Home > 2016 September/October > Making Sense of the Opioid Epidemic

Making Sense of the Opioid Epidemic

By Dr. Dale Misiek

Opioid use, abuse and addiction have taken over the news on a daily basis. An estimated 44 people die every day in the United States from overuse of opioids, from teens to senior citizens, in isolated rural towns and large cities alike – this epidemic doesn’t discriminate. But what do we really know about these powerful painkillers?

According to the National Institute on Drug Abuse, opioids “reduce the intensity of pain signals reaching the brain and affect those brain areas controlling emotion, which diminishes the effects of a painful stimulus.” Physicians often prescribe opioids such as hydrocodone, oxycodone, morphine and codeine to help patients deal with postsurgical discomfort or chronic conditions. In fact, more than 70 million patients are prescribed opioids following surgery annually, and research shows that one in 15 will go on to long-term use, which can lead to misuse or dependence.

This epidemic is hitting us right in our backyard. In 2012, a federal report from the Centers for Disease Control and Prevention (CDC) showed that in North Carolina, 97 painkiller prescriptions were written per 100 people – making it the 13th highest state for prescribing opioids in the United States. It has also been reported that more than 1,700 prescribers may have been overprescribing painkillers in North Carolina. This has led roughly 34,000 licensed doctors (including myself, an oral surgeon) to take action against this crisis and work together to combat the opioid epidemic by limiting the medications they prescribe to patients.

A recent study published in the Journal of the American Medical Association (JAMA) found that dentists are among the leading prescribers of opioids, and that these medicines are most commonly prescribed for surgical tooth extractions for patients between the ages of 14 and 24. Unfortunately, what can start as a method for pain relief can end in a serious addiction problem, due to lack of communication between patients and doctors on the effects of taking prescription painkillers. It’s important that health care providers have open, honest dialogues with their patients about their pain control options, including non-opioid alternatives.

In my own practice, I recently started using a long acting non-opioid option called Exparel that is injected during surgery. Unlike the usual numbing agents that last only four to six hours, Exparel provides pain relief for up to two to three days. With this pain management alternative, my patients have needed only to take ibuprofen to manage their postsurgical pain following most wisdom tooth extractions. This strategy has been shown to reduce, or, in some cases, completely eliminate, the use of prescription opioids. Since I have been using this approach, the number of patients who come in for follow-up visits for problems due to pain or nausea and vomiting from opioids has gone way down. I have never seen my patients’ pain more effectively managed and with so few side effects in the 34 years I’ve been practicing.

Non-opioid options are becoming more popular in the health care industry as the opioid epidemic continues to be a hot topic for national and local legislatures, and media. The fight against prescription drug abuse must be waged on many fronts, but for many patients, it starts in their doctor’s office. It’s imperative that we actively educate patients on the pain management options available to them, including non-opioids. By doing so, we empower patients to have control over their own pain management plan, while potentially mitigating the societal burden of opioid use.

Dr. Dale Misiek, an oral surgeon at the Carolinas Center for Oral and Facial Surgery.



