Showing posts with label comment. Show all posts
Showing posts with label comment. Show all posts

Wednesday, January 30, 2019

Deadline To Comment On New Federal Recommendations On Pain April 1st – Read Mine




If you have had your pain care jeopardized because of the opioid crisis, please refer to the US Pain Foundation toolkit. You can access the full report and find the toolkit HERE. Or you can comment at Regulations.gov. Write as little or as much as you would like. The important thing is that we use our voice.


Comments on the task force proposal due by April 1, 2019.


RE: The Inter-Agency Task Force Draft Report on Pain Management Best Practices.
Docket Number: HHS-OS-2018-0027

To those concerned,

The IOM report and the National Pain Strategy have addressed the stigma of chronic pain, yet here we are nearly a decade later in worse shape than ever. I appreciate your efforts to take integrative therapies mainstream, educate others on the benefits of responsible opioid treatment, and stop the lunacy that is driving pain patients to suicide as the “opioid epidemic” (which should read ILLEGAL, BLACK MARKET FENTANYL, thank you.) continues to rise. We need factually driven reports, not those that sensationalize inaccurate data to make money at our expense. I wish there was a plan to engage with the media that includes the unintended consequences of addressing the drug problem we have in the United States. 

I could use better pain control, but I would have no life if I had to plan it around monthly all-day visits to a pain doctor to get 60 pills. Thank you for thinking of people like me. It would be great if you could get Medicare to pay for monthly therapeutic trigger point massage and my TENS unit supplies. It would be nice if I had help with the cost of a new PEMF device, pay for my EEG biofeedback device, or pay for unlimited visits to my physical therapist to get active release therapy. Thank goodness I have access to interventional care such as ultrasound guided trigger point injections, cervical nerve ablations, and occipital nerve blocks, but they only provide temporary/partial relief and Medicare won’t pay for me to have them when they wear off. Instead, I have to wait the six months as my pain escalates out of control and tethers me to my recliner, draped in warm compresses and ice packs, praying my TENS adhesive doesn't cause blistering too quickly. I pay an extraordinary Medicare premium (NO! Medicare is NOT free, and tie-in plans rate chronic pain patients up for their “pre-existing” chronic pain condition). My pain specialist does not take Medicare Advantage plans, but even if he did, their would be co-pays. I am grateful that the task force is addressing this. This is a good start, but I have reservations.

Over the long-term, I hope things will be easier for the patient and reduce the justified fear of physicians to prescribe. Patients have become unpaid guinea pigs for Big Pharma as pharmaceutical companies push physicians to prescribe other “newer” central acting agents that come with their own basket of interactions and abuse risk. I have permanent damage to my esophagus and stomach and have suffered the consequences for twenty years. Obviously, there was a time Feldene was my drug of choice.

In closing, I appreciate all those on the task force for providing a report that considers many of my personal concerns; it is comprehensive. We need reliable research that is not paid for by parties who will benefit from the outcome. Let us all hope there is forward motion for making pain care individualized, compassionate, accessible and effective.

Sincerely, Celeste Cooper, Retired RN



In healing,

Celeste Cooper, RN / Author, Freelancer, Advocate

Think adversity?-See opportunity!



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Learn more about Celeste’s books here. Subscribe to posts by using the information in the upper right hand corner or use the share buttons to share with others. 

Wednesday, July 11, 2018

FDA responds on behalf of chronic pain patients who require opioids to treat their pain


https://www.usatoday.com/videos/news/politics/2018/07/02/fda-chief-says-long-term-opioid-prescriptions-needed-some-chronic-pain-patients/752552002/


As I said in my June blog, if we want change, we are obliged to share our 
unique individual circumstances and our life encounters. If you have been affected by having your opioids restricted, if you want pain management that fits within your personal framework, it’s time to use your voice.

Hope has turned in to reality; the FDA is listening! 
Our voice is being heard, so let’s keep using it.



ID: FDA-2018-N-1621-0001
The Food and Drug Administration (FDA)

“Patient-Focused Drug Development for Chronic Pain.” The public meeting will provide patients (including adult and pediatric patients) with an opportunity to present to FDA their perspectives on the impacts of chronic pain, views on treatment approaches for chronic pain, and challenges or barriers to accessing treatments. FDA is particularly interested in hearing from patients who experience chronic pain that is managed with analgesic medications such as opioids, acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants; other medications; and non-pharmacologic interventions or therapies.

Comment Now!
Due Sep 10 2018, at 11:59 PM ET


Adversity is only an obstacle if we fail to see opportunity."


Additional Reading:

Opportunity Knocks Again: Public Comments on Patient-Focused Drug Development for Chronic Pain (includes my comment)


In healing,

Celeste Cooper, RN / Author, Freelancer, Advocate

Think adversity?-See opportunity!



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Learn more about Celeste’s books here. Subscribe to posts by using the information in the upper right hand corner or use the share buttons to share with others. 

Sunday, June 17, 2018

Opportunity Knocks Again: Public Comments on Patient-Focused Drug Development for Chronic Pain





As an advocate, registered nurse, and patient, I feel we are forced to work within a system devoid of a plan for addressing the physiological, psychological, financial, and social consequences of living with persistent pain.
If we want change, we are obliged to share our unique individual circumstances and our life encounters. If you have been affected by having your opioids restricted, if you want pain management that fits within your personal framework, it’s time to use your voice.

