2022 Primary Care Update “Updates in Acute and Chronic Pain Management”

[@Jenajj88]

As a pain patient on opiates since 1994, due to a horrific car accident, my pain has been managed very well, until the 2016 CDC guidelines. My doc reduced me to 90 mme. Now i can barely exercise, let alone get ready in the mornings. Before my dose was cut (was on the same dose thru 2016) i was doing so much better. How dare this doctor say you can only do menial work on opioids. I have an MBA and have been a practice manager going on 25 years. Im truly Disgusted that pain patients are treated like this. Shame on this group of anti opioid zealots, trying to say its all in your head!! This is infuriating!

[@ThyKingdomCome_7]

My story is similar to yours! Near fatal car accident & broken & fractured bones(jaw, femur, pelvis, ribs, hip, elbow etc etc)w/deformities & I’m still finding out misdiagnosed problems many years later. When my pain was managed appropriately, I was able to run 2 businesses & raise a family. I’ve been reduced by 50% 2 yrs ago & to hell w/these people saying meds don’t work! My activity level has decreased & my pain significantly increased. We need to flood these biased YT videos with the truth! Call your congressman & ask to speak or meet with a staffer to get litigation going & sponsor a bill in your state! This is an all out war on veterans & pain pts! “ it’s not about our health!” This is about $$$ & implementing new modalities! This reeks of prohibition!!

[@Jenajj88]

I am definitely calling my congressman to try and sponsor a bill. It's on my agenda! I just started a new position, so I'll be in training out of state for the next few months, but I have promised myself it's time to get involved! Especially after Danny and Gretchen Elliots' suicide! 💔 I'm sorry to hear about your auto accident, too. My clavicle, right arm, and every rib on my left side was broken, the steak and seafood truck that hit me, left me with 4 herniated disc's and severe nerve and muscle damage in my neck and shoulder. The pain only gets worse with age. It's unethical to treat human beings like this! Shame on these money hungry, only out for themselves, no compassion, dehumanizing anti-opioid zealots. It should be a crime how we're being treated. It makes me feel worthless at times due to the constant stigma from family and medical professionals. And why, I just want to work and live my life to the fullest. I would be on disability without. I have tried literally everything, physical therapy, steroid injections, ibuprofen which i take regularly as well, Aspirin, Tylenol (what a joke), Ten units, massage therapy (which helps, but of course, the sleazy insurance companies won't pay for that). I can't even use my insurance for any of my meds because they won't pay for them after CDC guidelines anyway. It's literally a disgusting world when a man like Kolodny spreads lies and misinformation so he can become ultra wealthy off Suboxone, another opioid 🙄, but all other opioids that have worked for millions of pain patients are bad now? Promoting innacurate research, junk science, and testifying against big pharma companies and collecting massive amounts of money off Suboxone is what Kolodny is ALL about. How can people not be outraraged by this man and his lies and deceptive manipulation! Kolodny should be a major embrrasment to his colleagues and especially the CDC, which makes me think they are just all corrupt. The CDC has even retracted their research, stating they were inaccuately measuring rx opioids in the same category as illicit fentynal, so most of their research about rx opioids being highly addictive to long term pain patients is FALSE! There is evidence to show less than i think its 3% of patient’s get addicted when taking opioids properly, without using alcohol or poly-drug use. How can the CDC director, Head of the DEA and ALL persons affiliated with PROP get up in the morning and look themselves in the mirror, knowing they are killing pain patients, disabling them and continually leaving human beings in excruciating unmanaged pain on a daily basis? It's disgusting. I dont get how being mega rich is more important than a human being getting basic medical care to ease their pain and help them live a normal and productive life. Making the pain tolerable is the difference between most of us being disabled or being able to make a living. How do you get up in the morning and justify killing and disabling people on a daily basis through your actions? How shameful. I'm praying someone steps up at the CDC or somewhere to admit what they've done in their part to pain patients and make it right! Are there any decent human beings left anymore? So disheartening. Sorry about the rant, but I'm suffering through this just like many others. I pray for us all 🩷 Good luck to you!!!

[@ThyKingdomCome_7]

@@Jenajj88 no apologies! So sorry you & all of us have to be dealing with this. We’re all on the same page! You’re very up to date on the “ins & outs” of this mess! Do you follow the Doctor Patient Forum podcast? I listen to it on Apple Podcasts.

[@Tinyteacher1111]

@@Jenajj88 I’ll help any way I can!!!

[@pamelasmith2625]

I agree. I find the opposite. When my pain is NOT controlled, I can’t function, I cannot exercise, I cannot organize my thoughts, I forget appointments, I can’t plan my days. When my pain is under control, I can plan things, organize my days and my mind is just so much clearer. They enable me to go swimming, cook and shop. Hope you are have a good day. Hugs❤️🇨🇦❤️🇨🇦

[@Brian-nl1ok]

My pain is not imaginary. I have damage to my spine and it hurts all the time. Leave my pain medication alone. It gives me quality of life and it gets me the hell out of bed instead of putting me in the bed.

[@mikisboys]

👏🏾 💪🏾🙏🏾

[@JW-oz5xp]

Banner reads, "From an accredited hospital." Accredited by whom? Exactly who holds moral authority? Where do they get this authority over my quality of life and millions of other chronic pain sufferers? I have a damaged spine and get maybe 10 fully functioning days on my feet out of any given month. How many of these "Professionals" struggle with debilitating pain 24/7/365 ?

