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Conditions and diseases

I have practiced neurology for more than fifty years. I have treated patients with refractory neuropathic pain, central pain syndromes, spinal cord injuries, and the cruel mix of conditions that fall under no clean diagnostic label. I have watched patients…
I have practiced neurology for more than fifty years. I have treated patients with refractory neuropathic pain, central pain syndromes, spinal cord injuries, and the cruel mix of conditions that fall under no clean diagnostic label. I have watched patients who were finally stable, finally sleeping, finally functioning, lose their prescriptions not because their physicians did anything wrong, but because the government decided that looking different on paper is the …
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When the DEA became my patient’s doctor
Conditions and diseases

I once cared for a patient I'll call Maria, a middle-aged professional with severe spinal disease and years of stable function on a carefully monitored opioid regimen. She'd never lost a prescription, never shown signs of misuse, and passed every…
I once cared for a patient I’ll call Maria, a middle-aged professional with severe spinal disease and years of stable function on a carefully monitored opioid regimen. She’d never lost a prescription, never shown signs of misuse, and passed every urine drug screen. Then her clinic was acquired by a large health system, and new policies arrived with a single message: cut opioid doses or risk scrutiny. Within months, Maria’s …
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The opioid crackdown is harming chronic pain patients
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