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pioids could kill nearly half a million people across America over the next decade as the crisis of addiction and overdose accelerates.

Deaths from opioids have been rising sharply for years, and drug overdoses already kill more Americans under age 50 than anything else. STAT asked leading public health experts at 10 universities to forecast the arc of the epidemic over the next decade. The consensus: It will get worse before it gets better.

There are now nearly 100 deaths a day from opioids, a swath of destruction that runs from tony New England suburbs to the farm country of California, from the beach towns of Florida to the Appalachian foothills.

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In the worst-case scenario put forth by STAT’s expert panel, that toll could spike to 250 deaths a day, if potent synthetic opioids like fentanyl and carfentanil continue to spread rapidly and the waits for treatment continue to stretch weeks in hard-hit states like West Virginia and New Hampshire.

If that prediction proves accurate, the death toll over the next decade could top 650,000. That’s almost as many Americans as will die from breast cancer and prostate cancer during that time period. Put another way, opioids could kill nearly as many Americans in a decade as HIV/AIDS has killed since that epidemic began in the early 1980s. The deep cuts to Medicaid now being debated in Congress could add to the desperation by leaving millions of low-income adults without insurance, according to the nonpartisan Congressional Budget Office.

Even the more middle-of-the-road forecasts suggest that by 2027, the annual U.S. death toll from opioids alone will likely surpass the worst year of gun deaths on record, and may top the worst year of AIDS deaths at the peak of that epidemic in the 1990s, when nearly 50,000 people were dying each year. The average toll across all 10 forecasts: nearly 500,000 deaths over the next decade.

Beyond the immeasurable pain to families, the overdoses will cost the U.S. economy hundreds of billions of dollars.

Opioid overdose deaths: 10 projected scenarios.

Talia Bronshtein/STAT Sources: see below

In addition to the forecasts, provided by academics who specialize in epidemiology, clinical medicine, health economics, and pharmaceutical use, STAT conducted more than 40 interviews with politicians and patient advocates, providers and payers, doctors and drug makers. This analysis is also informed by a review of presentations from top Trump administration health officials, including Health and Human Services Secretary Tom Price, National Institutes of Health Director Francis Collins, and the acting chiefs of the Office of National Drug Control Policy, the Substance Abuse and Mental Health Services Administration, and the Centers for Disease Control and Prevention.

“It took us about 30 years to get into this mess,” Robert Valuck, professor at the University of Colorado-Denver’s School of Pharmacy and Pharmaceutical Sciences, told STAT. “I don’t think we’re going to get out of it in two or three.”

It’s already so bad that once unthinkable scenes of public overdose are now common: People are dying on public buses and inside fast-food restaurants. They’re collapsing unconscious on street corners and in libraries after overdosing on prescription pain pills, heroin, and fentanyl. A customer in Anchorage, Alaska, hit the floor of a Subway while trying to order a sandwich. A mom in Lawrence, Mass., sprawled in the toy aisle of a Family Dollar as her little girl screamed at her to wake up. A grandmother in East Liverpool, Ohio, slumped in the front seat of an idling car, turning blue, while a toddler in dinosaur pajamas sat in the back. 

There are so many deaths, some coroners are running out of room for bodies.

The most recent national statistics count more than 33,000 opioid-related deaths across the U.S. in 2015. Many victims are young, often in their 20s or 30s. Increasingly, many are white. But the plague touches all demographics: farmers and musicians, lawyers and construction workers, stay-at-home moms and the homeless.

Read next: 12 ways to slow the opioid epidemic

Most of the forecasts produced by STAT predict the annual death toll will increase by at least 35 percent between 2015 and 2027. Under the gravest scenarios, it could triple — to more than 93,000 deaths a year.

On this, all the experts agree: Fatal overdoses will not even begin to level off until sometime after 2020, because it will take time to see whether the federal government’s efforts to boost drug enforcement and push doctors to write fewer prescriptions for opioid pain pills are effective.

