400,000 overdose deaths in U.S. attributed to Sackler family

[Anonymous]

Anonymous wrote:

Anonymous wrote:I'm a nurse at a hospital in a state hit very hard by the current epidemic. Unfortunately we are one of the top. After years, it still appalls me how narcotics are over prescribed for some patients. And it's not the stereotypical ones who are the worst. They definitely get treated differently (even sometimes when their pain is legitimate). It's the person who seems totally normal. But they know how to manipulate the doctors to get drugs. And hospitals are so concerned about the scores they drill into the providers head the need to get good scores. So some doctors cave and just give in to the patients.

I've lost count of how many times patients have rated their pain a 10/10 while they casually watch TV or flip through their phone. I do extra documentation to show what I observe but I'd get in trouble if a patient complained that they said their pain was a 10 and I gave them nothing (because I thought their pain was a 2). And most doctors don't read my documentation so patient says "my pain was uncontrolled all night. The meds do nothing". And so they get more more or different dosages.

I've started to see some positive changes due to a new addiction /pain Management group at the hospital, so hopefully things are heading in the right direction.

I think the whole "keep patients happy so they give us good scores" crap that's pushed at providers and nurses is so detrimental to patient care. But the numbers are what matters

This is interesting to know. Do you also use a patient's HR and/or BP as an indicator of pain? I overheard two nurses discussing a patient who kept saying he was in terrible pain and asking for more meds but his HR & BP were both normal and indicated no pain. Nurse 2 told Nurse 1 to be sure to stress that to the doctor when requesting an additional dose.

We use.it as.extra documentation when we can. The doctors who prescribe meds to keep patients happy don't seem to care. I've had a patient with a respiration rate of 8 when sleeping and was obviously over medicated. She easily woke up though and stated her pain was a 10/10. I basically got into an argument with the MD that night about giving her more narcotics. He kept saying she was fine (but never laid eyes on her) and to give her the meds. I refused because I was worried I'd have to Narcan her. It was ridiculous.

[Anonymous]

Anonymous wrote:I'm a nurse at a hospital in a state hit very hard by the current epidemic. Unfortunately we are one of the top. After years, it still appalls me how narcotics are over prescribed for some patients. And it's not the stereotypical ones who are the worst. They definitely get treated differently (even sometimes when their pain is legitimate). It's the person who seems totally normal. But they know how to manipulate the doctors to get drugs. And hospitals are so concerned about the scores they drill into the providers head the need to get good scores. So some doctors cave and just give in to the patients.

I've lost count of how many times patients have rated their pain a 10/10 while they casually watch TV or flip through their phone. I do extra documentation to show what I observe but I'd get in trouble if a patient complained that they said their pain was a 10 and I gave them nothing (because I thought their pain was a 2). And most doctors don't read my documentation so patient says "my pain was uncontrolled all night. The meds do nothing". And so they get more more or different dosages.

I've started to see some positive changes due to a new addiction /pain Management group at the hospital, so hopefully things are heading in the right direction.

I think the whole "keep patients happy so they give us good scores" crap that's pushed at providers and nurses is so detrimental to patient care. But the numbers are what matters

I went to the ER last week with a broken bone. I was staring at my phone the whole time to try to space out the pain. A nurse like you did what you describe here and I went home after X-rays and with my ortho referral with no pain meds. Which is fine, I wasn’t drug seeking. But the overcorrection is obvious.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:DS had all 4 wisdom teeth pulled recently. We were given a script for an opioid which I proceeded to tear up and throw away. No way in hell was I going to expose my kid to that shit. Thankfully he did fine with plain old Tylenol and ice packs.

To be fair, it's not that addictive. Taking one or two pills wouldn't have doomed your son.

For between one and two people in ten, it is. And the Sacklers never told anyone.

Exactly. They’re very evil people.

