MY patient Mr. W. wheeled himself into my office for a checkup. He’d lost a leg to diabetes and was also juggling hypertension, obesity, vascular disease and elevated cholesterol. He was an amiably cranky fellow in his mid-60s who’d used heroin in the past though had been clean for decades.
As we finished up and I handed him his stack of prescriptions, he said, “Oh, by the way, Dr. Ofri, I was wondering if you could prescribe me the oxycodone I use for my back.”
Oxycodone? In the six months I’d known him, I hadn’t been aware that he was taking narcotic pain medication.
“I’ve been getting it for years from my pain doctor in the Bronx, but that clinic closed,” he explained. “So now I’ve got to get it from my primary care doctor.”
He told
The Doctor told him that "it
Officers should be provided with a means to protect their issued Naloxone and MAD, either on their person or in their vehicle. For the pilot project the Division should provide several options for officers involved in the pilot project to carry the Naloxone. This will enable officers to evaluate and provide feedback regarding which method is preferable. To carry Naloxone on their person, officers can be provided with a double magazine pouch that can carry both the MAD and one dose of Naloxone. Used magazine pouches can be obtained from the Stock Room without incurring any costs. For officers who choose to carry their issued supply of Naloxone in their vehicle, a “Pelican” micro case #1020 can be purchased for approximately $15 per officer.
OxyContin also known by its generic name Oxycodone is an opioid drug that relieves moderate short-term to severe long-term pain (1). It is generally used in palliative care for terminally ill patients in the hospital (3). The problem with OxyContin is there are many possible side effects such as dizziness, stomach pain, nausea, constipation, dry mouth, mild itching and loss of appetite, like any drug but addiction is never mentioned (1). There is a lot of controversy when it comes to OxyContin as it not only helps patients in the hospital but also helps someones high. OxyContin is continuously being abused, increasing the total amount of death rates as users continue to look for a rush. OxyContin allows that rush when it is chewed or crushed
After nearly 15 years on the market, the feds finally put a little pressure on Purdue and as a result they rolled out a new formulation of the drug that made it virtually impossible to snort, inject, or smoke the pill. So abuse of oxycontin declined drastically and even though there were still many other highly addictive opiates on the market including drugs with the same active ingredient, prescription drug overdoses decreased by 20% over the next two years. Awesome right? But there's a catch. Heroin overdoses increased by 23% in those same two years (2010-2012). When the old formulation of oxycontin was taken off the market opiate pills became harder to find on the black market and street prices skyrocketed. So the oxycontin addict was forced to make a decision: either pay the premium price, get help, face excruciating withdrawals and temporarily lose all functionality as a member of society, or turn to the less expensive, more potent, and readily available option which was heroin. Sadly, many addicts choose the latter option. Now, since there is no way for the addict to truly to know how much narcotic they are ingesting when using heroin, cases like this one happen every
Per progress report dated 9/2/14 by Dr. Valdez, the patient complained of low back pain, right greater than left. Medications include Norco, OxyContin, Robaxin, Neurontin, and simvastatin.
Since 1996, the year that the Food and Drug Administration approved the medical use for OxyContin for adults, the United States opioid abuse has skyrocketed and in consequence has led many to overdoses causing high death rates and has also resulted to the abuse of narcotics. Oxycontin, is an highly addictive synthetic opiate manufactured by Purdue Pharma that is often prescribed for severe pain medication that has many side effects such as addiction, and/or depression. Often, people who are suffering from severe pain will be prescribed by their doctor, the opioid OxyContin. Once users no longer have access to the controlled substance, they often turn to street drugs like herion, crack, and even meth. In August of 2015 The FDA loosened their laws for the use of OxyContin to children as young as eleven years old, increasing the likelihood of youth becoming addicted to opioids and narcotics at a young age. In short, the FDA loosening it's allowances will directly contribute to drug addiction in youth.
Oxycontin is a powerful pain medication that has been used since 1996 to treat severe pain in millions of people around the world. Unfortunately, it is also a highly addictive substance that has devastated the lives of many of the people whom it was supposed to help. People often ignore the dangers of this drug because it is legal and can be prescribed by a doctor. Unfortunately, that's what makes it such a dangerous problem. Understanding the severity of Oxycontin addiction is important for anyone currently using it or considering using it to treat pain.
over North America were beginning to take this “magical drug”. Individuals like Elizabeth Kipp who was a 42-year-old woman, had suffered from back pain since she was 14. Elizabeth was prescribed OxyContin in 1996. When Elizabeth was interviewed by LA times she mentioned that she would find “modicum of relief” but after a few hours the effects would wear off and she would be left in excruciating pain, the only since of relief was the next time she could take her pill. She was continually watching the clock waiting for the next time she could medicate. She was quoted in the article say, “you want a description of hell? I can give it to you.” She stated that she would go back to her doctor time and time again but he would never change her medication,
Alexander Brant, to see what all this abdominal pain was about. All he did was prescribe me some hydrocodone. He told me that the drug was new and if I experienced any worsening symptoms to stop the medication immediately. One statement that he said that caught my attention was that too much of the hydrocodone would result in death.
I understand your concern and I am sorry to hear about your daughter. Oxycodone and Oxycontin are basically the same drug, with the difference that Oxycontin also contains Ibuprofen, in addition to Oxycodone. You did not specify the number of tablets she took, but it is very possible it was her intention to take a very amount. Overdosing on oxycodone does lead to loss of concience and I am glad she was found soon enough to get treatment.
I was in your office on March 15, 2016 for my Health & Wellness. I want to say first, thanks so much for finding the problem and the medication. I had back pain and I requested an X-ray to see where the pain is coming from, blood drawn to check my liver and potassium. I would like to know if you have received the results from the above tests. Also, I would like to know if there was a thyroid, prostrate, and cholesterol testing done? If so, may I have all the results if they are ready?
During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to
Patient X was going about his life like any normal person. He was traveling, enjoying life as any person should. In March, X was on his way to Canada when he started experiencing flu like symptoms and a rash that almost looked like measles. After a few weeks, the patient developed pneumonia and wasn’t able to eat. They had lost 15 pounds by the time they decided to seek treatment. The patient went to the emergency ward to seek answers as to what was causing
On the 21st of October 2016, I had the privilege of taking care of a patient whom for the sack of confidentiality I will call Andy. Andy was my patient who had a combination of comorbidities which made his case very special. Andy suffered from type 1 diabetes which was fairly
“Heres something for the headache, you may go home as soon as you wish. You’re parents are probably wondering where you have been.” and with that the doctor whose name i still did not know got up and walked