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	<title>Comments on: Land of the hurt</title>
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	<link>http://duncancross.net/2009/02/land-of-the-hurt/</link>
	<description>ill. humored.</description>
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		<title>By: dx</title>
		<link>http://duncancross.net/2009/02/land-of-the-hurt/comment-page-1/#comment-634</link>
		<dc:creator>dx</dc:creator>
		<pubDate>Thu, 19 Feb 2009 02:14:22 +0000</pubDate>
		<guid isPermaLink="false">http://duncancross.net/?p=925#comment-634</guid>
		<description>@Hydro: I wouldn&#039;t bet against you there. I think the target is more the rural recreational user; I&#039;m sure you&#039;ve heard the term &quot;Hillbilly Heroin&quot;? 

@Lisa: I think the next subhead for my title graphic will be something like &quot;You&#039;re never the only one&quot;. A lot of CD patients struggle with pain, and a lot of gastros refuse to write for pain meds. We deserve to be treated better than this. 

@Max: I&#039;d be interested in seeing those studies. It&#039;s worth mentioning that somewhere between the chronic pain patient and the broken-rib patient are a lot of chronically ill people who don&#039;t need pain meds all the time but really do need pain meds some of the time - ie folks with acute, recurrent, but not chronic pain. They tend to get left out of discussions about pain med policy, but end up shut out by these initiatives, too.</description>
		<content:encoded><![CDATA[<p>@Hydro: I wouldn&#8217;t bet against you there. I think the target is more the rural recreational user; I&#8217;m sure you&#8217;ve heard the term &#8220;Hillbilly Heroin&#8221;? </p>
<p>@Lisa: I think the next subhead for my title graphic will be something like &#8220;You&#8217;re never the only one&#8221;. A lot of CD patients struggle with pain, and a lot of gastros refuse to write for pain meds. We deserve to be treated better than this. </p>
<p>@Max: I&#8217;d be interested in seeing those studies. It&#8217;s worth mentioning that somewhere between the chronic pain patient and the broken-rib patient are a lot of chronically ill people who don&#8217;t need pain meds all the time but really do need pain meds some of the time &#8211; ie folks with acute, recurrent, but not chronic pain. They tend to get left out of discussions about pain med policy, but end up shut out by these initiatives, too.</p>
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		<title>By: MaxJerz</title>
		<link>http://duncancross.net/2009/02/land-of-the-hurt/comment-page-1/#comment-630</link>
		<dc:creator>MaxJerz</dc:creator>
		<pubDate>Thu, 19 Feb 2009 00:09:11 +0000</pubDate>
		<guid isPermaLink="false">http://duncancross.net/?p=925#comment-630</guid>
		<description>It is so frustrating to me that so much of the focus on controlling narcotic abuse is aimed at prescribing physicians and pain patients. Patients who have legitimate chronic pain/chronic illnesses are not the ones abusing narcotics. So I get worried whenever I see initiatives like this, because I forsee very little effect on narcotic abuse, but increasing denial of these meds to patients who legitimately need them.

I&#039;ve seen research showing that chronic pain patients actually have a lower rate of narcotic abuse than the general public. (This research was done years ago so it&#039;s somewhat outdated.) That tells me that, once again, the efforts to curb narcotic abuse are being focused in the wrong place. More info here: http://www.helpmyhurt.com/2009/01/17/fear-of-addiction-to-pain-meds-misplaced/

It is already very difficult for a chronic pain patient to get these meds. I think this new initiative will only make it more difficult for those who need the meds.

Be well,
MJ</description>
		<content:encoded><![CDATA[<p>It is so frustrating to me that so much of the focus on controlling narcotic abuse is aimed at prescribing physicians and pain patients. Patients who have legitimate chronic pain/chronic illnesses are not the ones abusing narcotics. So I get worried whenever I see initiatives like this, because I forsee very little effect on narcotic abuse, but increasing denial of these meds to patients who legitimately need them.</p>
<p>I&#8217;ve seen research showing that chronic pain patients actually have a lower rate of narcotic abuse than the general public. (This research was done years ago so it&#8217;s somewhat outdated.) That tells me that, once again, the efforts to curb narcotic abuse are being focused in the wrong place. More info here: <a href="http://www.helpmyhurt.com/2009/01/17/fear-of-addiction-to-pain-meds-misplaced/" rel="nofollow">http://www.helpmyhurt.com/2009/01/17/fear-of-addiction-to-pain-meds-misplaced/</a></p>
<p>It is already very difficult for a chronic pain patient to get these meds. I think this new initiative will only make it more difficult for those who need the meds.</p>
<p>Be well,<br />
MJ</p>
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		<title>By: Lisa</title>
		<link>http://duncancross.net/2009/02/land-of-the-hurt/comment-page-1/#comment-628</link>
		<dc:creator>Lisa</dc:creator>
		<pubDate>Wed, 18 Feb 2009 21:32:45 +0000</pubDate>
		<guid isPermaLink="false">http://duncancross.net/?p=925#comment-628</guid>
		<description>Good god. I thought I was the only one. Being a pediatric CD patient was hell. My doctor now is a gem- my little bottle of Tylenol 3 goes everywhere with me. I&#039;m terrified of when I have to move on to a new doctor. The government will do nothing but screw over people like us with this one.</description>
		<content:encoded><![CDATA[<p>Good god. I thought I was the only one. Being a pediatric CD patient was hell. My doctor now is a gem- my little bottle of Tylenol 3 goes everywhere with me. I&#8217;m terrified of when I have to move on to a new doctor. The government will do nothing but screw over people like us with this one.</p>
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		<title>By: hydropsyche</title>
		<link>http://duncancross.net/2009/02/land-of-the-hurt/comment-page-1/#comment-608</link>
		<dc:creator>hydropsyche</dc:creator>
		<pubDate>Tue, 10 Feb 2009 14:49:47 +0000</pubDate>
		<guid isPermaLink="false">http://duncancross.net/?p=925#comment-608</guid>
		<description>I predict this will have no effect on the wealthy who abuse these drugs (e.g., Cindy McCain and Rush Limbaugh), but will further limit access to them for chronic pain sufferers who rely on insurance to pay for them.</description>
		<content:encoded><![CDATA[<p>I predict this will have no effect on the wealthy who abuse these drugs (e.g., Cindy McCain and Rush Limbaugh), but will further limit access to them for chronic pain sufferers who rely on insurance to pay for them.</p>
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