The worst-case scenario is built around the assumption doctors will continue to freely prescribe and that people addicted to opioids will continue to be exposed, perhaps unknowingly, to powerful synthetic compounds like carfentanil, an elephant tranquilizer capable of killing a human with just a couple of grains.

Opioid deaths: Worst case scenario

Opioid deaths: Worst case scenario
Scenario 1: The opioid deaths forecast for 2027 is 93,613. The forecasted change is 183% since 2015 when it was 33,091. This curve assumes total drug overdoses climb at the same rate they have for decades. It’s also based on the assumption opioid deaths keep making up roughly the same percentage of all drug deaths. Natalia Bronshtein/STAT

The best-case projection has fatal overdoses falling below 22,000 a year by 2027. But experts say reaching that level would require a major public investment in evidence-based treatment options and a concerted push among medical providers to control pain with non-narcotic therapies before trying prescription opioids. Right now the U.S. spends about $36 billion a year on addiction treatment — and just a fraction of those in need are getting care.

By contrast, federal officials estimate that opioid abuse drains nearly $80 billion a year from the American economy because of expenses tied to health care, criminal justice, and lost productivity.

President Trump, who has vowed to make opioids a priority, has appointed a commission led by New Jersey Gov. Chris Christie to explore solutions, but it hasn’t yet laid out its ideas — and in the meantime, the administration’s proposed budget would slash most domestic spending, which health advocates call profoundly counterproductive.

“Are we doing enough of what we think works — prescription drug monitoring programs, medication-assisted treatment, naloxone?” asked Dr. Donald Burke, dean of the University of Pittsburgh’s graduate school of public health. 

“And,” Burke said, “are we matching the societal costs with a like expenditure in prevention?”

Opioid deaths: Best case scenario

Opioid deaths: Best case scenario
Scenario 10: The opioid deaths forecast for 2027 is 21,300. The forecasted change is -36% since 2015 when it was 33,091. ‎‎This curve assumes doctors prescribe fewer opioids, states embrace prescription drug monitoring programs, and insurers enact reforms to increase treatment access. Natalia Bronshtein/STAT

Ignoring clear signs of danger

The STAT analysis projects many painful years ahead. The roots of the crisis, though, stretch back generations to the 1980s, when pharmaceutical firms first marketed prescription opioids like oxycodone and hydrocodone to treat pain — and claimed they carried minimal risk for addiction.

Over the years these companies pushed hard to get pills in patients’ hands with strategies that included paying middlemen to circumvent state regulations and allegedly bribing doctors to prescribe opioids.

The result are staggering: Opioid prescriptions nearly tripled between 1991 and 2011.

It has been abundantly clear in recent years that such prescriptions can be dangerous. From 2005 to 2014, the rate of opioid-related emergency department visits nearly doubled, according to a new report from the Agency for Healthcare Research and Quality. Yet as recently as 2015, doctors prescribed prescription painkillers to more than a third of American adults, despite limited upside for many patients.

Future of Opioids - Qt 1
Hyacinth Empinado/STAT

“It’s like cigarettes in the ’50s: We look back at the way people smoked and promoted cigarettes as laughably backwards — magazine ads with doctors saying, ‘Physicians prefer Camels,” Dr. Michael Barnett, assistant professor of health policy and management at Harvard University, said.

“We have the same thing now — Oxycontin ads in medical journals where doctors would say, ‘Opioids are good for treating pain. They don’t have addictive potential.’ It’s possible 20 years from now, we’re going to look back and say, ‘I cannot believe we promoted these dangerous, addictive medications that are only marginally more effective.’”

The state of Ohio, among a handful of governments currently suing drug makers, alleges that a “well-funded marketing scheme” led to its residents receiving 3.8 billion opioid pills from 2011 to 2015, fueling “human tragedy of epic proportion.” Fatal drug overdoses in Ohio have soared by 642 percent since the turn of the millennium.

Another statistic: The number of privately insured patients diagnosed with opioid dependence increased nearly sixfold in just five years, according to data compiled by Amino, a health care data analytics company.