[@lockelamora0717]

A study done on upper middle class patients with low pain scores and specifically low back pain doesn't really represent the average chronic pain sufferer.

[@cryptopeter1]

You're absolutely right. Peter in North Palm Beach

[@Melissa-yr7fm]

Yes, this doctor reeks of hand-picked studies, and complete unawareness. He doesn’t seem to understand that some of his statements were contradictory and that correlation doesn’t equal causation.

[@michaeldefiore8477]

Makes no sense the cdc weakens the guidelines and providers are still against prescribing opioids for people who are suffering on a day to day basis all because these drug addicts messed everything up for ppl who truly are having pain I am highly against doctors who say stay away from the pills they don’t know what pain does to a person let alone feels like these doctors don’t have to live on a day to day basis with chronic pain I suffer from osteoporosis advanced stage and also have osteogenesis imperfecta and with me constantly having fractures makes me have pain I am in palliative care for my pain but the medication is managed through my primary care provider and I must say being prescribed a extended release opioid and an immediate release pain medication for break through pain has been a life saver for me now do I wish I didn’t have pain problems of course I do but in order for me to live a good quality of life I need my pain medication because with out it I would be in a wheelchair

[@lockelamora0717]

I feel ya brother. I hope you find some relief.

[@Melissa-yr7fm]

Yes, I’d like to review some of these peer reviewed reports. I’d like a physician in the field that has personal experience with chronic pain. I’m happy they recognize the social-emotional aspect of pain as it does make pain worse, however, determining it is the driving factor in many with chronic pain is unfair. It’s also akin to how this doctor said there isn’t long-term data on opioids for chronic pain relief as the studies end at one-month - all that means is that the research isn’t there. It doesn’t mean that it’s a negative effect. Just like we all know that chronic pain and disorders such as fibromyalgia are being taken more seriously and studied more this last decade. The absence of not understanding chronic pain doesn’t mean it’s all negative thinking or a social-emotional cause. He starts the lecture by stating opioids are good for acute pain but then later on states to avoid giving them at all costs. Of course there is going to be a correlation to prescribing pain medication for an initial acute injury, to later addiction or opioid use. That doesn’t indicate causation. What happens to undertreating patients out of fear? There’s a huge psychological toll on patients for undertreating and not taking pain seriously. Some people don’t want opioids and that’s fine. We also shouldn’t be shoving meds down people. At the same time we need to listen and have a patient center model of care. Some people who have an original injury, like a bone break, will have muscular damage and perhaps tendon damage and nerve damage. Muscular pain can linger for a long time, even with PT. Then there is scar tissue. Then there are muscle spasms. Then if they have a procedure, that is still body trauma, and like he said, the body remembers. It’s not negative thoughts from patients. If there are negative thoughts it’s more about our medical care than our illness. This is from a chronic pain patient who has been discharged from pain psychology for not having issues with my pain. I’ve done CBT, PT, OT, acupuncture, etc. I still have pain. I have chronic illness and injuries. It cracks me up that interstitial cystitis is now an emotional/thought disorder. Yes, let me just exercise my red and irritated urethra and bladder away. There are microscopic changes seen in the bladder tissue of those that have IC. Lol. Yep, in our head…

[@shelleyamos5842]

I feel like I’ll be in a chair soon if my pain continues to be under treated. It’s all unnecessary.

[@deemariewright3981]

This entire cabal is a conspired plan to break ppl down, to make many people more wealthy & to take a further control of the medical system in the USA. There’s hardly any doctors anymore that are not tied in thru contracts with a hospital system that controls them. They make it lucrative for the doctors and if doctors don’t join up then they don’t make as much money. That’s one reason many doctors failed to take a stand against the Covid-19 mandates and failed to push back against government entities who suppressed cures vs sedation & intubation that led to so many deaths.

[@Carol-dj8gp]

Me too.

[@omennemo8844]

@13:05 They should also put into that definition and prevents one from performing daily normal activities. Right from the start the writer of this definition is downplaying pain

[@blueeyedchippewa8271]

As a pain patient of 30+ years, I find a lot of this video quite insulting. Do you really think I can just "will" myself out of having 8 screws and a very large metal plate embedded in my femur? Can I just will away the spasms and the weakness? Oh if only I could meditate more often and better. If only, if only.... It's hard not to wish pain on these docs sometimes, but I try to be a better person than that. 🙄. And as far as fear - you bet! When you struggle through day after day, in agony, trying to convince your kids and family you are ok, when the pain is unbearable... You bet there is fear. You fear that you will never feel better. You FEAR the docs will drop you. You fear a lot! You know, you can also fear having to live in this amount of pain for years to go... And that makes a long life - seem tortuous!

[@Cb88x]

It don’t matter cuz they have access to it if they get hurt. They get top of the line care.

[@JeremiahHartmanPhotography]

You took the words right out of my mouth. I suffer from chronic back pain, im inoperable, and with the "crackdown" life is getting even harder. Im limited on opioids now to a point I cant do simple tasks without pain spikes, I take meds for nerve pain which have helped tremendously...but also unmask my disc and vertebrae pain even more, im forced to get unnecessary injections because by pain doc says he's only allowed "so many medication only patients" but wont tell me why I don't qualify. I feel like im being extorted for money from procedures just to get pain meds which literally just keep me from self deleting...i still stay at an 8 pain level. No doctors in my area will take uninsured pain patients so im forced to drive over an hour and a half to see my current pain doc which puts me in even more pain. Now last month CVS is refusing to fill my small pain med prescription... so yeah, we live in constant fear. We've been put in this position. Ive dealt with these problems since the late 90's..back then I could get the proper medications for me to function (not get high...FUNCTION). Now it's impossible. So I feel your pain..hang in there.

