Pain clinics feeding habit

spini4

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PALM HARBOR — The addiction started after he injured his shoulder and spine in two car crashes.

He was prescribed seven tablets of Vicodin a day to numb the pain, but it didn't take long for Robert Palmisano to crave stronger doses.

His family physician refused to prescribe more potent medication. So Palmisano found relief at pain management clinics, where he paid cash for up to 120 opiate-based pills during each visit. "I was just trying to get right," said Palmisano, of Palm Harbor. "That's when all hell broke loose."

He was 19 when he got hooked on painkillers.

"I used to crush them," Palmisano, now 26, said of the pills, "then snort them or shoot them up. It was really hard to quit."

Palmisano's going from patient to pill addict is not uncommon, medical professionals said.

And an increase in the number of people addicted to pills is linked to the glut of pain clinics in the Tampa Bay area doling out a massive volume of prescriptions, law enforcement officials said.

"The more there is out on the street, the more people are getting addicted," Pinellas County sheriff's Capt. Robert Alfonso said of opiate-based painkillers such as oxycodone, hydrocodone and methadone.

Rick Sponaugle, owner and medical director of the Florida Detox and Wellness Center, said most of the cases he has seen involved patients with legitimate pain developing a dependency on pills.

"It starts with a legal pain doctor," Sponaugle said. "Then the patients need more and more."

Recovering addict Todd Noble of Sarasota said that's how he got hooked on OxyContin.

Noble, 45, who has since been treated by Sponaugle, said a dental procedure led to his addiction.

Noble, like Palmisano, was prescribed Vicodin but eventually sought out stronger doses. Noble said he bought his pills from a drug dealer who procured them at pain clinics.

"It became a full-blown addiction in a couple of weeks," said Noble, 45. "I had to detox off OxyContin seven times. Sometimes I would relapse on the way home."

* * * * *
Local private and public treatment centers continue to be filled with people addicted to painkillers. At Hillsborough County's public drug treatment center, there are 20 beds for people who volunteer, or are court-ordered, to undergo a four-day detox program.

Most of the beds are occupied by people recovering from addictions to opiate-based pills, said Michael Strolla, the assistant medical director of the clinic run by the Agency for Community Treatment Services.

"If they're 40 or under, it's going to be opiates," Strolla said. "And they got them at pill mills. It's out of control."

Most patients had legitimate pain before addiction took hold. They tried physical therapy and other treatments, but getting prescriptions was more convenient and provided immediate relief, Strolla said. "It's a common story. These people, most of them, truly thought they were doing the right thing after tweaking their back or getting injured," Strolla said.

Because opiate-based pills aren't outlawed like other narcotics, more pain clinics started opening up shop in the Tampa Bay area and elsewhere in Florida, Alfonso said.

continued at http://www.msnbc.msn.com/id/39934996
 
What pathetic/sloppy reporting.

"Palmisano's going from patient to pill addict is not uncommon, medical professionals said".

Which med. professionals? Certainly not the credible ones.

A legitimate pain patient has an extremely low incidence of becoming 'addicted' in the proper definition of the term. Physical dependence is NOT addiction.

I suspect this article is throwing in 'drug seekers' with actual patients; which are distinctly different, and equals extremely poor reporting furthering misinformation to hurt actual pain patients that already can not get proper medication.

Of course, as a C.P. patient myself, such sloppy reporting infuriates me.
 
holding back opiates for the sake of decreasing abuse will:

* increase the amount of pain in those with a "legitimate" medical reason to be prescribed opiates

* increase the harm from addiction and the severity, as it becomes more of a gambling game as one acquires the opiates from the street and goes up/down/up/down (high-sick-high-sick) due to the nature of the black market, severely worsening the psychological component of addiction rather than allowing them to get a steady monthly supply and for the most part "live their life"

aka, it'll increase abuse, the opposite of the intended goal

going at our drug problems using force, is what made our drug problems as severe as they are today. ive read abstracts of a few studies measuring drug use and crime rates after inner city "heavy crack downs" by police... drug use, theft, murder, crime, addiction, etc, all go straight up

nice job pigs
 
Was it just me or was that one of the most poorely written articles i have EVER read and that is saying alot? It seriously looks like something i would have written in grade 9 when i was too hungover to check refferences, style, etc and just slapped it on the teachers desk to go curl up and hope i didnt puke during class.

It's fucking bad :p
 
you know wat REALLY fuckin gets me heated...Is how they keep saying "They started wanting stronger and stronger doses.....Began seeking out higher doses and more drugs....Started wanting stronger medications" etc. like they are some feens who start needing more and more to get right, who are obsessively craving the drug on some "AAAHHH! MORE PILLS!! I NEEEEEED IT!!!!" type shit.

ITS CALLED FUCKIN TOLERANCE. ITS A NATURAL, UNAVOIDABLE PART OF LONG TERM CHRONIC PAIN TREATMENT WITH OPIOID MEDICATIONS.

