Showing posts with label pain management. Show all posts
Showing posts with label pain management. 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. 

Saturday, June 2, 2018

Comment Now to NIH Pain Management Best Practices or Forever Hold Our Peace


The comment period has been extended to June 15th.

PLEASE NOTE: Following is my voice. Your story is different from mine. To date there are only 1454 comments out of over 100 million Americans who live with chronic pain. I know there are  more who want to comment, because I hear from you, and now, they want to hear from all of us. 

Our stories put a face to the meaning of our plight to be treated with dignity and respect. We are more than statistics and it's time to show it. 


“Our lives begin to end 
the day we become silent 
about the things that matter.”

~Martin Luther King



When you are finished, you will receive a "Comment Tracking Number".

RE: Meeting of the Pain Management Best Practices Inter-Agency Task Force
Docket ID: HHS-OS-2018-0009 Agency: Department of Health and Human Services (HHS)

Those of us living with chronic pain deserve to have our pain treated, yet the illegal drug abuse epidemic is making it impossible to receive the care we need to survive. 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, one that resulted from the government "crackdown" on opioid prescribing. I am tired of hearing how physicians will no longer prescribe a drug they have been using for years because they are fearful of the DEA. I am a person aging with severe inoperable musculoskeletal disease and a lesion in my sacrum that causes such pain I cannot bear weight or sleep. When it flares, I get epidurals, but they are limited. Why does the government think they can judge me for needing an opioid? I have severe damage to my esophagus and stomach from NSAID overuse. My mother died from a heart attack caused by NSAIDS, yet we never hear about how unsafe they are with prolonged use. I tried the antidepressants, they did not help, and the side effects were intolerable. Lyrica® and Neurontin® disconnected me from reality. I am not alone in this, so why don’t we hear about that? 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 other practices I find helpful. Government overreach has led to this lunacy. Pain physicians require monthly visits, whether you need a new prescription or not. These practices are driving the cost of pain care to the moon. Making patients succumb to a pee test is demoralizing, and they aren't all accurate, resulting in the destruction of innocent lives, yet they are allowed, even encouraged, to add to the burden of escalating costs. What happened to watching for untoward behaviors and making appropriate referrals? Few patients expect total relief with opioids, but it should be their right to have their pain managed well enough to participate in integrative therapies like mindfulness, tai chi, physical therapy, etc. Education is needed, not prohibition. Addicts deserve to have the "right treatment", not therapy based on ability to pay. Money is being wasted on the war on drugs that could be used to develop outcome-based programs to help these people. Many of us live with debilitating conditions for which there is no cure and opioids are the treatment of last resort. Many of us do not have transportation to pain clinics or the ability to make co-payments. Please hear my voice. The crime here is allowing people in pain to be exploited by those who profit from our demise, and a false narrative driven by media hype.


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, December 15, 2013

WINTER DEVOTIONS edition of Broken Body, Wounded Spirit: Balancing the See-Saw of Chronic Pain by Celeste Cooper, RN and Jeff Miller, PhD


Cooper, C and Miller, J. Broken Body, Wounded Spirit: Balancing the See Saw of Chronic Pain, WINTER DEVOTIONS. Blue Springs, MO: Impress Media, 2013.

Available in paperback ~240 pages, 6” x 9.” here.
eBook in Kindle format available here.
(Don’t have a Kindle? Get the Kindle app for your PC,  here.

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There is nothing charismatic about chronic pain regardless of its source. Pain is greedy and demanding. It consumes our time, our relationships, and our function, and it threatens everything that is important in our lives, our character and our dignity... Come with us as we walk the barren winter land appreciating that it is necessary to rid ourselves of previous conceptions in preparation for the spring season of rebirth...

Read more here.


Published by ImPress Media, December, 2013.
ISBN:  13: 978-0615924052

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Inside the cover:

“This lovely book of devotions is rich with insight and practical suggestions for any one with chronic pain. It is filled witch inspirational and healing words dealing with topics from nutrition, exercise and sleep to relating successfully to your doctor.”
~Susan E. Opper, MD, Medical Director of Saint Luke’s Pain Management Services, Saint Luke’s Hospital of Kansas City.

“I love the very idea of “Winter Devotions”.   The struggle of living with chronic pain is compounded for many by the winter months when it is cold, damp, and often gloomy.  Bones ache, joints hurts, and the spirit sometimes become depressed. This wonderful book provides a tool to help with those issues.  The quotes, photography and motivation of authors Celeste Cooper and Jeff Miller all bring much needed hope and relief.”

~Myra J. Christopher, Kathleen M. Foley Chair in Pain and Palliative Care at the Center for Practical Bioethics and Principal Investigator of the Pain Action Alliance to Implement a National Strategy.

Don’t miss the forward too, read more from inside the cover here.

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The books in this series are filled with famous quotes, affirmations and pleasing photos that the authors hope you will find motivating and rewarding as you pursue your journey in learning to live with chronic pain. There are helpful tools for finding answers to questions such as:

  • How can I find balance in my strengths and weakness?
  • How can I change my word energy?
  • What do those pain terms mean?
  • On the pain scale, what is my ten?
  • What can I do to maintain and build healthy relationships?
  • Have I thought about my choices? 
  • How can I redirect pain when it gets bossy?
...and much more.


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Sneak Peek


eWinter f
Day Fifteen

Role Modeling for Universal Love

“A friend is a person with whom I may be sincere. Before him, I may think aloud.  I am arrived at last in the presence of a man so real and equal, that I may drop even those undermost garments of dissimulation, courtesy, and second thought, which men never put off, and may deal with him with the simplicity and wholeness with which one chemical atom meets another.”

~ Ralph Waldo Emerson, 1803 – 1882

When Emerson’s friend Henry David Thoreau was jailed for not paying taxes (as a conscientious objector to the unjust Mexican War), he was looking out of his jail cell on Concord’s main street.  Emerson saw him in passing and exclaimed, “David, what are you doing in THERE?” Thoreau responded, “Ralph, what are you doing out THERE?” The honesty and focus of their shared love of nature, literature, liberty, and spiritual growth cultivated some of the most influential thinking in our recent history.  The courage it takes to be a true friend cannot be over emphasized.


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Read more about Celeste and other books here.

Or on her website here by clicking on the “About the Books” tab.

Celeste's Website

Celeste's Website
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