At what point did everybody become so terrified of opioids that protecting licenses, pharmacies & “the system” started mattering more than protecting the patient in pain?
CPPs are told to try everything first.
☑️Physical therapy.
☑️Injections.
☑️Procedures.
☑️Antidepressants.
☑️Gabapentin.
☑️Alternative therapies.
☑️Exercise.
☑️Yoga.
☑️Pain psychology.
And most of us do.
Some of it helps.
Some of it does nothing.
Some of it makes things worse.
Then, after exhausting the alternatives, imagine finally sitting across from an experienced pain-management physician who knows your history, knows your diagnosis, knows what failed, and writes a legitimate prescription.
You think the battle is over.
It isn’t.
Now you get to take that perfectly valid prescription from pharmacy to pharmacy to pharmacy and hear:
“No. I’m not filling that.”
Not because your doctor lost his license.
Not because you did anything wrong.
Because everybody is afraid.
The doctor is protecting his license.
The pharmacist is protecting hers.
The system is protecting itself.
Everybody is practicing CYA medicine.
So who the hell is protecting the patient?
Because while everybody else protects themselves, the patient still has to go home inside the same body.
The sickle cell patient still has tissue being starved of oxygen during a pain crisis.
The CRPS patient can still experience excruciating pain from touch that shouldn’t hurt.
The connective-tissue patient still lives in a body where the very framework holding skin, joints, tendons, ligaments, fascia, blood vessels and organs together can become a source of relentless pain.
And then we act shocked when they ask for relief.
We know the history of Purdue.
We know the Sacklers.
We know reckless prescribing happened.
We know opioids were aggressively marketed.
We know addiction devastated lives.
We fucking know.
America has been hearing this story for more than a decade.
What we talk about far less is what happens when that damn pendulum,
the one Americans in pain keep warning about, swings the other way.
Legitimate opioid prescribing dropped dramatically.
Meanwhile, illicit fentanyl became the dominant force in overdose deaths.
A monitored chronic pain patient filling a legitimate oxycodone prescription is not the same thing as somebody buying a counterfeit pill containing illicit fentanyl.
Stop talking about them like they are.
And no, I’m not arguing for reckless prescribing.
I’m arguing for nuance.
We can condemn pill mills and still defend legitimate pain care.
We can recognize addiction and still recognize analgesia.
We can demand responsible prescribing without making physicians terrified to treat pain.
We can allow pharmacists to use judgment without turning legitimate patients into suspects by default.
And we can stop pretending every “alternative” is harmless or effective for everyone.
Sometimes pain medication is not about getting someone to zero.
Sometimes it is the difference between an eight and a five.
Between the bed and the shower.
Between isolation and dinner with your family.
Between merely surviving a day and actually participating in it.
That matters.
I have 15,401 followers, and one of the things I value most here is the chronic illness and chronic pain community.
We may have different diagnoses.
Different levels of severity.
Different bodies.
But we share the same emotional landscape:
Fear.
Uncertainty.
Exhaustion.
Grief.
Hope.
And that lonely walk out of a doctor’s office after hearing:
“Your labs look fine. I don’t know why this is happening.”
So when one of us disappears for a few days and somebody reaches out with:
“Hey. You okay?”
That matters too.
Because sometimes the most powerful thing you can give a chronically ill person isn’t another treatment suggestion.
It’s this:
I see you.
I believe you hurt.
And you shouldn’t have to suffer just so everybody else can cover their ass.
"Even the FDA acknowledges that prescription opioids are no longer driving the opioid overdose epidemic.
(https://t.co/BYkL3SjjdY)
That sentence deserves to be printed in very large letters.
The truth that remains unsaid – and will never be admitted – is that prescription opioids were never the driving force behind the opioid crisis. Never. It was always about illicit drug use."
https://t.co/9gf1e1JLNh
Dr. Lawhern has a new paper out:
“This represents a dawning realization in major international forums. As I have written in multiple published papers, current US public health policy on regulation of pain management and addiction management is nothing less than outright fraudulent.
Indeed, as I have been saying on patients' behalf for years, US CDC, FDA, NIDA, Veterans
Administration, Drug Enforcement Administration, Department of Justice, State Medical and Pharmacy Boards, that have created this debacle are directly responsible for tens of thousands of negligent homicides and thousands of false imprisonments in the
largest and most deadly healthcare fraud ever perpetrated against the American people.”
https://t.co/WxGSQQs8ND
@NajmElie Good day Mr. President Trump,
We are looking for a little Justice today..!
