Friday, June 01, 2012

ER Helps Perpetuate Myths About Pain Meds

By zasu Saturday, October 20, 2007

I was appalled Thursday night while watching the TV program, ER.  I am not one of those folks who takes my television viewing seriously, but in this case I really became incensed.

 

In one scene, an elderly man suffering from chronic severe hip pain due to a condition that could only be relieved via replacement surgery was explaining his situation to the doctor on his case.  He told the doctor that because he was uninsured due to his inability to afford health insurance, he had to wait over a year and a half to have the surgery performed through the public system.  The doctor asked him how he was dealing with the intense pain. 

 

The patient told him that for the past year, he had been taking Vicodin. The doctor gasped aloud, and said "narcotic pain medications are very addictive, you must get off of them."  Then he asked the patient how many he takes a day, and the patient told him 3 or 4.  Once again, the doctor gasped and told him how dangerous this was, and that he will need a support group in order to help him stop taking the meds.

 

As a chronic pain patient of many years, I have gone through, as I am sure many of my fellow members in this group have as well, tremendous difficulty locating doctors who know how to treat chronic pain, and are not paranoid about prescribing appropriate pain medications.

 

It is bad enough that the government harasses doctors concerning the prescriptions they write for their pain patients. It is bad enough that there is so much false information circulating about the so-called dangers of using appropriate narcotic anagelsics.  But to have a hit TV series reinforce those myths in the minds of viewers is just simply repugnant and irresponsible.

 

As I said earlier. I do not take TV shows very seriously. I realize they are for entertainment purposes. But people do retain information from what the hear and see on television, and due to the importance of this topic, and the many hundreds of thousands of patients who suffer from chronic pain for various reasons, the writers should have done a bit of research before presenting such a powerful scene to their viewers. 

Thanksgiving Weekend and Being Home
10/20/07 10:14am

 

Hi zasu .. went thru and still experiencing finding legal drugs that will help with my issues.

 

And you are sooo right about listing my meds when I first moved here some of the meds are only allowed a one time refill. Which means I have to go back to the NP i see and have a new prescription written.

 

P.I.T.A. = disruption in my regiment. I struggled with the thought of taking so much Xanax over the last 6 years that I accused myself of being an addict.

 

Talking with other doc's and family + friends tell me to stop looking at it that way, I have been clean and sober for 17 yrs. last February, that's when I questioned myself and was upset that I was addicted ?

 

Weird, huh ? Anyway, I came to terms with it , thanks to my support team, and realized that of course the pills are addictive, but like my Vytorin, they are needed due to my emotional rollercoaster of emotions. See I already had clinical depression , as diagnosed 17 yrs. ago, that's when I went straight.

 

But if they are helping me to cope, then shame on the doc's that want to accuse , and shame on the government who want to put up roadblocks for people like me from attaining my meds.

 

Anyway, I forget what I am writing, an agreeance to your post or a gripe ? lol , gotta keep my sense of humor and laugh at myself every now and then cause I am silly sometimes ...

Anonymous
Rochelle
10/21/07 2:58pm

I totally can relate to your feelings about that scene on TV.  I can feel for the patient right now, as I am stuck in the system with no insurance, have MS and need open heart surgery.  I am on neurontin for the pain, which does not help, and they refuse to prescribe any narcotics to me.  I also have what they think is Menieres disease (buzzing in ears, deafness and vertigo attacks).  The vertigo attack triggered my heart and I ended up in the hospital in July.  They had to put me out and do a cardioversion (this is the second time in my life)  I am only 42.  I begged them at that time to find out why I have vertigo attacks, pain, and heart difficulties.  They found out I have a very large hole in my heart with a leaky valve, which needs surgery.  They also did a head MRI and CT scan along with a spinal tap and said I have massive lesions on brain with inflammation and gave me the diagnosis of MS.  For three months now I have been battling all this and truly the doctors have done nothing!  I am on charity at a hospital, but they have no heart surgeons there.  I see a neurologist who does not believe in prescribing pain meds and put me on gabapentin (Neurontin, which is not working and only makes me tired).  I have a 10 yo to take care of and am a single parent.  I need something to help so I can at least carry out my tasks of daily living.  The MS and vertigo is only making my heart worse.  Have all of these problems really scare my and my anxiety level is so bad right now and no one is doing a darn thing about it.  I went to ER last evening at the hospital where I am treated at, and they just said stick it out and wait to see your new PCP in a week.  I was in shock and very upset they did nothing to alleviate my pain situation at that time.  They said take some ibuprofen, which I have been and is not working, and increase the Neurontin. I asked for something to help with my anxiety with all this and they did nothing just sent me home after waiting 4 hours to see them.  The system is totally out of whack as far as I am concerned.  There are people who truly have serious medical conditions such as my self and they had all the records, but yet did nothing in the meantime.  So here I sit having to wait seven days before I see my new PCP doc. 

