The Opioid Crisis and the Way Forward

[@iquemedia]

2:08 bro i worked in a *retail* pharmacy for 2 years and we gave out percs like they were candy but when someone needed their suboxone it felt like penetrating the great wall of china to get the insurance to pay for it

[@tancha70]

Now that would be the ultimate job to have & have access to all the pain meds lol.. You would have been a great connection to have to get some good pain meds I'd be taking oxy,perks, 4mg morphine anything that takes my back pain away other than shitty gabapentin & naproxen what my doctor only gives ... In Canada drs are to square here unless your dying can't get anything strong to make me feel comfy & buying off the street is getting way to expensive.

[@davidkruse4030]

And that’s the deal. That’s what it’s all about money

[@mattwodziak1750]

Dr. Carroll, I think this was your best HCT episode to date. Thank you!

[@Elitetrainera]

Damn, good point at the end there.

[@Annabelle8248]

Agreed! I will definitely use this point in the future when talking to family and friends! I’ve always hated the “well they’re the ones that chose to use” argument for not providing help, but I never thought about it in terms of other diseases that are also caused by poor life choices... No one should go without medical care, regardless of the circumstances!

[@ilikedota5]

@4:57, that does confirm what I thought. There are a lot of simple things that collectively have a huge impact, Nalaxone, medication to treat addiction, reformulating drugs to be harder to abuse, drug take back, pyschosocial treatment (reducing it to a moral failing or to chemistry alone isn't correct), and clean needles. They all seem obvious to me. Good to see evidence.

[@robinsss]

i think you mean Naltrexone Naloxone just prevents death from overdose we need to create safe injection sites they reduce od deaths we need studies on delta 8 and 9 in treatment of opioid withdrawal symptoms

[@unappropadope]

God I love healthcare triage. I feel it’s the crown jewel of complexly; thank you for this series!

[@deborahvidal6552]

I tested positive for opioids taking naltrexone prescribed by my psychiatrist!

[@sdmugabe]

Excellent video sir!

[@kitthornton2336]

What does a successful MAT program look like? As a prosecutor, it seems like every other impaired driver who hurts someone tests positive for Suboxone and other "addiction treatment" drugs. The best place in town to buy hard drugs is the parking lot of the Methadone clinic. I'm not doubting that addiction is a medical problem, at least in part, but what would an EFFECTIVE program look like?

[@cliftonjames785]

I've been on suboxone for 5 years, and literally my biggest fear is if I get into a car crash, im gonna be charged because I have suboxone in my system. The screwed up thing is, suboxone does NOT impair me whatsoever. What are your thoughts on this?

[@davidkruse4030]

You are wrong. It’s highly unlikely suboxone is causing impairment. It’s probably people using booze and benzos in addition to the suboxone causing the accident. Either way I hope they counseled up before plea bargaining with you.

[@wozbrown8236]

Quite a few years ago there was a BBC lunchtime news feature on a trial to cure chemical addiction. It was reported to be +90% effective in the trials so far. It worked by measuring the frequency of the drug and then passing electrical current of the same frequency through 2 electrodes the patient held in their hands. This caused the body to quickly start to excrete the substance out through the skins pores.The clinic room even had an en-suite shower to wash it all off. I forgot all about it for years and now can find no mention of it on the net.I wish I had recorded it but I had missed the very start of the feature and thought I’ll just record the evening news and get the whole thing. It wasn’t on the evening news however.

[@davidkruse4030]

Sounds like BS. That is probably why

[@chanvalentine8283]

Thanks KZbin algorithm. I didn't ask for this video. My 2 cents. 7 doctors didn't listen when I told them it was severe inflammation. Dr 8 gave me arthritis meds, diagnosed me with lipolymphadema, and reduced enough of the pain so i could sleep.

[@paineoftheworld]

In the United States at least, the suffering is the point. You mention stigma and I would like to point out that this stigma is manufactured in little shops found throughout the nation usually on the corner of Main and Elm with a pointy roof. It goes beyond that even because the intersection of profit with these fabricators brings a horrible, merciless calculus to our culture that even as we tout individualism, we are more than willing to jettison one if they don't fit the desired mould. Since the foundation of the colonies, this is the way it has been. The inertia to be overcome in order for change to happen is massive and deeply seated. I applaud your efforts, Doctor, in chipping away at it.

[@BTheBlindRef]

Doing everything and reducing the impact by 11% is NOT a lot. It is a shockingly small number given how many programs and changes that estimated reduction incorporates. I agree we have to start somewhere, but we better be able to do WAY better than a 10% reduction. That's pretty pathetic.

