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Here is some info from an Attorney's webpage:
Are physicians being wrongly convicted? | Eli D. Stutsman
While there are some instances of bad Doctors out there, good doctors are terrified to help their patients, chronic pain or not. They avoid being unjustly accused by not prescribing pain meds at all.
Because the DEA are so broad in their raids, and pain patients can't find help anymore, they tend to turn to the illegal sources. That is how they get addicted. Hydrocodone isn't cut the same way as street heroine, with additives like nicotine and bleached gatoraide to speed absorbtion and increased addictive properties. These people enter a world designed to help them spend and fail, and no drug pusher is going to order lab tests to make sure their customers aren't taking too much. In the end, the cause and effect is a disaster for all involved.
Legalize cannabis, make it an over the counter at a pharmacy. Consider this... how many people die a year from Aspirin overdose? Taking 15 extra strength aspirin is a death sentence, but you don't see or hear of it happening. Or visit the Netherlands, where cannabis,, a great pain reducer, is legal. If deaths from addiction to regulated and taxed cannabis is a true a problem, it would be equal or worse than America, no?
Netherlands Compared With The United States | Drug War Facts
As for me, I don't use cannabis in Oklahoma because it's illegal. Kratom is my choice for now, and it does work well. No high, no buzz, just the ability to cope with the residual pain a lot better.
I saw a documentary where it showed a real epidemic in some of the small northeastern states especially with a mix of prescription drug abuse. That really surprised me.
I agree with your post. I think medical providers need to realize the difference between dependence and addiction as far as opioids. Many patients need pain pills for quality of life and do well while taking them. They are able to work, maintain relationships, not commit crimes, etc. After awhile, a patient depends on the medication for quality of life. Addiction takes it too another level...where it can affect your daily life negatively. Opioids are not the bastard that everyone makes them out to be. Your case, would be no problem for a provider to continue prescribing them for you. A problem would be, a condition that has been resolved, but the patient feels they need the pills...then pain management is a good avenue to take. These are the folks who seek out heroin, the ones who's conditions have been resolved and they were cut off, plus heroin is cheaper and easier to obtain.
I agree 100% that cannabis is a good and safe choice for pain relief and it is stupid that the US looks at a little innocent plant as criminal. MJ should be legalized. MJ is pretty easy to obtain, legal or not and most law enforcement will turn their head when they are faced with someone using it...as long as you are not blowing it in their face during a traffic stop. LOL I used it after my ankle fracture, when I felt the pills were too much for pain control. I am a nurse and knew it was illegal and weighed my options...recovering to get back to normal or rehab being at the end of the recovery.
I had never heard of Kratom...interesting. IT was sold at "chocolate milk" LOL Do you grow it yourself? Here is a link for those who many not know what it is:
The Kratom User's Guide
Kratom came close to being made illegal by the DEA, but the public outcry was so potent and in far greater numbers than the authorities expected, they went ahead and postponed placing it as a schedule 1 drug...which is the same schedule class as cannabis. It's related to the coffee family of plants, but is a leaf from a tree that grows mostly in Asia. I use the Maeng Da Red Vein variety for pain relief, and I buy it locally from a distributor. Because it's a powdered leaf, it takes quite a bit for it to be effective. 5 grams per dose for my body weight, and yes, I mix it with chocolate milk. It does have a bitter flavor, but not so bitter that it can't be masked. There are no side effects with me, and with the amount of insulin and Rx's I take, I was surprised. I don't mind spilling the beans here on what I take Rx wise since you're an RN.
Rx: Edarbyclor, Januvia, Farxiga, Aldactone, Coreg, Crestor and Levimir Insulin.
OTC: Baby aspirin, CoQ10 and Kratom.
Fun fun, right? The whole point is that Kratom is safer than the 'experts' claim. There are even a few educated idgits out there claiming that Kratom was 13 times more powerful than morphine, which is absolute BS, even to the point where those experts unpublished their BS findings. If you research it further, the pharma companies who hire the PH.D people for research says it's all doom and gloom, but the chronic pain community knows better. I used to get MS Contin for pain management eight years ago, but only for 7 days at a time for every month, before that doc eventually stopped helping local pain patients. One tiny 15mg pill has close to the same effectiveness of 5 grams of Kratom, so no, it's not stronger than morphine, in case you find studies that says otherwise.
Ah, I have to be careful or I'll write another Ober-novel. Like any drug, if folks are interested in trying it, always use caution on the side of being very careful. What works for me may not work for them, etc. As for now, it's the only thing that allows me to experience my day without screaming if I pick up something that weighs more than 4 pounds.