Forceful FDA

The title of the article was  the FDA Commissioner Asks Staff for ‘More Forceful Steps’ to Stem the Opioid Crisis and it immediately sent shivers up my spine.   Once again the blame is put on the physicians. Did we forget patient responsibility?  How about a graph showing how a massive amounts of opioids of prescribed by a very few doctors?  How about severe penalties for “pill mill” docs?  Instead we get:

  • More mandatory imposed education
  • Standards for prescribing opioids in different clinical settings (this is means metrics an paperwork)

I never love hearing the word “forceful” in an initiative.  It just can’t be good for doctors.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  5 comments for “Forceful FDA

  1. Steve O'
    May 30, 2017 at 10:35 am

    The junkies are long gone. The genuine pain people seem a bit wistful – they are used to a sense of being controlled. “Do what you gotta do, doc. I read the papers.” They do not complain about their loss of activity; some have become shut-ins from the pain, or drink to kill the pain. But that is a successful outcome in the political metrics.
    The next wave is a good five years old from the perspective of the narcotraficantes. Fentanyl analogues are potent – so potent that they are often deadly to the fumble-fingered Walter Whites of flyover land. The analgesic dose is 2.8 mcg/kg, the buzz-dose range who knows what, perhaps 10 mcg/kg. The LD/ED ratio is reported to be “safer” than morphine and fentanyl. 1000 doses per gram, it looks like. Manufacture 10,000 doses – put it in a cosmetics container in a purse and bring it in from a Central American laboratory. What’s that worth, $200,000? And what are percocets going for these days? And Sufentanyl’s just one of the medium-potency fentanyls. They’ve got one that won’t come OFF the opiate receptor – a one-way ticket. But nobody cares about that stuff, even though Prince died of a fentanyl overdose. The idiots know that beating and controlling the doctors makes more money than even cooking drugs in a trailer. And you can pretend you’re a good guy that way.

  2. Private Doc
    May 30, 2017 at 9:29 am

    Be afraid be very afraid. Laying the groundwork for more “oversight” and eventual outlaw of private practice.

  3. Dr. James Pollock
    May 30, 2017 at 8:04 am

    … “Guidelines / Protocols ” are totally different than ” Standard of care / president ( over time ). You may be ridiculed by snowflakes in the regulatory boardrooms, but grilled over a blue flame in the courts of law. If you have a patient with reasonable need for strong pain relief & don’t supply that pain relief ongoing ( can’t depend on “pain clinics = joke ) , you WILL ( & should ) be found liable in malpractice court. I the county I grew up in, you will also be found guilty of being an uncaring Physician & WILL face the wrath of the locals ( you & your family. ). This is known outside of Boston & Chicago as “rural” America, otherwise known as “real America”. Remember: When a patient exaggerates , lies or cons his way to addiction & / or overdose…it is the PATIENT whom is 100% at fault. In Boston/Chicago, you will find many “rabbit holes” where the “perp” becomes the “victim” when he is nothing more than a con-man & DESERVES whatever happens to him. The rest of the nation’s town fortunately have FEW rabbit holes. In closing, we will see the rate of overdoses decline at a rate over the next ten years coinciding with the number of idiots roaming the street; or we can blank the Physicians & force the idiots to switch to more synthetic street drugs. …..What do I know since I have always worked in the sunlight and never in an Ivory Tower. …. JP

    • Steve O'
      May 30, 2017 at 10:40 am

      Everyone “knows” that the LMD – local MD – is an idiot. Ask the ivory tower folks, the regulators, the drug companies. The Iron Triangle wants puppets, not experience. Standardization and scientific management, professional central planning – we saw that fail fifty years ago. But in Washington, no idea is too stupid to die. Let’s try central planning in medicine. Orwell would be delighted at “mandatory guidelines.” We’re too beaten down to laugh.

    • Sir Lance-a-lot
      May 30, 2017 at 7:55 pm

      “When a patient exaggerates , lies or cons his way to addiction & / or overdose…it is the PATIENT whom is 100% at fault. In Boston/Chicago, you will find many “rabbit holes” where the “perp” becomes the “victim” when he is nothing more than a con-man & DESERVES whatever happens to him. The rest of the nation’s town fortunately have FEW rabbit holes. In closing, we will see the rate of overdoses decline at a rate over the next ten years coinciding with the number of idiots roaming the street…”

      Wow. Right on, James – couldn’t have said it better myself.

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