Heartless

 

I am not a doctor, nor do I play one on TV, but I have had loved ones go to the hospital to undergo significant surgical procedures. The aftermath of those surgeries presented said loved ones with significant rehabilitation demands which were made all the more daunting because of the post-operative pain involved.

When said loved ones—and any other patient, for that matter—experiences that pain, s/he is supposed to tell a doctor, who then adjusts pain medication accordingly. The rule set down by physicians is that you aren’t supposed to try to be a hero; if you are in pain, you are supposed to say so, and you are supposed to get the appropriate amount of medication for your pain as a consequence. That certainly was the rule when I had gum recession surgery this past October. I was instructed to take medication to proactively suppress the pain, not to chase pain by skimping on my medication—only to take it when I couldn’t bear the discomfort.

Of course, different people are differently medicated and need different doses of medication. I received a prescription for oxycodone when I had my procedure, but I didn’t have to take a single pill; ibuprofen was more than sufficient to do the job in managing whatever discomfort I felt. And of course, physicians are supposed to be careful about how and what they prescribe, since we don’t want to turn patients into addicts.

But it would be best to leave these kinds of decisions to the doctor and his/her patient. So when an officious, meddling busybody decides that he is in the best position to decide who gets painkillers and who doesn’t, and when said officious, meddling busybody declares that it is okay if some people “suffer” as a consequence of his decision, I tend to get more than a little upset. And you should get more than a little upset too.

Dealing with physical pain as the result of a particular ailment retards one’s ability to recover from that ailment. Michael Bloomberg ought to know that. Banning sixteen ounce soda sales was a stupid enough thing for him and his administration to do—especially since people could simply purchase two eight ounce sodas in order to get around the ban. But this decision is … well, look at the title of this post.

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Members have made 23 comments.

  1. Profile photo of CoolHand Inactive

    He doesn’t care. He’s got him a city to clean up!

    This is the exact same reasoning as gun prohibition applied to pain killers.

    Some people steal them or get addicted to them, so now everyone has to suffer their prohibition to maybe possibly perhaps reduce their abuse.

    So what if people die when you take their ability to defend themselves away?

    So what if people have to suffer writhing in pain because you took their ability to dull that pain away?

    We’re building a socialist futuristic utopia here!

    There are bound to be a few broken eggs.

    How else is this omelet going to get made?

    • #1
    • January 12, 2013 at 4:40 am
  2. Profile photo of Jimmy Carter Member

    It’s more than heartless. It’s closer to sadistic. A power mania.

    • #2
    • January 12, 2013 at 4:43 am
  3. Profile photo of Nick Stuart Thatcher

    You can be as certain as you can be of anything in this wicked old world that Bloomberg, his friends, family, and fellow elites will have all the pain medication they want, whenever they want it.

    • #3
    • January 12, 2013 at 4:50 am
  4. Profile photo of smp16 Inactive

    It’s probably the greatest fallacy of the progressive mindset- the belief that if you control everybody and force them to do what you think is best, man can be perfected. They don’t understand, or don’t want to admit, that man is a fallen creature and that it’s beyond the power of man to change that. So what if you have to enact some heartless policies; it’s all in the name of progress. Man must be saved from himself.

    • #4
    • January 12, 2013 at 4:53 am
  5. Profile photo of C. U. Douglas Thatcher

    And this is the problem with meddlers: If you don’t stop them they’ll never be satisfied. Bloomberg kept meddling and meddling and all the progressives applauded him on. Now he’s meddling with more than just how much soda we drink, but with our health, lives, and well-being. And we get there because we think it isn’t worth caterwauling* about soda.

    The sad thing: There’s still plenty of Progressives who’ll applaud him as long as they and those closest to them don’t require painkillers.

     

     

    *Yes, this is my favorite word this week.

    • #5
    • January 12, 2013 at 4:53 am
  6. Profile photo of Cutlass Inactive

    This is just disgusting. Does Bloomberg literally sit up at night and brainstorm new ways to meddle in people’s lives? What a vile piece of…

    Will the progressives come out and point out that this will disproportionately affect poor people who will now have to jump through hoops to get their medication while recovering from surgery and pay more money for pointless doctor visits just to get a new prescription? Nope. They’ll just wail about the amorphous threat from the “religious right.” 

    I love how lost prescriptions won’t be replaced. Period. Old lady in excruciating pain misplaced a piece of paper? [Screw] Her!!

    I read that private hospitals are not subject to these rules, yet they insist they’d abide voluntarily. Why? Someone needs to stand up to this bully.