[Anonymous]

Anonymous wrote:I work with addicts, it’s hard to look at this picture knowing the lives they have ruined and made billions. They knew, they knew it was more addictive and didnt warn anyone. F them.

from the article Kingpins:OxyContin, Heroin, and the Sackler-Sinaloa Connection

... With pain management now mandated by the Joint Commission, Purdue began funding groups such as the American Chronic Pain Association (ACPA) and the American Pain Society (APS). These vocal groups began demanding doctors start taking pain management seriously, bringing their message everywhere from state legislatures to medical conferences.
Organizations funded by the pharmaceutical industry were created that rated doctors based on their willingness to treat pain and encouraged many family practitioners to begin prescribing outside of their normal scope of practice. The local family doctor suddenly felt pressure to prescribe powerful narcotics he or she might not have fully understood, or else risk a scathing review from a group like the American Pain Society that could irreparably harm his or her practice.
To ensure legal protection for prescribers, pharmaceutical companies began lobbying state legislatures who, with no medical background, began passing laws protecting doctors from malpractice claims for overprescribing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I work with addicts, it’s hard to look at this picture knowing the lives they have ruined and made billions. They knew, they knew it was more addictive and didnt warn anyone. F them.

from the article Kingpins:OxyContin, Heroin, and the Sackler-Sinaloa Connection

... With pain management now mandated by the Joint Commission, Purdue began funding groups such as the American Chronic Pain Association (ACPA) and the American Pain Society (APS). These vocal groups began demanding doctors start taking pain management seriously, bringing their message everywhere from state legislatures to medical conferences.
Organizations funded by the pharmaceutical industry were created that rated doctors based on their willingness to treat pain and encouraged many family practitioners to begin prescribing outside of their normal scope of practice. The local family doctor suddenly felt pressure to prescribe powerful narcotics he or she might not have fully understood, or else risk a scathing review from a group like the American Pain Society that could irreparably harm his or her practice.
To ensure legal protection for prescribers, pharmaceutical companies began lobbying state legislatures who, with no medical background, began passing laws protecting doctors from malpractice claims for overprescribing.

With the Joint Commission and state legislatures having opened their doors, Purdue Pharma set its sights on the Federation of State Medical Boards (FSMB). According to an investigation by John Fauber of The Milwaukee Journal Sentinel, the FSMB accepted a $100,000 donation from Purdue for “printing and distribution” of pamphlets explaining safe use and prescribing of opioid medications.
Coincidentally, while it accepted $100,000 from Purdue, the FSMB began calling for doctors to be punished for not adequately treating pain.
The system was collapsed and the floodgates were opened. With the channels flowing so freely, Purdue began focusing on the last line of defense for the American public: the doctors.

....
OxyContin, claimed Purdue’s sales force, had less than 1% chance of addiction.
OxyContin, they claimed, didn’t produce a high when taken.
OxyContin users, they assured doctors, were in no danger of building up a tolerance to the drug, a sure sign of physical addiction.
All lies, and Purdue knew they were lies. Each one resoundingly disproven, but far too late.

[Anonymous]

Anonymous wrote:Nice attempt by the gold digger wife to make pouty sad lips for the photo, as if she gives a crap.

LOL!

[Anonymous]

Anonymous wrote:Sounds like they made a real-life deal with the devil.

Exclusive: OxyContin made the Sackler family billions—but now, after 400,000 deaths, it’s made them near-pariahs. For the first time, David Sackler pleads his case.

https://www.vanityfair.com/news/2019/06/david-sackler-pleads-his-case-on-the-opioid-epidemic?

Those creepy eyes could kill.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:You can simply go back the next day if you need stronger meds. The days of immediately giving everyone opioids need to stop.
One hundred dead Americans every day is too many, don’t you think?

This is for 11:15.

America doesn't really need more opioid addicts.

Just wait until you or a loved on has terminal cancer and you have to fight tooth and nail to get pain meds for them while you are also trying to take care of them, manage the doctors, insurance companies and other care oh and making the last bits of time count all because all these other fools couldn't manage their meds.

Been through this and it is why I have no sympathy for the addicts.

I know it makes me out to be heartless but I think it’s heartless to watch a dying person suffer in terrible pain. Watch a loved one beg to be out of their misery and you’ll change your mind. Trust me. I did.

