Malignant pain is that pain caused by an active, progressive, destructive process, most commonly due to cancer. It may also be due to infection, or rapid degeneration. It tends to only get worse with time, and death is the usual short to medium-term consequence of the disease process which is also causing the pain.
Non-malignant pain is that pain which persists after some sort of injury or deterioration to tissue, or is just there without evidence of damage to the body. The process which initiated the pain has generally been halted, or the process itself tends to be slow to progress and generally doesn’t end in death (think degenerative arthritis). The origin of the pain may be frequently unknown, too. Chronic recurrent headaches, chronic back pain of a musculo-skeletal nature, and fibromyalgia all fall into this category.
The expertise is also quite valuable when one practices privately with an affluent clientele. Or anywhere there are office patients. The disease of addiction respects no boundaries. I’ve met a formerly hopeless junkie who was also a billionaire (money may buy you what you want, but it won’t make you get what you need), a now-sober rock star (reality is for people who can’t handle drugs), and a recovering addict physician who was the personal doctor to the First Family (no, I won’t say which one).
This s so sad but true… I am a Chronic Pain Sufferer Myself and I am on some very strong Narcotic Medications “Dilaudid and MS Contin”… So any one who knows them knows why I can’t miss taking them… any howz I had gotten arrested "for something I was innocent of as well, but while I was in lock up for little more than 48hrs due to interrogation and booking and all before the judge let me got on “O.R.” I had been Arrested with my prescription pill bottles with my meds and doc info Inc. phone number and all… Even though they still for no reason flat told me I can’t have my meds because Criminals don’t deserve them kinds of mediation "mind you I’ve not even been convicted just accused by this point “never was convicted D.A. refused to file charges” so yes I can say they will gladly let you suffer in jail if they will in booking even though the law does call that cruel & unusual punishment no one says or does a thing about it… even though I was going though withdrawals as well its just sad how people can treat others so bad especially people who are supposed to be serving and protecting us…
what forced to throw up meds wow that’s cold darn inmates lolh but that’s sad though man id be like get your own lol and if they want to try to make me do it well good luck lol
The reason that pills get used rather than other preps is injectable meds have a shoter half life in the body than tablets do… suh as I take my meds at home by mouth it last around 5 to 6 hrs but the injections when I do get them only last 3 to 4 hrs for IM or 1 to 2 hrs for I.V. so giving the inmates pills keeps the overworked nurses from having to see the inmate every couple hrs…
Wow if you get them spots I love one if you are someplace that I can get to… as a former Army Medic would love to see haw a prison medical system works…
I’ve worked in pharmacies that serviced county jails, and their policy was always “No controlled substances”, not even low-risk items like phenobarbital. If a patient needed those meds, they were admitted to the hospital.
This was about 15 years ago, so I don’t know what they do now, or what other facilities might do.
For me, the saddest thing was filling meds for the women’s section, because so many of them were pregnant.
ETA: Didn’t realize this is a zombie thread. However, I do know that Qadgop is still around.
IIRC, our beloved Supreme Court, circa mid-1980’s, came out with a peculiarly nasty ruling that, if you’re in jail awaiting booking or awaiting trial on some charges, then since you haven’t been convicted yet, your [del]incarceration[/del] detention isn’t punishment. Therefore, you have no protection against cruel/unusual treatment, because that treatment isn’t punishment.
I’m still in prison, doing Corrections Medicine. Let me know if you want a job, we’re hiring.
And now, nearly 10 years later than my original post on this topic, the pendulum has swung much further the other way on opioid use, out in the private sector, and in prison. Oxycontin is a dirty word now, and the over-prescribing of opioids has resulted in thousands of unintended overdose deaths in that time interval.
But I haven’t had to change my prescribing habits much as a result, as I was wary of those drugs to begin with. I found methadone to be more problematic than helpful, and now tend to avoid prescribing it; proportionally more of the unintentional OD deaths happen with methadone than any other opioid.
I do hope Diggleblop found some relief in the intervening years. His posts after those of this thread indicated a lot of struggle with the issue, before his banning.
I have a friend who worked as the nurse in a county jail for many years before retiring.
In our county (Hennepin, Minnesota) inmates can continue to receive any prescribed medications while incarcerated – but the drugs are locked away, and must be given by the jail nurse. Twice a day, patients with prescribed medications were brought to her nursing station to receive their medications from her. They had to be taken in her presence, and she gave any injections needed (even ones like insulin, which the patient gave to themself when not incarcerated).
And she never had any trouble with " uncooperative and possibly violent inmates" – in fact, she mentioned how pleasant & cooperative they all were. As she said, I’m the only person they see all day whose job is to make them feel better. (Plus I have 2 big deputies within earshot, and a whole line of other prisoners waiting to get their meds. If I get injured and sent to the hospital, nobody else gets their meds that day – and they would be unhappy with the prisoner who injured me.)
