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Exposing the evidence inadequacy in the preliminary guidelines for opioid prescribing. Read what student pharmacists and post-graduate doctoral pharmacy residents had to say in their comment and follow the link to make your own. Today is the LAST day. Has your caretaker commented? Do it today or forever hold your peace.

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The nitty gritty laid out for you my chronic pain pals. Read my comment on the blog if you like, warning I get real with you. But please, follow the comment link in the second paragraph. 
http://paindr.com/cdc-all-we-want-for-christmas-is-our-two-front-tweets/#comment-285551

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I've actually been hoping for something like this to happen for a very long time, especially after paying $1,200 a month for just two, much-needed prescription medications!

Anyone have advice on SSI asset/resources spenddown and reinstatement, etc?? I had a car wreck lump sum and sometimes receipts for spending didn't get handed to me from my helper that did my shopping. I'm having difficulties with the proof I probably need to show it being spent. Need advice on how everything works and the steps up until getting checks monthly. I'd love to hear any stories of others with similar difficulties. Thanks for any thoughts and advice please. I wasn't informed on the need to save all receipts until a few thousand was spent. Wow, it's my personal money and they want complete control. My bank statements should be enough proof. 😕👎

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+Compoundia Pharmacy  #Cystic fibrosis is a genetic disorder that affects mostly the lungs but also the pancreas, liver, kidneys and intestine and according to patients need #Compounding medications are  given by Doctors for fast recovery. Visit: http://bit.ly/1MmgxZK
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How does the weather affect your pain or pain syndrome(s)? Please share with us daily so that you can see, read and comment on how the weather affects your pain and those around you! You may be surprised to see that you are not alone in this area also!

Please click on this link to view more:
http://www.chronicintractablepainandyou.net/apps/forums/topics/show/12894470-how-does-the-weather-affect-your-pain-or-pain-syndrome-s-

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Predictors of Suicidal Ideation in Chronic Pain Patients
DECEMBER 17, 2013 BY BIM
This blog post relates to an article entitled Predictors of Suicidal Ideation in Chronic Pain Patients: An Exploratory Study that Dr. Manon Choinière, Dr. Warren Nielson and I have recently published in The Clinical Journal of Pain [4]. (To read this same blog post in French please click here).
 
Suicide has always been a very sensitive topic to touch upon, whether it be about “suicidal ideations” (SI), “suicide attempts” (SA) or — god forbid — suicide completion. According to the World Health Organization, death by suicide is one of the leading causes of mortality rate every year (16 per 100, 000 individuals) [6]. The worldwide lifetime prevalence for passive (without plan) and active (with a plan) SI, and SA have been estimated to be 9.2%, 3.1% and 2.7% respectively [3]. In many cases, there is a progression from passive suicidal thoughts to more active thoughts, which may be followed by SAs and in some unfortunate cases, death.

Please click on this link to view more:
http://www.chronicintractablepainandyou.net/apps/forums/topics/show/12874633-predictors-of-suicidal-ideation-in-chronic-pain-patients-

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Pain Care Advocacy in an Era of Opioid Abuse (Part 1)
By Jennifer Van Pelt, MA Social Work Today Vol. 12 No. 5 P. 16
 
Pain medication abuse is affecting individuals with legitimate needs to manage chronic pain. Learn how social workers can advocate for them.
 
Prescription drugs now rank second after marijuana as the drug of choice for substance abuse, surpassing cocaine, heroin, and other illegal street drugs. Media headlines, celebrity doctors, and popular TV shows regularly denounce the “painkiller epidemic,” “prescription drug trade,” and “war on prescription painkillers.” Lost in these negative media messages, however, is the fact that the majority of these abusers were not prescribed opioids themselves but rather buy or steal them from others who were prescribed opioids for a medical condition (Manchikanti, Fellows, Ailinani, & Pampati, 2010).
 
Prescription pain medication addiction has been referred to as a public health crisis in the media. Statistics from the National Institute on Drug Abuse (NIDA) indicate that prescription drug abuse has increased dramatically, and opioid pain medications are now abused by more than 5 million Americans, making this drug class more likely to be abused than prescription antidepressants, sedatives, or stimulants. According to NIDA statistics, 15,600 deaths in 2009 were attributable to prescription pain medications.
 
But for individuals who legitimately require and benefit from opioids, the undertreatment of chronic long-term pain is a problem unrecognized even by those in healthcare due to the focus on opioid abuse. “The media generally does not report the issues around opioid use with accuracy, neutrality, and critical thinking. The tide has shifted from demonizing pain medication to demonizing people with pain, continuing the suffering of millions with untreated or undertreated pain,” says Yvette Colón, PhD, MSW, a psychosocial specialist at The MetaCancer Foundation.
 
Opioids typically have been more accepted in cancer care, especially for pain in the terminally ill, and prior to the 1990s they were rarely prescribed for chronic noncancer pain, even when pain was severe and long-term. After some cancer pain research studies showed that most patients did not experience addiction issues and the American Academy of Pain Medicine and the American Pain Society endorsed opioid use for chronic noncancer pain, opioids began to be more commonly prescribed (Schug, Zech, Grond, Jung, Meuser, & Stobbe, 1992; Manchikanti et al., 2010; Fauber, 2012). (See sidebar on page 20 for more information.)
 
“Unfortunately, this research coincided with increased rates of prescription pain medication abuse and media attention to it,” says Deborah Barrett, PhD, MSW, LCSW, a clinical associate professor at the University of North Carolina at Chapel Hill School of Social Work, a private practice psychotherapist, and the author of Paintracking: Your Personal Guide to Living Well With Chronic Pain. Barrett sees the issue from both the social worker and the patient perspective: She has lived with the chronic pain of fibromyalgia for almost 20 years.
 
To read more please click here:  http://www.chronicintractablepainandyou.net/apps/forums/topics/show/13137789-pain-care-advocacy-in-an-era-of-opioid-abuse-part-1

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I wanted to thank each and every one of you for the awesome birthday messages, notes and cards.  I have too many to respond to each and every one of them.  I am still very ill!  I got out of the hospital a week back Saturday and still have low grade fever.  Because the port-a-cath was so close to the infected shoulder, it became evident that the post is now infected.  My computer is still down and waiting to get it repaired.  I am using a small chromebook.  I am still available through the home number and cell number.  The hospital is so crowded that I am in the emergency room waiting for a room.  You can also email me.  I love you all and apologize that I have been gone so long!!!
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