[@brendapcmt]

I’m not a better person 😮 This man has a degree in bullshit. I cannot believe he can say all this with a straight face. He should be the one that doesn’t sleep at night like all the patients with ongoing pain that find sleep so difficult. It’s got to be the almighty $$$ for this “doctor” to lecture this crap much less to put it on video and submit it to a public forum! God help us indeed. 🙄

[@pamelasmith2625]

I appreciate what you are saying and maybe there are SOME people out there who can be helped with your program. I have been living with chronic pain 24 hours a day for over thirty years. I have been very proactive in my health journey. I have done every kind of therapy. I have been poked prodded, had so many needles stuck into me with hopes to get some relief. My doctor has had me try every possible medication with some very severe side effects. I did go to a very informative and helpful Mindfulness course which did give me some tools to do breathing exercises and meditation. I have been on low dose opioids for quite a few years. I only take them when necessary. When I go into my severe flare ups I have difficulty getting my pain under control. When my pain gets that bad, my blood pressure goes up, my blood sugar goes up. Then I can’t function. Can’t take care of myself. My medication helps calm me down and and I am able to function and go swimming, exercise and go shopping. I know most doctors want to help us, but I don’t think anyone’s who isn’t living in chronic pain can possibly understand what we live through every day. I struggle to get through each and every day, but am fighting to have some sort of life. I still make plans to go on small trips and go out with friends, even though it is extremely stressful for me just anticipating getting ready. When you have been dealing with long term chronic pain, you are so totally exhausted all the time and just the thought of trying one more kind of therapy or new drug is totally overwhelming. We are tired and just need our health care professionals make us as comfortable as possible so we can live some kind of quality of life. I am now 77 and think i deserve to live out the rest of my life as comfortable as possible.

[@blueeyedchippewa8271]

@@pamelasmith2625 I feel very similar to you... I especially empathize with how you feel planning outings and just things that are normal to other people. Stay strong. I hope you find some relief! 😔

[@TiffanyT-LaDolceVita]

Until you have chronic pain, how can you actually really know how much relief we get from our medication?!?! For me, it’s like night and day.

[@Scraggledust]

Nothing has worked for me. Non-invasive treatment, exercise, chiropractic visits, acupuncture, nerve ablation, physical therapy, counseling, CBT (was a fat joke), non-opioids, NSAIDS, 6 surgeries… nothing has worked for CNS and radicular pain. (Never had opioids) I plan on seeking out street drugs now, if I don’t get help in the next month, I plan on assisted death. Ty for NOT acknowledging real, daily pain and I hope you and those like you know - have contributed to my suicide

[@blueeyedchippewa8271]

You have no idea how much I relate to your comment. I am back on a dose of opioids now, after having been forcibly cut off in 2018, but my dosage has been so reduced as to be significantly decreasing my quality of life. Before the forced cut off, and subsequent withdrawal, I was walking, gardening, and even occasionally riding a bike. Now I am lucky if I can get the kids ready for school, and do the dishes. Oh - and when they cut me off, after 14 days of cold turkey withdrawal, on my own, after 20+ years of opioids, I was given Suboxone - and 15 minutes later had anaphylactic shock. If they cut me off again, I think I will be suicidal as well. I can't go through that again. And I have never failed a drug test, gone to jail, been hospitalized, etc. I am not an overdose risk. I just want my life back. I want to be a mother to my kids, and a wife to my husband, and a sister, a daughter.... I want a life again. I have had nerve blocks, physical therapy, cognitive behavioral therapy, pain management classes, acupuncture, gone to the medicine man...and more

[@lockelamora0717]

They don't look at the results of ignoring pain. I hope you find another solution besides ending your life but I know your choices. I've considered it many times but I still hope I can find a compassionate doctor before it's too late. 6.5 years and counting for me. 7 surgeries, 5 physical therapy sessions, all the off-label drugs, but no opioids attempted because, you know, it's addictive. They think holding them back is saving us. Not the ones that end it themselves.

[@cryptopeter1]

Please as a man who also suffers daily and do hasn't had a good day in years. I hear you. I hear your honesty. What you feel and your experiences are as real as the air we breathe. Recently I was so desperate I began to be thinking of suicide I have always told friends and patients that if they feel that way to reach out to anyone or call 911. Immediate help is absolutely available and I know this. I found a psychiatrist who also handled chronic pain and treats patients with Spravato and ketamine. After just 3 intranasal dosings my wanting to die went away.

[@cryptopeter1]

@@blueeyedchippewa8271 I hear you. I'm on a relatively low dose of medication and feel it's all s result of issues with non chronic pain persons. We face been victims of policies created politicians for political gain only. You are not alone. I'm in North Palm Beach Florida and feel so damn alone that I'm pissed at the world. But I'm here. I feel you.

[@JEBBY123IFY]

I'm with you! God if only I could get assisted suicide! These Drs still group addicts with chronic pain patients and it's not the same! There's kratom and street...it's sad because I was an RN for 30 years!

[@leolady8114]

I believe these doctors need to actually speak to long time patients in chronic pain. This seems quite ridiculous!

