Clock is ticking on making a comment on the proposed 2022 CDC opiate dosing guidelines

Did anyone notice that seemingly innocuous link to the left top of on this page  https://www.regulations.gov/commenton/CDC-2022-0024-0001  When you click on it… the rest of this post is what shows up …

  • The comment process is not a vote – one well supported comment is often more influential than a thousand form letters  
  • this line could be the most important line in the entire text…  “well supported comment” could very well me a comment with references to clinical studies to support the statement… the 211 page 2022 proposed dosing guidelines contained 20 pages of footnotes and references.  And in looking at those 20 pages… one whole page had references with one of the author of each reference being one of the 5 who wrote/supervised the creation of this proposed guidelines.
  • Historically, pt’s personal observation of health/pain issues are discounted as being anecdotal and of no clinical value, since they are considered as potentially biases and did not follow some sort of approved protocol and thus your submission may not be considered “well supported”
  • There is about three weeks left to make comments. Right now there is abt 2600 comments have been accepted and posted. Just how many of comments from pts will have any influence on the final 2022 guidelines when they are published. We may never know, you can use the link above to go to the page to make a comment.

Write a Comment

Commenter’s Checklist

https://www.regulations.gov/commenton/CDC-2022-0024-0001

3 Responses

  1. I’m having a hard time saying anything to this bunch of political hacks. The CDC and the FDA both took billions to promote “vaccines.” How many people know the definitions that were changed during covid? I’ve read so many articles that talk about how they “quietly changed….” and usually on a Friday afternoon/evening.
    Nothing reputable about them. I’m with Senator Rand Paul. Get rid of the CDC.

  2. I have given a “public submission” three times already, the first two anonymously and the last with my actual name and email.
    Do you really think that these submissions are going to make a difference?
    I don’t have statistics to back up my submissions, just personal experience along with the death of my best friend from kidney failure that I BELIEVE was caused by her being cut off from her pain meds.
    I also mentioned all three times about how my QOL has drastically decreased, the REAL opioid crisis being caused by illicit fentanyl and heroin.
    Every time I hear about another chronic pain patient committing suicide, my heart breaks just a little more…

    • I have been a “student of our various bureaucracies” for abt 40 yrs… and it is VERY, VERY SELDOM that proposed rule/law changes are influenced by public comment. The bureaucrats know that they have to play by the rule… you publish the proposed changes,,, you allow for public comment period… and they set up rules that the vast majority – or all – can’t provide “well documented arguments” .. most all they can provide is their own personal opinion, which doesn’t meet the clinical standard for a valid clinical study… they are considered anecdotal evidence and most likely biased because it is just one person’s experience and since in this case… all about subjective diseases – which there can’t be any really supported because there is no real tab tests to show the impact on the pt’s intensity of pain. So, in the end… they will not have any real valid clinical studies but their own – probably those that support the authors’ opinions and beliefs. In fact if one notices, there is 20 pages of foot notes and references and one WHOLE PAGE has references where one of the authors of this proposed guidelines was one of the authors in each of those whole page of references. IMO – how honest is it for a author of this proposed guidelines contain so many of the same author that is used to support the conclusion of this 2022 proposal. Both the 2016 guidelines and this 2022 proposed guidelines uses references to the MME system which has no double blind clinical studies or any science behind them as this article indicates https://www.acsh.org/news/2022/03/01/true-story-morphine-milligram-equivalents-mme-16154 It is reported that the MME system was first started to evolve back in the 1970’s when what medical science knew back them is like the “dark ages” in comparison to what medical science knows today – particularly involving how the body and many substance are metabolizes by the liver and many pts’ metabolism can greatly vary from pt to pt. But this MME system is not reference by the FDA in their professional prescribing information for any FDA approved medication and some disease will cause a higher intensity of pain and some pts will have multiple sources of pain… causing a overall body higher intensity of pain… and thus for these and many other individuals’ health variances would also guarantee that a “one size fits all dosing” … will never work. Maybe the CDC should at least have a double blind clinical trial to document that the MME system can be reproduced using current known medical system knowledge and systems. and rescind the 2016 guidelines and post pone implementing the new proposed 2022 guidelines. Healthcare practitioners are suppose to be “healers” and how can they expect to meet that goal using antiquate techniques and processes ?

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