Looking for Work after Light Duty

Posted on Wednesday, January 10th, 2018 at 10:36 am    

Joe Miller explains what happens if you’re hurt on the job in Virginia, and your Doctor releases you to light duty.

Virginia Workers’ Compensation – FAQs

Posted on Monday, December 11th, 2017 at 11:28 am    

Who is covered under the Virginia Workers’ Compensation Act?
The Virginia worker’s compensation law covers every person who works in the service of another for hire or as an apprentice. This includes aliens and minors. It includes people whether the contract or apprenticeship is in writing or employed and even whether the contact is legal or not. The only exception is for workers who are not employed in the usual course of the trade, business, occupation or profession of the employer.

What kinds of injuries are covered under the law?
Injuries that can be identified by a single occurrence. Workplace injuries are generally covered in Virginia if:

  • They were caused by an accident
  • They were work related
  • The occurred during work as opposed to away from work and
  • The injuries must have been caused by the accident. The injury normally be due to physical change in the body.

Virginia also covers occupational diseases such as respiratory problems or exposure to toxic chemicals. The disease must be due to work though there is no need to show that specific accident caused the disease. Medical doctors usually are called in to show that the diseases were proximately caused by workplace conditions.

Ordinary diseases generally are not covered unless it can be shown with clear and convincing evidence that the disease resulted from work and not caused outside of work, and that one of the following applies:

  • The disease was a natural consequence of an actual occupational disease or
  • The disease was “an infectious or contagious disease contracted during ones’ employment in a hospital, sanitarium, laboratory or nursing home, or while otherwise engaged in the direct delivery of health care, or during employment as emergency rescue personnel” or
  • is characteristic of the employment and was caused by conditions peculiar to the employment.

Carpal tunnel syndrome is most frequently found compensable in Virginia while other types of repetitive stress injuries may be more difficult to prove. Hearing loss is also compensable under the ordinary disease standard.

Common types of occupational illnesses include asthma, mesothelioma, bronchitis, chronic encephalopathy, black lung disease and pneumoconiosis.

What workplace injuries are not compensable under Virginia workers’ compensation law?
Except for carpal tunnel syndrome, repetitive stress injuries such as backaches and neckaches are not compensable. Aside from diseases that do not qualify as occupational diseases; back pain, neck pain, and spinal pain are not compensable unless they relate to a specific identifiable accident.

Are emotional claims compensable?
As with other workplace injuries, if a worker suffers psychiatric or emotional problems due to a specific injury, employees can be treated by a psychiatrist or psychologist – and have the bills paid for. Many workers do suffer emotionally if they, for example, suffer a broken leg. They worry about when they will get better and all the things they can’t do while they’re heal. If there isn’t a traceable accident, psychiatric damages might be compensable if they were a direct natural consequence of some work experience – such as a nurse who sees someone die.

When must Virginia Workers’ Compensation claims be brought?

  • For accidents, generally two years from the date of the accident.
  • For occupational diseases, generally two years from the time the worker learns of the illness or five years from the date of the last workplace exposure – whichever date is earlier.
    Some exceptions do apply. It is best to consult with an experienced Virginia workers’ compensation lawyer as soon as possible.

Does the employer have any defenses?
Not every workplace injury is compensable. Some employee misconduct can negate the right to benefits. Common defenses include:

Injuries that are self-inflicted such as suicide are not compensable. Other workplace injuries that are not paid in Virginia are:

Willful misconduct such as intentionally ignoring safety law if it’s clear that:

  • The safety rule was proper
  • The employee knew of the rule
  • The rule was meant to protect the employee
  • The employee intentionally ignored the rule
  • Injuries due to the employer’s use of drugs or alcohol if the employer can show the intoxication or inebriation cause the worker’s injuries.
  • Employers do have to give formal notice of any defense in compliance with the law. Attorney Joe Miller Esq. can explain if employers failed to give a proper deadline.

Can employees be punished for fraud or knowingly making false statements or failing to make necessary disclosures?
Employers who knowingly make a false statement may be found guilty of a felony. They may also lose their right to benefits. Claimants who are getting benefits have a duty to notify their employer of any significant changes that might affect his/her right to benefits. Examples include returning to another job, remarriage, being sentenced to jail, or other consequences. Employees who obtained workers’ compensation funds through fraud may be liable for any overpayments.

