Letters: ‘Middle ground on narcotics’

Experts, in the face of addiction issues and deaths, have swung the pendulum in the opposite direction

Editor, The News:

Re: Pain of prescription change (The News, June 3).

Dennis Kulbaba’s front page story encapsulates the problem with the pendulum whose name is ‘medical standards.’

A decade ago, the experts were all touting the appropriateness of long-term narcotics in the control of chronic, non-malignant pain.

This medical jargon referred to treatment of patients who had painful conditions that were not expected to cause death.

It was felt that few of these patients would become addicted, and what did it matter if they did, as long as they were comfortable, able to function, not escalating their doses, and not selling their prescriptions on the street?

I’d like to think that last sentence would have described all of the small number of patients I maintained years ago as a general practitioner, on long-term narcotics.

I recall one elderly man who was taking a potent anti-inflammatory medication for severe back pain. Not a benign drug, it was worsening his blood pressure, his kidney function, and his tendency to stomach ulcers.

He was wary about narcotics (wariness is a reassuring trait in patients about to start narcotics), but after some educating, he agreed to try.

He did well, and possibly lived longer than he might have otherwise.

Now the experts, in the face of addiction issues and deaths, have swung the pendulum in the opposite direction.

Doctors are fearful of censure if they prescribe narcotic drugs.

We need a middle ground, where patients like Mr. Kulbaba can be treated and live in some degree of comfort.

Unfortunately, there is not much in the way of a  pharmacological alternative to narcotics for severe pain.

Pain clinics can aid some patients via non-pharmacological means.

Fortunately, our experts have not yet decided that cancer patients must do without these extremely useful drugs.

The torment of precautions often exceeds the dangers to be avoided.

It is sometimes better to abandon oneself to destiny.

– Napoleon Bonaparte.

Lorne Walton,

retired MD,

Maple Ridge


Just Posted

Four rescued from mountain in Maple Ridge

Hikers started out for Evans Peak at 6 p.m.

Agricultural Land Commission rejects application for former Pelton property

Golden Eagle Farm Group proposed business park for west Maple Ridge site

Pitt Meadows teacher wins Prime Minister’s Award

Kelvin Dueck honoured for work teaching STEM in classroom

MRSS places third in senior team rankings at Fraser Valley track championships

School qualifies 22 for provincials, starting Thursday in Kelowna.

Kelowna toddler suffers cracked skull after fall from balcony

Neighbour who found the two-year-old boy said he has a bump the size of a golf ball on his head

RCMP target speeders between Abbotsford and Surrey in month-long blitz

Officers throughout the province launch Swoop campaign

RCMP probe if teen was intentionally hit with ski pole by mystery skier on B.C. mountain

The incident happened on March 20 on Grouse Mountain. Police are urging witnesses to come forward

Support growing for orphaned Okanagan child after father dies in highway crash

Family thanks emergency crews for assistance in traumatic incident

Pipeline protester chimes in on Justin Trudeau’s B.C. fundraising speech

The government purchased the Trans Mountain pipeline and expansion project for $4.5 billion

Baby boom seniors putting pressure on B.C. long-term care: report

B.C. leads Canada in growth of dementia, dependence on care

UPDATED: B.C. man says he’ll take People’s Party lawsuit as far as he can

Federal judge shut down Satinder Dhillon’s ‘nonsensical’ motion to bar use of PPC name in byelection

Coquitlam RCMP release video in search for witness to crash that killed girl, 13

Witness is described as a slim Asian man with short, black hair, no facial hair and wearing glasses

Most Read