2:30PM – 3:15PM
REVISIT THE CDC GUIDELINES — LOOK WHERE WE ARE NOW!
Gary W. Jay, M.D., FAAPM, Clinical Professor, Department of Neurology, UNIVERSITY OF NORTH CAROLINA, CHAPEL HILL
The CDC Guidelines have been taken and used with “misapplication of the guidelines.” This has been associated with forced opioid tapering, too often to zero opioids, or decreased to a maximum of 90 MME. At the same time, significant harm has occurred to chronic pain patients, who were forcibly tapered way down or even off these pain medications. Suicides have multiplied. Also, while the “Opioid Crisis” was, at least initially, about prescription opioid medications, the entire problem has morphed into a “Heroin and Fentanyl Crisis.” Finally, while the number of physicians who see chronic pain patients has sharply decreased, the physicians themselves remain under attack for the use of opioid pain medications. The political and legal aspects of the once “medical” problem are now growing and superseding the clinical aspects.
- Review past examples of the incorrect administration of opioids
- Evaluate the effects of inappropriate applications of pain medication on patients
- Investigate the reality of the Opioid Crisis, including the current issues involved and where the solutions lie