Nicomorphinist
Bluelighter
- Joined
- Apr 18, 2019
- Messages
- 1,401
Is there any chance of wangling an appointment with a general practitioner or other doctor treating for things like the OB/GYN specifically to hash all this out so that the doctor is able to get this information into the dictation notes, the file, any other relevant databases and perhaps even write a memorandum specifically on the topic and put it in the file? Particularly since it sounds like there is no basis whatsoever to deface your file with "drug seeker"
So there is apparently a consensus amongst medical professionals that labelling someone a drugs seeker like that is appropriate from an ethical standpoint, is consistent with the standard of care, and if nothing else doesn't run afoul of the Golden Rule? Doctors and other medical folks have two -- treat others as one would prefer to be treated (or better, I always say) and First Do No Harm . . . It most assuredly complicates all sorts of things -- so if they kick someone out of a clinic and there is a second problem they never get to discuss like, for example, a tiredness and cough which is actually tuberculosis, how many people are helped by that kind of thing? So they kill or cripple a patient who had a cough which requires codeine, or, at the very worst was in a world of hurt for other reasons and wanted a couple of bars of Xanax for the night, and he or she could take her family, any developing foetus, the whole neighbourhood, town, workplace, and everyone at that clinic with them because of the ignorance and sadism of drugs policy and the fear instilled in medical people because they need to keep them in line most they think . . .. Are people with cholera drug seekers because Motofen and laudanum are used for treatment of that in some stages? What sick person is not a seeker of drugs? I mean unless they have a lump on their hand which just needs the doctor to whack it with a Martindale's or they have a bunch of cerumen to wash out? By the way, they must be careful with the temperature of the water used for that procedure -- they used cold water right out of the tap and 5°C and they got out the plug of wax, but I also suddenly spewed out an exceptionally violent geyser of several litres of saltine crackers, Dr Pepper, and apple juice, and then lost consciousness, falling off the chair like a ripe plum.
I never had that problem when I lived in the United States for various reasons, which did mean I did not get to use a line I came up with in the early 1990s to use if I ever had that trouble when in the emergency department or elsewhere for a painful condition or injury: "No, arsehole, I am not a drugs seeker -- I am an X-ray seeker . . ." Others have been able to use that line and it warms the cockles of my heart. If one is a chronic pain patient and has the patient contract for narcotics, make sure there is a section or codicil about after-hours and emergency care, where a doctor and hospital can be listed. Then make copies of it and go in during the day shortly after signing it and discuss it with the people there. Then if necessary to go in to the emergency department, bring the contract or mention it right out of the box if they have it in the electronic records. If they don't do the same kind of contract for people who need benzodiazepines and/or stimulants for other reasons, they really should. It can give the doctors and nurses enough CYA to actually treat the patients and defend the privileges and rights they earned by going through all that to get degrees and licences . . ..
It seems there are lots of doctors, nurses, dentists and others who don't seem to know a lot about buprenorphine, certainly not enough to cause the level of drama for their patients they are causing in cases like this. It was invented for pain and still is used for that purpose; it is versatile because of additional routes of administration.
Hopefully you got some use out of Suboxone when they used it in your case; it doesn't really sound like the political effects it had when dealing with medical people afterwards made it all worth it when all added up, though there are people I know who tell me it was a miracle drug for them and they wanted to get off narcotics and they pulled it off . . . .
Since it is a partial mu opioid agonist and needs to occupy many more opioid receptors than a full agonist to work, and also has a high affinity for mu receptors, it actually does create a blockade of sorts, which can also lead to a number of problems . . . in theory, what would one do if a naltrexone-blockaded person (or, God forbid, if they invented a vaccination for opioid agonism like was being discussed in the 1980s?) is in a severe automobile accident or mauled by a bear? What if someone ate all their buprenorphine at once and/or chased it with some carfentanil -- naloxone may not handle it and the antagonist preferred for its subfamily of opioids is not available for human use in the same fashion as naloxone.
The blockade doesn't help as much as I think some think it does, and there can be lots of problems, of course. Cravings seem to bedevil a lot of people even on methadone, and they are finding that treating the physiological basis of them with something like dextromoramide or codeine leads to better results. It all seems to be a general thing because an alcohol and compulsive gambling specialist who helps folks plan their longer-term paths says that she has not heard of an Antabuse (disulfram) prescription in ages, with fatalities being one part of it and questions about usefulness being another. The original idea of methadone actually blockading other agonists was a bit of a misnomer -- the fraction of the heroin effect that goes missing for 4 to 36 hours is the bang, the rapid increase in euphoria and the transition from baseline or withdrawal to being high, because there is already mu agonism going on. The same reason I would wait for my poppy pod tea to wear off completely before railing Dilaudid/Hydal, Vilan, and the original Opana or shooting M, dihydromorphine or whatever. It felt like it was wasting some of the drugs otherwise. Sometimes I would also skip doses so I was in Stage I or II withdrawal when I had a new narcotic analgesic script to bang -- "Because it feels so good when I quit" like the person banging their head on the wall . . . it even seemed like that made the phenadoxone (Heptalgin) hit much harder, though it seems like it would require longer to wash out more tolerance . ..
