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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.
Meaning over 90% of pts are NOT taking opioids. Maybe the 10% still taking #opioids are due to pain from surgical complications? Medical malpractice is the 3rd leading cause of death in the US, only behind heart disease & cancer.
If Lab animals are not euthanized after Medical experiments they get to retire to a sanctuary. Women who were used for #HumanExperimentation are NOW being FURTHER exploited by #mafiamedicine & #MedicalTerrorism. #nuremburgcode
@HRC @hrw @UNHumanRights @HRWSoCal @KamalaHarrispic.twitter.com/kpIBCKBAlg
Exactly, “an operation” is the biggest risk to long term opioids. You go in for a specific surgery then find out later that you need another surgery to fix what happened in the first surgery, or you find out later “it’s one of the surgery risks”.
That’s evidence that surgery doesn’t always work! Omg this is insane.
Maybe that's bc of the high failure rate for spinal surgerys
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