286 Responses

  1. Pingback : wetsuit rental newport beach

  2. Pingback : ride sex toys

  3. Pingback : sex toys for clit

  4. Pingback : male sex toys

  5. Pingback : hands free sex toys

  6. Pingback : sex toys cleaner

  7. Pingback : cheap cock rings

  8. Pingback : vibrator for her

  9. Pingback : ponožkové legíny

  10. Pingback : Black magic

  11. Pingback : barcode kaufen

  12. Pingback : clinica de recuperação

  13. Pingback : legit work from home jobs 2017

  14. Pingback : Double Ended Dildo

  15. Pingback : kona 100%

  16. Pingback : 2017 work at home jobs

  17. Pingback : how to

  18. Pingback : recovery clinic

  19. Pingback : women are aware

  20. Pingback : new york yellowpage

  21. Pingback : Enterprise Web Hosting

  22. Pingback : Size 0 00 empty capsules

  23. Pingback : best g spot stimulator

  24. Pingback : Footwear for deployed military soldiers

  25. Pingback : Birthday wishes for friends

  26. Pingback : Logitech G502,gaming mouse

  27. Pingback : Strap On Dildo

  28. Pingback : oral surgery daytona

  29. Pingback : kona 100%

  30. Pingback : TensorFlow

  31. Pingback : 100% kona coffee

  32. Pingback : Best Glass Dildo

  33. Pingback : New Sex Toys

  34. Pingback : BDSM

  35. Pingback : european dating

  36. Pingback : jewelry making

  37. Pingback : piano

  38. Pingback : nSpire Network Signup

  39. Pingback : Sprinklers

  40. Pingback : Daytona beach Margaritaville

  41. Pingback : motu and patlu game

  42. Pingback : sex talk

  43. Pingback : led lighting SanLiBang

  44. Pingback : Financial Services

  45. Pingback : glendale

  46. Pingback : best kona

  47. Pingback : coins

  48. Pingback : 【未刪減】藍色海洋的傳說dvd

  49. Pingback : سرور مجاری فرانسه

  50. Pingback : Cheap Color Rush Limited

  51. Pingback : Site sparkfun: Invalid

  52. Pingback : 福井脱毛

  53. Pingback : 福井脱毛

  54. Pingback : 福井脱毛

  55. Pingback : pc app free download

  56. Pingback : apps for pc

  57. Pingback : Arduino store

  58. Pingback : 3-axis scan system

  59. Pingback : 韓国エスコートアガシ

  60. Pingback : Phentermine Dispensary

  61. Pingback : Cheap Size 60 Ravens Jerseys

  62. Pingback : Anal Thrusting Vibrator

  63. Pingback : Hoagies

  64. Pingback : bedroom tips

  65. Pingback : data recovery software

  66. Pingback : porn stories

  67. Pingback : suction cup dong

  68. Pingback : using anal beads

  69. Pingback : g-spot vibrator

  70. Pingback : adam and eve

  71. Pingback : wet sex toy

  72. Pingback : thrusting rabbit vibrator

  73. Pingback : female vibrator

  74. Pingback : restraining straps

  75. Pingback : clit

  76. Pingback : smm panel

  77. Pingback : app download for windows

  78. Pingback : C_TADM56_74 Certification Exam Questions and Answers

  79. Pingback : iran tar

  80. Pingback : Wireless headset systems

  81. Pingback : spy

  82. Pingback : tenkeyless keyboard

  83. Pingback : amazon wish list

  84. Pingback : Search Marketing

  85. Pingback : forex live signal

  86. Pingback : Download H19-303 Certification Dumps

  87. Pingback : healthy recipes 7 days

  88. Pingback : designer

  89. Pingback : kanger

  90. Pingback : szybkie pozyczki

  91. Pingback : sex talk

  92. Pingback : adam \u0026 eve

  93. Pingback : adam and eve sex toys

  94. Pingback : penis enlargement pump

  95. Pingback : funny

  96. Pingback : Tina

  97. Pingback : Phil Doe

  98. Pingback : the wet wabbit

  99. Pingback : first anal toy

  100. Pingback : desinfectionpunaisedelit

  101. Pingback : diet and exercise

  102. Pingback : how to use black mask

  103. Pingback : free cash

  104. Pingback : male sex toy

  105. Pingback : g spot stimulator

  106. Pingback : machu picchu tours

  107. Pingback : γιατρας επιπλα

  108. Pingback : Ratings and reviews

  109. Pingback : adult sex toy

  110. Pingback : assembly work from home

  111. Pingback : G-Spot Vibrator

  112. Pingback : survey jobs

  113. Pingback : 2V0-641 Certification Dumps

  114. Pingback : Best G-Spot Vibrator

  115. Pingback : mulvadi 100% kona

  116. Pingback : mulvadi 100% kona

  117. Pingback : bragi

  118. Pingback : mulvadi kona coffee beans

  119. Pingback : strap on vibrator

  120. Pingback : nike air jordan

  121. Pingback : air conditioner

  122. Pingback : Sell From Your Online Store

  123. Pingback : Masturbator Vibrator

  124. Pingback : Chaga Pilz

  125. Pingback : how to make money from home

  126. Pingback : menage a trois harness

  127. Pingback : penis sleeve

  128. Pingback : free download for pc windows

  129. Pingback : miniclip.com

  130. Pingback : best clitoris vibrators

  131. Pingback : strap on

  132. Pingback : pc games for windows 7

  133. Pingback : pc games for windows 8

  134. Pingback : pure kona beans

  135. Pingback : best coffee of kona

  136. Pingback : 100% kona lion

  137. Pingback : used cars

  138. Pingback : app for windows

  139. Pingback : pc games for windows 7

  140. Pingback : free download for laptop pc

  141. Pingback : superior auto institute review

  142. Pingback : Photography east Greenwich ri

  143. Pingback : free download for windows 10

  144. Pingback : app download for pc

  145. Pingback : games for pc download

  146. Pingback : Double Vibrator

  147. Pingback : Double Penetration Toy

  148. Pingback : superior auto institute

  149. Pingback : luxury watch exchange

  150. Pingback : chain saw sharpening diamond wheel

  151. Pingback : 5ml jars

  152. Pingback : kitty kennel

  153. Pingback : whmcs modules

  154. Pingback : makino edm filter

  155. Pingback : URL

  156. Pingback : roof repair

  157. Pingback : Acoustic

  158. Pingback : PHP Music website

  159. Pingback : 오버워치대리

  160. Pingback : Dorsey Trailer

  161. Pingback : malayalam movie

  162. Pingback : SAI

  163. Pingback : high end sex toys

  164. Pingback : clitoral stimulation

  165. Pingback : pdr training

  166. Pingback : Google

  167. Pingback : Google

  168. Excellent article. Keep writing such kind of information on your blog.
    Im really impressed by it.
    Hey there, You’ve performed an excellent job.