[@tmbarry]

His background was in West Virginia during a time of massive sociatal change where huge numbers of middle age men lost their jobs are were severly depressed, and many had lots of lifestyle medical conditions. So not exactly suprising he thinks chronic pain is a psychiatric condition

[@kellymarquardt8971]

He is getting paid to say such ridiculous statements. No way he is a real doctor

[@stbam1965]

I think some of these ppl need to drop a 10 lb brick on each foot every morning and then put shoes on and go to work. EVERY DAY ! DO IT. THEN YOU WILL KNOW WHAT ITS LIKE TO HURT BAD EVERY DAY. FK ALL THE PAPERS .MAYBE IT LOOKS GOOD ON PAPER TO YOU BUT ITS NOT WORKING FOR PPL WHO SUFFER. I MUCH RATHER BE OPIOID DEPENDENT THAN IN PAIN. If ppl cant get what they need from their dr , they will get them on the streets. Basically all these drs and the cdc and our government and so called NOW IT ALL ppl dont live in pain. They force ppl to turn to the streets for meditation. With that being said, THATS WHERE THEIR PROBLEM WILL BE. NOT gettibg under drs supervision because they cant anymore. Get meds off street thats laced with something toxic, maybe start taking more each day because not supervised by their dr . THATS WHAT HAPPENS WHEN CHRONIC PAIN PATIENTS ARE CUT OFF CUT BACK . Thanks to the cdc and our government the drug dealers on the streets are making A LOT more money now. Why pay for an office call at pain management every month when you dont get help. Ppl use that money now to go seek their own drugs on the street. PUT THAT ON PAPER!! DOES THAT LOOK GOOD ON PAPER DICK Head? Love to talk love to preach love to act all proud because its on PAPER and it looks good. Get a spinal injury and take tylenol only and suffer , cant do what you want anymore. Thats what i wish for the ppl who make us honest CHRONIC pain patients suffer. You go meditate and exercise. I do too. It only works for pain as you are meditating. YOU CANT MEDITATE 24 HOURS 7 DAYS A WEEK MORON. I take hot baths ice packs tylenol tens unit. Vultrine cream. Massage meditate cry. Sleep as much as possible to escape pain. Listen to music pray watch a movie for distribution. THAT DONT GET MY MEALS COOKED OR LAUNDRY DONE LAWN MOWED and so on. Whats wrong with these heffers? The meds are made to help ppl who need it but now you cant get it because government cdc and butt kissing ppl writing up false reports about overdosing. The problem isnt the pain patients its the street drugs. Now its the drs because they aren't allowed to DO THEIR JOB. I hate ppl like that who mess up this world for everyone else. I hope both your legs get busted and you get TYLENOL ONLY. AND you have chronic pain every day for the rest of your life and only get tylenol. THEN YOU CAN EAT YOUR PAPERS AND REPORTS FOR BREAKFAST LUNCH AND DINNER 4EVER. U J A

[@stbam1965]

​@@kellymarquardt8971you are right. These ppl are suck ups. Hope they never get busted up bones and chronic pain the rest of their life. Then they can eat those reorts for breakfast lunch and dinner WITH TYLENOL ONLY.

[@michelletaylor369]

Agreed. I’ve been on the same RX since 2012, my dr just retired & now a disabled female myself, can’t get out of bed & can’t get anyone to simply fill the RX I’ve had for 12 years, it’s never been raised in strength or the amount of pills each month. They look at people like their drug addicts always simply want to do is be able to get out of bed without crying. I’ve tried every kind of drug on the market before they finally settled on what I was taking, my last prescription was filled two months ago the withdrawal is not happening it’s simply pain, debilitating pain and the fact that someone could do a new MRI on me as early as last week and tell me that my back is severely damaged, upper and lower, and that they had to send me to a specialist again leaving another office without any kind of prescription. It is absolutely disgusting that patients are being treated in this manner. The only reason why people are dying for the most part of overdoses. My belief is that it must be because doctors have all the sudden cut people off and or their doctors have retired and they’re only other option is to get these prescription medication’s or hard drugs on the street and they don’t know what’s in it so therefore, they overdosing on that the doctors themselves are causing all the overdoses because they just decided to turn the back on the patients, luckily my doctor was my primary care provider but because he retired, I moved out of state and there’s where my issue lies and if I have to wage lawsuit against everyone that I’ve begin to talk to that will not help even though they see how dire my situation is via the MRIs then that’s what I will do you all should be ashamed of yourself. And just so we’re clear my father and several family members are retired. Law-enforcement, one of them was an agent, saying that opioids act as a type of sugar pill I can attest that that is not the case. Absolutely sickening.

[@kimberlygorman584]

I hate when these so-called "experts" talk about the treatment of chronic pain when they themselves are not experiencing the horrific types of pain that we, the patients, go through.

[@brendapcmt]

Dr. Teater, I watched your lengthy mythical lecture again today. I thought I saw you smirking the first time I watched and wanted to check again. And, yes, I’m sure you had a difficult time keeping a straight face. I was waiting for you to suggest we get a cauldron and mix up a magic potion. Are you aware that it’s the pain medication that takes the edge off and allows us to live a more normal life? For the most part the patients depressed and in bed all the time are the ones that have had their medication yanked away due to these insane policies. These policies are causing more harm than the medication. Why don’t you people focus on getting Fentanyl off the streets and treating the addicts leaving their needles on the sidewalks? That would benefit the nation much more than adding insult to injury on the shoulders of suffering patients.