Can an employer fire me if a file a workers’ compensation claim?
No. Employees have a direct right to file a work injury claim in Virginia. If a worker is fired or an employer threatens an employee, the worker should immediately meet with a Virginia worker’s compensation attorney to understand his/her rights.

What if I’m an independent contractor?
Workers who are not employees cannot generally request workers’ compensation insurance. Whether a worker is an independent contractor or an employee is not always clear. A Virginia work injury attorney can explain whether you might qualify as an employee. Even if the employer says you are an independent contractor, you may be legally an employee and have work injury rights. Some of the factors that can persuade a referee that an employee is really an employee are:

  • Does the employer have the right to control when, where, and how the worker does his/her job?
  • How is the worker paid, how are expenses paid, who supplies the work tools?
  • The general work relationship. Is there a written contract? Did the worker get benefits such as insurance, vacation, or pensions?

Speak with an Experienced Virginia Work Injury Lawyer Today
Virginia workers’ compensation attorney Joe Miller Esq. can answer all of your work injury questions. He has successfully represented thousands of injured workers during his twenty-five plus years of experience. For a free consultation, please call him at (888) 694-1671 or complete our contact form.

Virginia Workers’ Compensation for Occupational Diseases

Posted on Monday, December 4th, 2017 at 1:14 pm    

Most workers need to show they suffered a specific workplace injury in order to recover workers’ compensation in Virginia. There is an exception for workers who suffer a disease that is due to work. Most occupational diseases occur after months or more normally years of exposure. Many workers may not even know they acquired the disease until decades after the exposure. The delay in seeking treatment for the disease can be problematic for many workers because employers and their insurance companies are likely to initially deny coverage due to the delay and the failure to point to a specific triggering event.

Joe Miller Esq., understands the Virginia occupational illness laws. He fights for workers who suffer these diseases which are often deadly, life-threatening, or disabling. He works with doctors to determine the disease, the cause of the disease, and to show the disease was related to daily work performance. For Virginia worker’s compensation, the last day the employee was exposed is generally considered the formal date of workplace injury.

The Virginia Statutory Definition of Occupational Disease

Here is the state statutory definition of occupational disease. Some exceptions may apply. An experienced Virginia workers’ compensation attorney will know those exceptions.

“Occupational disease” means a disease arising out of and in the course of employment, but not an ordinary disease of life to which the general public is exposed outside of the employment.

An occupational disease shall be deemed to arise out of the employment only if there is apparent to the rational mind, upon consideration of all the circumstances:

  • A direct causal connection between the conditions under which work is performed and the occupational disease;
  • It can be seen to have followed as a natural incident of the work as a result of the exposure occasioned by the nature of the employment;
  • It can be fairly traced to the employment as the proximate cause;
  • It is neither a disease to which an employee may have had substantial exposure outside of the employment, nor any condition of the neck, back or spinal column;
  • It is incidental to the character of the business and not independent of the relation of employer and employee; and
  • It had its origin in a risk connected with the employment and flowed from that source as a natural consequence, though it need not have been foreseen or expected before its contraction.

Hearing loss and the condition of carpal tunnel syndrome are not occupational diseases. Virginia law considers them to be ordinary diseases of life. Now that does not mean they are not compensable. It means that workers who are making claims for those types of diseases must meet a higher standard of proof than the clearly defined occupational diseases. That higher standard of proof is called “clear and convincing evidence.”   

Ordinary Diseases

Generally, a worker who gets an ordinary disease does not qualify for workers’ compensation, unless certain elements of proof can connect it to the workplace, as will soon be explained.  A worker who gets an occupational disease does qualify – so it’s crucial to be able to prove that disease is occupational and not ordinary.

But this does not mean that someone who has an ordinary disease is completely out of luck.  It’s just that the standards of proof are harder, namely, that the elements must be proven by “clear and convincing evidence.” That is a much higher standard of proof than an occupational disease.

