Wycliffe_03 said:
Cromagnum said:
wesag said:
Hulla Baller said:
Moron
Addict does not mean you're a moron. Hope you don't have a kid who is an addict. The internet does make you sound tough though. I'll give you that.
No, being an addict does indeed reveal one to have been a moron at some point. Only a buffoon goes down that path to start with. You have to be crazy to try heroin, and you have to actively work at it to get addicted to painkillers.
lol
I used to think somewhat like this...although not to this extreme. I pray that you are never confronted with the harsh reality that so many other undeserving people are.
A person with a hardwired proclivity for opiates may start with a legal prescription or two for legitimate pain or injury. To say you have to actively work at it or TRY to get addicted to opiates is probably the most ignorant thing I have seen in all of Texags. I am not trying to be rude but I am amazed at this level of ignorance.
I will tell you this as well...I agree that heroin has a "crazy" stigma. Someone who says "man, I wan't to party tonight, let's try some heroin" may have a few screws lose. But I can tell you this...to a crazy person, a stupid person, or to a highly intelligent, responsible and successful person who is addicted to opiate painkillers and has their source dry up...heroin does not seem crazy at all. In fact, your mind and every fiber in your body literally tells you that you NEED it in order to survive. And in some cases, this is true...you can actually die from quitting opiates cold turkey.
This is exactly why I have stopped prescribing euphoria inducing narcotics like oxy, or dilaudid. I've seen the aftermath of what started as well intentioned physicians looking to keep their patient's pain under control that subsequently turned into life altering addiction problems. Opiate overdoses have been skyrocketing over the last decade. From 2000 to 2014 there was a 200% increase in opiate related deaths. And a large percentage of those deaths aren't just heroin. Also, the majority of chronic heroin users for their start with prescription pain meds.
People worry about guns killing people, but opiates/opioids are killing significantly more people in our country. And it's not just the lower socioeconomic portion of our society, but white collar workers, as well. A large percentage of the time, these people don't even realize they are addicted. They come in after accidental overdoses or crashing their cars after being strung out on roxy's. You tell them they need to cut back on their pain killers they are being prescribed and they yell and scream at you for daring to imply they have an addiction problem, and that the medications were "legally prescribed" to them. I have on more than one occasion refused to give specific euphoria inducing medications (drugs these people were asking for by name) and instead offered reasonable alternatives only to be cussed at or had someone write a formal complaint against me. Even people that aren't currently taking prescription pain meds have the expectation that when they come to the ER that they are going to receive opiate/opioid pain meds while there, and a little something for the road, as well, even if they have no ailment that warrants it. They expect to be completely pain free, otherwise you are a terrible doctor that doesn't care about them. It takes all of my effort not to give in to their demands, and explain to them why I don't prescribe opiates to everyone who walks into the ER for pain related complaints.
Part of the responsibility for this opiate epidemic falls on us physicians, especially the pill mills and surgeons giving their patients a month worth of oxy's for a simple cholecystectomy. It also falls on us doctors caving in to fill a weeks worth of pain meds for someone that clearly does not need it. An even larger portion of blame lies on the pharmaceutical companies that fed consumers and physicians lies about the safety and lack of addictive potential of the drugs they were pushing. There is a reason that the U.S. consumes 90% of the world's prescription pain med supply, and it is not because we as a population are in more pain than everyone else.
...sorry for the rant, but I saw a subject I'm passionate about and wanted to give my 2 cents.