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Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: An Epilogue
by Chad D. Kollas, MD, Beverly Schechtman and Carrie JudySeveral important developments have occurred since the publication of our article, “Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence? ” in Pallimed on September 12, 2022 (1). Most notably, this includes the publication of the 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain (2), which updated the guidance previously provided by the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain (3). In this epilogue, we will describe those important developments and examine ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 29, 2022 Category: Palliative Care Tags: CDC judy kollas opioids schechtman Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
October 27, 2022 Edition-----In the UK we have a political farce running with only a day or so to run when you read this, with a new PM (Rishi Sunak) in place..In the US the mid-term elections are coming in a week or so, thus some concern as to where the US is going!In China Xi has his third 5 year term so we all wonder how that will turn out!In OZ we have has a Budget with floods, inflation, data leaks, the threat of recession, Medicare concerns and other issues just rolling on! At least the Budget does not seem to have broken anything!Overall an ‘omnishambles’ as they say!-----Major Issues.-----https://www.afr.com/wo...
Source: Australian Health Information Technology - October 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Dr Margaret Vaux Has Exposed A Problem With Health Department / Medicare Technology!
Last Monday the ABC and The Nine News Outlets made a big splash with the following headlines:‘Medicare is haemorrhaging’: The rorts and waste costing taxpayers billions of dollars a yearByAdele Ferguson and Chris GillettOctober 17, 2022 — 5.00amBillions of dollars are being rorted from Medicare each year by medical practitioners making mistakes or charging for services that aren ’t necessary or didn’t even happen – including billing dead people and falsifying patient records to boost profits.The revelations come as GPs lobby the federal Labor government to boost Medicare funding and increase rebates, claiming t...
Source: Australian Health Information Technology - October 23, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?
We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Focusing on similar cost reductions, the Centers for Medicar e and Medicaid Services (CMS) proposed rules for 2019 including several directives intended to reduce " Opioid Overutilization, ” including adoption of the “90 morphine milligram equivalent (MME) threshold cited by the 2016 CDC Opioid Guideline (147, 148). Simply put, reduced prescribing reduces costs for prescribed medications.Chou received research fu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 12, 2022 Category: Palliative Care Tags: health policy judy kollas opioids research schechtman Source Type: blogs

Opioid Equianalgesic Tables are Broken
by Drew Rosielle (@drosielle)I am proposing we do away with equianalgesic table (EAT) as a tool to inform clinical decisions about opioid rotations/conversions. Fundamentally, EATs create too many problems, and there are simpler and safer ways to teach clinicians how to convert between different opioids.Part 1: New Data Can ' t Fix the EATA couple HPM fellows every year ask me which table do I prefer to use —the old EAT or the new one? By the old one, they refer to the table most of us used or were at least deeply familiar with for the last 10-20 years. By the new one, they mean the one created by Dr. Mary Lynn McPherson...
Source: Pallimed: A Hospice and Palliative Medicine Blog - March 21, 2022 Category: Palliative Care Tags: opioid pain rosielle Source Type: blogs

Roger Chou ’s Undisclosed Conflicts of Interest: How the CDC’s 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie Judy“I ' m present. Uh … I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh … update.”- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, He...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs

Roger Chou s Undisclosed Conflicts of Interest: How the CDCs 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie JudyI ' m present. Uh I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh update.- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, Health Pro...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs

If Lawmakers Really Want to “Follow the Science” They Will Repeal Codified Opioid Guidelines
This study documents a relationship between opioid prescribing and opioid overdose in a large, national, prospective cohort of individuals receiving opioid therapy for a variety of medical conditions. The risk of opioid overdose should continue to be evaluated relative to the need to reduce pain and suffering and be considered along with other risk factors.University of Alabama Professor of Medicine Stefan Kerteszpointed out thatfollow up research led by Bohnert found the median overdose dosage was 60 MMEs and 86 percent occurred under 90 MMEs. Yet he cautioned policymakers:Reliance on a simple binary dose metric is an ext...
Source: Cato-at-liberty - May 24, 2021 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs

Undoing the harm: Tapering down from high-dose opioids
For many years, health care providers like me were told that we were undertreating pain and that pain was a vital sign that needed to be measured. Concurrently, we were reassured that opioids were a safe and effective way to treat pain, with very little potential for development of abuse. As a result, opioid prescriptions in the United States skyrocketed. A common way to compare opioids is to calculate their strength relative to morphine, called morphine milligram equivalents, or MMEs. In 1992, our country dispensed 25 billion MMEs of prescription opioids; by 2011, that number had reached 242 billion. Meanwhile, opioid-rel...
Source: Harvard Health Blog - May 10, 2019 Category: Consumer Health News Authors: Scott Weiner, MD Tags: Addiction Pain Management Risks and Prevention Source Type: blogs