 

With a heart condition such as mine, they should have at least given something to me so I could relax, as when I have anxiety and pain it makes my heart even worse. 

 

Thanks for listening and God bless!

 

 

10/21/07 3:45pm

My Dear Rochelle, I am so very angered by the treatment you are receiving from your medical caregivers.  It sounds almost criminal.

 

Have your doctors explained why they will not prescribed effective narcotic pain medicine for you?  Have you questioned them narrowly on their reasoning?  There are many physicians who are totally paranoid due to the government's phony-baloney "war on drugs" and the harassment they are enduring from the feds, that they just simply will not get involved by prescribing these drugs.

 

There are also some doctors who have their own misguided moral compunctions concerning this issue, and believe that a patient must learn to live with pain rather than give in to it and take narcotics.  In my view, both situations are untenable.

 

I honour your perserverance and determination to continue your fight, as well as your dedication to our family responsibilities.  I hope you have some family or social assistance at least with the physical aspects of your life.

 

Please endeavour to be your own best advocate and do not give up the fight. If your current doctors are not satisfying your needs, try to find a way to search for new doctors who are more willing to meet your needs. I am a firm believer that medical care is a partnership between doctor and patient, not a compliant patient and dictatorial doctor calling all the shots.

 

I am thinking of you and sending positive thoughts in your direction.

 

Michael 

10/22/07 4:41pm
That (whomever wrote that show) writer is full of garbage!   I watch "House" on fox;  the doc, House, is needing a script filled nearly every show:  for VICODIN, and they show him popping "vicodin" in his mouth nearly every time they show him!  This is more realistic and shows that people in pain CAN still think (even have great thoughts) and manage, as long as they are treated properly to even work;  this INCLUDES giving them (us) pain-meds!  E.R., Phffftt!!  @
10/22/07 6:51pm

Although I understand your reasoning about the difference between the two shows, I don't think that portraying House as an addict is a particularly positive message.  Unfortunately, they are not showing a doctor/patient who is taking medication appropriately for the treatment of his pain, but rather someone who is being totally irresponsible in the manner with which he handles his medication.  I also think that showing someone forging prescriptions is also not a particular positive image.  But it is only television, so who really caresBlinkAnd I do overall, agree with the point you were trying to make.

 

All the best,

Michael 

10/22/07 7:19pm
Uh, EXCUSE ME?  I think I made my point;  people in pain take pain meds more than 3 or 4 times a day (vicodin, esp.) or they are not in pain.  Sorry, but I think you mised my point entirely, which I think I did a reasonably good job at making!  If someone, anyone, with chronic pain takes only 3-4 vicodin (and NOTHING else), I have a hard time believing he or she is truly in chronic pain!  The show, "House", portrays the more accurate day of a chronic-pain patient better than some shows that only bring up the message, which is, "vicodin is bad an anyone who takes it at all is addicted".   This was my point and I believe you missed it, though I did a fine job of making it!  @
10/23/07 12:45pm

Anne, I do not understand why you are responding to my comment with such apparent anger.  I too am a chronic pain sufferer of many years.  I have experienced, as I suspect you probably have as well, having to beg doctors to provide me with the medication I need to deal with my pain. I have been given lectures about being an addict, or abusing medication, all because they simply did not understand how to treat severe chronic pain. So, I know what you message was, and yes, you did explain yourself quite well.

 

I was making a different point however, not disagree with what you had to say.  I just feel that showing House forging prescriptions and taking advantage of his friends in order to get his meds was not the most positive way of demonstrating the problem. That is all.

 

As far as dosages of various opiates is concerned, everyone reacts differently to medications.  The other factor is that everyone has different levels of pain tolerance. Some have very high levels and are able to deal with pain that someone else would find excruciating, and vice versa. So, to say that anyone taking 4 Vicodin a day could not be experiencing severe pain is not entirely accurate in my opinion.  

 

In House's instance, I would agree that 4 Vicodin a day would be like taking an aspirin. Because another issues, is of course, tolerance. For example, I take 33 mgs of Methadone a day for my pain.  I know other people, with equally severe pain who are knocked out by 30 mgs. of the same medicine.

 

So, please do not take what I said as a personal attack, or my trashing what you had to say.  You actually made some very valid points.  I was just coming at it from a very different perspective. 

11/ 4/07 8:58am

Dear Zasu,

   I watch ER, too, and know exactly which episode your talking about. AND... had the same reaction!!! There was also another incident on ER of a chronic pain patient (w/  back problems, I think) where the man is so desperate to get relief that he leaves after being brushed off rudely as a "drug seeker", but then comes back w/ a gun to forcefully get an injection by Abby. Shortly thereafter, the man passes out in the ambulance bay because Abby gave him a huge dose of the drug to knock him out.