In 2012, only 241,000 such patients had an opioid dependency diagnosis. By 2016, that number was 1.4 million. And those numbers don’t even account for the hundreds of thousands more battling addictions while on Medicaid or Medicare, or while uninsured.

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The surging death toll, affecting growing numbers of white Americans, sparked demand for action in ways unseen during past epidemics that disproportionately affected minority populations. Law enforcement officers started shutting down pain clinics, known as “pill mills,” where doctors accepted cash for painkiller prescriptions. But that only accelerated demand for heroin, as pill mill patients had trouble finding treatment to break free from their addictions.

Desperate to keep feeding their cravings and avoid the anguish of withdrawal, people from all walks of life — soccer moms in Vermont, C-suite execs in California, college-bound kids in West Virginia — began to shift from prescription pills to heroin, which was more potent and had become far cheaper, thanks to heightened drug trafficking into the U.S. by cartels. Two years ago, heroin deaths surpassed the toll from prescription opioids for first time this millennium, according to the Washington Post.

“Thirty years ago, the heroin dealers drove through Arkansas” on their way to more populous and lucrative markets, Dr. G. Richard Smith, professor of psychiatry, medicine, and public health at the University of Arkansas for Medical Sciences, told STAT. “That’s not the case now: People are switching from legal prescription meds, rightly or wrongly prescribed, to heroin.”

Future of Opioids - Qt 2
Hyacinth Empinado/STAT

A new threat rises 

Many of the experts STAT spoke with were even more concerned about the wave now crashing through communities: the synthetic opioids, such as fentanyl and carfentanil, that have flooded into the U.S. from China and Mexico. They can be cheaper and even deadlier than heroin — and can be made at home or ordered online. Between 2013 and 2015, deaths linked to these potent opioids tripled to more than 9,000.

The drugs can be so deadly, the U.S. Drug Enforcement Agency this month urged first responders to carry naloxone in case they accidentally overdose while trying to help a victim — as has already happened to officers in Ohio and Maryland. The DEA also recommended first responders wear protective equipment such as safety goggles and masks, and in some cases full hazmat suits.

Because they’re so strong, synthetic opioids have spawned strings of mass overdoses in cities throughout the eastern half of the U.S.

Last summer emergency workers in Cincinnati responded to an unprecedented 174 overdoses in six days; this past winter, paramedics in Louisville scrambled to get to 151 overdoses over four days. In the small city of Huntington, W. Va., reports of 28 overdoses in five hours last August forced 911 dispatchers to send out every available ambulance to revive drug users who had passed out inside homes and on highways.

And the most potent synthetic opioids haven’t even penetrated all the markets in the U.S. yet.

“We’ve not seen the worst yet,” said Tim Robinson, CEO of Addiction Recovery Care, a Louisa, Ky.-based company that runs several rehab programs. “As we transition from heroin toward fentanyl and carfentanil, when it hits the rural areas in Appalachia, we’re going to see a lot more devastation.”

Already, a long trend of declining death rates for young adults has been reversed: Death rates for people ages 25 to 44 increased from 2010 to 2015 in nearly every racial and ethnic group, in large part because of drug and alcohol abuse, the Washington Post found. The New York Times recently reached out to hundreds of state and county health officials to piece together an estimate of total drug overdose deaths last year. Its projection: More than 59,000 fatalities, most from opioids.

Future of Opioids - Qt 4
Hyacinth Empinado/STAT

In an interview with STAT at a national drug abuse summit earlier this year, Dr. Patrice Harris, then chair of the American Medical Association, said one key to bringing down the death toll is to spread the word that addiction is a chronic medical condition, not a personal failing.

Another key: getting more people access to medications that can reduce cravings, such as buprenorphine, methadone, and naltrexone — and convincing both patients and providers that such treatments don’t simply amount to trading one addiction for another.

