Is the doctor or patient responsible for celebrity drug overdoses?

When it came to Michael Jackson, I argued recently that the singer himself had to share some of the blame.

An op-ed in the Houston Chronicle places more blame, however, on a celebrity’s enablers, be it a personal physician or part of their entourage with access to a doctor.

By enabling a celebrity’s dependence to drugs, the piece, citing the case of Anna Nicole Smith, says, “facilitation of Smith’s prescription drug abuse may well have ensured her dependence upon [Smith's lawyer Howard K. Stern], and thus his continued employment with her. Street-level drug dealers have always aimed to make their customers dependent, solely for financial reasons. The evidence suggests that these celebrity consiglieres are no different.”

Treating celebrity patients exposes doctors to a variety of risks, none of which are taught in medical school. I’ve noted previously that the patient’s fame can upset the traditional doctor-patient dynamic, and in doing so, ensures that treatment falls far below the standard of care.

Furthermore, as the op-ed ominously concludes, “if unwarranted requests for prescription drugs continue to be met with an easy supply chain — among celebrities and the general public — we should prepare ourselves for a frightening growth in membership to the overdose club.”

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  • http://thehappyhospitalist.blogspot.com Happy Hospitalist

    Every patient with chronic pain on chronic narcotics and chronic benzodiazepines for their chronic anxiety from their pain is addicted in one way or another.. A physiological response to chronic use is tolerance and the need for escalating doses to maintain the same therapeutic effect.

    Now, if the argument is that treating chronic pain and anxiety related issues should not involved the usage of drugs that by their own nature create tolerance and addiction, be prepared to have millions of Americans suffer.

    These celebrities with millions of dollars don’t need a doctor to prescribe their pills. They tell their body guard to go find them some pain pills and it happens. Go down to any major city in this country and you can find this stuff on the black market. They don’t need a doctor to get a hold of this stuff.

    I personally believe that all drugs, including narcotics and should be available without a prescription. The controlled nature does nothing but drive up costs and creates an underground black market. Folks who wish to have doctors recommend treatment options should seek medical care. Those that wish to treat themselves should have every right to do so and suffer the consequences of their actions.

    We allow two of the deadliest drugs, tobacco and alcohol, to be sold with essentially no restriction.

    I admit probably 50 drug over dose patients a year (just me) for everything from Oxycontin to Ambien to Seroquel to Insulin. Making a drug restricted will not make it less harmful. It just makes it more expensive.

  • Doc99

    There’s plenty of responsibility to go around when a celebrity overdoses on prescription drugs. MJ had many enablers. However, ultimately, the customer is NOT always right. The Inmate shouldn’t run the asylum.

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