[Anonymous]

Most people being given opioids were nowhere near dying.
Get real.

[Anonymous]

Anonymous wrote:
The Sackler named must be removed from anything with decency.

Their name is the plague.

No problem, as soon as the institutions give back the money donated to build them.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:So the manufacturers of this LEGAL product are public enemy #1, but you'll do nothing to stop the flow of ILLEGAL drugs coming into this country? Fentanyl deaths far exceed those from opioids, and when you add in cocaine and heroin, the numbers are mind-boggling.

Read up on the epidemic. We wouldn’t have a heroin or fentanyl problem if we didn’t have a prescription drug problem first.

Exactly.

Huh, I could have sworn people were using heroin in the 60s. I didn’t realize it was a recent thing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:So the manufacturers of this LEGAL product are public enemy #1, but you'll do nothing to stop the flow of ILLEGAL drugs coming into this country? Fentanyl deaths far exceed those from opioids, and when you add in cocaine and heroin, the numbers are mind-boggling.

Read up on the epidemic. We wouldn’t have a heroin or fentanyl problem if we didn’t have a prescription drug problem first.

Exactly.

Huh, I could have sworn people were using heroin in the 60s. I didn’t realize it was a recent thing.

Do some more reading.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I'm a nurse at a hospital in a state hit very hard by the current epidemic. Unfortunately we are one of the top. After years, it still appalls me how narcotics are over prescribed for some patients. And it's not the stereotypical ones who are the worst. They definitely get treated differently (even sometimes when their pain is legitimate). It's the person who seems totally normal. But they know how to manipulate the doctors to get drugs. And hospitals are so concerned about the scores they drill into the providers head the need to get good scores. So some doctors cave and just give in to the patients.

I've lost count of how many times patients have rated their pain a 10/10 while they casually watch TV or flip through their phone. I do extra documentation to show what I observe but I'd get in trouble if a patient complained that they said their pain was a 10 and I gave them nothing (because I thought their pain was a 2). And most doctors don't read my documentation so patient says "my pain was uncontrolled all night. The meds do nothing". And so they get more more or different dosages.

I've started to see some positive changes due to a new addiction /pain Management group at the hospital, so hopefully things are heading in the right direction.

I think the whole "keep patients happy so they give us good scores" crap that's pushed at providers and nurses is so detrimental to patient care. But the numbers are what matters

I went to the ER last week with a broken bone. I was staring at my phone the whole time to try to space out the pain. A nurse like you did what you describe here and I went home after X-rays and with my ortho referral with no pain meds. Which is fine, I wasn’t drug seeking. But the overcorrection is obvious.

My teen son was sent home from the ER with a fractured femur, a referral to an orthopedic surgeon, a leg brace, and Tylenol. I think he still has PTSD from the pain he endured. It was horrible.

[Anonymous]

Anonymous wrote:I work with addicts, it’s hard to look at this picture knowing the lives they have ruined and made billions. They knew, they knew it was more addictive and didnt warn anyone. F them.

+1

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:You can simply go back the next day if you need stronger meds. The days of immediately giving everyone opioids need to stop.
One hundred dead Americans every day is too many, don’t you think?

This is for 11:15.

America doesn't really need more opioid addicts.

Just wait until you or a loved on has terminal cancer and you have to fight tooth and nail to get pain meds for them while you are also trying to take care of them, manage the doctors, insurance companies and other care oh and making the last bits of time count all because all these other fools couldn't manage their meds.

Been through this and it is why I have no sympathy for the addicts.

I know it makes me out to be heartless but I think it’s heartless to watch a dying person suffer in terrible pain. Watch a loved one beg to be out of their misery and you’ll change your mind. Trust me. I did.

My mom died of lung cancer last year and was able to have literally any drug she wanted and be as conscious or semi conscious as she chose. She tried different ones and wanted to stay as conscious as possible, but they would have given her anything and told us so. The “rules” don’t apply to terminally ill.