My shortest blogs ever. The reason? I want you to read The MEDD myth: the impact of pseudoscience on pain research and prescribing-guideline development, a short commentary hot off the press.
To blame deaths on prescribed opioids with ubiquitous emphasis on MEDD is like blaming the ground for a faulty parachute.
Nevertheless, scientists and policy makers have become sheep mindlessly walking off a cliff to the anti-opioid abyss based on the fictitious morphine equivalent daily dose (MEDD), also known to many as morphine equivalent dose (MEQ) or oral morphine equivalent (OMEQ). But alas, a poppy by any other name would smell as sour.
I don’t blame the majority of clinicians who are doing their best to follow [questionable] guidelines while trying to avoid liability and care for patients. I do blame universities that have largely ignored their obligation to teach pain management to new and seasoned clinicians. I also blame politicians and journalistic sensationalists that respectively are interested in the grandiloquence and ferment surrounding opioid abuse without addressing the real problem.
What is the real problem? Clinicians simply are ill-prepared and lack the time, energy, and expertise to carefully assess patients for chronic opioid use prior to, during, and following opioid initiation.
Simply put, federal agencies, scientists, and lawmakers are grasping at straws to assign blame for opioid mishaps and the easiest most convenient scapegoat is the MEDD. For all those that profess MEDD is the culprit, we have news for you!
Please read the commentary HERE that I’ve co-authored with Drs. Jacqueline Pratt Cleary and Michael Schatman. I promise you’re in for a treat with NO-HOLDS-BARRED!
And as always, PLEASE share your comments and thoughts here for the world to see after you’ve read it!