Kentucky Doc Spring 2016 - Page 22

22 doc • Spring 2016 Kentucky management. The conversation was often shifted to monitoring for egregious addiction or lesser adverse effects rather than the lacking efficacy or problems of physical dependency and rebound pain. Once chronically exposed, many patients cannot return to abstinence, even upon resolution of the original complaint. Thus the decision to initiate opiates and the reasonable doses prescribed are enormous life-altering choices, often sidelined by the imperative to treat regardless of a condition’s long-term response to opiates. Nationally, lawsuits have been filed against pharmaceuticals as a result of misleading claims but as clinicians we must learn from our own mistakes to vet the knowledge we gain from our pharmaceutical counterparts. Medical Providers Pill mills have long been a scapegoat for the opiate epidemic. While undoubtedly unscrupulous businessmen [