Ask the Expert: Dependence versus Addiction
Why is dependence so often confused with addiction? Here’s the problem:
The DSM-IV, to avoid the word “addiction”, used “dependence” instead, even though they are not interchangeable.
The DSM-IV erroneously equated all medication dependence with drug addiction. According to this criteria, all patients are “addicted” to their anti-depressants. Continue reading
Understanding the physiological effects of unrelieved pain | NursingTimes.net | Sept 2003
This is a lengthy, well-organized, and detailed list of each of the physiological reactions to chronic pain.
A noxious stimulus or pain is a stressor that can threaten homeostasis (a steady physiological state). The adaptive response to such a stress involves physiological changes that, in the initial stages, are useful and are also potentially life-saving.
However, if the stress response is allowed to continue, a variety of harmful effects may ensue that involve multiple systems of the body and are potentially life-threatening. Continue reading
The long-term impact of tissue injury on pain processing and modulation: a study on ex-prisoners of war who underwent torture. – PubMed – NCBI | 2014 Apr
BACKGROUND: Tissue injury may, in some instances, induce chronic pain lasting for decades.
Torture survivors suffer from high rates of chronic pain and hypersensitivity in the previously injured regions. Whether torture survivors display generalized alterations in pain perception and modulation, and whether such alterations underlie their chronic pain is unknown.
Having severe chronic pain and being denied pain medication could be seen as a kind of torture. In either case, when severe pain endures long enough, it becomes permanent. Continue reading
Is the crusade against pill mills turning into a witch hunt?
I care for a 65-year-old woman suffering from sarcoidosis affecting her lungs, her skin, her bones, her nerves, her blood chemistries, her kidneys, her colon and her mind. She describes her foot pain as feet burning on fire.
An experimental course of an IV immunosuppressant provided short-term relief and hope for relief of pain, but those drugs effectiveness waned quickly
Normal barium enemas and colonoscopies initially resulted in her being considered a neurotic quack. Continue reading
A Narrative Review of the Impact of Disbelief in Chronic Pain
This narrative review sought to explore the wider social context in which individuals with chronic pain may experience disbelief toward their pain.
The experience of stigma can occur in a number of ways. It may be through actual or perceived encounters with others; it can be through the use of psychological explanations of pain; it can come through a perceived challenge to one’s integrity and subsequently affect an individual’s identity; and such stigma may be influenced by negative female stereotypes. Continue reading
Intractable pain may find relief in tiny gold rods – Medical News Today
A team of scientists at Kyoto University’s Institute for Integrated Cell-Material Sciences (iCeMS) has developed a novel technique using tiny gold rods to target pain receptors
Gold nanorods are tiny rods that are 1-100 nanometers wide and long. In comparison, a human hair is 100,000 nanometers wide.
The team coated gold nanorods with a special type of protein that transports fat within the body known as a lipoprotein. This allowed the nanorods to bind efficiently to nerve cell membranes bearing a pain receptor called TRPV1 (transient receptor potential vanilloid type 1). Continue reading
The War on Drugs, the War on Doctors, and the Pain Crisis in America
This is a long treatise by Alexander DeLuca, M.D. (who has had to leave his practice due to his own health problems) explaining how our society reached this point, starting with the Harrison Act in 1914 and continuing with a perpetual War on Drugs and repeated drug “epidemics” which have created the Pain Crisis.
There is a Pain Crisis in America
Its primary manifestation is the routine and widespread under-treatment of pain, especially chronic, non-cancer pain. Continue reading
An excellent informative PDF:
- Ehlers-Danlos-Syndrome: The challenges in diagnosis and management of an increasingly diagnosed but poorly understood genetic disorder
Here’s another PDF concerning bones:
The tension between traditional medical values and expanding commercialism is real
The history of American medicine is the story of the rise and fall of a professional guild. In the 19th and early 20th centuries, physicians distinguished themselves from other healers by banding together to form professional associations dedicated to science-based practice.
Even more important, medical ethics put the patient first, above considerations of personal gain or even collective social goods. The medical guild may have been insular, self-protectively territorial and paternalistic, but it was also self-sacrificing and altruistic. Doctors earned the public’s trust one patient, or family, at a time. Continue reading
Patients are not customers. Here are 6 reasons why.
One of the phrases I repeatedly read when I was researching the piece was “the patient as customer.”
Here’s a quote from the online journal produced by Accenture, the management consulting company:
With these kinds of cross-sector comparisons now the norm, hospitals will have to venture beyond the traditional realm of merely providing world-class medical care. Continue reading