Some ordinary diseases may qualify as occupational disease, if the following conditions are clearly met:

1. If the disease can be shown to have arisen out of and in the course of employment and not due to outside causes and if one of the following exists:

a. It follows as an incident of occupational disease as defined in this title; or

b. It is an infectious or contagious disease contracted in the course of one’s employment in a hospital or sanitarium or laboratory or nursing home, or while otherwise engaged in the direct delivery of health care, or in the course of employment as emergency rescue personnel and those volunteer emergency rescue personnel. Essentially, this means people who normally provide some type of healthcare service such as nurses and ER staff and who acquire a disease may qualify for workers’ compensation, or

c. It is characteristic of the employment and was caused by conditions peculiar to such employment.

Common Types of Occupational Diseases
Many of the people who suffer an occupational disease suffer exposure to toxic chemicals. Some of the diseases associated with hazardous chemical exposure are:

  • Diseases of the lung. Bronchitis, industrial asthma, lung cancer, asbestosis, and interstitial fibrosis;
  • Nerve diseases. Chronic encephalopathy and peripheral polyneuropathy;
  • Tuberculosis, hepatitis, Lyme disease, possibly HIV, cancer of the bladder or liver, heart disease.

Mesothelioma, a deadly form of cancer that comes from exposure to asbestos, is another common occupational work disease.  Also, many coal miners suffer from black lung disease.

Repetitive Motion Injuries and Emotional Stress Injuries

There are some occupational illnesses that are not due to exposure – rather they are due to repetitive stress. Workers who do a lot of computer work or repeat work such as assembly work in factories can develop carpel tunnel syndrome and other repetitive stress injuries. Repetitive stress injuries are also called repeated motion injuries. The most common type of repetitive stress injury affects the wrists. If detected in time; rest, rehab, and some medications can help. If not detected in time, repetitive stress injuries can become a lifelong disability. Virginia workers’ compensation law does not recognize repetitive stress injuries as occupational diseases but they are considered “ordinary diseases of life” and would therefore have to conform to the higher standards of “clear and convincing evidence” in order to be found compensable.  Carpal tunnel syndrome is probably the most frequently claimed ordinary disease of life that is found to be compensable.

 

Other Ordinary Diseases that might be covered.

Conditions that are related to emotional stress such as being continually exposed to traumatic events and suffering from PTSD would not be occupational diseases, but ordinary diseases of life. There have been cases where paramedics and firemen have recovered for that condition due to repeated exposure to traumatic events, as they were able to show it was work-related by clear and convincing evidence.

Other ordinary diseases and conditions such as MRSA infection, tendinitis, HIV, Deep Vein Thrombosis, Frostbite, and Lyme disease have been shown to be compensable in specific cases.

An experienced Virginia workers’ compensation attorney such as Joe Miller can explain when emotional stress related disorders, such as post-traumatic stress disorder, are covered.

Talk to a Virginia Occupational Disease Attorney Now
Virginia work injury lawyer Joe Miller understands workers’ compensation work injury law. He has been helping injured Virginia workers for over quarter of a century. He understands what workers need to prove to qualify for occupational disease benefits. For help now, call Joe Miller at (888) 694-1671 or fill out his online contact form.

Reasons for Workers’ Comp Denials

Posted on Monday, October 16th, 2017 at 3:35 pm    

Attorney Joe Miller explains a situations in which your workers’ comp might be denied in a recent interview:

New Requirements for Prescribing Buprenorphine for Addiction Treatment

Posted on Thursday, September 14th, 2017 at 10:29 am    

The Medical Society of Virginia has new requirements for prescribing Buprenorphine for addiction. These are part of the new Virginia Laws passed in response to the nationwide opioid epidemic and huge uptick in deaths from opioid overdose. Buprenorphine, also prescribed under the brand name Subloxone, is often utilized as a means to treat heroin addiction. While it is a semi-synthetic opioid, and does produce some of the same euphoric effects as heroin and morphine, it is found that at low doses, administration of this drug allows the addict to discontinue heroin or morphine while reducing— and in some cases even eliminating— the severe symptoms of withdrawal that can be so debilitating for addicts.

There are eight steps that physicians should follow before prescribing Buprenorphine:

Step one

Prescriptions should be waivered by the Substance Abuse Mental Health Services Administration (SAMHSA), registered with the Drug Enforcement Agency, and comply with the federal and state laws for prescribing buprenorphine. Nurse practitioners and physician assistants must also be waivered and have a practice agreement with a waivered physician.