    I’ll certainly digg it and in my opinion recommend to my friends.

    I am sure they’ll be benefited from this website.

  169. I think that everything posted was actually very reasonable.

    But, consider this, what if you added a little content?

    I ain’t suggesting your information isn’t solid.,
    but suppose you added something that grabbed folk’s attention? I mean Making Sense of the Opioid Epidemic –
    Pride Magazine is a little vanilla. You might glance at Yahoo’s home page and see how they create post headlines to get people to open the links.
    You might add a related video or a picture or two to get readers interested about everything’ve written. In my
    opinion, it could make your website a little bit more interesting.

  170. Have you ever thought about adding a little bit more
    than just your articles? I mean, what you say is
    fundamental and everything. However imagine if you added some great images or video clips to give your posts
    more, “pop”! Your content is excellent but with pics and video clips, this blog could certainly be one
    of the greatest in its niche. Superb blog!

  171. It’s appropriate time to make some plans for the future and it is time to be happy.

    I’ve read this post and if I could I desire to suggest you few interesting things
    or advice. Maybe you could write next articles referring to this article.
    I want to read more things about it!

  172. You are so interesting! I do not suppose I’ve read through a single thing like this before.
    So great to find someone with some genuine thoughts
    on this subject matter. Really.. thanks for starting this
    up. This web site is something that’s needed on the web, someone with a bit of originality!

  173. Magnificent items from you, man. I’ve take into account your stuff
    prior to and you’re simply too fantastic. I really like what you’ve received right here,
    really like what you are saying and the way in which wherein you
    are saying it. You’re making it enjoyable and you continue to take care
    of to stay it smart. I can not wait to learn far more from you.
    This is actually a wonderful web site.

  174. Hey! Someone in my Myspace group shared this website with
    us so I came to take a look. I’m definitely enjoying the
    information. I’m book-marking and will be tweeting this to my followers!
    Exceptional blog and terrific style and design.

  175. I’m really enjoying the design and layout of your site.
    It’s a very easy on the eyes which makes it much more pleasant for me to come here and visit more often. Did you hire out a
    developer to create your theme? Exceptional work!

  176. Woah! I’m really digging the template/theme on this blog. It’s simple,
    yet effective. Plenty of times it’s hard to
    have that “perfect balance” between superb usability
    and appearance. I have to admit that you’ve
    done a superb job with this. Additionally, the blog loads very quick for me on Opera.
    Outstanding Blog!

  177. Hey there I am so thrilled I found your web site, I really found you by mistake, while I was browsing on Bing for something else,
    Regardless I am here now and would just like to say cheers for a marvelous post and a all round thrilling
    blog (I also love the theme/design), I dont have time to browse it all at the moment but I have saved it and also included your RSS feeds, so when I have time I will be back to read much more,
    Please do keep up the fantastic work.

  178. You really make it seem so easy with your presentation but I find this matter to be actually something that I think I would never understand.

    It seems too complex and extremely broad for me.
    I’m looking forward for your next post, I will try to get the hang of

  179. I am curious to find out what blog system you are actually utilizing?
    I’m experiencing some minor security problems with my latest website and I would want
    to find something more safe. Do you possess any recommendations?

  180. It’s a pity you don’t have a donate button! I’d without a doubt donate
    to this particular excellent blog! I guess for the time being
    i’ll accept bookmarking and adding your RSS feed to my Google account.
    I look ahead to fresh updates and may talk about this blog with my Facebook group.
    Talk soon!

  181. When I initially commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get three emails with the same comment.

    Is there any way you can remove people from
    that service? Thanks a lot!

  182. Hey! I understand this is sort of off-topic but I had to ask.

    Does operating a well-established blog like yours take a massive amount work?
    I’m completely new to writing a blog but I do write in my journal
    every day. I’d like to start a blog so I
    can share my own experience and feelings
    online. Please let me know if you have any ideas or tips for
    new aspiring bloggers. Appreciate it!

  183. Greate pieces. Keep writing such kind of information on your site.
    Im really impressed by it.
    Hey there, You’ve performed an excellent job.

    I’ll definitely digg it and in my opinion recommend to my friends.
    I’m confident they will be benefited from this website.

  184. I have been browsing on-line greater than three hours these days, but I by no
    means discovered any fascinating article like yours.
    It’s pretty worth enough for me. In my view, if all web owners and bloggers made good content material as you probably did, the net might be much more
    useful than ever before.