“Any physician in this country can prescribe oxycodone in high doses, but they can’t prescribe buprenorphine unless they have special training,” said medical epidemiologist Jay Unick of the University of Maryland, Baltimore. “You just don’t have easy access to buprenorphine. And that’s crazy in a world flooded with opioids.”

The end result: waiting lists for treatment that can stretch for weeks or months.

In West Virginia, Marshall University student Taylor Wilson tried for 41 days to get treatment after nearly dying from an overdose. Her mother, Leigh Ann Wilson, finally got a call saying Taylor had cleared a buprenorphine waiting list. Her daughter had died four days earlier, from another overdose.

A landmark report last year from then-Surgeon General Vivek Murthy found only 10 percent of the estimated 2.2 million Americans with an opioid-use disorder have received addiction treatment.

“We know what works,” Murthy said this past April. “We’re just not doing enough of it.”

Read Next: 12 ways to slow the opioid epidemic

STAT reached out to dozens of public health experts, seeking thoughts on the arc of the opioid epidemic. Experts at 10 universities responded, spending weeks developing forecasts for the death toll over the next decade. Some created models that focused on the spread of fentanyl and trends in pain pill prescriptions; others looked more widely at trends in interventions, such as access to naloxone and medication-assisted treatment. Here’s a list of those contributing forecasts:
— University of Pittsburgh: Dr. Donald Burke, dean of the Graduate School of Public Health; Jeanine Buchanich, research associate professor
— University of Arkansas for Medical Sciences: Brad Martin, professor, division head of pharmaceutical evaluation and policy at the College of Pharmacy; Corey Hayes, Ph.D. student
— University of Virginia: Christopher Ruhm, professor of public policy and economics
— Ohio State University: Dr. William Miller, professor and chair of the division of epidemiology, College of Public Health
— Harvard University: Dr. Michael Barnett, assistant professor, department of health policy and management at the T.H. Chan School of Public Health
— Brown University: Brandon Marshall, professor of epidemiology at the School of Public Health
— University of Colorado, Denver: Robert Valuck, professor in the departments of clinical pharmacy, epidemiology, and family medicine at the Skaggs School of Pharmacy; Rebecca Helfand, evaluation manager, Colorado Department of Human Services
— University of California, San Francisco: Dr. Dan Ciccarone, professor of family and community medicine, principal investigator of the NIH-funded Heroin in Transition study
— University of Maryland, Baltimore: Jay Unick, medical epidemiologist, School of Social Work
— Johns Hopkins: ‎Caleb Alexander, associate professor of epidemiology and medicine, Bloomberg School of Public Health

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  • Thx Lauri, read the white paper and agreed with most of it, except the 1% get addicted. Good article by docs who care. Sorry to see no reference to buprenorphine and its safety and effectiveness. Same reasons as I already suggested, sorry to say. Epidurals used frequently with very rare episodes of arachnoiditis. More common with surgery. Have had many patients get them and none with more than a few weeks relief even when receiving a standard 3 injections. More common with surgery. PAIN AND ADDICTION is a book and available on Amazon. Edited and organized by ASAM.
    As far as the 1%, couldn’t find references on the link or full article. Note that Purdue, maker of Oxycontin, and others are being sued about their claims in the 90’s of only 4%. 15-20% have the genetic risk. Only article people can find about 4% was a letter to editor. Acute pain has some protective benefit to reduce addiction, but not chronic.

    • Bob, read the first paragraph of the full-report Cochrane study, then skip to the very last paragraph: “Signs of opioid addiction were reported in 0.27% of participants in the studies that reported that outcome. All three modes of administration were associated with clinically significant reductions in pain, but the amount of pain relief varied among studies. Findings regarding quality of life and functional status were inconclusive due to an insufficient quantity of evidence for oral administration studies and inconclusive statistical findings for transdermal and intrathecal administration studies.”

      Thousands (actual number unknown, because it’s more often mis-reported as “failed back surgery syndrome” — and many who have had back surgery have ESIs both before and after surgery), of arachnoiditis victims would disagree with you. As a victim of this invasive insult to my body, I am permanently damaged, and people should be fully made aware of its risks (and non-FDA-approved status) as part of informed consent.