They did not "start to look for stronger pills" or "crave more pills per day" or none of that garbage. Spinning it to look like they are shady junkies who are abusing their meds and needing more and more becuz they want to get high, instead of people in terrible pain who NEED the meds they are on, and over time as tolerance naturally develops, they legitimately need higher doses. Add that to the fact of how TERRIBLY UNDERTREATED most pain is, and how underprescribed opiates are to many people who really truly need them, people who have terrible, excruciating pain get put on doses and meds that are way weaker than they really need, and then of course they are gonna start to need stronger meds even sooner.

They developed an INEVITABLE TOLERANCE which is a natural process that happens to everybody who fuckin uses opiates long term on a daily basis, EVEN THE PEOPLE WHO USE TOTALLY RESPONSIBLY.

IT AINT GOT NOTHING TO DO with abusing the drugs, or "wanting to get higher" or WTFever. I aint sayin that there aint pain patients, legit and not-legit, who abuse their meds, and sure, people who abuse the drugs get tolerance too, but the point is, its universal--ANYBODY who takes these meds will eventually develop a tolerance if they take it for long enough, even if its EXACTLY as prescribed and they never not even once stray from the prescribed dose.

Its fuckin infuriating to me to see dumbass, incompetent "journalism" like this passing for news. Shit is straight garbage reporting, its pathetic how low the standards are when it comes to reporting about drugs. For real, if these pathetic excuses for writers had came up with some straight totally un-fact-checked trash like this for a different subject, like writing about a politician or somethin else, it would never pass.

but when its about drugs, every single fuckin standard seems to be set at below zero. it seems like there is absolutely zero responsibility or accountability for the shit that these people write when it comes to the straight lies they stay writin about any and all drug related stories, but especially when it comes to opiates. there seems to be a special place in newspapers for complete un-factual, totally unresearched, unverified, completely made up bullshit stories when they are about heroin or methadone or other script opiates. if its possible for the bar to get any lower than it already is for drug stories in general, it definately is, when it comes to opiate fear mongering and sensationalizing.
 
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A legitimate pain patient has an extremely low incidence of becoming 'addicted' in the proper definition of the term. Physical dependence is NOT addiction.

This is the way I understand addiction too. For instance, I'm physically dependent on Xanax, but I'm not addicted to it. On the other hand, I'm addicted to heroin and nicotine, but I'm not physically dependent on either of them.

I'm starting to doubt the usefulness of the word "addiction". We should switch to the DSM's definition of Substance Dependence:

When an individual persists in use of alcohol or other drugs despite problems related to use of the substance, substance dependence may be diagnosed.
 
He was prescribed seven tablets of Vicodin a day to numb the pain, but it didn't take long for Robert Palmisano to crave stronger doses.

Who gets scripted 7 vicodin a day....... other than Robert Palmisano?

It does not make sense to script somebody that many vicodin a day.... Either switch them to percocets, or atleast script them norco.
 
i agree with lacey... and i'd rather over-medicate society than under-medicate it. nobody should have to live in pain because others fear they may enjoy their pain medicine too much

in africa people dying of cancer usually get no access to opiates. it's disgusting, and it's the same thing just to a greater extent. people are living in pain when they don't need to be; and people who *are* 'fiending' would be able to actually live their lives and deal with their addiction better if they don't have to worry about getting it on the street every day
 
This is the way I understand addiction too. For instance, I'm physically dependent on Xanax, but I'm not addicted to it. On the other hand, I'm addicted to heroin and nicotine, but I'm not physically dependent on either of them.

I'm starting to doubt the usefulness of the word "addiction". We should switch to the DSM's definition of Substance Dependence:

In many places "addiction" has no clinical meaning and the terms "abuse" and/or "dependence" are used. "Alcoholic" and "alcoholism" are also terms which are largely obsolete in many places.
 
I suspect this article is throwing in 'drug seekers' with actual patients; which are distinctly different, and equals extremely poor reporting furthering misinformation to hurt actual pain patients that already can not get proper medication.

I like this part of the post because its true.
A true pain patient barely ever gets the proper perscription for the pain there in unless yer in the hospital maybe.
Least thats been my experience......
 
You're stepping into a gray area with that post. We can't help you out when it comes to obtaining scripts. -phrozen
 
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i agree with lacey... and i'd rather over-medicate society than under-medicate it. nobody should have to live in pain because others fear they may enjoy their pain medicine too much

I agree, I think it's better to overmedicate and allow a few to abuse their meds than undermedicate and leave people with pain suffering. People choose to abuse their meds and, on some level, choose to be addicts, nobody chooses to be in chronic pain.
 
Lacey you would be surprised well actually no you wouldnt be at how many doctors know absolutly nothing of fucking tolerance! They don't get that the dose of morphine that worked on me back 6 months ago is not working so good now. If you ask for more from alot of doctors they think JUNKIE and then i might end up getting nothing. Chronic pain doctors tend to be more liberal here because they know the laws around prescribing these meds and 60 or so morphine SR's with breakthrough meds along with instant release meds for a chronic condition is not going to get you in trouble here. Now if you prescribe a few hundred 8mg dilaudid every month that might be suspecious buty not getting 60 oxy's or mscontins for a actual painful condition. Hell ive even known junkies to get them as a last resort.

There was never a war on doctors here in Canada like the US but there was more then enough bullshit all the same.
 
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