Step two

Before buprenorphine can be prescribed for opioid treatment, the physician should conduct and document a patient assessment that covers the following:

  • A complete psychiatric and medical history
  • A substance abuse history
  • A family history review and a review of the patient’s psychological supports
  • A physical examination
  • A urine drug test
  • A pregnancy test for women who are of childbearing age
  • Testing for HIV, Hepatitis B, Hepatitis C, and tuberculosis if clinically indicated

Step three

The physician should query (ask for results of a patient search) from the Prescription Monitoring Program before starting any treatment and during treatment.

Step four

Prepare a treatment plan that includes the following:

  • The reasons for choosing to use medication assistance
  • An education plan for the patient
  • A written informed consent from the patient
  • How counseling of the patient will be achieved
  • A signed agreement that details of both the patient and the physician

Step five

During the induction phase:

Initiate treatment with no more than 8mg of buprenorphine, except when medically indicated if properly documented in the medical record.
The patient should see the doctor once a week

Step six

During the stabilization phase, the prescriber should increase the dosage of buprenorphine in safe and small increments to achieve the lowest dosage without causing intoxication, withdrawal, or significant drug craving.

Step seven

During the course of treatment:

  • Ensure that the patient is getting counseling
  • Limit the strength of the prescription
  • Dosages of more than 16 mg of buprenorphine should be documented in the medical record
  • The prescriber should not prescribe more than 24mg of buprenorphine per day
  • Require that the patient take urine drug tests and serum medication level tests every three months for the first year of treatment and every six months thereafter
  • Incorporate relapse prevention strategies into counseling or make sure they are addressed by a mental health service provider as defined by Virginia Code
  • Take steps to reduce the changes of buprenorphine diversion by:
  • Using the lowest dosage possible
  • Having an appropriate frequency of office visits
  • Counting pills
  • Checking the Prescription Monitoring Program

Step eight

Make sure the medical record includes the following documentation:

  • Records should be legible, timely, accurate, and readily accessible so they can be reviewed
  • The informed consent and treatment plan should be in place
  • The document should meet the state code confidentiality requirements
  • The documentation should comply with the Board of Medicine Regulation

Special Considerations

The prescriber should refer the patient to a mental health service provider as defined by the Virginia Code Section 54-1-2400.1 for counseling or should provide counseling to the patient and document the counseling in the record.

Prescribers should NOT prescribe buprenorphine if the patient is already taking any of the following medications (unless there are extenuating circumstances and a tapering plan to achieve the lowest possible documentation is properly documented):

  • Benzodiazepine
  • Sedative hypnotics
  • Carisoprodol
  • Tramadol

Limitations for prescribing buprenorphine mono-products

  • Buprenorphine should not be prescribed without Naloxone (also known as Narcan—used to reverse the effects of opioids) unless:
    -The patient is pregnant
    -The prescriber is converting the patient from methadone to buprenorphine containing naloxone for not more than seven days
  • Buprenorphine mono-tablets can be prescribed directly to patients in federally approved opioid treatment programs but, with the exception of the above conditions, only the buprenorphine product containing naloxone shall be prescribed or dispensed for use offsite from the program
  • If buprenorphine mono-tablets are prescribed, the evidence for prescribing them should be put into the medical record

How to work with the following special treatment populations

  • Pregnant women. They should be treated with buprenorphine mono-products that have a dosage level of 16 mg or less each day
  • Patients who are less than 16 years of age. Prescribers should not approve the use of buprenorphine for treating addiction unless authorized by the Food and Drug Administration
  • Patients with chronic pain. Assess the progress of patients with chronic pain by “reduction of pain and functional objectives which can be identified, quantified, and independently verified.”
  • Patients with medical comorbidities. Evaluate by taking a patient history, a complete physical exam, take the right laboratory studies, and be aware of how buprenorphine interacts with other prescription medications
  • Patients with psychiatric comorbidities which aren’t stable. Do not undertake buprenorphine treatment. Prescribers should refer the patient for a psychiatric evaluation and treatment before stating any prescription medication treatment program.