[@Killmaisy]

Less than 2% of people prescribed pain medication have opiate use disorder. Legit pain patients are dying from going to the streets, too. My doctor tapered and then abruptly stopped my medicine and then all but guaranteed I would end up on street fent. Promised me it would happen. Because under-treatment of chronic pain makes people desperate for relief. Dependent patients, not drug-addicts. What will happen to me? I have been a house painter for 23 years and cannot just quit my career because my doctor decided to entwine her personal beliefs into my therapy, not science. Now I am experiencing very real anxiety about my future. I bet I could get meds for THAT, no problem. Which brings me to another point. Some anxiety and pain are okay, in certain territories and I am not trying to escape all pain and anxiety, but do need my pain managed, and that will bring my anxiety under control. I have a dead left leg from my femoral nerve being smashed, osteoarthritis, degenerative disc, disease and spinal stenosis with recurring disc herniation from L-4 to S-1 😢 and so many people have much more pain than I do. We have a right to a quality of life. Under treatment of pain is medical malpractice. So frustrating.

[@ScooterClues]

Absolutely agree with you here, and altho not a CRPS patient, i sure agree with you here, and on top of ghat smirk here, this guy comes across as having a "God complex" and this whole video is an extreme example of doctors who believe they have us and opioids all figured out this guy hasn't a clue what its like to live with chronic pain. He truly believes he knows all this and its being spoon-fed to us as fact. Can't deive a car. An ekderly patient (i am 74, by the way, do read qhite literally 100's of books and have 4-6 going now both on Kindle abd Audible. I an a 24-yr.user of 3x the anount of thet 80mg. 90% of those years here, and sotry but U have goid beighbors sho are fulky aware of ny condition and sheesh, still are.my friends abd they enjoy my company, most of the time if I need anything they come runnig, and shouldn't be driving a car! What! If hes had a tucket well thrn in the 60+ yrs. I am tight up zhere with his ONE i nust confess. This guy is so dure of himself that hes full of it, and talk about smug, and knoeinb kong-term chronic pain? Hes lacking everythibg as far as empathy. He jusr wants to remain the regulator in his patient's lives. He surely needs to have a kook at the now 9 states are now siding with with both intrsctable pain and chronic pain. Take a look for the novemrnt noe of chronic pain and intractable pain and now 9 states are coming out in more states: 9nsi far and alk of us on Facebook are now helping to oush for all 50 states. California has the best state statute now with this legislation. 8 other states have also joined in on this movement, and FB if you ask around will be able to inform others. Ask around and you will hear the buzz. Do a sesrch on KZbin and if nothinb ekse there is Dr. Forest Tennant and he is essentially leaving a legacy of DocTok's on You Tube. Look for his episodes. He has about 45 hour long shows. Realistic and invaluable information. Better yet as many are live, you will start to hear about these new state by state statutes are now up to 9 States; ànd counting...! They all support the chronic pain patient's (CPP's) and intractable pain patient's carefully and favorably.

[@stbam1965]

Because he dont care. He suck up to it all to get paid a pat on the back. Hmmm karma sucks. One day he could get bones broken or spinal injuries and live in hell every day and then he might stfu. Who cares? He is just a.puppet. wants a cookie for telling our government and cdc stuff to get a cookie and a fatter $$$ . All this is just helping the drug dealers make more money when ppl cant get help from their drs because drs aren't allowed to do their job . They will find meds on the street. Its easy. Ppl will sell their meds at 20 or 30 or more each to make money. Its sad because pain patients would see dr and follow the guidelines so they can get their refill each month so they can move and have a partly normal life. Otherwise they get cut off for breaking rules. But when you buy what you need from a dealer you can take as much as you choose. THAT'S NOT SAFE. Nor is the drugs laced in some of the street sold ones. THEY ARE NOT THAT STUPD they just ignore this fact because they dont care. Theres a lot more money to be made in rehap centers and these jokers making these reports and getting paid , than just ppl going to pain management

[@Sorrynotsorry47]

What happened to the "Hippocratic Oath?" This is not just demeaning, it's dangerous to patients!! As if chronic pain patients don't suffer enough, the fear of having the only medication that allows semblance of a normal life is extremely detrimental to patients mental health. I have been cut off cold turkey at least 4 times with no explanation, I asked "are you saying you think I'm abusing the medication" and was told "no." Absolutely no explanation and no tapering, literally went from 60mg daily for 2 and 3 years to zero! No medication to support me through detoxiing, it literally almost killed me. Whenever these narcissistic Dr's fail at treating patients they resort to gaslighting. His license should be revoked at minimum. I have Tethered cord syndrome, had a failed detethering back surgery. I have fibromyalgia, severe bulging disks and stenosis, neuropathy, crps etc. Luckily im back on opioids for the last 2 years albeit not at a truly therapeutic amount. I have severe M-PTSD, I'm terrified every single month that it will be taken away. My mental health is in severe decline because of narcissistic people like this guy who were handed medical licenses that they use against patients.

[@gaylea.griffin9733]

Omg I’ve heard it all. I’m not even going to go into why I need my pain medication. You sir one day will need pain medication and you sir will nope be able to get it. It’s called karma and shame on you. Not everyone gets addicted. You have hurt thousands of people who need the pain meds.

