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Article #1228

Re: Rush Limbaugh in pill probe

#1228
From: Peter H. Proctor
Date: Sat, 11 Oct 2003 23:14
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On Sat, 11 Oct 2003 21:32:28 GMT, woodswun@tepidmail.com (Woodswun)
wrote:

>Don't they all say that in Hollyweird, too?  From what I've seen of family and 
>friends who've undergone serious pain, doctors are very careful not to prescribe 
>anything long enough to develop an addiction. 

      Technically,    docs "addict" patients all the time.  It really
doesn't take much time to develop "physiological dependency".     But
almost always,  in the absences of conditioning and psychological
dependency,  the patient not even realize that they are withdrawing.

      The big issue is the use of opiate-type drugs for chronic pain,
such as Rush experiences.    The quandry is that the other class of
analgesics,  the aspirin-like drugs,    not only are less effective in
pain control,  but they have significantly more morbidity and
mortality than do the opiates.

        So using opiates for control of chronic pain not only gives
better palliation,  it also "saves lives".   The cost is making some
persons technically drug-dependent,  not a good thing,  but generally
managable medically.    In any case,  better than destroying kidneys,
liver, or stomach lining with comparable doses of aspirin-like
agents.....

Dr P
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From: Peter H. Proctor <drp@drproctor.com>
Newsgroups: misc.rural,alt.appalachian,nc.general,atl.general,talk.politics.drugs
Subject: Re: Rush Limbaugh in pill probe
Date: Sat, 11 Oct 2003 18:14:43 -0500
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