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But few physicians are willing to risk being the first. After years of having his agony controlled to a bearable level that allowed him to lead a relatively normal life, the Metro Vancouver man no longer believes thats going to be possible. Sometimes the pain is excruciating and still tolerable, his wife said in a telephone interview. But every time it gets really bad, he says, I cant do this any more. Related Daphne Bramham: Patients with chronic pain are collateral damage in opioid epidemic A few weeks ago, he was walking with a cane. Now, she said, there is no sign itis letting up. Sometimes hehas a few pain-free hours, but the doctor has already reduced the opiate, hoping the lesser dose will be enough. Its not. Putting weight on his leg causes excruciating suffering, so he now uses a wheelchair. Thats stripped him of independence. Even getting prescriptions refilled would be very difficult if his wife werent able to do that for him. Again, as part of the war against opioid overprescription, opioid prescriptions are only refilled when all of the pills from the previous script are used up. By some definitions, this man is an addict.

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John Stach Canada

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