ID: FDA-2018-N-1621-0001

Summary:
The Food and Drug Administration (FDA, the Agency, or we) is announcing a public meeting and an opportunity for public comment on “Patient-Focused Drug Development for Chronic Pain.” The public meeting will provide patients (including adult and pediatric patients) with an opportunity to present to FDA their perspectives on the impacts of chronic pain, views on treatment approaches for chronic pain, and challenges or barriers to accessing treatments. FDA is particularly interested in hearing from patients who experience chronic pain that is managed with analgesic medications such as opioids, acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants; other medications; and non-pharmacologic interventions or therapies.

The public meeting will be held on July 9, 2018, from 10 a.m. to 4 p.m. Submit either electronic or written comments on this public workshop by September 10, 2018. See the SUPPLEMENTARY INFORMATION section for registration date and information.

Comment Now!
Due Sep 10 2018, at 11:59 PM ET

My comment:

First, thank you for listening to the voice of patients. As an RN and lead author of five books on pain and integrative therapies, I am sickened when I read about another suicide by a fellow pain patient, resulting from the crackdown on opioid prescribing. I am concerned about accountability, because physicians bear the consequences of not treating their patients. I am angry about the false narrative of media reporting.

As a person living with persistent pain and autoimmune disease, I use every alternative tool available to me, including invasive pain management. I participate in physical therapy, but Medicare doesn’t allow enough visits to be therapeutic. I do everything I can to keep opioid use to a minimum, yet I feel judged by my government for needing it? I have severe damage to my body from NSAID overuse. They are not a safer than opioids. I do not tolerate the side effects of antidepressants. Anti-seizure medications disconnect me from reality. I feel like a free guinea pig for the pharmaceutical industry, as I take the risk of off-label trials while they make the money. I am elderly and I am angry that my primary doctor will no longer prescribe the small amount of opioids that work for me, that I can afford, and that allow me to participate in integrative therapies.

Pain physicians are overworked and now either restrict their practice to interventions only or require monthly visits. Many of us do not have transportation to pain clinics or the ability to make co-payments. These practices are driving the cost of pain care to the moon. There is a lack of evidence that urine drug tests are consistently accurate or that they are having any effect on drug addiction, yet these companies make a large profit off vulnerable patients.

People who live with unrelenting pain should have their pain managed well enough to participate in integrative therapies like mindfulness, tai chi, physical therapy, etc. Education is needed, not prohibition. The money wasted on the war on drugs could be used to develop outcome-based programs to help people with drug addiction and research for those of us who live with daily unforgiving pain.

Again, thank you for taking public comments. I am more than a statistic, I am  one face of pain.



In healing,

Celeste Cooper, RN / Author, Freelancer, Advocate

Think adversity?-See opportunity!



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Learn more about Celeste’s books here. Subscribe to posts by using the information in the upper right hand corner or use the share buttons to share with others. 

Tuesday, January 5, 2016

The CDC Opioid Guidelines: Exercise Your Right to Be Heard


Many of you may know I am recovering  from pneumonia, so in an effort to care for myself, I have not been blogging, but this is perhaps the most important advocacy topic of this month. Holding the CDC accountable for questionable behavior and making our voice heard!


Why We Should Hold the CDC Accountable

We deserve to be heard, but the CDC tried to slide their guidelines under the radar, calling them "guidelines" knowing they would be embraced as a policy without having to undergo the rigorous process of establishing a policy. As taxpayers, we have a right to transparency, which they did not provide. Please take a moment to read my dear friend, Myra Christopher’s blog on why this is important to those of us living with chronic pain.


Holding the CDC accountable and providing this opportunity to comment is in large part due to Myra and the PainAction Alliance to Implement a National Strategy

You can read my comment, which was kindly shared by the National Pain Report. My Story: Has the CDCConfused Addiction and Tolerance?


How to Comment

Commenting on the CDC Opioid Guidelines as part of the docket is a valuable opportunity to protect our rights as people living with chronic pain. So please, I am begging you, and I seldom do that, leave your comment, get your docket number, your comment only counts when you do this. Use  the link, just click on the comment button IN THE UPPER RIGHT HAND CORNER. You can remain anonymous. 

As of this writing, January 5, 2016, of the 100 million people who live with chronic pain in America, only 1,793 have commented.



Open Comments

Another opportunity has arisen, an open conference. My friend Myra Christopher has to say. "It is important for CDC to get this right, and they need our help to do so.” 

The following provided by the National Pain Report

Centers for Disease Control and Prevention (CDC) is hosting a public conference call on its controversial Guidelines for Prescribing Opioids for Chronic Pain Thursday, January 7, 2016, at 9:00 am ET. The public can participate via a conference call.  The dial-in number is: 1-888-395-7561, and the Participant Code is: 3954121.

I may be weak, but I am not done! We the People-ALL the People

Since our Congress questions the CDC’s authority to infringe on our Constitutional rights as stakeholders in this issue, and as citizens of these United States, shouldn’t we too! Read the National Pain Report article, Congress Questions CDC: Who Drafted Controversial Opioid Guidelines?


No one understands the effort it takes better than I do, and what I also know is that under no circumstances is procrastination our friend. Please do it today.

The deadline is January 13th.



We are not alone. Read the comments within the article Pain Advocates Urge Patients to Comment on CDC Opioid Regulations 



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"Adversity is only an obstacle if we fail to see opportunity."  
Celeste Cooper, RN
Author—Patient—Health Central Chronic Pain ProAdvocate

Celeste’s Website: http://CelesteCooper.com

Learn more about what you can do to help your body function to its potential in the books you can find here on Celeste's  blog

All answers and blogs are based on the author's opinions and writing and are not meant to replace medical advice.  

Celeste's Website

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