More than 500K dog photos on Facebook for teen with cancer

Once a month, the 16-year-old checks into the Phoenix Children’s Hospital for treatment. The only time his mood improves are during visits from hospital’s therapy dogs, he said.

Brainy quotes on Suffering

A man who fears suffering is already suffering from what he fears.  Michel de Montaigne

Truth is everybody is going to hurt you: you just gotta find the ones worth suffering for.  Bob Marley

To live is to suffer, to survive is to find some meaning in the suffering.  Friedrich Nietzsche

The statistics on sanity are that one out of every four Americans is suffering from some form of mental illness. Think of your three best friends. If they’re okay, then it’s you.  Rita Mae Brown

All violence consists in some people forcing others, under threat of suffering or death, to do what they do not want to do.  Leo Tolstoy

Deep, unspeakable suffering may well be called a baptism, a regeneration, the initiation into a new state.  Ira Gershwin

If suffering brings wisdom, I would wish to be less wise.  William Butler Yeats

7/1/2011, Overmedicated Americans go violent

65 pharmacies in the state of Florida were held up in 2010. In all the country saw 686 drug store robberies that year, an increase of 80 percent since 2006. While the drug-deal-gone-bad scenario is a stigma which is often associated with the poor and impoverished of inner-city America, RdPatrol, the country’s only database for pharmacy crime, says around 80 percent of the incidents are perpetrated by white males…

Andrew Kolodny, president of Physicians for Responsible Opioid Prescribing, tells the Associate Press that many patients are turned into addicts after taking legitimate prescriptions. Eventually, however, it is not uncommon for them to turn to crime if they are laid-off and left without their prescription but with an undying addiction…

Not uncommon?  Is that supposed to mean that many patients are now turning into drug addicts, and then commonly turning into criminals?

I really can’t believe this guy treats addiction… he doesn’t even sound like a doctor.  And I feel sorry for his patients.  Hey, Kolodny, how many of your patients turned into criminals after you treated them?

11/9/2011, OxyContin: Purdue Pharma’s painful medicine

What the strange saga of Purdue and its $3 billion drug tells us about our national dependence on painkillers.

According to Physicians for Responsible Opioid Prescribing, more than 25% of opioid users meet the criteria for addiction.

I guess that means more patients for you to treat, right Kolodny?

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?

8/8/2012, Kolodny Responds to UPDATES on PROP Petition

Dr. Kolodny promptly responded… Please also let your readers know that the petitioners are not making a statement that long-term use of opioids for chronic pain or high dose opioids is always inappropriate. Several of the signers (myself included) prescribe long-term opioids. Our petition should NOT be interpreted as a manifesto on the appropriateness of long-term opioid prescribing for chronic pain. Instead, it should be understood as a request to FDA to better regulate the claims that opioid manufacturers can make about their products.

“I’ll be watching you.” Sting

Wikipedia:  When asked why he appears angry in the music video Sting told BBC Radio 2, “I think the song is very, very sinister and ugly and people have actually misinterpreted it as being a gentle little love song, when it’s quite the opposite.”

“I think the DEA is very, very sinister and ugly and Americans have actually misinterpreted the agency as being our protectors, when it’s quite the opposite.”  Said every victim of the drug war

12/11/2012, Just How Responsible is PROP?

However, in their July 25, 2012 petition to the FDA, the members of PROP asked the FDA to “strike the term moderate from the indication for noncancer pain, add a maximum daily dose, equivalent to 100 mg of morphine for noncancer pain, and add a maximum duration of 90-days for continuous (daily) use for noncancer pain.”

However, I do not believe that PROP has made its case. For starters, consider the language we use to describe pain. Since we have no scientific basis for the precise measurement of pain, exactly how will the line between moderate and severe chronic noncancer pain be determined? If opioid analgesics are not anesthetics, why wouldn’t we expect patients to continue experiencing pain while taking opioids? If patients have chronic pain, and it is associated with depression about 50% of the time, why are we surprised that there are comorbid mental health issues? If an individual patient has no problems associated with the use of 120, 180, or 240 mg of morphine equivalent on a daily basis, why do we need to reduce that dose? If an individual patient is functioning well with opioid therapy after 90 days, and there is no better treatment available, why would we stop treatment and inflict worsening pain? Assuming we agree to restrict opioids to fewer patients, will we really see fewer deaths, or just fewer deaths directly due to overdose instead of suicide? How exactly do we respect the patient’s right of autonomy and then override the decisions they make in consultation with their providers? What will become of the patient-physician relationship when absolute “rules” are enacted, and no individual distinctions are permitted?