Speak with an experienced Virginia workers’ compensation lawyer now
Many workers who are injured are prescribed medications to manage their pain. Attorney Joe Miller works with caring qualified physicians and with the legal community to understand the latest requirements that physicians must follow. He has helped thousands of injured workers get a just recovery. To make an appointment now, please call Joe Miller Esq. by phoning him at (888) 694-1671 or using his contact form.

What Is Mediation?

Posted on Tuesday, September 5th, 2017 at 2:22 pm    

Attorney Joe Miller explains what mediation is and how it can be helpful:

New Centers for Disease Control Guidelines on Opioid Prescriptions

Posted on Thursday, August 3rd, 2017 at 10:04 am    

At the Law Offices of Joe Miller Esq. and the Work Injury Center, we are very aware of the expanded use of opioids to treat work injury pain and other pain causes. As part of our continuing effort to keep informed and keep our clients and working partners informed, we are writing to advise of the latest guidelines developed by the Centers for Disease Control in Atlanta (CDC) for prescribing opioid medications. We have previously written about the new Virginia Laws on prescribing Opioids, which pretty much track the previously enacted CDC rules.

As we have reported previously, while we certainly support law enforcement and any and all efforts to curb this horrific national epidemic of opioid deaths, we are concerned that the passing of these laws and guidelines in response primarily to the actions of criminals and thugs will adversely affect our law-abiding injured worker clients. Many of our clients have suffered extremely serious injuries and opioids are often the best and only way to substantially decrease their pain after major surgeries or surgery failures.

The Centers for Disease Control in 2016 developed new guidelines in response to the opioid prescription crisis. Opioids are chemicals that work on nerves in the brain or the body to reduce the severity of pain. They are either derived directly from the seed pods of the poppy flower papaver somniferum , which is also used to make heroin, morphine and opium, or from synthesized derivatives of the plant or synthesized chemicals.

Sadly, many people are becoming addicted, overdosing, or abusing their prescriptions. The guidelines are specifically aimed at helping primary care doctors known when to prescribe the drugs and when and how to monitor their patients. The guidelines apply to patients who have pain that lasts three months or more. The guidelines do not apply to patients who take the opioids for cancer treatment, end-of-life care, or palliative care.

According to the CDC, opioid prescription use has quadrupled since 1999. Over 183,000 people have died due to their use or misuse of opioid prescriptions since that year. The recommendations are designed to provide standard current guidelines for clinical practices. Specifically, the guidelines target the choice of opioids that are prescribed, the proper dosage, how long the drugs should be used, what sort of follow-up doctors should do, and when the prescriptions should terminate.

The full guidelines can be seen here – Guidelines for Prescribing Opioids for Chronic Pain

The purpose of the guidelines

The purpose is help physicians make recommendations when they treat chronic pain. They are a “best practices” set of standards for responsible prescribing.

Non-opioid remedies are suggested such as exercise and cognitive behavior therapy. Non-opioid drugs such as anti-inflammatories are encouraged. The guidelines state the opioids should not be the routine recommendation. Even when opioids are prescribed, the doctor should combine their use with the other non-drug therapies for maximum benefit.

Doctors are advised to prescribe the lowest possible effective drug dosage and begin the treatment by using immediate-releasing opioids instead of opioids that are extended-release or long-acting. Opioid prescriptions should only be for the time needed to manage the pain duration.

Providers should follow-up with their patients by scheduling regular appointments to see if the benefits of the opioid prescription are causing their patient harm and whether their patients are applying the non-pharmacological treatments that are available.

What’s included in the guideline?

More specifically, the guidelines focus on the following three assessment areas:

  • When the doctors should start and when they should continue the prescription of opioids for chronic pain. This includes the selection of non-drug therapies, non-opioid drug therapies, and opioid therapies. The goals of the chronic pain treatment should be established and the doctors and health providers should discuss the pros and cons of the therapies with their patients.
  • Doctors should understand the full scope of opioid medication treatment. The guidelines cover which opioid medications should be used, what dosages should be prescribed, how long the treatment should be, and there should be a plan for when the opioid prescriptions will be discontinued
  • The health providers should understand the specific ways opioids can harm the patient and what ways there are to minimize the risks. The doctors should review prescription drug monitoring program (PDMP) data. There should be urine testing to examine how much drugs are in the patient’s systems. The guidelines do mention that the doctor should consider what could happen if benzodiazepines are co-prescribed. If the patient develops an opioid use disorder, there should be a plan in place to respond to that disorder.

