Tman, thanks for that page of dribble. A regurgitation of my posts, apparently because you don’t like them. I stand by most of them, but they appear to have been chosen randomly.
What exactly are you trying to prove by lumping them together like that?
There was about 20 posts of school-girlish baiting about ‘data’. Now that there is some data there, from the same source they were quoting, that is a rather emphatic denial of the opioid epidemic, they’ve had the common decency to not say so much for a few hours. You are a different story.
If you had even a passing interest in the opioid epidemic that was academic, your sole concern would be that graph.
But for you, apparently it’s more important to talk about me…
I’ve gone and reviewed your previous posts in this thread, and your Vox link, and I find them simplistic in the extreme.
Apart from all the utter self-involved bullshit in your post, there was one genuine question there. Why are you posting here? With these guys, who you clearly don’t share a common ground with on this issue?
- I am one of these people, who have been quite thoroughly disabled by the utter incompetence of surgeons, at 33. I do not want or desire your pity, or to hear your garbage about that time you or your wife took some pills because of transitory disc issues (I never bloody did for a permanent issue), or high minded rubbish about how you couldn’t cope with it if it was permanent. After a few years of resisting it, I am slowly being forced onto opiates in order to sleep a little bit. It absolutely turns my guts to read a thread like this, with people approaching this issue in the same way they do Trump garbage etc.
Nonsense statements like ‘doctors need to look harder at pain mgt in the long term’. This means nothing - it is the equivalent of saying an expert needs to find a solution. Sometimes you hear equally stupid remarks about North Korea, a foreign policy expert needs to find a solution. It is an abdication of common sense responsibility to recognise the fact that there isn’t a solution.
- I guess my real reason for posting - I’ve already stated clearly that there are no black and whites, and a restriction of supply will have certain results. I would hate for that to be done in an environment of hysteria. In my view this campaign has all the hallmarks of hysteria. It is just one unending flow of groupthink. Instantaneous media only facilitates that.
If that graph makes even one of these guys (not you, obviously) stop and think, that maybe perhaps the data behind this campaign isn’t particularly deep or complex - that perhaps the data itself in matters like these is often ambiguous - and causes them to reassess their position of ‘right and wrong’ in regards to this issue. Well, that’s fuck all really, but it’s one person.
So there you go Tman. I mean, the truth is, I just don’t care what you think, as you are a fucking spectator. You don’t have a dog in the fight, and it is your great fortune that you most likely never will. This whole thing is essentially an amusement - just another issue for people to get outraged about - so you will have to forgive my deep cynicism on the issue.
The truth is these doctors are mostly incompetent to treat. The site below details some of the activities of the pain management doctors. It looks like a crank site, yeah? But the guy is a neurosurgeon who worked out of John Hopkins, who put in some of the first stims. Anyone who spends any time around medicine, soon learns that it is an art, and not a science
Ultimately this debate must hinge on the effectiveness of opioids in long term use. These are the pill mill people the DEA immediately targeted. But this can never be done, because we can’t measure pain in anything approaching an objective manner. We simply can’t assess it, so we are left with very poor data by definition.
I believe ultimately the entire system needs to transition to something more involving of patient choice, to prevent them being at the mercy of the doctors intuition as to their true state. A collary of the boundaries of this debate is that we are moving ever farther from it.
Yes, people are dying, yes prescriptions are increasing. That is the only hard data. Is there a prescription driven epidemic, driving a heroin epidemic? Maybe. I haven’t seen any data to back that up, here or elsewhere. Certainly not in the ‘tons’ of data you’ve provided. I don’t think such data could exist, and we are left with our inferences.
My personal experience does not tally with these drugs being easily available, nor does the experience of many others in a similar situation. Typically in the US, there are no script refills, and you are subject to contract with your doctor and routine drug testing. All this talk of opiates being freely available, outside of occasional recreational use, I find it baffling.
The CDC page is intentionally misrepresenting the data, claiming more than a 100% prescription per person. It’s an absurdity, but you guys think you are oh so clever by posting a pictogram and a link to it. Why isn’t the prescription rate normalised to the time length of the fucking prescription? I am asking too much, for the fucking CDC, to provide meaningful data in their public information sites?
Do you seriously intend to tell me, that not a single one of you, does not raise an eyebrow when you are told that Tennesse has up to a 143% prescriptions per 100 persons? Why not per thousand, or per million? What possible meaning could data presented in that fashion have?
You guys are fucking engineers right? Yet you are linking this garbage without engaging even your most basic critical faculties.
The greater question, is why isn’t the CDC informing you of the true prescription rate. Data which I am sure they do have. It may be that it wouldn’t appear so outrageous prima facie.
I mean, Tman, if you find that tiresome, just go and take a fucking nap or something. God knows I find it tiresome reading your comments.