  • Bob, here is the link to the “less than 1% of long-term use patients on opioid therapy become addicted.” http://www.cochrane.org/CD006605/SYMPT_opioids-long-term-treatment-noncancer-pain

    BTW, epidural injections, pain pumps, and spinal cord stimulators all put the patient at risk for dural puncture and the lifelong agony of Adhesive Arachnoiditis. The steroid has never even approved for use in the spine! Yet people are crippled daily by this barbaric, risky procedure — most cases of arachnoiditis are iatrogenic, and therefore covered up by doctors.

  • Laurie, you are incorrect about opioids causing only 1% addiction. In the 90’s we were told Oxycontin caused only 4%. Also wrong. 15-20% of the population have the genetics for addiction, which is why so many got addicted to opiates when we realized we were undertreating pain. The basics are to have a full evaluation by your doctors. Treat surgically when available and seems sensible. See a pain specialist and review what is available, such as implantable stimulator wires, and others. When treatment options are exhausted and you need to manage chronic pain, use the multidisciplinary options available, then safe medications for most of us in proper dose like tylenol and anti-inflammatories. If all the above doesn’t bring the functional abilities we need, opioids are an option. Since buprenorphine is much safer and effective for most patients, and has alone caused no deaths, it is safer for you and for society. Jim, the book EVIDENCE BASED CHRONIC PAIN MANAGEMENT goes over most pain issues and explains what helps, based on scientific evidence. It also points out what doesn’t help, such as lumbar steroid injections. Cervical steroid injections do. Laurie, it is sad there is so much prejudice (‘flagged as an addict”). It is one of many reasons physicians don’t use much buprenorphine, as it “is a drug for addiction.” Read PAIN AND ADDICTION, just published by ASAM. I will read WHITE PAPER.

    • Bob, here is the link to the “less than 1% of long-term use patients on opioid therapy become addicted.” http://www.cochrane.org/CD006605/SYMPT_opioids-long-term-treatment-noncancer-pain

      BTW, epidural injections, pain pumps, and spinal cord stimulators all put the patient at risk for dural puncture and the lifelong agony of Adhesive Arachnoiditis. The steroid has never even approved for use in the spine! Yet people are crippled daily by this barbaric, risky procedure — most cases of arachnoiditis are iatrogenic, and therefore covered up by doctors.

    • I went to ASAM’s website; it appears to be a site for addiction medical provider continuing education. I don’t know what I’m looking for; can you provide a direct link to the article you mention?

  • Jim, you are correct. Throwing out the opioid baby with the epidemic is nonsense. But, there are better ways to manage your pain, with a multidisciplinary approach, and non-steroid anti-inflammatories. and tylenol. There is a British book, EVIDENCE BASED CHRONIC PAIN MANAGEMENT. The key is to manage your function, not your pain. Sorry, we can’t get rid of it all. If you function ok, your pain will be better, but never perfect. One problem for people that do use opiates is tolerance they develop, so they work less well with time, requiring higher doses. If your opiate is working after years, fine. If it isn’t, you will find buprenorphine has a lot less tolerance develop, once you find the right dose. It is safer, Sched. lll, and your doc can call it in and doesn’t need a special license to treat your pain, just write “for pain” on the rx. Used without other sedating meds or sedating diseases, it has no deaths. Zero! And it works for most of my patients over the last 14 yrs. If your doc won’ t Rx, find another who will.
    Your comment about the epidemic being about drugs mixed with heroin is accurate. Drugs similar to fentanyl are easy to make and come via China and other countries. They are 100 to 10,000 times stronger. Not so good if you expect regular heroin in your Fix. We could provide a product that is pure and people know what they are getting, like we do with nicotine and alcohol, and make $ taxing it. Prohibition and wars on drugs have never worked. Google the Portugal experience, or look at Oregon decriminalizing. Allow rx in Jails. Time to accept this as the brain disease it is, instead of telling people to just say no or make better ‘choices’. We will always have addiction, but we don’t need the crime that goes with it. Must address the brain disease in an individual different than we do the issues of society with drugs. Read CHASING THE SCREAM by Johan Hari.

