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Re: “Do No Harm: New Rules Discourage Overprescribing Opiates

"In 2015, enough painkillers were handed out in Vermont to give every man, woman and child a bottle of 100 pills," former governor Peter Shumlin said in his signing statement."

How many were given to post-surgical patients? How many were for hospice patients?

The vast majority of opiate users are not addicts. Opiates are becoming as stigmatized as psych meds.

2 likes, 1 dislike
Posted by Liz Leyden on 04/27/2017 at 5:43 PM

Re: “Do No Harm: New Rules Discourage Overprescribing Opiates

i understand your concerns @David Skillman, however I think the same limitations in people that move them towards addiction also prevent them from being able to "take responsibility for their actions and bad choices". most people i've met who've made really bad life decisions didn't know at the time how bad those choices were. those who were able to take responsibility in terms of remorse or reparations had to have some kind of intervention, whether medical, psychological or reaching some kind of desperate situation where circumstances force them into a learning curve. but not everyone suffers. i've met 'functional' alcoholics and opiate users who don't bottom-out, don't commit robberies, earn a decent wage and live a productive life - as addicts, but not criminals in the sense of having to take responsibility for anything at all. addiction isn't by definition about depravity and desperation although it often is.

1 like, 0 dislikes
Posted by parallax on 04/27/2017 at 2:48 PM

Re: “Do No Harm: New Rules Discourage Overprescribing Opiates

I have two comments. People always want to blame others for people's shortcomings. At some point, an addict, or someone moving towards addiction needs to take some responsibility for their actions and bad choices. It's not all the Doctor's fault. Also, nothing in these laws is going to keep an addict from getting what they want. It will only make it harder for responsible people to get medicine they need.

6 likes, 1 dislike
Posted by David Skillman on 04/27/2017 at 12:14 PM

Re: “Do No Harm: New Rules Discourage Overprescribing Opiates

The worst part seems to be the idea that we have to trade painfree medical treatment for stringent controls. This isn't a zero-sum game and it's possible to obtain both as long as you're willing to accept the consequences. Pain perception is impossible to understand objectively so pain meds can't be presumed necessary or excessive. If the patient says they're in pain then presume they're in pain and experience should guide the proper prescribing, not the state. The idea that you can "go into a doctor's office and come out with a bagful." isn't about pain, it's about criminal activity on the part of the doctor, not the patient. The consumption or illegal resale of the pills is about very difficult socio-economic problems, not about surgical procedure aftermath or chronic pain and it's the price we pay for addictive pain meds. We made this tradeoff easily enough when adopted the automobile as a lifestyle improvement device and we quietly accept half a million deaths each year. We accept this easily with readily available nicotine and pay the price of cancer deaths and medical support for the adult addicts. It's so easy with cigarettes and cars and alcohol and a whole host of things. Painfree medical treatment is an incredibly awesome achievement and we're worried about a few deaths each year? We're complaining about decreased productivity and costs to society by supporting the medically needy addicts? Big deal. That's pennies compared to what we're already paying for due to cars, nicotine and alcohol. How about considering the question of *over* prescription and consumption outside of the context of the doctor-patient relationship and focus on standards of care instead of treating pain intolerance or even opium addiction as some kind of moral failing that doesn't deserve relief.

3 likes, 0 dislikes
Posted by parallax on 04/27/2017 at 11:38 AM

Re: “Do No Harm: New Rules Discourage Overprescribing Opiates

Jimm the doctors and dentists that you are defending are the same people that helped create all the lovely addicts that we have in the state today. It's about time they were held accountable for the mess they created in order to line their own pockets when they prescribed opiates to people that did not need such strong drugs in the first place.

4 likes, 4 dislikes
Posted by citizen on 04/26/2017 at 3:36 PM

Re: “Do No Harm: New Rules Discourage Overprescribing Opiates

Aren't we lucky that Vermont politicians and bureaucrats are so knowledgeable in their craft that they are in a better position than the Physicians and Dentists with medical degrees to dictate to them how to practice Medicine and care for their patients.

8 likes, 4 dislikes
Posted by JimM on 04/26/2017 at 12:30 PM

Re: “UVM Study Explores a Fecal Transplant Cure

Has anyone looked into possible treatment of diverticulosis. Currently the only treatmentioned is removal of that section of the colon. It took three years before I received the correct diagnosis. In and out of the hospital but always in severe pain and diarrhea. Operation appears to have been successful, I have been pain free with normal stools since the operation.

Posted by stew1114 on 04/04/2017 at 10:55 AM

Re: “Under Supervision: Should Vermont Legalize Heroin Injection Sites?

http://www.emcdda.europa.eu/topics/pods/drug-consumption-rooms

Posted by Sara Moore on 02/08/2017 at 2:22 PM

Re: “Under Supervision: Should Vermont Legalize Heroin Injection Sites?

What idiot stayed up all night to think up this idiot idea?? What's next a safe place to go to rape someone, beat them or even kill them???Want to get "high" come to VT, bring your own drugs and they'll sit and watch as you shoot up!!!!..

2 likes, 2 dislikes
Posted by Donna Boutin on 02/01/2017 at 8:40 PM

Re: “Under Supervision: Should Vermont Legalize Heroin Injection Sites?

Anything to reduce the use of addictive drugs will be an improvement over the current thinking of how to best get a cut of the revenues they produce.