    • #6
    • January 12, 2013 at 5:44 am
  7. Profile photo of Eeyore Member
    C. U. Douglas: caterwauling*

    *Yes, thisismy favorite word this week.

    You must not be a Southern boy, ‘cuz you late to the party! We been complaining about or doin’ some caterwaulin’ forever.

    ________

    On topic, if there is such a thing as reincarnation, I think we might be wondering where the soul of Vlad the Impaler resides today.

    • #7
    • January 12, 2013 at 5:51 am
  8. Profile photo of DocJay Member

    I’m not so bothered by the law but I hate Bloomberg and his rulings by decree.

     The US consumes 90% of the world’s oral narcotics. The ER is not the place to get a month of pain killers. We have some ER doctors here and I am curious what they think. I was one for a year and you get lots of requests, many from folks who seem less than honest.

    • #8
    • January 12, 2013 at 5:57 am
  9. Profile photo of Larry3435 Member

    My thought is, make these drugs available over the counter, but pass a law making people go stand outside in the snow to take them. Not within 20 feet of the doorway either. Oh, and not in Central Park. And then teach school children to go up to strangers they see taking the drug, and say “That can kill you.” The next generation of busybodies isn’t just going to invent itself, you know.

    • #9
    • January 12, 2013 at 6:01 am
  10. Profile photo of Cutlass Inactive

    Mr. Bloomberg also argued the number of pain pills currently being prescribed had even contributed to an uptick in violent crimes outside of pharmacies from robbers looking to steal the drugs.

    “You see there’s a lot more hold-ups of pharmacies, people getting held up as they walk out of pharmacies,” he explained. “What are they all about? They’re not trying to steal your shaving cream or toothpaste at the point of a gun. They want these drugs.”

    Does he expect that making the drugs more difficult to obtain will reduce violent crimes from desperate addicts?

    • #10
    • January 12, 2013 at 6:21 am
  11. Profile photo of PsychLynne Member

    I have worked in ER’s, medical and psychiatric, and the reason that Bloomberg presents is accurate. There are hundreds, possibly thousands of requests, at large hospital ERs every year. They appear, as DocJay put it, ‘less that honest.” The stories are cock-eyed, and often self-contradictory. It starts out sad, and then gets really frustrating. All that being said, Bloomberg’s decree is ludicrous. What other medical health policy/practice guidelines is is he planning on making? What policies are next? 

    I also worry about advanced cancer and sickle cell patients, who often have difficult to control pain. They may be the unintended victims of this–

    But, Dr. Bloomberg knows best.

    • #11
    • January 12, 2013 at 6:42 am
  12. Profile photo of PsychLynne Member
    Pejman Yousefzadeh: The rule set down by physicians is that you aren’t supposed to try to be a hero; if you are in pain, you are supposed to say so, and you are supposed to get the appropriate amount of medication for your pain as a consequence.

    Just as an aside, the reason pain medicine is pushed post-surgery is because better controlled pain is associated with less post-surgical complications. Thus, the push. Ok, I’m done now.

    • #12
    • January 12, 2013 at 6:45 am
  13. Profile photo of David Foster Member

    Bloomberg loves making rules…following them himself, not so much.

    Several months ago, it was reported that he was regularly landing his helicopter at the E 34th St heliport on weekends, despite the fact that this facility is “CLOSED SAT and SUN,” to use the very clear language of the FAA Airport & Facility Directory. (for noise reasons)

    The excuse from his spokesman: ““While the heliport’s waiting rooms are closed on weekends and you can’t get fuel, we always thought that pilots could still take off and land — a courtesy that, it turns out, had been extended to mayors over the years”

    The first part of the excuse is ridiculous (“unattended” rather than “closed” would have been used in the scenario the spokesweasel describes), and the second is offensive.

    • #13
    • January 12, 2013 at 6:47 am
  14. Profile photo of Umbra Fractus Member

    I said it in the Despicable Politicians thread and it bears repeating here: There is no one in America more hostile to freedom than Nurse Bloomberg, and that includes the Obama-Reid-Pelosi triumvirate.

    • #14
    • January 12, 2013 at 8:04 am
  15. Profile photo of Boomerang Member

    Liberals love big government. Big gov = bureaucracy. Bureaucracy is cruel, because bureaucracy is heartless.

    • #15
    • January 12, 2013 at 8:11 am
  16. Profile photo of She Member
    She

    It’s exactly the same rationale as the gun control, and all other fanatical nuts exhibit, namely, there are some:

    • criminals
    • lunatics
    • misfits
    • addicts
    • fill-in-the-blank

    who take advantage of the system and:

    • drink too many sugary drinks and get fat
    • use guns to hurt and kill people
    • commit crimes to get drugs
    • fill-in-the-blank

    so let’s overreact, and ban everything for everybody and pretend that we’ve solved the problem without really addressing it at all. After which, we’ll feel so much better.

