBE A MONTH, THE MAJORITY WOULD HAVE BEEN CURED, YES CURED, OR CONTROLLED WITH THE TOOLS AVAILABLE TO INCLUDE OPIATES WITHOUT BECOMING PHYSICALLY DEPENDANT.

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The NSC Opioid Prescribing Poll says 99 percent of doctors have seen a pill-seeking patient or evidence of opioid abuse, but only 38 percent usually refer those patients to treatment. Only five percent will treat them for abuse themselves.

Why are only 38% referring??? Because primary care doctors are trying to play pain specialists. Instead of trying to cash in on the patient, refer them to a proper pain specialist! OR take more training and be a specialist yourself.

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Approximately 80 percent of the global opioid supply is consumed in the United States. Americans consume approximately 99 percent of one specific opioid, called hydrocodone, a powerful painkiller. Why is 80% of all prescriptions opioids taken in America alone? Because it's much easier to get access to these drugs in America than let's say Saudi Arabia or Mexico. In those countries because it's harder to gain access to it's much better for them to find alternative solutions to their pain and if that doesn't work then pain pills are a last resort but in America we take the easy road first.

There is a bright side though... There was a 27 percent decline in sales for hydrocodone from 2013–2015 says Irina Koffler, senior analyst, specialty pharma, Mizuho Securities USA, told CNBC.

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Why is the heroin rate going up? Because primary care physicians that handed out prescription opiates like candy have now stopped doing so after CDC and HHS guidelines were recently released. Now that they are cutting back, what do the patients do? They turn to methadone clinics (which is also rising in usage) and heroin to treat their suffering. What the primary care physician should be doing is referring all their patients to a proper pain specialist.

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Dr. Nora Volkow is correct! Primary care physicians should not prescribe opiates for more than a week. If the pain persists then refer patients to a pain specialist focused on a multi-disciplinary approach.

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In March 2016, CDC Director Dr. Tom Frieden wrote, "We know of no other medication routinely used for a nonfatal condition that kills patients so frequently." The mistake people are making is giving opiates to treat pain when it should be used to PREVENT SUFFERING FROM PAIN.

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Do you know someone struggling with addiction? There are warning signs you can identify, but ask yourself this.. what can you do to help them find their self-worth?

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If opiates were used only to prevent suffering, not to simply treat pain, this wouldn't be an issue!

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The CDC says every 46 people die from an overdose of prescription painkillers* in the US and 10 of the highest prescribing states for painkillers are in the South. How many more increases in daily deaths will it take for the system to change?
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