[@quintessenceSL]

Most addiction treatment regimens are surprisingly ineffectual (baring the Sinclair method, but that is specific to alcohol, although some aspects could be adopted to opioids). Unfortunately modern medicine is very locked into addiction modalities which, quite frankly, don't work (ask any junkie that has gone through treatment. Continual relapse is the norm.). Drug laws further compound the issue (Portugal's decade long reduction in use should be raise eyebrows) but you won't hear doctors advocating for decriminalization, even though it is more successful than most treatment options offered. In short, we will continue to throw away vast resources on marginal improvements.

[@paxundpeace9970]

Please do some crossover with for example Medlife Crisis or other medical youtuber

[@italktoomuch6442]

"We need more nets!" That's my new battle cry.

[@robinsss]

we need to create safe injection sites they reduce od deaths we need studies on delta 8 and 9 in treatment of opioid withdrawal symptoms

[@bryce4071]

We need pain medicine that is more selective and doesn’t activate the opioid receptors that cause the high and addiction. Until those drugs are finished with their development we won’t see much progress with the opioid epidemic. Even then those drugs will be brand name and more than likely very expense, which will be a problem in promoting wide spread use.

[@MichiruEll]

While they might not be quite as powerfull, there are a lot of pain meds that are not opioids. These are the ones prescribed generally in Europe. I've had my wisdom teeth removed, a surgery to remove a tumor in my mouth, tonsils removed, an autoimmune disorder, and more and I've never had opioids. And I've never been in horrible pain because of it (except the tonsils, those hurt like hell, but I was also a child). I've mostly received non steroid anti inflammatory drugs (NSAIDS), they have their own side effects (can be bad for kidneys) but generally no addiction potential. They work very well. Not quite as strong but I think a small amount of acute pain is acceptable. Pain tells you to be careful, it reminds you something is not right. Opioids here are reserved for use in hospital for severe acute pain, and for chronic pain once all other meds have failed and if there's nothing to be done to alleviate the pain.

[@sneakerbabeful]

We have solid data proving Medical Marijuana is effective for pain. Wherever states legalize it, the number of opioid overdoses fall. Federal legalization could be a major break in ending pain-related deaths of despair.

[@robinsss]

you need a drug that doesn't activate the opioid receptors that's true marijuana fits that description and the high can satisfy the cravings

[@robinsss]

we need to create safe injection sites they reduce od deaths we need studies on delta 8 and 9 in treatment of opioid withdrawal symptoms

[@eltonej]

Why save the life of a drug addict? That belief is why it's easier for doctors to prescribe the cause of addiction but not the treatment. That is the cause and lifeblood of stigma.

[@SaucerJess]

💚💚💚

[@ThreeRunHomer]

The answer to all of your questions is money. Making and prescribing ultra-addictive drugs is highly profitable for drug companies and doctors. They are the new drug pushers, under a thin veil of respectability. 💰💰💰💰💰💰💰💰💰💰💰💰💰💰💰💰💰💰💰💰

[@dailydoseofmedicinee]

Most common side effects are predictable consequences of opioid pharmacological actions and include nausea, vomiting, constipation, pruritus, dizziness, dry mouth and sedation. Side effects are extremely common with opioid therapy👍

[@chickenpants]

The biggest side effect is continuation of life.

[@robinsss]

these aren't side effects these are withdrawal symptoms marijuana treats most of them

[@sopek1427]

Capital Punishment

[@Granite]

There are drugs that break addictions but they're illegal.

[@raventru956]

Granite wdym? Which ones?

[@Granite]

@@raventru956 Ibogaine and psilo to name a couple. There are other ignored compounds out there which also have many beneficial uses.

[@EDD519]

KRATOM is legal !

[@Granite]

@@EDD519 Kratom isn't for everybody but for sure better than an opioid pill. Much love to you Edward.

[@Rgsetters]

So prescribing opioids for more than 4 weeks.

[@Rgsetters]

Unless it's for cancer pain

[@EDD519]

@@Rgsetters they have been cut off too !

[@kristensorensen2219]

Exactly what is the reason for the DEA extra credit required to Rx that drug? We need it all free ya sure... Just legalize everything and let the survival of the fittest work it out. No nanny state!

[@Phlegethon]

Who’s funding this channel? It’s clearly money losing based on the research required and the views

[@ThatEgghead]

As mentioned in the episode - this series was supported by the National Institute for Health Care Management. They also have a pretty active Patreon, and I assume some KZbin Red/Ad revenue, and I believe they're still a part a part of Complexly. I'm honestly still surprised the channel hasn't taken off more in terms of subscribers & views. The content is excellent in my opinion.

[@Dorgpoop]

It's crazy thought that even if all those approaches were out in place you would still have around 400000 opioid deaths per decade. Perhaps though, if the right tools were put in place the next generation would benefit substantially more from them. Fewer parents on opioids means reduced exposure for their children to them, and perhaps the stigma and reluctance to treat the problem as a disease will also take a generation to change.