11/09/2025
Part of my dream when I decided to start doing nurse advocacy was to speak out for the forgotten chronic pain patients. I’m no fool. I 100% believe that opioid medication can be dangerous. However, we now have patients that have a legitimate diagnosis that deserve to be treated with pain medication, however, they cannot obtain that medication due to strict guidelines. The pendulum has swung too far to the left and our patient suffering and even hitting the street which is leading to the inadvertent death via overdose or sometimes even committing su***de because they are no longer able to obtain pain RXs. These medication’s have been around for over 2000 years and when it comes to their mechanism of action, it really is quite simple. I believe that doctors can be upfront before writing an initial opioid script, explaining the risk versus benefits of this class of medication, explaining the difference between tolerance and substance use disorder, explaining that no early refills will be allowed and that it would be the patient’s complete responsibility to keep up with her medication. Furthermore, there are also tools that will help Physician assess patients likelihood to become addicted or misuse their medication. It’s time to stop punishing the chronic pain patient. 
Gabapentin has no FDA indication for chronic pain treatment. Orthopedic surgeons who performed surgery and then refused to treat pain caused by that surgery except with Tylenol should be found negligent. No, not every patient needs pain medication after surgery. The Takeaway here is that everybody is different. Some do and some do not.
Thoughts?