We say "Free Fannie Mae & Freddie Mac Today" let there be American Justice. !
@MarkBalocco@pulte Absolutely! Maybe you could send this statement to the White House Press Office as a pre-written announcement! 😂 Nobody working there seems to know what to do or say about it. You could view it as you are just doing your patriotic duty!🇺🇸🇺🇸🇺🇸
@pulte Yeah - it's great!!! Now free Fannie and Freddie!!! WHY are you waiting? What's the hold up anyway? I'll be dead before I see the returns on my investments. It's illegal, it's wrong and it's UN-American!
State-sanctioned pain patient torture and mass murder program still in progress, based on DOCUMENTED LIES about "prescription opioid medications!" Hey @DrOzCMS, you have GOT to get control of our hospital systems. This shit is COMPLETELY unacceptable.
@WHFraudTF@AGToddBlanche@realDonaldTrump@SecKennedy
Samantha Adams posted on Facebook:
"On June 13th 2026, my mother Dusty Cissney woke up with chest pain and shortness of breath. My sister called the ambulance where she was transported to Mercy San Juan Hospital. I was in route from my home, when I reached out to the hospital for an update on my mother at 9:26 AM. An RN by the name of Ben answered the phone where he began by stating that my mother was telling everyone to “get the f**k out of the room” and wasn’t being cooperative. She was not allowing the doctors to begin the testing that was needed. He goes on to inform me that he’s pretty sure that he knows what it is, He states that it is the “meth and the alcohol” causing her to act like this. I explained to him that she was in severe pain and could barely move, I let the nurse know that I was about 10 minutes from the hospital when he then goes on to state “Well she’ll probably be contacting you from the parking lot if she doesn’t call the meth man first.”
Once I arrived at Mercy San Juan, I was brought to the room my mother was being seen at and learned that my niece had arrived before me and was able to talk to my mother about how important it was for her to allow them to do the necessary testing. My mother expressed to my oldest niece that she was uncomfortable with the way Nurse Ben had been treating her. She described him as rude, short-tempered, and disrespectful from the time she arrived, but agreed to allow the testing to proceed. I asked to speak with the nurse to see if we had any idea of what could be going on. The nurse Ben came to the door of the room where my mother was being treated in and carry’s on to tell me from the doorway that he has seen this multiple times in the past, and this is pointing toward drugs and liquor. I allowed the nurse to carry on for several minutes, where he had stated drugs 3 times and alcohol 4 times before I interrupted him. I informed him that he has called my mother a meth addict and an alcoholic multiple times in under 5 minutes. He confirmed that no toxicology testing had been performed or that there was any medical evidence supporting these accusations at that time. My mother chimed in and let me know that he had been “acting like that since her arrival at the hospital.” At that point, I asked for an AMA so I could take my mother down Madison to Mercy Folsom to receive better treatment. While preparing her discharge, Nurse Ben appeared visibly frustrated and roughly removed her IV. I requested his last name so I could file a complaint. That request was refused. I also requested a copy of the AMA paperwork, and I was told that because we were leaving against medical advice, he did not have to provide his last name or any paperwork.
Within approximately fifteen minutes of arriving at Mercy Folsom, she was placed in a bed and evaluated. The staff immediately expressed concern about her condition, particularly her blood pressure of 250/147 and the symptoms she was exhibiting. After diagnostic testing, physicians determined that my mother was suffering from an aortic dissection caused by severe hypertension. She was transferred to UCD downtown Sacramento where they offered the cardiovascular specialist that my mother required. Later that night into the early morning she stopped feeling her legs, they took her in for an MRI where she aspirated and went into cardiac arrest for 9 minutes before they were able to regain a pulse. She was admitted into the ICU on a breathing machine where she fought for 10 days. During that time, she suffered a spinal cord stroke that left her paralyzed from approximately the mid-chest down, with physicians informing us that she would most likely never walk again and had significant loss of function in her arms. Her oxygen levels were still dropping despite being on a breathing machine that was set to 80%. As her condition worsened, her oxygen requirements continued to increase despite mechanical ventilation. Emergency imaging later revealed that the right side of her colon had twisted. The doctors went on to inform us, due to the fact that she was going on day 9 with no progress, that would be the state of mind that she would remain in. With my mother’s health declining and her survival rates being very low, we had to no choice but to take her off the breathing machine where she lasted 40 minutes before taking her last breath.