Then I order them an epi-pen, and it is kept at the officer’s desk on his unit. He’ll have to ask for it if he needs it.
In my nearly 14 years in corrections medicine overseeing 23,000 inmates and reviewing nearly all inmate deaths over that time, I’ve seen no one die from lack of more timely access to an epi-pen.
Actually, I can swear to having evidence he is a real prison doc.
At the time the events in this thread occurred it was possible, with a bit of digging on news sites, to obtain the real name of Dr. Mercotan and with a bit of googling confirm that he is, indeed, a medical doctor and he does work at a prison in Wisconsin. He’s a very nice guy (great human disguise, Mercotan technology is amazing for that) and I’m sure, particularly given that he works with unsavory people as part of his job, he understands completely why I confirmed he was telling the truth about his identity prior to dropping by his home. I suspect, if someone was truly determined they could make the same confirmation (it is, of course, a lot easier to dig up the info when you know his face-to-face name). Plug his name into google and both he and his workplace are on the top of the first page of results (followed by a bunch of other guys with the same name from all over the place who do other things for a living).
That, and when I went to visit him not only were all the neighbors convinced he was a prison doctor, but when I stopped for directions at a random gas station in Ozaukee County, Wisconsin the two folks behind the counter said “Oh, the XXX place? The prison doc?” so if he did bribe the locals to lie for him he must have paid off the entire county to make sure anyone I encountered would adhere to the official story.
Maybe I could have slipped away at one point during my visit and gone scrounging for documents, but aside from that being rude I was much too distracted by the vast Tolkein collection and the TARDIS-like quality of the rambling residence. Also, somewhat concerned about falling into non-euclidean geometry somewhere in there and getting lost or emerging into another continuum. I am still convinced there’s a doorway to Narnia somewhere in there, probably in the back of the long closet built into the area under the upper walkway in the passage leading to the guest suite, the bit that goes by/over the garage. He knows what I’m talking about, unfortunately, I can’t come up with a shorter way to describe the location.
Basically, though, both my own research prior to my visit and what I saw and heard there pretty much confirms, to me at least, that he honestly and fairly represents himself on this forum. Except for the whole species-disguise thing.
Sound like your on a power trip to me…If the doctor prescribed me that i would expect to get it…Not come to some power driven doctor like you…And for you to say that your fellow doctors are gullible makes me sick…Sounds like your dick head…Glad i dont have legal problems and have a ass like you…
Ah, the clientele doesn’t change, either in prison or on the 'net. :rolleyes:
I’m thrilled to see that what I wrote in 2006 about how to properly prescribe opioids (which made me an exception to the trends back then) is now being advocated by the highest medical authorities in this nation as the way to prescribe opioids in 2017. They shoulda come to me soonah.
So thanks for bumping the thread, so I can bask in my own fantasticness.
Just because a doctor, some doctor, prescribed something for you does not mean it is the best treatment whether you are in prison or not - that is, after all, the whole concept behind second opinions. Yes, some doctors ARE gullible. Some doctors are also behind on latest treatments and medical practice. Some doctors are burnt out. Some are even nasty people.
What people NEED from medicine is not always what they WANT from medicine. That’s two different things although if you’re lucky there will be a great deal of overlap between them.
I used to work at a clinic that served addicts, and we also had a contract with the Federal Bureau of Prisons to help transition people back to the outside world. A lot of prisoners have a problem with entitlement that, joined with a little doctor-shopping, makes for a toxic combination. Addicts tend to want to just medicate both pain and problems away rather than doing some hard work to address the source of that pain and problem instead of merely medicating the symptoms. Combine that with addiction to legal, prescription medication which is a serious problem in this country and you can get a situation where an MD is acting as an enabler, whether he or she knows it or not.
Sure, you might be getting X, Y, or Z for your chronic lower back pain but for most people with that problem proper exercise will do more long term to alleviate that pain that pills, and even if some pain medication is still needed, needing less is better than needing more.
I encourage you to read some of Qadgop’s past threads on serving the medical needs of prisoners where he has gone into some detail about his reasoning, his practice, and dealing with patients that can be highly unpleasant that he has no choice other than treat - because unlike a doctor on the outside Qadgop has far less freedom to avoid difficult, even violent and dangerous patients.
He’s not an ass, he’s not power-tripping, he’s actually trying to help his patients whether or not those patients (or you) can see that. Again, what a patient WANTS and what a patient NEEDS is not always the same thing.
bufordtjustice, insulting other posters is not permitted on this site except in the BBQ Pit forum. This is an official warning. Do not do this again. I suggest you spend some time on this site to learn the standards of behavior here before posting again.