How do the 2016 CDC opioid prescription guidelines differ from prior guidelines?

There are several key differences:

  • Different dosage recommendations. The new dosage recommendations are lower. The higher the dosage, the greater the risk the patient may overdose and die. Even low dosages, the CDC recognizes, the equivalent of 20-50 milligrams of morphine pose increased dangers.
  • The prior guidelines focused on just high-risk patients. The new guidelines recognize that all opioid use patients are at risk of abuse or harm. In addition to their own monitoring programs, physicians are encouraged to use state prescription drug monitoring programs (PDMPs) which have the latest technological advances.
  • The 2016 guidelines have more detailed suggestions, compared to prior guidelines, for monitoring the patient use of opioids and for terminating the opioid prescriptions when the potential dangers are more than the benefits.

Additional Centers for Disease Control activities to address the opioid crisis

In addition to offering new guidelines, the CDC is attempting to help people suffer less from opioid abuse and helping families not have to bury a loved one who overdoses in the following ways:

  1. Enhancing and maximizing the use of prescription drug monitoring programs (PDMPs). These programs are databases run by the states to track the prescribing and dispensing of controlled prescription drugs to patients. The PDMPs are set up to help detect when there is abuse of opioid prescriptions such as for illegal use. The database helps the doctor doing the prescribing and the pharmacist understand the patient’s substance prescription history. In this way, your doctor and the pharmacy can see which patients are high-risk and need more aggressive intervention.
  2. Helping the states create better programs though the Prevention for States program. The Prevention for States program helps states address opioid overdoses by providing the state the resources and support they need for more advanced intervention. The CDC chose 16 states to begin participation in the program starting in September 2015 to develop strategies for the safe prescription of opioids and the best way to handle abuse, misuse and overdoses. An additional 13 states, for a total of 29, were added in March of 2016. The 29 approved states include North Carolina and Virginia. The CDC plans to give each state up to $1 million to help advance prevention in four main areas:
    • Maximizing the PDMP through universal registration, making the databases easier to use and access, making the date more timely, expanding the identification and reporting of suspected abuses – all with the aim of getting a better understanding of the opioid overdose epidemic.
    • Community or Insurer/Health Systems Interventions which give technical help to counties and communities that have a high-amount of opioid abuse, improving opioid prescribing interventions for insurers and health systems, and enhancing the use of the guidelines
    • Evaluating the interventions to better understand what helps and what does not
    • A rapid response project to advance prevention of abuse.

The Prevention for States program evaluates how the state’s activities are working including focusing on relevant success stories. How well the program does will determine future national and state efforts.

3. Some of the strategies that have been developed or are being explored – for combatting the opioid crisis at the state level are:

  • Finding ways to increase the use of the drug monitoring programs
  • Finding ways to help pain clinics reduce the over-prescription of opioids to patients with a risk factor of abuse or problems using opioids
  • Evaluating the data to find ways to “assess Medicaid, workers’ compensation programs, and state-run health plans to detect and address inappropriate prescribing of opioid pain relievers, such as through use of prior authorization, drug utilization review, and patient review and restriction programs.”
  • Increasing the ability to access treatment services for substance abuse including Medication-Assisted Treatment (MAT)
  • Identifying ways to expand first responder access to naloxone, aka narcan, a drug used to reverse overdose.

4.  The CDC is also working to have the states promote the use of the new 2016 CDC guidelines on Prescribing Opioids for Chronic Pain and in putting strong practices to work in the neighborhoods where drug addiction is the norm. The CDC is also working to develop and implement rapid response plans.
5.  Improving the way data is tracked and used to help monitor the crisis

Categories of opioids

The CDC examines these four types of opioids:

  1. Natural opioid analgesics, including morphine and codeine, and semi-synthetic opioid analgesics, including drugs such as oxycodone (Percocet), hydrocodone (Vicodin or Narco), hydromorphone, and oxymorphone;
  2. Methadone, a synthetic opioid;
  3. Synthetic opioid analgesics other than methadone, including drugs such as tramadol and fentanyl; and
  4. Heroin, an illicit (illegally-made) opioid synthesized from morphine that can be a white or brown powder, or a black sticky substance from the poppy plant papaver somniferum.