    Again, there was the same myth of all pain patients being seen as having "drug seeking behavior."

    While I understand the need to fight the trafficking of illegal drugs in this country, you'd think they'd have better sense than to lump those of us with legitimate chronic pain concerns in with junkies & buzz seekers!!!

     Yes, we seek drugs. But we want legitimate drugs from legitimate doctors who understand that we need the RELIEF and aren't concerned with the 'buzz."

     Many medical conditions need to be controlled with drugs of various kinds. I simply can't see why it's so damned hard for these people to understand that we with chronic pain actually NEED pain meds!

    I mean... would they deny a Diabetic their insulin? Would they run around saying Diabetics are 'addicted' to the insulin because they needed it? I doubt it. The attitudes we deal with when it comes to chronic pain & pain relief are from nothing more than propaganda. We need to get the truth out there about our very legitimate concerns!

  

11/ 4/07 4:25pm

Andiekins, you are absolutely, 110% correct. The feds have doctors so intimidated that even they are now joining in on the discrimination against "drug seeking" patients. 

 

My own doctor who is a pain specialist at THE major hospital in Montreal, and who put me on the  Methadone program over 4 years ago, and now is beginning to be concerned that the powers that be might be questioning his willingness to continue prescribing Methadone for a patient whose condition has not changed in some time.  Bottom line is that I do not believe he is going to make any change in prescribing for me, but the very fact, that even here in Canada, this has become an issue that is resonating with pain specialists is very troublesome indeed.

 

I realize that TV programs are meant to entertain and not educate. But many people who watch believe that in medical programs, the basic elements with which they work are in fact true. That it is the stories that are fictional. Hence, that show, and shows like it, only help perpetuate the dangerous myths that turn us from patients into perceived criminals. 

11/ 5/07 7:54am

Zasu wrote: 

   "...the powers that be might be questioning his willingness to continue prescribing Methadone for a patient whose condition has not changed in some time."

This type of thinking just floors me! I mean, honestly! I could see the questioning of your continued treatment IF you'd been cured, but if they cannot cure you, then how do they expect you to go off the pain meds?! There simply isn't any logic in that.

11/ 5/07 2:23pm

You are, of course, correct Andiekins.  Not only have I not been cured, but my condition has actually worsened over the past year and a half.

 

The issue isn't the need, but the politics involved, I fear.

 

My doctor did have a legitimate concern.  Unfortunately, over the past three years, none of my primary doctors or specialists had provided him with any reports as to my condition.  He had no idea that I had developed osteonecrosis of the left shoulder and forearm until I told him about it.  I believe this is what had him concerend. If the powers that be showed up asking for verification of my needs, he actually had nothing to show them.

 

Upon learning of this situation, I made certain that ALL reports, xrays, MRIs etc were forwarded to him, and I followed-up to make sure they were received. I have an appointment with him in early December, and my hunch is that his attitude will be very different.  We shall see. 

11/ 6/07 7:16pm

Hello Zasu

I'm with you, I get very frustrated with tv programs that depict every form of opiate medications as a big tabu.  It perpetuates and feed societies prejudice and negative feelings over our medical treatments for those of us who suffer.

I work constantly to try and educate my family and friends about the truths of opiate pain therapy and it's seems that just one of these rediculous programs and how the depict the use of pain relievers can completely destroy or at the least bring back serious doubts of your own explanations to your friends and family.

It's one thing to criminalize the drug trade, and quite another thing to criminalize the pain patients and the good doctors who take their treatment seriously, despite the criticism they may face.

Maybe we should start a "Pain Sufferers League" and hold the producers of these programs accountable for their fiction that creates more needless pain and suffering.

Good topic

Betty

11/ 7/07 2:02am

Betty, unfortunately, other than the American Pain Foundation, and our group, I am not aware of a national pain patient's association or group that bombards the media when they portray invalid and myth-enabling stories on their shows.  I for one make it my business to write to the networks and producers of any particular show when this kind of thing occurs.  I wrote to NBC about the ER episode about three weeks ago.  I hope you will do the same.  Many individual voices can make a huge difference.

 

I really wish the government would spend more time, effort and money on attacking the drug trade at its source, the big illegal importers and sellers.  The doctors trying to help their patients, and the patients themselves are guilty of nothing, and they are not the people the authorities should be focusing on.  I think they do it because it is easier and cheaper for them to attack us and our doctors rather than chase organized crime and the other purveyors of  the illegal drug trade.

 

I am also a proponent of decriminalizing drug use and permitting addicts to get prescriptions from their doctors for the drug they are addicted to, rather than pushing them into the street to find criminal sources to feed their habits. Addicts are sick people, just as us pain patients are sick people.  An illness should never be treated as a crime, in my opinion. 

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By zasu— Last Modified: 09/22/10, First Published: 10/20/07