So there is apparently a consensus amongst medical professionals that labelling someone a drugs seeker like that is appropriate from an ethical standpoint, is consistent with the standard of care, and if nothing else doesn't run afoul of the Golden Rule? Doctors and other medical folks have two -- treat others as one would prefer to be treated (or better, I always say) and First Do No Harm . . . It most assuredly complicates all sorts of things -- so if they kick someone out of a clinic and there is a second problem they never get to discuss like, for example, a tiredness and cough which is actually tuberculosis, how many people are helped by that kind of thing? So they kill or cripple a patient who had a cough which requires codeine, or, at the very worst was in a world of hurt for other reasons and wanted a couple of bars of Xanax for the night, and he or she could take her family, any developing foetus, the whole neighbourhood, town, workplace, and everyone at that clinic with them because of the ignorance and sadism of drugs policy and the fear instilled in medical people because they need to keep them in line most they think . . .. Are people with cholera drug seekers because Motofen and laudanum are used for treatment of that in some stages? What sick person is not a seeker of drugs? I mean unless they have a lump on their hand which just needs the doctor to whack it with a Martindale's or they have a bunch of cerumen to wash out? By the way, they must be careful with the temperature of the water used for that procedure -- they used cold water right out of the tap and 5°C and they got out the plug of wax, but I also suddenly spewed out an exceptionally violent geyser of several litres of saltine crackers, Dr Pepper, and apple juice, and then lost consciousness, falling off the chair like a ripe plum.
I never had that problem when I lived in the United States for various reasons, which did mean I did not get to use a line I came up with in the early 1990s to use if I ever had that trouble when in the emergency department or elsewhere for a painful condition or injury: "No, arsehole, I am not a drugs seeker -- I am an X-ray seeker . . ." Others have been able to use that line and it warms the cockles of my heart. If one is a chronic pain patient and has the patient contract for narcotics, make sure there is a section or codicil about after-hours and emergency care, where a doctor and hospital can be listed. Then make copies of it and go in during the day shortly after signing it and discuss it with the people there. Then if necessary to go in to the emergency department, bring the contract or mention it right out of the box if they have it in the electronic records. If they don't do the same kind of contract for people who need benzodiazepines and/or stimulants for other reasons, they really should. It can give the doctors and nurses enough CYA to actually treat the patients and defend the privileges and rights they earned by going through all that to get degrees and licences . . ..
It seems there are lots of doctors, nurses, dentists and others who don't seem to know a lot about buprenorphine, certainly not enough to cause the level of drama for their patients they are causing in cases like this. It was invented for pain and still is used for that purpose; it is versatile because of additional routes of administration.
Hopefully you got some use out of Suboxone when they used it in your case; it doesn't really sound like the political effects it had when dealing with medical people afterwards made it all worth it when all added up, though there are people I know who tell me it was a miracle drug for them and they wanted to get off narcotics and they pulled it off . . . .
Since it is a partial mu opioid agonist and needs to occupy many more opioid receptors than a full agonist to work, and also has a high affinity for mu receptors, it actually does create a blockade of sorts, which can also lead to a number of problems . . . in theory, what would one do if a naltrexone-blockaded person (or, God forbid, if they invented a vaccination for opioid agonism like was being discussed in the 1980s?) is in a severe automobile accident or mauled by a bear? What if someone ate all their buprenorphine at once and/or chased it with some carfentanil -- naloxone may not handle it and the antagonist preferred for its subfamily of opioids is not available for human use in the same fashion as naloxone.
The blockade doesn't help as much as I think some think it does, and there can be lots of problems, of course. Cravings seem to bedevil a lot of people even on methadone, and they are finding that treating the physiological basis of them with something like dextromoramide or codeine leads to better results. It all seems to be a general thing because an alcohol and compulsive gambling specialist who helps folks plan their longer-term paths says that she has not heard of an Antabuse (disulfram) prescription in ages, with fatalities being one part of it and questions about usefulness being another. The original idea of methadone actually blockading other agonists was a bit of a misnomer -- the fraction of the heroin effect that goes missing for 4 to 36 hours is the bang, the rapid increase in euphoria and the transition from baseline or withdrawal to being high, because there is already mu agonism going on. The same reason I would wait for my poppy pod tea to wear off completely before railing Dilaudid/Hydal, Vilan, and the original Opana or shooting M, dihydromorphine or whatever. It felt like it was wasting some of the drugs otherwise. Sometimes I would also skip doses so I was in Stage I or II withdrawal when I had a new narcotic analgesic script to bang -- "Because it feels so good when I quit" like the person banging their head on the wall . . . it even seemed like that made the phenadoxone (Heptalgin) hit much harder, though it seems like it would require longer to wash out more tolerance . ..
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