[@brendapcmt]

So… it’s all in your head pain sufferers 🙄 This is unreal. I’m actually wicked enough to wish pain on doctors that peddle this bullcrap!

[@nalathekitty2433]

Yes ,when this kind of Doctors that think pain is in your head get a day of pain I would love to see what would they do about it ! It will be the end of a stupid thinking! This makes me 😡😡😡😡

[@ScooterClues]

So true, just 1 week and they'd really thínk twice about every "theory" or misplaced conceptions of legitimate pain patients - and the positive differences that occur simply because they are adequately treated with, would you believe a life-saving and proper dosage of an opiate. I hope I see every person who watch's this video in the comment's section. This doctor has no place having any seat near the CDC. So the first thing he would do is take your car keys, remove all books in your home AND claim you have no right to take any course at college because of course you won't understand anything that is taught. Where is his evidence - and to really add a good comment here, has this doctor ever talked to 99.8 % of chronic pain patients, as most are very astute, I obviously quite intelligent and 100% ready the help another CPP. . He's one of those who thinks he knows best, and watch out if you think you just might have an opinion. You can bet he has low empathy and compassion as that's beneath him. Show me all your work and I might change my mind, and I'll try to fair.

[@Drobert882]

I don't call those a Dr quack , dump truck no better then those who didn't care about there patents and created this most definitely not dr

[@florabraswell-nm1re]

Now they are trying to say pain in all in their head because of the opioid crisis, there is people suffering like me in pain every day of their life , they tell you that you have fibromyalgia

[@johnm5644]

Ive had lower back issues since 2002. I was on different opiates throughthe yrs which brought my pain down to a 3/4 from 7 sometimes worse. Crisis hits and taken off pain meds. I was on the verge of trying back surgery. Had to go to the VA's methadone clinic. That dose helped for 4-6hrs. Gained over 200lbs because lack of mobility and then VA says im too heavy for back surgery or inserting nerve stimulators. Ive been on suboxone for yrs and my suboxone NP somehow prescibed me Butran patches. Doesnt help. Shes even hoping i find a Dr who would prescribe me opiates again. Quality of life only gets worse. Daily i want to give up and take my life but my wife and child keep me from that. I too hope some Drs experience true pain someday and see how fun it is. Also why should i be forced to try a back surgery when opiates worked fine.

[@markmcallister7076]

When most of these doctors or their loved ones have pain issues I guarantee you they will take proper pain meds

[@egardner0041]

u literally everything I been feeling and experiencing it almost as it even though they see all the mri’s or x rays they still act as if you lying

[@janetspell1396]

God help us all.🙏

[@kmlund42]

How to convince someone that their emotions are causing their pain is tough sell. How do you help someone who has PTSD, depression, and/or anxiety? Just medicating for mental health has been done and not helped many pain patients. Are we getting back to saying pain is literally in your head again? When you are unable to get out of bed from pain no one wants to hear that it isn't really there. Wonder what these people would say if they lived with it day in and day out. The best we can do is ibupophren and acetomenophin.

[@brendapcmt]

It’s all part of the master plan! After decades of prescribing opiates to relieve pain, and in my opinion because druggies began to crush and snort, or take pills by the handful and wash them down with beer and whiskey, and maybe a benzodiazepine chaser - suddenly opiates no longer have value and the pain is all in your head! Our government/nannies have a multitude of problems to focus on (like a border overflowing with Fentanyl) and where is their misplaced attention? If Covid didn’t take you out and you bear the burden of life altering pain, you are probably wishing Covid hadn’t passed you over at this point. This is betrayal by our government. After contributing to society for so many years, then to be dealt a cruel hand of unrelenting pain lasting into retirement, who could have imagined we would be subjected to this at the finish line. Powers that be: stop bloviating about the inhumane treatment in China and Russia. YOU are just as bad! As for this quacks theory, the only mental factor to my pain is the depression that comes from being insulted and mistreated by this insane treatment. How did you expect us to react?

[@Melissa-yr7fm]

Interesting point. If it’s in our head, then we should be going to a psychiatrist that treats the underlying issue. If they can’t fix the underlying issue then we should still be medicated as that’s humane. We treat animals better than chronic pain patients.

[@arnie1005]

Well they finally got me after doing so well in 25 years on drugs . like JanaJJ said, I also had the very same outcome on taking opioids . Like him my meds was cut back in 2020, and then cut off completely in 2022. I am unable to go anywhere, my house has not been cleaned since 2020. Before when I was on 2 50 mcg patches and 180 mg oxycodone. This is not much of a Doctor. When a patient is doing thing when taking meds, and then not being able to do anything without. Then this Doctor needs to retire!

[@TiffanyT-LaDolceVita]

I am so so so sorry. 🙏❤️

[@arnie1005]

@@TiffanyT-LaDolceVita You are so kind!

[@brendapcmt]

And that is the opposite of what this “professional” said. It’s the pain medication that allows us to live a more normal existence. He said people on opioids become reclusive and don’t associate with others. If it walks like a duck it quacks! Also, regarding Diclofenac ointment, there is a small amount directed to be applied at a time, not a long length. And FYI I’ve yet to find a TENS unit that covers multiple areas on the body. Maybe someone will invent a bodysuit with electrodes that cover the body for fibromyalgia or rheumatoid patients and more. Maybe he’s not aware there are people that have duped their doctors to get opioids for recreational use or to sell, or maybe he IS that doctor, but that is NOT patients with legitimate suffering.