  185. It’s the best time to make some plans for the long run and it
    is time to be happy. I have learn this post and if I may I wish to suggest
    you few attention-grabbing things or advice.
    Perhaps you can write subsequent articles referring to this article.
    I wish to learn even more issues approximately it!

  186. This is the perfect webpage for anyone who wants to understand
    this topic. You understand a whole lot its almost tough to argue with you (not that I actually would want to…HaHa).
    You certainly put a brand new spin on a subject that’s been written about for a long time.

    Great stuff, just great!

    1. j’attends Vendredi avec impatience, j’aime Ganesh, j’ai découvert Ganesh en effigie, dans un curios de la baie des citrons tenu par une dame indienne adorable qui s&aosuq;rppelait Piloo en 2000, elle me parlait tout le temps de Ganesh et le petit sac jaune vient de chez elle, comme quoi l’Inde me poursuit, mais un jour j’irais ….

  187. You really make it seem so easy with your presentation but I find this
    matter to be actually something that I think I would never understand.
    It seems too complex and very broad for me. I’m looking forward for your next post, I will try to get the hang of it!

  188. Hi there, I believe your blog could possibly be having internet
    browser compatibility problems. Whenever I look at your website in Safari, it looks fine however,
    if opening in I.E., it has some overlapping issues.
    I just wanted to give you a quick heads up!
    Apart from that, excellent blog!

  189. Hi there! Quick question that’s totally off topic. Do you know how
    to make your site mobile friendly? My blog looks
    weird when viewing from my iphone. I’m trying to find a theme or plugin that might be able to fix this issue.
    If you have any suggestions, please share. Appreciate it!

  190. Technology has developed to become portable ‘ and after this wearable ‘ helping fuel work ‘about the go’
    as well as home. For that reason, can cellphones aid you in managing your wireless wireless security camera system.
    I will write a post about these ‘generic’ words shortly to aid you understand their uses more closely.

    Mac users usually are ignored through the product, both within the software and inside the manual provided.
    The new Tocco Lite is certainly at the better end in the range.

  191. If you wouldn’t want your sofa pillows rolling around inside
    the wash you’ll be able to wash them manually and
    allow them to air dry. For the first personal furniture purchase,
    sleepers can be found in sofa sets to start the first apartment on the right
    foot. The Kasey Queen Sleeper Sofa is saved for guest or visit our

    Now a day’s some sofas contain space to maintain magazines, remote, newspaper and other small things.
    Write your measurements down and be sure to find out how wide, tall and long you want the new sofa.

  192. These sofas may be pulled out into a bed to accommodate guests who stay back the night.
    It pays to shell out the extra time needed once you pick out
    a sofa to assure that you the pick the correct one for
    you along with your family. Other versions incorporate a tailored duvet or quilt
    as being a sofa cover, under which you and your guests
    can sleep.

    It is one from the most popular materials used to hide sofas and chairs, and it is as affordable as it can be stylish.
    Fabric which is used to pay for sofa is an important factor
    inside comfort of sofa.

  193. The device makes by using image enhancement know-how which
    gathers minute amounts of light which magnifies the whole picture for easy observation.
    This won’t happen for that large most users, especially when you use Wi-Fi whenever
    you’ll be able to.

    Established in 1989, the organization has diversified
    itself in building IT hubs, commercial hubs and a workplace in Lucknow.
    You will have nothing to be concerned about on the other hand baby.
    What are the best wifi range extenders There include the Mini Stereo too which may be connected to mini amplifiers for
    CD players, Cassettes, Tuners, headphone jacks etc.

  194. When I saw the photo I couldnt believe the way the shape was,
    that it was what I had expected. The usage of 800 numbers thus causes
    it to be easier for many sorts of business organizations to put a distinctive mark to your business within the corporate sector.

    Text messages are presented in chronological order, but unlike most phones, messages are
    sorted together with replies and displayed in speech bubbles, comparable to i – Chat.

    The recent nuclear power plant catastrophe in Japan has led to many people countries
    to appear more seriously at greener energizes, that happen to be environmentally sustainable.
    Before, the sole individuals who ever produced use of security camera systems were companies.

  195. Thanks on your marvelous posting! I seriously enjoyed reading it,
    you can be a great author.I will be sure to bookmark your blog and will come back from now on. I want to encourage
    you continue your great job, have a nice afternoon!

  196. Please let me know if you’re looking for a author for your site.
    You have some really good posts and I believe I would be a good asset.
    If you ever want to take some of the load off, I’d really like to write
    some articles for your blog in exchange for
    a link back to mine. Please blast me an email if
    interested. Many thanks!

  197. Excellent blog you have here but I was wanting to know if you knew of any message boards that cover the same topics talked about in this article? I’d really love to be a part of group where I can get feedback from other experienced individuals that share the same interest. If you have any recommendations, please let me know. Thank you!

  198. Pingback : Making Sense of the Opioid Epidemic | BlackPride.in

Leave a Reply