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1/7 Sunday Spotlight: Important read before surgery-> No one goes into an operation hoping to be on opioids a year later. But too often, opioids are excessively prescribed. Up to 75% of patients, if not more, after surgery have leftover painkillers.https://www.usatoday.com/story/opinion/2019/02/12/doctors-limit-prescription-opioids-surgery-pain-reduce-addiction-patients-column/2766756002/ …
2/7 With as many as 10 percent of patients still using opioids a year after surgery, chronic opioid use has become one of the most common and serious long-term risks of undergoing an operation. @ASALifeline @AmerMedicalAssn @AmCollSurgeons
3/7 By early 2000s clinical teaching suggested the risks of addiction or misuse from opioids had been overblown. The best case for enthusiastic use of opioids was often surgery. Clinicians were eager to take away the “organic” pain they had just created in the operating room.
4/7 It would be one thing if such patients fared well, and if the scientific evidence supported such use. But in fact, there is scant evidence for the safety or effectiveness of opioid use for chronic post-operative pain.
5/7 This reservoir of opioids creates challenges, including difficulties around safe storage, disposal and potential diversion to family and friends. Note-> To locate a drug take back site near you, go to https://takebackday.dea.gov/#collection-locator …
6/7 The good news is that reducing surgical opioid use need not compromise patients’ quality of care. Patients and surgeons have many tools to choose from, and the time for such discussions is before an operation.
7/7 A comprehensive response to the opioid epidemic must consider all of the settings in which these drugs are overused. For many patients, the most important setting is after (or before) they have an operation.
My wife didn't go into an operating room for #Carpaltunnel surgery expecting to develop #incurable #raredisease #CRPS #Causalgia from nerves damaged DURING surgery either. #SurgicalErrors caused THIS & u r advocating 4 her NOT 2 receive viable #pain control. #MedicalMistakespic.twitter.com/nouXDaPnkH
Dan, I’m sorry to hear about your wife. Let me be clear- I would NEVER advocate for people’s pain to not be treated. The truth is, opioids are best choice for some, but generally, people (and society) actually fare better when providers practice opioid sparing regimens.
My mom had surgery recently and she was asked several times about pain. She had none. 0 out of 10 on the pain scale. Yet, what was one of her meds rx for home? OxyContin. She never filled it.
Better that she was given the RX & didn’t need it than go home from surgery wo the Rx and then have to somehow get to a Dr while in recovery to beg for pain control. Giving surgical patients the choice wins for everyone but failing to do so means some lose & suffer.
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