Category Archives: shaming
Gentle readers! I know! I am going to worsen my hernia by reading this stuff every day! I can’t help myself! It’s like tearing myself away from a Star Wars Marathon and a free case of Guinness and Harp on New Years Eve Back when I was child free and in college! Did you ever hear about that drinking game?
Because what I really need right now is more news pounding home just how EEEEEVIIIIL drugs are and how in danger some of us are of becoming dependent on them!
Especially, WOES! Those poor servicemembers, because they would never ever have a reason to use them. Not with an almost decade of war going on in two countries and the highest rate of PTSD, suicide, TBI, and other things we have ever seen in our troops before.
Now, let me slow down for a moment, because there are some really good things going on here. This nerve blocking thing sounds pretty awesome, but I am not a medical professional of any type unless you were going by the number of dram bottles I have on hand. While I have a lot of not-so-nice things to say about the already “pins and needles” feelings in my hands and feet, I will take that in other parts of my body over what I deal with now thats-for-damned-sure. But the juxtaposition of a new therapy with the whole “drugs are bad, mmmm’kay” meme is wearing on my last pain free nerve. The shaming of opiate use is tired and older than my favorite period underwear.
As more troops return from the battlefield with chronic pain, the military has seen a spike in the number of prescriptions for opiate painkillers. More troubling, abuse of painkillers is on the rise: About 22 percent of soldiers admitted misusing prescribed drugs, mostly painkillers, in a 12-month period, according to the results of a Pentagon survey released this year.
So, how did their magical survey define “misusing”? Taking more than prescribed? One more? Two more? Because you were in MORE pain than that prescribed amount of pain managed and you were having trouble getting an appointment with your PCM to get the dosage adjusted or any other treatment? Anything beyond precisely what is on the label is “misusing” a prescription. The military has an entire month devoted to prescription drug abuse awareness…but what they don’t do much to address is the underlying need that might cause servicemembers to resort to such a thing; the fact that they might be in pain and they might not have doctors paying attention or being able to pay enough attention to them or their pain.
At the VA hospital in Tampa, all patients taking painkillers are incrementally tapered off them, Clark said.
Because chronic pain never completely goes away, the hospital’s staff emphasizes physical rehabilitation to strengthen muscles and joints near the pain source. When the injury involves the brain — as in PTSD and mild TBIs — the focus is on treating symptoms that could exacerbate pain.
“Pain may make it more difficult to treat those issues,” Clark said, because “all these things interact.”
But what about the remaining pain? The article never goes on to address what is done for that remaining chronic pain. You know, the pain that never goes away. Because we know that just sucking it up doesn’t work in patients who have chronic pain, and if all patients on painkillers are taken off of them over time…well then, what the hell is actually being done?
This new treatment sounds great for the people to whom it is available, and for the people for whom it will work, but let’s not jump ahead of ourselves and pat ourselves on the backs pretending that this is some magical solution that has suddenly rid us of the need for those nasty opiates or narcotics that are JUST. SO. BAD. FOR. EVERYONE. (You fucking addicts! I mean, c’mon, you were all thinking it!) (Right?) Dr. White is one of only six doctors who do what he does, and the article doesn’t say that the others offer his fancy treatment, nor does the article make any mention of how many civilian specialists are working on this treatment.
I worry that the VA and other military treatment facilities will look at this as a sign that they should be able to deny more patients painkillers. Progress will mean exactly nothing if it sacrifices patient care or hinders the quality of life of patients in chronic pain and with life-long illness and injury. While this article correctly talks about how chronic pain is processed differently by the brain not every uniformed doctor and military medical professional subscribes to that theory, and what the military doesn’t need right now is more doctors, medical professionals, or hospitals bragging about how all of their patients are off those evil, bad, no good drugs without offering them real help.
Dr. Drew enrages me. The way his whole empire is built on callous exploitation of the pain, suffering, and need of others makes me very suspicious of his motives and goals in treating people. But even more than that, his eagerness to observe people through tabloid reporting and unsubstantiated rumors and then make unfounded assumptions about whether they’re experiencing substance addiction or abuse issues and/or mental health issues is, frankly, repugnant.
He’s been targeting Lindsay Lohan recently, and has said some absolutely outrageous and unacceptable things about her in recent days. I saw this reported by the Onion AV Club and they respond so nicely I’m just going to quote them:
Dr. Drew Pinksy, of Celebrity Rehab With Dr. Drew, Sex Rehab With Dr. Drew, and Dr. Drew’s Ol’ Fashioned Healing Vapors & Hair Tonic, is obviously a great doctor. He can diagnose life-threatening drug addiction just by listening to unsubstantiated rumors. He knows which cameramen will help the most in each individual addict’s recovery. And he is great at uncovering and broadcasting an addict’s childhood trauma—which is the only reason anyone becomes addicted to anything ever.
In fact, Dr. Drew is such a great doctor, he diagnosed then officially cured Lindsay Lohan via an interview with the always reliable gossip website RadarOnline.
First, Dr. Drew detailed his recommended course of therapy for Lohan:
“If she were my daughter, I would pack her car full with illegal substances, send her on her way, call the police, and make sure she was arrested. I would make sure she was not allowed to get out of jail. I would then go to the judge and make sure she was ordered to a minimum of a three year sobriety program.”
I’m sure Dr. Drew already emailed this interview to the head of development at VH1, because in addition to being a terrific treatment plan for an addict (and also a morally sound thing to do), Dr. Drew’s Celebrity Frame-Up & Jail For Addicts Featuring Dr. Drew would also make a great reality show.
But after pitching his new show/course of therapy for Lindsay Lohan, he added this:
“I would say it’s less than a 1% chance of her making the decision to go to rehab. I have said this many times before, I believe that Lindsay will make a wonderful sober person, someday, if she survives this. I absolutely wish no harm to her, but I just have a feeling that something awful is going to happen to her, like she is going to lose a limb. I hope Lindsay gets help before something terrible happens.”
Something terrible like having a celebrity doctor diagnose you on a gossip site, or tell you what you need to do, or plant drugs in your car then call the cops on you?
It is easy to imagine the same kind of “logic” and “help” being applied to someone with a mental illness. Dr. Drew might suggest calling the police and saying that an individual had threatened suicide – even plant a weapon or suicide note on them to be sure the police would take them in for psychiatric commitment. He would publicly judge and shame that person for not seeking what Dr. Drew considers to be appropriate and beneficial treatment and imply that if his proposed treatment plan isn’t followed, any harm that befalls the person is their own fault.
This is not ok. It is dangerous, and is unfounded judgments and shaming. And it is utterly inappropriate and unacceptable from a medical doctor.