Podcast: From Homeless to Prisoner to Olympian
 In his teens, Tony Hoffman was a BMX Amateur being featured on magazine covers. But soon after, he was a drug addict living in the streets and ultimately ending in prison. After his parole, a now clean Tony returned to the BMX world in a big way: by taking the silver medal in the 2016 Olympics. Since then, Tony has dedicated his life to helping others with addiction issues with his motivational speaking and special projects. Subscribe to Our Show! And Remember to Review Us! About Our Guest After paroling prison on December 13, 2008, Tony Hoffman started living out his dream, with his addiction behind...
Source: World of Psychology - April 4, 2019 Category: Psychiatry & Psychology Authors: The Psych Central Show Tags: General Recovery Sports The Psych Central Show Addiction BMX Gabe Howard Olympics prison Tony Hoffman Vincent M. Wales Source Type: blogs

Podcast: From Homeless to Prisoner to Olympic Coach
 In his teens, Tony Hoffman was a BMX Amateur being featured on magazine covers. But soon after, he was a drug addict living in the streets and ultimately ending in prison. After his parole, a now clean Tony returned to the BMX world in a big way: by taking the silver medal in the 2016 UCI BMX World Championships. Since then, Tony has dedicated his life to helping others with addiction issues with his motivational speaking and special projects. Subscribe to Our Show! And Remember to Review Us! About Our Guest After paroling prison on December 13, 2008, Tony Hoffman started living out his dream, with h...
Source: World of Psychology - April 4, 2019 Category: Psychiatry & Psychology Authors: The Psych Central Show Tags: General Recovery Sports The Psych Central Show Addiction BMX Gabe Howard Olympics prison Tony Hoffman Vincent M. Wales Source Type: blogs

Fentanyl, How Bad Is It?
How Bad Is Fentanyl? Fentanyl is an extremely dangerous synthetic opioid. Unlike some other opioids that occur naturally, it is man-made for the purpose of helping aid people suffering from extreme pain. It can be administered for recovery after surgery, during cancer treatments or for recovery after a painful injury. The Drug Enforcement Administration (DEA) classifies fentanyl as a Schedule II controlled substance. This means that it is legal for medical use, however, it has an extremely high potential for abuse and addiction. Understanding Fentanyl Significantly stronger than morphine or oxycodone, Fentanyl can be fatal...
Source: Cliffside Malibu - April 2, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction to Pharmaceuticals Drug Rehab Information Drug Treatment Heroin Painkiller Substance Abuse Synthetic fentanyl prescription drug abuse prescription drug addiction prescription drug detox prescription drug use p Source Type: blogs

Constipated Society
Our ancestors who lived without grains, sugars, and soft drinks enjoy predictable bowel behavior. They ate some turtle, fish, clams, mushrooms, coconut, or mongongo nuts for breakfast, and out it all came that afternoon or evening—large, steamy, filled with undigested remains and prolific quantities of bacteria, no straining, laxatives, or stack of magazines required. If instead you are living a modern life and have pancakes with maple syrup for breakfast and you’ll be lucky to pass that out by tomorrow or the next day. Or perhaps you will be constipated, not passing out your pancakes and syrup for days, passing it inc...
Source: Wheat Belly Blog - August 30, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bloating bowel flora bran constipation Dr. Davis fiber grain-free grains hydrate Inflammation laxatives Opiate drugs Opiods prebiotic undoctored wheat belly Wheat Belly Total Health Source Type: blogs

Constipation Nation
Our ancestors who lived without grains, sugars, and soft drinks enjoyed predictable bowel behavior. They ate some turtle, fish, clams, mushrooms, coconut, or mongongo nuts for breakfast, and out it all came that afternoon or evening—large, steamy, filled with undigested remains and prolific quantities of bacteria, no straining, laxatives, or stack of magazines required. If instead you are living a modern life and have pancakes with maple syrup for breakfast, you’ll be lucky to pass that out by tomorrow or the next day. Or perhaps you will be constipated, not passing out your pancakes and syrup for days, passing it inco...
Source: Wheat Belly Blog - August 30, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bloating bowel flora bran constipation Dr. Davis fiber grain-free grains hydrate Inflammation laxatives Opiate drugs Opiods prebiotic undoctored wheat belly Wheat Belly Total Health Source Type: blogs

Prescription monitoring programs: Helpful or harmful?
The crushing toll of the opioid crisis is daily news, including stories about ways to “fix” it. A wide array of initiatives has been brought forward in an attempt to curb this epidemic and the damage it causes. Prescription monitoring programs (PMPs) are one of them. The goal of PMPs is a good one — to identify patients who are being prescribed multiple medications by multiple clinicians. It is a means to introduce some stewardship for preventing overuse and misuse of prescription drugs. How prescription monitoring programs work Prescription monitoring programs are state-based electronic databases that provide a way ...
Source: Harvard Health Blog - June 8, 2018 Category: Consumer Health News Authors: Stephen P. Wood, MS, ACNP-BC Tags: Addiction Drugs and Supplements Health Source Type: blogs