    • So rather than opiates and opioids, which are safer, you want us to poison our livers with tylenol and our kidneys and GI tracts with NSAIDS? You want us to switch to buprenorphine — and get flagged as an addict forever? We need to REDUCE pain in order to INCREASE function, not the other way around. We are smart enough to know that our pain will not be completely eliminated! This is a sad way to placate the DEA and the other alphabet-soup agencies interfering with our doctors and our health care. Fewer than 1% of chronic pain patients become addicted. We need to treat the PROBLEM, not attack the innocent. I wish I could post the ATIP graph here, which shows that when legal rx-precribing goes down — and it’s gone down every year since 2012 — that ILLEGAL drug use has increased exponentially. You REALLY need to read Red Lawhern’s White Paper; get the real facts. http://face-facts.org/atip/

    • Locking people up has never worked, and WILL never work. I had to look up Buprenorphine, then realized it was Naloxone. I received a flier from my pharmacy along with my refill once, recommending that I keep some Naloxone on hand in case of an “accidental overdose”. The first thing that came to my mind, is why would I have to worry about that, when I’ve been safely taking my oxycodone for quite a few years, with no issues or concerns whatsoever? The next thought, as Lauri pointed out, was that asking for Naloxone could conceivably cause some people to infer that I might not be taking my Oxycodone in a safe manner, as prescribed. I decided that since there was no possibility after all these years, that I was going to suddenly start taking my meds in any way other than as prescribed, it might not be in my best interests to ask for something I don’t need.

      As for the Tylenol, I actually worry more about what that could be doing to my liver, and I’m glad that they reduced the Tylenol in 10 mg Oxycodone from 750 mg to 325. I didn’t notice any decrease in the efficacy of my Oxys when they made that change.

      I take 45 mg of Oxycodone a day, consisting of 10 mg tablets that I break in half. I only take 5 mg at a time, and if I’m not feeling better after an hour, I may take another 5 mg. My needs fluctuate during the day, depending on my activity lever, with the worst time of day usually being from around 6-10 PM. Somehow, I manage to make it work because I know I have to budget my medication even more stringently than I do my money. I’ve been at the same dosage for about three years now.

      One thing I’ve noticed in addition to the tolerance phenomenon, is The Law of Decreasing Returns. The higher your daily intake is, the less relief you’ll experience from an increase of a given dosage. For example, you’ll perceive more benefit from an extra 5 mg if you’re starting from an old dosage of say 30 mg a day, than you will starting from a previous dosage of 40 mg a day. It’s simply a percentage problem.

      The only other way I’ve found to control my pain is to reduce my activity level, and even more importantly, get more sleep. All of this takes a lot of self-discipline, but that’s the only way you can make this work long term.

      As a side note, I tried spinal steroid injections years ago, but I’m diabetic, and my glucose levels went completely off the scale. It did work, but only for three days. Not a very good option for me.

  • STAT is doing a huge disservice to chronic pain sufferers who take reasonable amounts of opiates under the care and supervision of responsible doctors. WE are not the junkies, the recreational drug users, or the dealers. We’re just trying to remain functional while dealing with chronic, unrelenting pain. If you’ve never experienced it, consider yourself very fortunate, and also consider the fact that all of us living with it were just like you… until the day that we were injured or developed a disease. You are not in that position solely by the grace of God, with no guarantees for the future. I’m so sick of reading articles like this, full of hysterical lament and concern for a problem you clearly don’t understand, or deliberately misrepresent. Nearly ALL of these opiate deaths you cite are caused by heroin junkies, Fentanyl abusers, and people self-medicating with street drugs and NO doctor supervision. Why can’t you report this “Opioid Epidemic” fairly and honestly, and tell us how many of these deaths were people using drugs legally and responsibly? I’d be willing to bet that it would amount to no more than a tiny percentage. Personally, I’d rather be one of them that try to live in pain every moment of my life. I’m 70 years old. I’ve injured my back twice, just trying to earn a living. If I die today or ten years from now… what difference does it really make? At least I’ll be out of pain.

