Spins bifida occulta is painful:)

[101N]

Pain is whatever the patient says it is.

http://ow.ly/p26n304H5tB

---

Members don't see this ad.

 

[lobelsteve]

No mention of occulta, dose of fentanyl, comorbid problems, or other clinical data.

Maybe you should get a rifle and just kill them all to spare them the opiate overdose death.

 

[101N]

Adult onset back pain w/o neurological deficit, incidental imaging finding labeled as disease. Expert interpretation: non-specific back pain w/o any indication for COT.

 

[lobelsteve]

So you say. But the details of care arent given.

Guess some of us see them as people and patients first, not addicts and mistakes.

 

[101N]

So you give fentanyl for SBO. Real good to know. You probably get a lot of stars on the web sites and great PG scores

 

[lobelsteve]

So you give fentanyl for SBO. Real good to know. You probably get a lot of stars on the web sites and great PG scores

After years of living with chronic back and hip pain, Ken Jones was finally diagnosed with spina bifida. More than a year ago he found a doctor who prescribed him fentanyl and things improved.
“Finally we found something that was going to work,” Jones said. “It…was fentanyl and it’s come out in a patch.
“I was finally having some quality of life. I could get up, I could move, I could sleep.”
Jones was using a high dose of the opioid but then in June the College of Physicians and Surgeons of B.C. released new guidelines for doctors who prescribe opioids in response to the increasing number of overdose deaths in B.C. involving people who were unknowingly taking drugs laced with fentanyl.
With the new rules in place, Jones’ doctor has reduced his dose.
In a statement, the College of Physicians of B.C. said: “The College hopes that B.C. physicians will prescribe more cautiously and provide appropriate treatment advice to their patients. Note that the document advises that physicians must always prescribe the lowest effective dosage of opioid medication.”
But Jones’ fiancée Julia Hillman said the college’s “sweeping approach” is affecting “people out there that live with chronic pain.”
Jones said he now has to decide whether he wants to live in pain or use his patches faster than he’s supposed to before eventually running out.
“He has a right to a quality of life and people are missing that right now in this hysteria,” Hillman said.
It’s unclear how many others are in the same situation but Jones wants to see changes so people who are legitimate users of fentanyl can continue getting the treatment they need.
“It’s a black place you go to when your pain gets too bad,” he said.

– With files from Jill Bennett

Global News



Just like most of your posts, you hide behind lies and misinformation. The above is all we know. It is not possible based on the info provided to know more about his condition. You make assumptions, paint broad strokes.
All towards your own end. You are a disgrace to all of medicine. Hang it up and become an admin.

 

[101N]

Rob taught you well.

 

[drusso]

Rob taught you well.

Recipient of PASSOR's Distinguish Member & Clinician Award 2000 and 2003...

 

[ampaphb]

Rob taught you well.

You mean as opposed to being trained by those high quality docs at Kaiser?

 

[drusso]

You mean as opposed to being trained by those high quality docs at Kaiser?

I don't think Kaiser has any accredited pain fellowships.

 

[101N]

http://columbiapain.org/regenerative-procedures/

 

[drusso]

You mean as opposed to being trained by those high quality docs at Kaiser?

Well, when I interviewed with Betsy Sandel at Kaiser-Vallejo in the early aughts, she was very unimpressed with the pain/spine service lines. Specifically, she thought that there wasn't a lot of "deep thinking" occurring within the group and it was dominated by egotistical & difficult personalities.

However, there was this used car salesman type Greek guy coming down from Santa Rosa who was doing unguided caudals ESI's, taking ISIS courses, teaching himself ultrasound, doing PRP and passing himself off as a MSK specialist without any specific MSK training. He was kind of entertaining in a clownish way. I suppose like everything else in the Kaiser system, you get what you pay for...maybe the system has gotten better.