[@cryptopeter1]

I agree, in my case, that my chronic disabling pain is absolutely coming from overactivity of my neurologic system. My MRII results are significant and my history of failed back surgeries and associates serve pain is as real as the air we breathe. I'm struggling and wish I could somehow turn this overactivity down. My anxiety and depression and impotency and suffering are not helped long-term by optiods in my case. Spravato (intranasal Esketamine), in my recent state of severe depression with suicidal ideations, was relieved by this drug and it's affect on my emotional state. After 4 dosings of this drug my pain receptors seemed more fulfilled and my constant pain began to clear. It may have saved my life and I'm continuing this therapy in North Palm Beach, Florida. Thank you. I want to help. Peter

[@Melissa-yr7fm]

Can I message you about your experience? I’m looking for something similar.

[@deemariewright3981]

Interesting. I have similar description of over activity of neurological severe nerve pain issues. Not one so-called medical professional has even done a simple neurological check on me, not even the neurologists. I tell the doctors what symptoms I’m having for the past four years and nine months that are debilitating, causing me to be in bed 98% of my time and they don’t seem to give a rip. I have always had lab work within normal limits, but I changed primary doctor & first thing he did was ck my blood work. Thyroid TSH was so low I was in danger of a stroke. Liver enzymes sky high. Because TSH so low, it caused over activity of body organs & once the thyroid meds got the TSH level back inside normal limits my liver enzymes came back down to earth. My heart goes out to you. Glad you’re able to get palliative. I need it, too much to tell right now. Still can’t sleep hardly. Had two major seizures prior to the thyroid issue discovery. Bulging discs, re injured badly L-4-5, S-1. Had three back surgeries within ten month period, helped some but still have extreme, severe vibrating in that area that started before the surgeries and alternates to excruciating burning nerve pain that over the past few years has spread to nerve pain everywhere. Wish you the best.

[@georgehollingsworth2428]

Let's have someone stand on the testicles of each of the anti opiate doctors 24/7 and have them think THAT away.

[@brendapcmt]

😂 The visual is painful and I don’t even have testicles! 👍🏻

[@AntoniomuroVmusic]

Doctors should go on pain and physical limitations before they talk They don’t know what that feels like . What when you try to work or get physically active and everything is getting worse That doctor is wrong completely wrong.

[@nalathekitty2433]

I dont want to take opioids but im taking gabapentin high dose , I have fibromyalgia and I used to fall asleep crying every night I still have pain but at least I can fall asleep more easily and even though I wake up a few times during the night it’s nothing compared to before.

[@johnathanabrams8434]

There's not a single positive comment about this guy

[@tmbarry]

All of the studies covered here have profound biases and assume that we have a system in place to cover tens of millions of patients with new therapies that Insurance won't cover, and especially extreme selection baises

[@rikkijam8596]

For those doctors that won't prescribe much needed pain medication, dismiss pain patients, think all we need to do is breathe deeply, or that we're drug seekers...... there might be a day that you or the person you love the most will be in our shoes and you won' t be able to get the medicine you need and will then understand and maybe develop some compassionate care towards others. Isn't that why you became a doctor? Should've been.

[@amethystflower8799]

so basically you do not take responsibility or do your job. You expect the patients to change their thinking and somehow pull themselves out of it. Haven't we been hearing "trust the science" for two years?

[@egardner0041]

I wish I could find a good pain management because some days it’s hard to even get out of bed. I hate being in so much pain that I can even do basic house work or choirs. I have multiple herniated disc and a radial tear but my dumb ass doctor prescribed me hydrocodone 5 three a day. It doesn’t work at all my wife had to start working from home. The doctors excuse to keep me on 5mg was solely based on my age it’s to the point I’m losing my mind. If any one knows a good pain management in Louisville ky please let me know.

[@markmcallister7076]

Typical ONE SIZE FITS ALL BS. "Just go outside, take a deep breath, you'll be fine".

[@kellymarquardt8971]

Show me this so called study on how pain is worse during withdrawals. There is no study on humans. Only rats. Problem is rats dont metabolize like human livers. So again you are lying.

[@stbam1965]

This guy at the beginning is LONG WINDED

[@CoCo-if2fi]

under the section 'problem with opioids' everything he is saying is contrary to the truth!

[@lisawambolt2468]

I have used all listed recommendations….I have a diagnosis of CRPS…there are much better lectures through UCLA…The Science of Pain by Dr Alan Busbaum. He has a similar pain as I do and has a simple demonstration of why the pain remains. This I found most helpful versus the explanations of this lecture. As an MSN I too feel this lecture is over simplified for Complex Chronic Pain patients.

[@alantate25]

What you need is high dosage ketamine infusions for crps! Search Dr Joshi

[@Brian-nl1ok]

He starts his speech off with a diagram of people who have died from opiates. This includes illicit fentanyl and other illicit drugs. Why doesn’t he just show the deaths from people who are taking prescription pain meds under the guidance of a doctor??? And not the people who live on Kensington Street in Philadelphia that are suffering from addiction???. My pain is real and it’s not addiction and it’s not an all in my head. This guy is spreading bad news.

[@mlmm47]

You can thank this Dr along with Prop another group of idiots for lumping Heroin into the class of Opioids therefore of course people are Dying from Opioids, its Heroin laced with illegal Fentanyl just like every drug off the street is Now laced w illegal Fentanyl Fentanyl

[@kellymarquardt8971]

Nobody has ever died of opiods from a doctor and follow the prescription. None.. not 1.. its all from street drugs and abusers. Not from people in pain.. this guy loves to show old charts that are now known to be falls.

