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Author: admin, 29.10.2015. Category: Cure Ringing Ears

In the movie "Requium for a Dream", Sara Goldfarb (played by Ellen Burstyn), a widowed mother, finds herself hooked on diet pills. Our recent news features tragic stories of singers, models, movie stars and other well-known celebrities--many who are in trouble with drug abuse, either in rehab, needing to be in rehab, just getting out of, or going back into rehab. Legal, tested and FDA approved drugs are just as powerful as street drugs such as Cocaine, Heroin, and Methamphetamine.
A case in point involves one of the most powerful and addictive pain medications on the market--the drug Oxycontin.
Advancements in technology and medicine have increased the quality of life for many people, but not for all. In Cheyenne, Wyo., emergency room patients who show up more than a few times a month requesting pain pills will now be told no, except in dire emergencies. Originally published on June 5, 2015 12:27 pm Kimberley Enyart was never interested in doing recreational drugs. We watch as her world gradually spirals out of control. This scenario and others that are similar, are becoming all too common. Teenagers, young mothers, parents and grandparents--all are susceptible to prescription drug addiction. My wife and I watched the show and as far as we could tell, the judges must have really liked the title. We now know that this class of drugs called benzodiazapens (Valium, Xanax, Librum, Klonapin) are possibly the most difficult drugs to get off of--even harder to quit than Heroin. In fact, there is a legal form of Meth called Dysoxin, which is often prescribed for children with ADD.
A similar program at a New Mexico hospital cut ER visits by 5 percent annually, and saved $500,000.
But then she was in a car accident — and her doctor prescribed a powerful opiate for the pain.
Teenagers, young mothers, parents and grandparents--all are susceptible to prescription drug addiction.In the movie "Requium for a Dream", Sara Goldfarb (played by Ellen Burstyn), a widowed mother, finds herself hooked on diet pills. On May 10, 2007, Purdue Pharma reached a settlement, paying 1,100 patients a total of $75 million (no big deal though, since annual sales of Oxycontin have reached $1.5 Billion).
The famous, along with the not-so-famous, are dying while using legal, often doctor prescribed pain and stress management pills. The problem is that these drugs are over prescribed and the dependency issue and side effects are not made clear to most users. I loved that high." When Enyart's prescription ran out, she did whatever she could to convince other doctors that she needed more.


In the last decade, every state except Missouri has a built a tracking system that lets doctors look up the prescription history of patients they find suspicious.
So, Enyart went to the last place in town she could still legally get some pills: the hospital emergency room.
In response, hospitals in some states, including New Mexico, Texas and Wyoming, have developed tracking systems specifically tailored to the emergency room.
The program used by the ER at the Cheyenne Regional Medical Center, in Cheyenne, Wyo., is just getting off the ground. Tracy Garcia, who directs the ER, points out the bold red letters that appear on patients' electronic records when they're flagged as abusers.
With Wyoming's existing prescription monitoring system, she says, it hasn't been easy to track abusive patients.
The ER's doctors work 12-hour shifts, serving an overflowing waiting room — which can mean that, even if they find a patient suspicious, Garcia says, they can't always look into it. Instead, a hospital panel made up of doctors and administrators will meet once a month to decide whether patients flagged for unhealthy behavior should officially be labeled abusers. The panel will be watching for signs — like more than a few visits to the ER in a given month.
And because many of these narcotics-seekers lacked insurance, eliminating their repeat ER visits saved the hospital about half a million dollars a year, Ketcham says — enough to pay for about six full-time nurses in the emergency department. One of the purposes of the emergency room is to treat people when their primary care doctor is unavailable, Rosenau says.
These kinds of new guidelines, Rosenau worries, may discourage doctors from giving out pain medication when it's really needed. Still, Rosenau agrees that the question of who should get the painkillers and who shouldn't is more important than ever. In 2013, prescription drug overdoses killed 44 people, on average, every day in the United States. An earlier version of this story aired on Wyoming Public Radio, KUWR, in Laramie, Wyo.Copyright 2015 Wyoming Public Radio Network. Transcript DAVID GREENE, HOST: Here's an alarming statistic - the number of people who die each year from overdosing on prescription pills has tripled since 1990. In response, states have cracked down on doctors who overprescribe and also patients who quote, unquote, "doctor shop." But there's one place where it's been harder to stop people from getting pills, and that's the emergency room. MILES BRYAN, BYLINE: Kimberly Enyart was never interested in doing recreational drugs, but then she was in a car accident, and her doctor prescribed a powerful opiate for the pain. BRYAN: When Enyart's prescription ran out, she did whatever she could to convince other doctors she needed more.


In the last decade, every state except Missouri has built a tracking system that lets doctors look up the prescription history of suspicious patients, so Enyart went to the last place in town she could still legally get some pills, the emergency room. BRYAN: In the last few years, the ER has become a top destination for people addicted to pills. So, recently, hospitals in states like New Mexico, Texas and Wyoming have developed tracking systems specifically tailored to the emergency room. TRACY GARCIA: When you poke a patient's record that's here, they will have what's called an FYI flag. BRYAN: The hospital's ER Director Tracy Garcia is pointing out the bold red letters that appear on patients' electronic records when they're flagged as abusers.
She says with Wyoming's existing prescription monitoring system, it hasn't been easy to track abusive patients. Her doctors work 12-hour shifts that come with an overflowing waiting room, which meant that even if they found a patient suspicious, they couldn't always look into it.
GARCIA: When I've got 15 people waiting, I want to get in, find out what's going on with you, get your care started right away so that you feel better and I can move on to the next patient.
BRYAN: Now the difficult decision of whether to withhold drugs won't be made by the doctor on duty.
The next day they're here with dental pain, all things where they're requesting medications.
BRYAN: When the patients are flagged, the hospital sends out certified letters telling them they won't get prescription pain killers for anything other than a dire emergency. Eric Ketcham helped create one at San Juan Regional Medical Center in New Mexico a few years ago.
BRYAN: But after looking at the stats, Ketcham says he realized the hospital had cut down its emergency room visits by 5 percent a year and saved about 500 grand. He says these kinds of guidelines may discourage doctors from giving out pain medication when it's really needed. ROSENAU: If somebody is an abuser of Vicodin or one of these other medicines - if they break a leg or break an arm, they're still going to need medicine to reduce their pain. BRYAN: But Rosenau agrees the question of who needs drugs and who doesn't is more important than ever.



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