Dr. Aaron Hartman explains how the Joint Commission's push to treat pain as the "fifth vital sign" led doctors to overprescribe opioids, fueling the epidemic. Doctors were told opioids weren't addictive and were safe long-term, a medical blind spot that seemed right at the time but caused widespread harm.
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Let's go back to the past. Do you remember when your doctor used to tell you that opioids weren't addictive, that you needed to treat your pain? It was safe. Do you remember the time when hospitals used to grade themselves on how well they treated pain? It was the fifth vital sign. You had the little happy faces in the hospital rooms. Do you all remember when your doctor used to be graded on how effectively he treated pain? This, this started happening a couple decades ago based on JCO, based on standards, based on We need to take care of patients, which is understood. But the result has been the opioid epidemic, fueled by advertisements on TV, fueled by organizations like JCO, which is Joint Commission, requiring us to treat pain as a fifth vital sign. Result, what has been an opioid epidemic. The question is, how often do we do things like this in healthcare systems? What are these called? They're called blind spots, and we do it all the time. Things that we thought were right, they're just plain wrong. The opioid epidemic is one of the many examples of this. We're going to talk about this a couple more times. Just to hone in, because we all now know opioids are addictive. We now all accept that. We all know that we shouldn't take it more than 7 or 10 days. Limited prescriptions. We know, we all know now, mostly we're supposed to know that long-term opioid use can actually make pain worse. But there was a time when we said the exact opposite of all that. That's a medical blind spot. If you want to learn more about these, like, share, subscribe, and we'll keep on talking about them.