Has “professionals oaths” become nothing more than “just words” ?

Hippocratic Oath: Classical Version

I swear by Apollo Physician and Asclepius and Hygieia and Panaceia and all the gods and goddesses, making them my witnesses, that I will fulfill according to my ability and judgment this oath and this covenant:

To hold him who has taught me this art as equal to my parents and to live my life in partnership with him, and if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers in male lineage and to teach them this art—if they desire to learn it—without fee and covenant; to give a share of precepts and oral instruction and all the other learning to my sons and to the sons of him who has instructed me and to pupils who have signed the covenant and have taken an oath according to the medical law, but no one else.

I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice.

I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect. Similarly I will not give to a woman an abortive remedy. In purity and holiness I will guard my life and my art.

I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work.

Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves.

What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about.

If I fulfill this oath and do not violate it, may it be granted to me to enjoy life and art, being honored with fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be my lot.

“Thank you so much for accepting my friend request. I have no idea what prompted me to contact you but I sit here tonight preparing to check into a psychiatric hospital to detox off the opiates that I was prescribed for almost 15 years and now I can not find a single soul to prescribe them to me. Mine is a textbook case of the hysteria that has overcome our nation. In 2013, after ten years with the same prescribing physician, I was informed that he would no longer be giving any of his patients opiates any longer due to a patient’s death. Obviously, not mine nor did I ever breach the contract, fail a drug screen or ask for early refills. I was on a stable dose for three years, yes it was above the 90mme that is being “suggested” but, it worked for me. I was given a three month supply and sent on my way to pain management where no sooner did the door close behind the PA/NP was I informed that if I didn’t have terminal cancer I would be titrated off all opiates. My thoughts on the matter were irrelevant. I signed myself out of that clinic and then spent the next three years trying to find another pain clinic that would keep me on my prior dose that I was stable and content on. I found no one. My PCP had agreed to “bridge” the gap until I was able to find a provider but that day never came. I was on a medication that didn’t alleviate my pain whatsoever but since he was my primary care doctor he said his hands were tied and that he was out of his comfort zone even prescribing them to me and therefore he wouldn’t adjust the medication the first pain clinic had reduced me to.

I have medical records inches think that document me need for opiates yet each time I would visit a pain doctor I was told that my condition didn’t cause pain or that I was addicted and needed “Suboxone”…blah, blah, blah. My orthopaedic surgeon has written letters that confirm I have a connective tissue disorder and that my bones are the age of a 75-85 year old woman when I am only 46. They don’t want to operate until I am older as the replacement surgery has a high failure risk due to my disorder. I have yet to have one pain doctor even take the time to read my MRI results let alone give me an examination. I can not go to the ER to receive pain relief as they all say they won’t treat chronic pain. The guidelines say this and that. Sorry, see ya’!

So now, my PCP is leaving his clinic and I have no other option but to check into a detox facility. What’s even worse, is that I can not use marijuana as I have a rather strange reaction to it. I’ve tried Kratom as well, nada. Neurontin and gabapentin (spell) both make me feel drunk and stupid. Also, I have been tested and have a confirmed diagnoses of being a poor metaboliser involving the CYP-450 enzyme (I have one allele working at 50%) group with being a rapid metaboliser of methadone enzyme. (C19 I think??) The doctors don’t care. Even with the proof right in front of them. CBD oil is about the only thing I haven’t tried and I have little hope that it will be successful. This is very disappointing and discouraging and if I have to go through withdrawal after 15 years I will too be suicidal which is why I’m checking in. Now, I will definitely be labeled an addict and most likely end up never being prescribed opiates again. I’m supposed to have right foot reconstruction on December 12th and I desperately tried to find a doctor to prescribe to me before because if I have to go through detox I will most likely cancel the surgery so I don’t have to go through this all over again! So, basically I am going to be worse off instead of better after I go through “treatment” for opiate dependence. 

Thank you again, I just wanted to share my story because I honestly do not know what to do at this point, other than wave my white flag and surrender. I love what you’re doing and I sure hope things go back to normal for you soon!! Thanks for reading.

 

Please forgive any errors as I wasn’t able to go back and proofread! Lol. ☺️”

Law Enforcement Oath of Honor

On my honor, I will never betray my badge, my integrity, my character or the public trust.

I will always have the courage to hold myself and others accountable for our actions.

I will always uphold the constitution, my community, and the agency I serve.
Everyone – especially professionals – take a oath to uphold certain standards of their profession. Over the last decade or so… certain professionals seems to regard those oaths as JUST WORDS, and their day to day actions seem to have become more focused on SELF-SERVING.

 

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