    Instead of:

    • taking aim (whoops, what a loaded (whoops) phrase)
    • targeting (whoops) and
    • taking out (whoops) the real enemies (whoops again), the aforesaid criminals, lunatics, misfits and addicts, by simply allowing them to make bad choices for themselves, or by providing help or punishment as required,

    which would be hard and judgmental, and we’d have to use words like ‘right’ and ‘wrong’ and some people probably wouldn’t like us very much.

    If you’re a politician, it’s a no-brainer.

    • #16
    • January 12, 2013 at 8:24 am
  17. Profile photo of Mothership_Greg Inactive

    But it would be best to leave these kinds of decisions to the doctor and his/her patient.

    Get with the times, man! There is no doctor-patient relationship. The doctor has to do what’s best for the collective.

    • #17
    • January 12, 2013 at 9:46 am
  18. Profile photo of Larry L Inactive

    I agree with Nick Stuart – without a doubt, our new seignueral class of elites exemplified by the despicable Bloomberg will not be inconvenienced one whit by this new diktat. They will certainly have the money and influence to avoid any inconvenience and purchase whatever painkillers they and their families desire. It’s the rest of us serfs who are expected to suffer. Heartless scum.

    • #18
    • January 12, 2013 at 10:04 am
  19. Profile photo of Pejman Yousefzadeh Inactive
    Pejman Yousefzadeh Post author

    Precisely.

    Nick Stuart: You can be as certain as you can be of anything in this wicked old world that Bloomberg, his friends, family, and fellow elites will have all the pain medication they want, whenever they want it. · 6 hours ago
    • #19
    • January 12, 2013 at 11:15 am
  20. Profile photo of Jan-Michael Rives Inactive

    Sic semper tyrannis

    • #20
    • January 12, 2013 at 12:16 pm
  21. Profile photo of DocJay Member

    Larry L, there’s a few issues at play here. One is über lord Bloomberg and his concept of dictatorship which is absolutely disgusting. He makes me puke. Next you bring up chronic opioid pain relief in general which is best tackled by anything other than ER’s and Urgent Cares in terms of chronic management. Then there is the actual law itself, is it better or worse for humanity and is it better or worse for those in acute pain. As far as elites, they always do better and find ways around the laws they inflict on the little people.

    • #21
    • January 13, 2013 at 2:39 am
  22. Profile photo of civil westman Member

    This is a typical meat-fisted progressive response to miscreant individual behavior: punish the majority of law abiding for the misdeeds of the few. As usual, the harmful unintended consequences far exceed the purported benefits.

    Instead of engaging in non-violent malingering in ERs, the drug seekers will be diverted into burglary, assault, robbery, murder etc., as surely as night follows day. Only utopian progressives cannot understand this. One day, expect to see a statute which proscribes the operation of gravity in the vicinity of ladders – to protect the public, of course.

    Physicians find themselves in a peculiar double bind – particularly pain specialists. Prescribe ‘too much’ and face DEA prosecution. Prescribe ‘too little’ and face a malpractice lawsuit. Physicians’ ethos used to be encapsulated by “First, do no harm.” This aphorism has required expansion to “First, do no felony, second, do not tort. Then, if regulation permits, take care of the patient.”

    • #22
    • January 13, 2013 at 8:38 am
  23. Profile photo of Duane Oyen Member
    DocJay: ……………. chronic opioid pain relief in general which is best tackled by anything other than ER’s and Urgent Cares in terms of chronic management. Then there is the actual law itself, is it better or worse for humanity and is it better or worse for those in acute pain. As far as elites…… find ways around the laws they inflict on the little people. · January 12, 2013 at 1:39pm

    Exactly- about 75% of the comments here are not addressing the actual situation, regarding which, by itself, Bloomberg’s policy is not actually unreasonable on Nanny’s part. The idea of a 3 day supply for dispensing by the ER seems to me to be about right. Longer term problems should be addressed by the primary physician, not the ER.

    They are not going after in-patients. In fact, in many cases, the master med order is written for the patient- a supervising nurse has discretion to dispense pain meds according to the guidelines, considering the situation (i.e., respiratory degradation). My old supervisory nurse used to say for those acute pain cases, “Don’t hesitate, medicate”. I observed how careful she was to explain the potential side effects.

    • #23
    • January 14, 2013 at 8:27 am