4 likes, 3 dislikes
Posted by Vermont Patriot on 01/30/2017 at 3:10 PM

Re: “Last Impressions: Recalling Final Conversations With Vermont Overdose Victims

The last conversation Jesse had was with his fiance where he told her like he did everyday "have I told you how much I love you" and as always she would say well...and Jesse would say I love you more than anything in the world baby. With her replying I love you always.

3 likes, 0 dislikes
Posted by thetruth on 01/27/2017 at 11:37 PM

Re: “Death by Drugs: Opiates Claimed a Record Number of Vermonters in 2016

Jesse was amazing Yetthey asked a woman who didn't know her son and caused him the most pain. She only callswhen she wants something he would say. He was so much more than she knew and I watched him hurt from the things she said. He always said she was the most selfish person he new. And struggled with this. He had gotten clean and yet a few weeks before he passed he was hurt again and my love wasn't enough to keep him from it. I am the one who knew him better than anyone yet was pushed aside and wiped away. But those who knew Jesse well know the truth about his childhood and adulthood. It's hurtful when people can't see how amazing their child is yet are two faced and amazing actors to strangers. But guilt can destry you if he were alive today he would still say she only calls when she wants something I'll call her back sometime or tell her I'm not here. I wish I could of mended that. He was amazing and this addiction does not solely define him.

1 like, 2 dislikes
Posted by thetruth on 01/27/2017 at 11:21 PM

Re: “Last Impressions: Recalling Final Conversations With Vermont Overdose Victims

How about before you post something about a family you actually ask the family members and not a boyfriend who fed addiction habits. Thanks.

5 likes, 4 dislikes
Posted by Don'tAsk on 01/27/2017 at 9:44 AM

Re: “Death by Drugs: Opiates Claimed a Record Number of Vermonters in 2016

So brave is this article. In 2015, I lost two of my sons, Dennis and Sean Thibault, to an addiction that we were not even aware of. They were highly successful men in their 30's that were "functioning addicts". Only in the wake of their death's have I become educated about this epidemic. I was ignorant, plain and simple. I plead with anyone reading this article, and the posters of all of the comments therein: Please, talk to your middle school and high school children about what they see and hear in school. Talk to your neighbors about what may be going on next door. Enlist the help of the law and the medical profession. Consult with your employers about an EAP, which is a an anonymous service for counseling through many employers. I will grieve forever without Dennis and Sean and I can only do what I am only now capable of.......try to help someone save a life. There is no immunity to this scourge. Thank you to Mark for his article. My heart and thoughts go out to all of you that contributed to this story. I truly know how hard that was. Penny Thibault

11 likes, 0 dislikes
Posted by Penny Thibault on 01/26/2017 at 8:14 PM

Re: “Death by Drugs: Opiates Claimed a Record Number of Vermonters in 2016

Doctors must recognize the danger of addiction when they prescribe pain medication . I'm sure it's not easy to refuse to write a script for pain relief but it might be harder to face the deaths you have inadvertently caused .
Yes Mr Garza people must ultimately be responsible for their own actions . Does this mean we should ignore this very real opiate crisis with a " tough luck druggie " attitude ? What about their friends , family , and kids .I suppose you don't care so what about the actual cost to society in dollars wasted .

6 likes, 1 dislike
Posted by Rich ard on 01/26/2017 at 4:38 PM

Re: “Death by Drugs: Opiates Claimed a Record Number of Vermonters in 2016

blame it on everyone else because people have no control over their own actions..Victim Vermont.....they should change the state name to that.

4 likes, 14 dislikes
Posted by Marc Garza on 01/26/2017 at 1:09 PM

Re: “Death by Drugs: Opiates Claimed a Record Number of Vermonters in 2016

It would seem that one way to help prevent this continued tragedy would be for the pharmaceutical industry to stop manufacturing addictive substances in the first place.

7 likes, 5 dislikes
Posted by Cady on 01/26/2017 at 8:34 AM

Re: “Last Impressions: Recalling Final Conversations With Vermont Overdose Victims

So sad. Thank you Mark Davis for doing this article, hopefully their stories will help others.

6 likes, 1 dislike
Posted by Diane Beauregard Vieta on 01/26/2017 at 4:49 AM

Re: “Death by Drugs: Opiates Claimed a Record Number of Vermonters in 2016

We've lost too many. When I was in school they told us don't do drugs, but didn't show us why not. The book I've published, Moral Dissipation, puts readers in the shoes of an addict in hopes that readers will not make the same choices the main character made...establishing an emotional connection and showing rather than telling can make a difference.

Moral Dissipation is for sale on Amazon, Nook, Kindle and in Barnes & Noble on Shelburne Road and Phoenix Books downtown. https://www.amazon.com/Moral-Dissipation-S…

7 likes, 3 dislikes
Posted by Sarah Jarvis on 01/25/2017 at 11:32 PM

Re: “Death by Drugs: Opiates Claimed a Record Number of Vermonters in 2016

In December, of 2016, I lost a beautiful and talented cousin to heroin. She was a singer, an EMT and a mother to a beautiful little girl. She had such promise, but heroin took its grip. After many stints at various rehabs, a long stay Albany Med (an abscess from shooting up that almost left her paralyzed), 2 overdoses in which she was revived from, losing custody of her daughter and having her house nearly burned down by other addicts; she lost her battle. Its an epidemic and it touches so many lives that from the outside seem so put together. Thank you so much for this article and showing the faces of those who have passed; it adds such a raw emotion as to how awful and painful this all is... it has to stop.

15 likes, 0 dislikes
Posted by jibjab802 on 01/25/2017 at 8:40 PM

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