Opioid analgesics (commonly referred to as prescription opioids) have been used to treat moderate to severe pain in some patients. Natural opioids, semi-synthetic opioids, methadone (a synthetic opioid), and some other synthetic opioids are commonly available by prescription.

Fentanyl is a synthetic opioid that is legally made as a pharmaceutical drug to treat severe pain, or illegally made as a non-prescription drug and is increasingly used to intensify the effects (or “high”) of other drugs, such as heroin.

Why the opioid epidemic is growing

Opioid deaths are rising across most every demographic including men, women, all races, and most ages. Over 60% of drug overdose deaths now involve an opioid. Some of the data statistics for opioid use are as follows:

According to the CDC, in 2015 there were nearly 62 deaths each day due to opioid abuse – over 22,000 for the year. This was a increase of 3000 over the number of prescription opioid deaths in 2014. A good part of the increase was due to the use of synthetic opioids other than methadone. One of the leading synthetic opioids that concerns law enforcement and is believed to be causing the increase in deaths is illegally-made or obtained fentanyl or carfentanyl. Carfentanyl has been previously described as a weapon of mass destruction and chemical weapon and is 10,000 times more powerful than morphine and 100 times more potent than fentanyl. The DEA issued a dire warning to the public regarding carfentanyl in 2016. Even casual contact with a small amount of the drug can cause sickness and death.

It can be hard to determine the exact cause of opioid deaths because the data doesn’t distinguish between legally and illegally-made fentanyl. The CDC is trying to address this disparity.

Between 1999 and 2014:

  • The 25-54 age range saw the highest rates of overdose deaths
  • Non-Hispanic whites, American Indians, and Alaskan Natives had higher rates of overdose deaths than non-Hispanic blacks and Hispanics.
  • While men suffer more deaths from opioid deaths than woman, the gap is closing.

In about 20% of drug overdose fatalities, the death certificate does not list the specific drug that caused the death. Adding to the problem of determining which drugs caused an overdose death is that often multiple drugs (such as a prescription opioid and heroin) are found in the patient.

Prescription opioids are involved in more overdose drug fatalities than any other drug. It is believed that the proportion of deaths cause by prescription opioid use is actually higher than is being reported. Two of the reasons for the increase in opioid overdose deaths are believed to be:

  1. A 15-year increase in deaths from prescription opioid overdoses
  2. Illegal opioid overdoses of which heroin and fentanyl are the leading drivers. Other leaders are methadone, Oxycodone (such as OxyContin®) and Hydrocodone (such as Vicodin®)

Other risks from opioid use besides overdose deaths are abuse, addiction, and abuse

  • Nearly 2 million Americans either abused or were dependent on prescription opioids in 2014.
  • Nearly 25% of Americans who get prescription opioids for long-term non-cancer pain in primary care settings struggle with addiction.

The prescription opioid epidemic affects more than 1,000 people each day.

Speak with an experienced North Carolina and Virginia workers’ compensation attorney today about opioid abuse
Attorney Joe Miller Esq. has been helping injured workers for over 25 years. He has helped thousands of employees get just recoveries. Part of his work as a workers’ compensation lawyer is helping clients work with skilled medical professionals to get the medical attention and care that is required. To learn more about your work injuries and the issues in treating them, please call (888) 694-1671 or fill out our contact form.

What to Expect When You Call Joe Miller Law

Posted on Wednesday, August 2nd, 2017 at 8:00 am    

Attorney Joe Miller Describes the Joe Miller Law/Work Injury Center Seven-Step Elite Case Evaluation Process and what to expect when you call our office.

What To Do If You’re Injured On The Job

Posted on Friday, July 28th, 2017 at 9:17 am    

Learn more about what to do if you’re injured on the job from The Workplace Injury Center and attorney Joe Miller.

 

What Is Workers’ Comp?

Posted on Saturday, July 22nd, 2017 at 6:00 am    

Learn more about what workers’ compensation is from The Workplace Injury Center and attorney Joe Miller.

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