Since her death, I have replayed the events of that morning repeatedly. I cannot forget hearing a nurse repeatedly refer to my mother as a meth addict and an alcoholic without any confirmed evidence. I cannot forget watching her sit hunched over in severe pain while asking whether anything had been done to help relieve it. I cannot forget the dismissive attitude, the refusal to answer legitimate questions with professionalism, or the humiliation my mother experienced while being spoken about loudly enough for others nearby to hear. I recognize that emergency department staff frequently care for patients experiencing intoxication or substance use. However, every patient deserves to be assessed based on objective medical findings rather than assumptions or stereotypes. My concern is not simply that Nurse Ben suspected substance use, it is that he repeatedly presented that suspicion as fact without confirmed evidence and treated my mother accordingly.
I will never know whether earlier testing, different communication, more compassionate treatment, or a different approach would have changed my mother's outcome. What I do know is that my mother deserved to be treated with dignity, respect, and without prejudice from the moment she entered your emergency department.
My mother may be gone, But I am NOT! I will continue to be her voice, so she is heard. I refuse to allow this nurse to make another family feel the way he made us feel! Something needs to be done, and I won’t stop until we are heard!
** PLEASE SHARE UNTIL THE CORRECT EYES READ THIS **"
Claudia Merandi of Doctor Patient Forum posted on FB:
“Claudia,
I’m writing to let you know that my daughter took her own life on Saturday, 3/1, and it directly relates back to her being taken off of a benzodiazepine.
She had been abruptly taken off of Klonopin in the fall of 2024. It was prescribed years ago for various reasons, but most directly in relation to ongoing problems associated with a rare tumor that was removed from her one adrenal gland back in 2016, as well as for her POTS (from Ehlers-Danlos Syndrome). She was not tapered; the medication was abruptly stopped by her prescribing doctor. She had already been struggling with several health issues (EDS, POTS, Lupus, scleroderma, Sjogren’s, endometriosis, and more) but had hidden much of that from me and the rest of our family last year. Soon after the Klonopin was stopped, she was no longer able to work as an RN, she could no longer drive, “
HOW MANY MORE PATIENTS HAVE TO DIE before we get Congress to track patient outcome since the de-prescribing agenda began?
@AGToddBlanche@WHFraudTF@realDonaldTrump@SecKennedy@DrOzCMS
@pulte@SecScottBessent@MariaBartiromo
We the shareholders have waited enough Up List and Release Fannie and Freddie or we start filing the Mother of All Takings Case. WE WILL GET A Trump HATING JUDGE TO RELEASE THE 11,000 Obama Documents. That alone will guarantee a victory.
It's August 17, 2026, and the U.S. Government is still torturing and killing pain patients, using opioid restrictions that are based on false claims about "prescription opioid medications." Nobody in officialdom seems to care that Federal and State laws and agency rules and regulations are in conflict with the intended CDC Guidelines. Both the Guidelines and the 2017 Presidential Commission on Combating Addiction and the Opioid Crisis stated that "trained pain doctors should be given more latitude with prescribing," and that the Guidelines were intended for primary care doctors treating new, opioid-naive patients. Dose limits have been established in numerous States and by the DEA that are in direct conflict with the CDC Guidelines intent. Amd, the new White House Fraud Task Force does not care that fraudulent claims are driving the policies that are based on DOCUMENTED LIES about "prescription opioid medications!"
HOW MANY MORE PATIENTS HAVE TO DIE before we get REFORM?
@WHFraudTF@AGToddBlanche@realDonaldTrump@SecKennedy@DrOzCMS
Request for a Congressional Inquiry:
https://t.co/CS0j5Q2LnA
So why is the DEA/DOJ continuing to incarcerate our pain doctors for the "crime" of treating pain with proper, appropriate, clinically indicated pain medications?
@AGToddBlanche@WHFraudTF@realDonaldTrump@DOJCrimDiv
Dear Mr President, please remain true to your word rebates FNMA. I'm getting old waiting for this to be resolved and may never see the results of my investment
@PeloSwing Good Day Mr. President Trump,
We are looking for a little Justice tomorrow morning..!
We say "Free Fannie Mae & Freddie Mac Today" let there be American Justice. !
Have you experienced corporate interference with your clinical judgment, pressure to reduce opioid prescribing or retaliation for advocating for your patients?
We want to hear your story
https://t.co/IeQbuYoFxH
@jay_and_max: Retired internist of 35 years. Studies may suggest that chronic opiates for chronic pain are not beneficial, but that was not my experience in practice”