  • The DEA & the Prez did NOT think this Opioid problem through! It’s fine to get the pain pills, etc out of the hands of junkies & those who just want to get high, BUT what in hell are the millions of chronic pain sufferers suppose to do? You think the opioid deaths will go down but surprise! I guarantee they will go up and from the innocents who need them, not only to survive, but to have some semblance of a life. So their only recourse is to get heroin from the streets (and they will) and they will be in so much pain, they will keel over from a stroke or heart attack because their vitals are off the charts, or they will decide this is no way to live & WILL commit suicide!!! So right there the people who DC o need it to just function, you’ll be losing them in one of three ways because they will be so desperate to just try and somehow escape the pain. It will happen and I hope the Prez, DEA, CIA and FBI will be proud of themselves. If you think I’m exaggerating, I’m not…it happened to me last night. I had been out of my pain meds for about six weeks. Couldn’t sleep, couldn’t eat (lost 27 lbs in a month & I can’t afford to lose any more weight), there was no way to escape the pain. I considered suicide, I just couldn’t take the pain any more. This is no way to live. I haven’t even been able to pay my bill’s, so now my credit is in the toilet. So just before, I called a cab, waited for two hours and went to the Hospital Emergency Room. As soon as I walked in the door, a nurse took my vitals (which are normally right on the money 120/80. My BP was 299/116 and my heartrate was 249! All from PAIN!!! Suffice it to say everyone freaked. The nurse yelled across the room at two other nurses and they rushed me in to see a doctor. They took my vitals again and it actually went up! There were only four meds I was taking, two no-no drugs, something for the nerve pain (not on the list) and one for anxiety. The doctor was concerned about the two, but figured it was better to give me something then have me die on him right in front of everybody from a stroke or heart attack. They kept me hooked up to t B/P cuff and told me I’d be there for at least three hours to monitor me as he couldn’t let me leave, the shape I was in. After an hour, it went down slightly, but still dangerously high. Long story short, I was there for three hours & it never did go down anywhere close to normal, but enough that he felt I’d least get out of the hospital, b4 I’d die of a major heart attack or stroke. Unfortunately I had to wait again for two hours to get a cab to get home. I realize this is a horrible thing to say, but I hope, I really do, that the prez gets something that will cause Ihim such unimaginable, everday pain, because that’s the only way he’s going to get it. Walk a mile in my shoes and all…You guys REALLY better rethink your grand Opioid plan, or else you’re going to have more dead bodies and probably a huge HEROIN problem to boot.

    • I’ve been saying that all along, Lorraine. You, I, and all the other chronic pain sufferers shouldn’t have to live like this… like we’re the “criminals”. I also wish that those who are so quick to pass judgment and make stupid laws, would experience enough of this misery to develop a little empathy. Do they think we like living this way, and always being at the mercy of someone else’s political whims? I really wish there was some way I could help you. Waiting two hours, just to get a cab ride to the hospital? That’s terrible, and it’s a wonder you even made it. I hope you can find someone to help look out for you so that doesn’t happen again. (((HUGS)))

  • It amazes me how much false info is just being passed along and passed along…. Without the media doing their due diligence.

    First of all, it is NOT prescription drugs that are at the heart of the problem. Never was. It’s street drugs.

    Unfortunately, our govt does not differentiate between illicit opioids and prescription opioids when stating cause of death on a death certificate. Anyone who uses illicit fentanyl, from China or Mexico, and dies, is listed as opioid overdose. Also, in research done by the pain foundation and Dr Michael Schatman, after studying overdose death info posted by coroners, it was found that of 19,000 overdose deaths, only approx. 10% or 1,900 were due only to prescribed opioid(s).