[@marthaworc7873]

Most of the reason people take fentanyl is because they have been cut off of their pain medication. The death is on the government's hands.

[@evandavidwilton]

I’ve been on them long term and it has helped me when professionals haven’t. The same dose still helps me and it hasn’t destroyed my life or family. In fact, I’m doing really good! It’s difficult to find a doctor though and doctors in my area won’t prescribe buprenorphine. I tried to get one to switch me because of the opioid issue with doctors but can’t find a doctor near me. How do I go about trying to find a doctor in my town who would prescribe buprenorphine?

[@shelleyamos5842]

I have also been using opioid medication long term with no I’ll effects, until they cut my dose by half and for the last 5 yrs my quality of life has taken a nose dive. No longer able to exercise or move around much, can’t work etc. I see THOSE as I’ll effects. Also my state of mind.

[@evandavidwilton]

@@shelleyamos5842 Most doctors feel the need to shame us even when we follow the rules and need the medication. It’s not enough that we are in pain and people don’t understand what we are going through. We need our doctors on our side! I’m sorry for what you are going through! 😪

[@Killmaisy]

Buponorphine is addictive and dangerous Please research

[@N0Sheeple]

This guy is the problem for anyone who has actual pain. He's full of it

[@tlacuachefromtejas]

Bouzhie people. God forbid should pain hits you later in life. Say no to pain pumps and evil neuralinx

[@kellymarquardt8971]

Quack quack quack

[@susiebell5303]

I hope the medical students read the comment section! Who is funding this research? Who is paying for this garbage? There are MANY of these "lessons" being taught right now! Ugh.

[@sandosrules]

The funding is coming from the addiction/rehab sector the least known fact regarding addiction is the disease affects 1-3 percent of Americans period. Opiates are no more addictive booze the second big lie Americans are told. Third big lie is the majority of overdose deaths where a toxic screen is actually done shows over 60% of the victims have up to 6 different substances in their bodies at the time of death. As a boomer I’ve know a few addicts in my day they DO NOT take their own lives by far and large they are all about the party and the high.

[@Justybow]

1:14:00

[@doreenreich]

What does 1:14:00 mean?

[@brendapcmt]

@@doreenreich click on the time and it will take you to that place in the video

[@RussellD11]

Hope this Dr gets his KARMA soon....

[@matovicmmilan]

I can't believe the nonsense this guy is saying???

[@Melissa-yr7fm]

Yep. I was prepared to hear something amazing. Poor studies, all or nothing thinking, and appears out of touch with the patients of this speciality.

[@SisterRose64]

Endoctrinated ignorance

[@youdontwanttoknow5203]

Oh puleeeeease. You can have chronic pain and know exactly where it's coming from. OA for instance. OA doesn't get better with exercise when it's bone on bone. "Unpleasant sensory and emotional experience" - hey, IT HURTS. Emotions don't trigger pain; they're caused by pain. FOS.

[@AntoniomuroVmusic]

This D has lost his mind Not his Ethics because he never had any . We need this person to be spinal injured with legs surgeries and physically limited and suffering a lot of pain every day. And he can talk after that.

[@AntoniomuroVmusic]

Almost makes me throw up listening to your lies now people suffering from pain is crazy that’s almost what you are saying Is 5:30 am pacific time and I have not even been able to sleep a minute because my spinal injuries nerve damage with lots of pain physically limited and pain on my legs surgeries and listening to this call doctor talk about something that he doesn’t feel he needs to suffer and feel before he talks.

[@debliedel]

You are full of the government! Dr. Teter, I have been with pain all my life! Chronic pain started in my late 20s! People who don't have pain won't understand it! In 2016, my doctor decided to no longer give me meds for chronic pain. Needless to say, I went through hell! I wish I could speak through this computer cause I can't type it all down!! I can honestly say this, your theories are all backward!! Oh I am still going through hell at 70!

[@Fuzzybudget]

I think he's full of something else.

[@youdontwanttoknow5203]

So what you're going to hear about opioids since he was on the CDC's advisory committee is a load of rubbish. Fact is opioids work for most people in severe pain. It's the only med that's approved for severe pain, so taking people off them is just plain wrong. You left on aspect of the whole issue out of the conversation: the pain patients. The ones that are suffering as a result of your abusive and twisted idea of what pain is and how it needs to be dealt with. Demonizing opioids. Btw, Bupe is more destructive than pain meds and it's still an opioid.

[@Lori-u2x]

I'm sitting here listing to what I who lives in acute chronic pain and a artist. This Lightness constancy theory is utter bologna. The fact of the matter is while the medical community scrambles to cut off actual pain relief medics. The actual person who is living this nightmare suffers and dies sooner because the stress they live in is too much. Weather it be the heart or other organs give out to the poisons doctors are replacing the opioids with are even more toxic to the kiddies, heart and liver. Calling pain a disease is simply painting pain another color and putting it in a different category now isn't it. I call BS on your BS. The emotional factor is that PAIN causes emotional distress !!! And in turn causes the mind body and soul to change. Just stop it with the creative graphics and lame explanations of pain pathways. Roll them all up and find the deepest darkest part of your cylinder and your checker board and stick it there...... 🙄

[@douglaserickson2866]

Criminal