I am not opposed to doctors prescribing opiates to deal with acute pain like you get post op or after a bad break. In fact, it could be cruel not to. But it should be the absolute minimum over the shortest period of time and the doctor needs to make sure the parent is responsible and in charge of keeping them safe and administering them. There should be a campaign to add addiction as a possible serious medical complication of surgery or accidents and doctors should be taught how to prevent this complication just as they are taught steps to take to avoid other complications. Opiates should not be given for chronic pain. But it needs to be taken just as seriously and doctors faced with a teen with such a problem should 1) try his best to get a diagnosis for the teen (can be very challenging) and 2) from the outset convey to the teen that he takes the pain very seriously and embark immediately on throwing all the non-opiate ways of alleviating pain at the problem. Controlled use of Tylenol/NSAIDs may be appropriate, PT prescriptions should be granted generously--even overly generously, as should prescriptions for things like TENS machines. There is a shortage of doctors who specialize in teen pain management, but doctors should make every effort to get a teen to one to prevent the complication of addiction. All of this applies to all situations, including those where the doctor would prefer to be an amateur psychiatrist and say the pain is all in the teen's head. As an aside, adults, especially women, get this treatment all the time from doctors, but they have the executive function in most cases to not seek out street drugs. Also adults are far less equipped than teens to actually find the street sources. |
If everyone either threw unused medicine with opiates or DXM away, (preferably broken down an destroyed with cat litter, or dissolved in water, so that it is not salvageable), it would make it that much more difficult for children to begin experimenting with them privately or at parties. There is no reason, in this day and age, to keep a dangerous stockpile of old medicines around the house. You do not want your children being tempted to either use it themselves, or distribute it to friends. When you need medicine, a quick visit to the doctor will get you a new prescription.
I also have a policy that if I hear that a person at school is either sharing/distributing/selling drugs in or out of school to their classmates, then I will report them to the Schools for suspension or worse. And if I hear that a student is using drugs at school, they will similarly be reported to the Schools. This year a teacher at a private school (which my children formerly attended in another city) found two Seniors smoking pot in the school parking lot, and reported it to the School. The two Seniors were suspended, and one of them had their offer of admission rescinded from an Ivy League University. That sent the students a strong snd necessary message about the consequences and repercussions of their drug uss. |
I wish my parents had done this. I suffered with so much pain, and after 3 different doctors basically told my mom I was crazy / dramatic / making it up, I gave up. No opiates, but I suffered from a wildly diminished quality of life for almost a decade before finally getting actual help. I'm so resentful towards those doctors (I can't say I'm resentful towards my parents, I think they felt they did what they could. But I wish they'd taken the above approach) |
Isn't part of the problem prescribing the really potent Oxy, as opposed to the less potent things like Tylenol with codeine? When I was a kid that's what you got for wisdom teeth or whatever, and I don't recall anyone getting addicted to Vicodin. |
I find this story, as well as the post above about hospital ratings related to pain management, very disturbing. Why does our society, or at least part of it that includes hospitals (and whoever rates hospitals) have this idea that a patient should experience no pain following surgery? I don't like pain anymore than the next person, but it is part of surgery, injuries, etc. I think it is unrealistic to expect that you should not have some pain after these events. These painkillers are being way, way overprescribed. We are all seeing the consequences of that. |
I know plenty of people in recovery that traded addiction to drugs to "addiction" to exercise. They don't exercise to the point where it's not healthy, but it still looks like addiction to me. I don't know anything about methadone, but I don't see addiction to something healthy as a bad thing. |
I think until you've experienced truly horrific pain, you may not have a good perspective. Proper pain management is in fact required for recovery. I don't think my friend who just got split from neck to belly button for heart surgery should have to go without adequate pain relief. The real problem is discharging patients with inappropriate prescriptions and types of pain meds. |
Methadone is not healthy. It is an opioid that does not require injection, so you can avoid needle related problems. It also does not produce a high like heroin. Methadone is frequently used to treat pain in cancer patients and as a "harm reduction" medication for heroin addicts. However, methadone is just as addictive as heroin and harder to withdraw from because its half life is much longer. Its most suitable use in the treatment of heroin addiction is for hardened addicts who no longer get much of a high from heroin and continue to use it mostly to avoid withdrawal, have largely collapsed their veins, or for one reason or another have tired of the daily scramble of scratching up cash and searching for a heroin score. It is still possible to use heroin and get at least some high off of it while on methadone treatment. I know at two addicts who do this. They try one's belief that redemption is always possible. |
If you stay home, or if you park a nanny in your home, if your teen wants to do it he or she will just go do it at a friend's house. You would have to be willing to say "you can't see friends" for all of high school. To me, after school sports or other activities seem safer for the weekdays at least. This isn't to say kids on DS' crew team weren't doing pot on the bus to the boathouses, because they were. But if somebody was shooting up on the bus, other kids would most likely have said something. The coaches would certainly have noticed. |
+1. If my body is covered in third degree burns I hope to God my doctors will have the compassion to put me on Dilaudid 24/7. |
I know two who traded for an addiction to food. Unquestionably better, but still not great. |
PP with the son who has recovered-- thank you for sharing this and I am sorry this happened. Best of luck to your son. I did wonder after reading this -- and I am not criticizing you -- but when the dr prescribed Oxy for your son, did you have concerns and did the Dr say anything about being careful to watch his dosage and use? I am not a medical professional but to me a prescription for Oxy would sound an alarm. But, maybe most people don't realize it's a drug that is heavily abused? I have worked in the federal courts so I'm aware of that (there are plenty of criminal cases involving illegal Oxy). If the general public is not aware of this, there should be a major educational effort. |
I'm the poster you're responding to and I completely agree. Burns involve horrific pain and yes those people should be given all available relief. I agree that the real problem is the inappropriate prescriptions. Like 100 pills when you should get 10, or full-blown narcotics when you should be trying to get by with Anaprox for your relatively minor procedure. |
I'very thought about it & come to the conclusion that you are both arrogant & clueless. There are plenty of addicts who have/had SAHPs (I personally know of at least 4). |
^I've not I'very! |