    The rest were due to street drugs and the avg number of substances they had in their system at the time of death was 6. Including heroin (also reported as opioid death), illicit fentanyl (reported as an opioid death) from China or Mexico, alcohol, meth, muscle relaxers, etc…

    More than half of all addicts start by stealing someone else’s prescription medication. Addiction medicine is A HUGE money maker, pain medicine is not. It’s all about the money… Follow the money.

    • Sarah,

      AMEN!!! I love you. Another well-informed Woman. Thank you and God Bless you…

  • Wasn’t going to comment, but now with the new blog, maybe this will help. The reason the DEA doesn’t make it available is that there are no good well controlled double blind evidence based medical studies that prove it works. Most of the info we get is word of mouth that it works. CBD oil has THC in it. My patients test positive for it. There are 3-400 chemicals in cannabis. Some of them might work, but we won’t know until good, large studies tell us. Meantime, nobody is telling about the psychological effects, which are significant and include 3x risk for schizophrenia. AG Sessions wants to fight another war on drugs and lose. We need to decriminalize it as Oregon did a few mo. ago with ALL illegal drugs. We thought it good for kids for seizures. A Colorado study said it was not very effective. “Medical cannabis” is an excuse to use. Just legalize it. We all know smoking will kill you eventually. We allow people to smoke. We should allow people to use pot, but it is time for the Surgeon General to tell us it is addictive for 9% of adults, 17% of adolescents, and has these significant psychological effects we need to know about. Write them on the package like we do for addictive nicotine products, have folks sign a disclaimer they know it is addictive, which should be done for nicotine and alcohol as well, and give them a number to call if they get addicted or have questions. Educate folks about all these addictive substances including alcohol. With pot people need to know it can and will reduce their IQ, dose related. It causes lack of motivation, anxiety, paranoia, and the munchies. It messes with your memory. Its a no brainer about what to do here folks.

    • Good answer, Bob. I’m not a doctor, but I couldn’t agree more as to the effects of smoking pot. I tried it back in the late sixties, but never considered it a necessity in my life, and soon gave it up. I don’t drink or smoke anything now, but that’s clearly by choice. I have tried pot a couple times in the last few years, and the stuff people are smoking today scares the hell out of me. It was not my idea of a good time. Paranoia? I couldn’t even be around anyone else, and I couldn’t wait for it to wear off. I think the stuff people are smoking today is way more dangerous than what people smoked fifty years ago, and anyone who smokes it every day is probably damaging their body and mind more than they realize.

    • The DEA, etc. REFUSES to recognize evidence. Plenty of studies have been done, just not in the US because the US tied itself and the industry up in knots so that it’s very difficult to do. There is a plethora of medical evidence coming from studies in Europe, and in particular, in Israel.

      BTW, I used to be one of those “scoffers” who thought the concept of “medical” marijuana was a joke. After 6 back surgeries, arachnoiditis, and CRPS, it’s no joke. It IS medicine; you are just too blind and prejudiced to see it. Because of it I no longer need to take gabapentin, ambien, flexeril . . . and have cut my opioid medication by half. So don’t speak about what you don’t know about, especially with your heart set on vilifying a medication that works for so many. And like other pain medications, it increases my ability to function to maintain my life and still be of use to others. I far prefer that to being bedridden in a fetal position; I’d rather be making dinner for my family.

      Yes, I am in a legal state — where everything is tested, packaged, and labeled with all those things you mention. Personal responsibility and thorough education is key to everything.

    • Sarah,

      AMEN!!! I love you. Another well-informed Woman. Thank you and God Bless you…

    • Dr Rust,

      There was a very good documentary on Netflix (about 2 hrs) about all they have done in Australia. It started w/ this young man of 20, 24 when he died called Haslim. He kind of got the ball rolling and when they finally passed the law making pot & cabinoid (sp) oil legal and now it’s called “Haslim’s Law”. You should check it out…very, very informative.

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