10/16/2012, Monitoring of Injured Workers on Pain Meds Inadequate


“There are workers who get these pills and go home and spend the whole day on the sofa,” said Kolodny, president of Physicians for Responsible Opioid Prescribing. “Most addiction experts would call that addiction.”

I was right:  Kolodny’s an asshole.  And he doesn’t seem to have a very good understanding of addiction.

Too often workers say their pain is improved, but they show no improvement in performing the activities of daily living or returning to work. Conversely, they may say they aren’t improved enough to return to work or perform other activities, yet they able to get out of the house and drive to a doctor’s appointment to get a new prescription, he said.

Seriously, no one can win with this type of argument… If the drugs make you feel better and you don’t return to work, then you’re lazy and addicted.  If the drugs don’t make you feel well enough to return to work — but you’re still able to leave the house — then you’re a faker.

“A lot of times we see opioid script after opioid script after opioid script without function improvement,” he said. “We want people getting better. If opioids aren’t providing functional improvement, then they are providing more harm than good.”

That’s quite a leap in thinking there, Kolodny.  Perhaps you are overlooking the benefits because you are laser-focused on the harm.

You’re asking for pain patients to show quite a bit of improvement (I guess because you don’t believe them).  How much “functional improvement” are drugs supposed to provide?  Are they supposed to convince you that you’re not in pain?  Are they supposed to convince you to return to work, regardless of the additional, long-term damage that could cause? Are drugs supposed to convince you that, even though the surgery was a complete and utter failure, it’s time to go back to work anyway?

Prescription medications are for the purpose of managing and stabilizing pain, not making it better or curing it.  I read over and over again about how these drugs don’t work because pain patients on opioid therapy still have pain — what, are drugs supposed to perform miracles?

That’s what the problem is with doctors — not educating their patients on the limitations of this kind of therapy, stringing patients along, pretending that the pain will get better.  It’s not surprising that patients keep trying, even when they figure out the truth — that the pain isn’t going anywhere.  And that the rest of their lives will be spent learning to live with it.

What is the purpose in making us suffer, Kolodny?  What is the purpose of SUFFERING?

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