"La Medicina es el opio del pueblo". Literalmente. En EEUU epidemia de
muertes por opi?ceos. Transferencia de problemas sociales a programas
m?dicos.
"Medicine is the opium of the people". Literally. USA. Opiod-related
mortality epidemic. From welfare to disability programs.
"Die Medizine ist das Opium des Volkes". Buchst?blich. USA.
Opioid-Mortalit?t Epidemie. Von Wohlfahrt zu einer Behinderung Programme.
?La m?decine est l'opium du peuple?. Au sens propre. ETATS-UNIS. Li?s
opio?de-?pid?mique de mortalit?. De l'aide sociale ? des programmes
d'invalidit?.
*"Медицина есть опиум народа". Буквально. США. Опиоидных смертность,
связанная с эпидемией. От благосостояния к программам по инвалидности.*
http://annals.org/article.aspx?articleid=2546630
-un saludo juan g?rvas @JuanGrvas
Over the past year I?ve lost track of how many times the opioid epidemic
has, in one incarnation or another (Prince, naloxone, fentanyl, newborns in
agonizing withdrawal and so on) found its way onto the front page news.
What distinguishes this epidemic is not only its catastrophic toll ?
hundreds of thousands dead, uncountable millions harmed ? but also the fact
that, unlike SARS, Ebola or influenza, this epidemic has no end in sight.
The ?why? is complicated, but it relates in part to prevalent beliefs about
the role of these drugs in medical practice.
This is the greatest drug safety crisis of our time. Addressing it involves
facing some unpleasant truths and asking some difficult questions.
One truth is that well-intentioned prescribing fueled this crisis
<http://www.vox.com/2016/2/5/10919360/opioid-epidemic-chart>\. For 20 years
now, doctors have prescribed opioids ? drugs like oxycodone, hydromorphone
and others ? liberally for chronic pain, one of the most common problems we
see. We did this because the relief of suffering is our primary goal,
because we are conditioned to intervene, and because we were assured on
some authority that the practice was safe, effective and based on sound
medical evidence.
It?s not.
Despite the best of intentions, we flooded North American homes with
opioids purer and often stronger than heroin. These drugs increasingly fell
into the wrong hands, destroying young lives and countless families in the
process. But another unfortunate truth is that even when patients with
chronic pain followed our instructions, we caused more harm than we
anticipated. By some estimates, 10 percent
<http://journals.lww.com/pain/Abstract/2015/04000/Rates_of_opioid_misuse,_abuse,_and_addiction_in.3.aspx>
spiraled
into addiction, even though we?d been told this would happen only rarely.
Some crashed their cars. Others fell, fracturing bones or sustaining head
injuries. And some, especially those prescribed high doses or who took
their medication with sedatives or alcohol, simply went to sleep and didn?t
wake up.
And yet we continue the practice. The ?why? here is more complicated ?
we?ve grown accustomed to it, writing a prescription is easy, pills are
expected, they?re covered by insurance while other treatments aren?t, and
so on. But a critical factor is that our patients often tell us opioids
work, that they *need* them to function, and that they couldn?t imagine
facing life without them. These anecdotes, delivered honestly and with
conviction, are powerful.
http://www.kevinmd.com/blog/2016/09/must-face-unpleasant-truths-opioids.html
-un saludo juan g?rvas @JuanGrvas
Canad?. El problema de salud p?blica de los opi?ceos de prescripci?n m?dica.
*Canada. Opioid crisis should be top of federal health agenda.*
http://evidencenetwork.ca/archives/29968
-un abrazo juan g?rvas @JuanGrvas