BUTTE CO. CA (BCPH) OPIOID GUIDELINES FOR ALL PRESCRIBERS

BCPH 1) STRONGLY CONSIDER NOT STARTING OPIOIDS FOR CHRONIC CONDITIONS.

THE EVIDENCE THAT CHRONIC OPIOID USE IMPROVES PAIN AND QUALITY OF LIFE IS WEAK AND THE EVIDENCE FOR INDIVIDUAL AND COMMUNITY HARM IS STRONG

FORCEFULLY SUGGESTING THAT DOCTORS REFUSE TO AFFORD PEOPLE SUFFERING CHRONIC PAIN COMPASIONATE MEDICAL CARE RIGHTS

VIOLATION OF CDC GUIDELINES:

CDC = Determining When to Initiate or Continue Opioids for Chronic Pain

1. Nonpharmacologic therapy and nonopioid pharmacologic therapy are preferred for chronic pain. Clinicians should consider opioid therapy only if expected benefits for both pain and function are anticipated to outweigh risks to the patient. If opioids are used, they should be combined with nonpharmacologic therapy and nonopioid pharmacologic therapy, as appropriate (recommendation category: A, evidence type: 3).

MANIPULATION, WITH INTENT TO PUT FEAR IN THE PRESCRIBER WHILE TELLING THEM IT IS OK TO DISCRIMINATE AGAINST A CHRONIC PAIN CONDITION, AND DEPRIVE SUFFERING PATIENTS THEIR RIGHT TO COMPASSIONATE MEDICAL CARE.

CDC = There are clinical, psychological, and social consequences associated with chronic pain including limitations in complex activities, lost work productivity, reduced quality of life, and stigma, emphasizing the importance of appropriate and compassionate patient care (4).

Patients should receive appropriate pain treatment based on a careful consideration of the benefits and risks of treatment options.

BCPH 2) IF YOU CHOOSE TO USE OPIOIDS USE THE SMALLEST DOSE FOR THE SHORTEST PERIOD OF TIME.

DISCUSS THE DURATION OF TREATMENT PRIOR TO STARTING AN OPIOID.

MANIPULATION, TELLING PRESCRIBERS NOT TO LISTEN TO PATIENTS INPUT AND THAT AN EFFECTIVE DOSE DOES NOT MATTER, AND ANOTHER CDC GUIDELINE VIOLATION.

CDC = 2. Before starting opioid therapy for chronic pain, clinicians should establish treatment goals with all patients, including realistic goals for pain and function, and should consider how opioid therapy will be discontinued if benefits do not outweigh risks. Clinicians should continue opioid therapy only if there is clinically meaningful improvement in pain and function that outweighs risks to patient safety (recommendation category: A, evidence type: 4).

BCPH #5) PATIENTS MAY TAKE A OPIOID OR A BENZODIAZAPINE BUT NOT BOTH

MANIPULATION, AND A VIOLATION OF PATIENTS RIGHTS AND CDC GUIDELINE VIOLATION. DISCRIMINATION AGAINST PATIENTS WITH MENTAL HEALTH DISORDERS

CDC = 11. Clinicians should avoid prescribing opioid pain medication and benzodiazepines concurrently whenever possible (recommendation category: A, evidence type: 3).

BCPH #6) THE HEALTH CARE COMMUNITY SUPPORTS PROVIDERS THAT CHOOSE NOT TO PRESCRIBE CHRONIC OPIOIDS TO THEIR PATIENTS

DISCRIMINATION, MANIPULATION WITH THE WORD CHRONIC OPIOIDS TO MAKE THEM SOUND LIKE A BAD THING INSTEAD OF OPIOIDS FOR CHRONIC PAIN. THEN SCARE TACTICS WITH COLOR OF LAW BADGES PICTURED DIRECTLY BELOW.

ADVOCATING THAT SOME PEOPLES MEDICAL CONDITIONS SHOULD BE DISCRIMINATED AGAINST

COERCING VIOLATIONS OF CIVIL RIGHTS, COMPASSIONATE MEDICAL CARE, AND VIOLATING THE CALIFORNIA PAIN PATIENTS BILL OF RIGHTS, ETC.

CDC Guideline for Prescribing Opioids for Chronic Pain: BELOW

https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fmmwr%2Fvolumes%2F65%2Frr%2Frr6501e1er.htm

BUTTE COUNTY PUBLIC HEALTH = ORDERS ? BELOW

http://www.buttecounty.net/Portals/21/Admin/Resources/OPG_Primary.pdf

http://www.buttecounty.net/Portals/21/Admin/Resources/ERPoster_Letter.pdf

CDC Advises Against Misapplication of the Guideline for Prescribing Opioids for Chronic Pain - BELOW

https://www.cdc.gov/media/releases/2019/s0424-advises-misapplication-guideline-prescribing-opioids.html

https://www.aei.org/wp-content/uploads/2019/04/CDC-Director-Response-Letter-to-Dr.-Satel.pdf