Dr Lembke TED TALK “a doctor’s thoughts on the opioid epidemic” – facts or personal biases ?

In this presentation, Dr Lembke made the statement that “doctors are limited in what they can fix… “once it is broken ” after she stated earlier in the video stated that the “body can heal itself ” So the question has to be asked and answered… if the body can’t heal itself and the doctor’s skill set can’t fix it… what is a pt to do… particularly if some intensity of pain is the result of this “catch 22″…  ?  Accept taking some opiate therapy and try to optimize their QOL , become home, bed. chair confined and JUST SUFFER… or commit suicide or  opt for a  “death with dignity” process in those states that allow this.

She mentions that by the late 1990’s that doctors started prescribing more and more opiates… maybe that was because Congress passed a bill called “The Decade of pain law” that stated in 2000 H.R.2260 – Pain Relief Promotion Act of 2000   and the Joint Commission (JC) declared pain as the “Fifth Vital Sign” and it became a major standard for hospitals to meet in order to get JC accreditation, that enables hospitals to be able to bill Medicare & Medicaid and get paid.  Pts’ exit surveys then started include questions about how well their pain was managed while in the Hospital.

And what docs do for their pts in the hospital will influence how they prescribe when they see pts in their office practice.

Dr Lembke seems to like to identify with pt care 150 years ago… how many of us today would want to be seen by a prescriber with the skill sets of a physician 150 yrs ago ?  Life expectancy in 1870 was around 45 yrs.  Today, the fastest growing part of our population is 80+

She claims that we consume over 80% of the world’s opiate supply… does that suggest that we are over treated… or that the rest of the world is grossly UNDER TREATED ?

She has labeled the assembly line of medicine as the “Toyota industrialization of medicine “. Didn’t Henry Ford create the assembly line ?  Does she have fascination with Toyota or a hatred of Toyota ?

 

 

 

2 Responses

  1. I just listened to her and she’s Nuts. Patients taking opiates heal slower? What?! Relieving pain “Allows” patients to have pain relief so they can actually do physical therapy. They’re able to be more active which helps healing. I’d Never see a Dr with her crazy way of thinking. Let’s break her leg and only give her Tylenol then make her do therapy and see how she does. She wouldn’t be able. She’s totally lost imo on most of what she says. America Used to use 80% of the opium supply because those other countries tortured they’re people, or maybe its because they have legal “codeine medicines” for over the counter use which would cause less people to seek Dr for pain. In those countries I wonder how much of the opium supply they use just for those OTC medicines? We never hear anything about that. They always use Huge fake numbers in the stats & data to push they’re fear propaganda.
    We can’t believe much of anything they say now days since so many Lies have been discovered.

  2. TRUE addiction is a genetic predisposition to hyper-respond in the reward center and might trigger obsessive seeking to satisfy the craving. WE KNOW only 4 in 1000 have that genetic predisposition to addict 996 in 1000 do not.
    Opiate use disorder is the kind of trouble someone who is not sick gets into when withdrawals come around, they fear withdrawal and so take and take. They are not addicts in any way, they simply fail to complete withdrawals and focus on a better life with their otherwise good backs.

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