How doctors can stop the opioid crisis at its source: Quit overprescribing

Source: USA Today
by Marty Makary

"For most of my surgical career, I gave out opioids like candy. My colleagues and I were unaware that about one in 16 patients become chronic users, according to new research by doctors at the University of Michigan. Even more alarming, research shows that relapse rates after opioid addiction treatment could be as high as 91%. In addition to expanding treatment, it’s time we address the root of the problem: overprescribing. My own aha moment came recently after my father had gallbladder surgery and recovered comfortably at home with a single ibuprofen tablet. Wow. It directly contradicted my residency training 15 years ago, when I was taught to give every surgical patient a prescription for 30-90 opioid tablets upon discharge. Some of my mentors told me that overprescribing prevents late night phone calls asking for more. The medical community at that time ingrained in all of us that opioids were not addictive and urged liberal prescribing. So that’s exactly what we did." (08/04/17)

https://www.usatoday.com/story/opinion/2017/08/04/doctors-stop-opioid-crisis-quit-overprescribing-marty-makary-column/504860001

  • MamaLiberty

    Marty, there is NO "opioid crisis" at all. There is a serious crisis, however: lack of freedom, personal choice and personal responsibility. No "government," and no doctor, can actually predict and fulfill the actual needs of patients or anyone else. And they most certainly cannot control the choices or the consequences of those choices – well, except in very negative ways.

    I hate to say it, but I actually hope you get to experience some serious pain – and have a doctor tell you that you don't "need" any more pain medication. That would put you on a par with many thousands of others. It might also help you understand why so many people decide that suicide is a better option than continuing to suffer.

    • dL

      fully agree…"opioid crisis" is just another one of the 10,0000 ongoing invented state crises invented to justify ongoing discretionary power.

      I hate to say it, but I actually hope you get to experience some serious pain…and have a doctor tell you that you don't "need" any more pain medication.

      Actually had that happen, tho not for chronic pain. Emergency room more or less refused to administer pain medication for a kidney stone b/c I had been previously been admitted to the same hospital under arrest 4 drug possession(cops got rough w/ me when i refused a search).