The cups of urine travel by express mail to the Comprehensive Pain Specialists lab in an industrial park in Brentwood, Tenn., not far from Nashville.
Most days bring more than 700 of the little sealed cups from clinics across 10 states, wrapped in red-tagged waste bags. The network treats about 48,000 people each month, and many will be tested for drugs.
Gloved lab techs keep busy inside the cavernous facility, piping smaller urine samples into tubes. Continue reading
There may be more to the phrase “the voice of reason” than meets the ear. When it comes to controversial ideas, a person’s voice is more persuasive than the written word, according to a new study.
In “The Humanizing Voice: Speech Can Reveal, and Text Conceal, The Presence of a Thoughtful Mind in The Midst of Disagreement” in a recent issue of Psychological Science, Juliana Schroeder of the University of California at Berkeley and faculty at the University of Chicago conducted several experiments exposing volunteers to ideas they agreed or disagreed with. Continue reading
This is a wonderful YouTube video that makes the case for opioids – perfect to show to people who don’t believe how serious pain can be and how effectively it can be relieved with opiods.
Perhaps it’s too harsh to say yoga ruined my life, but it has given me chronic pain and joint issues that forced me to completely change my daily routine.
All you yogis out there might be wondering- how is that possible?
Well, unbeknownst to me, yoga is the last thing a person with my condition should do. Continue reading
Living with Ehlers-Danlos Syndrome – Reviewed by Susha Cheriyedath, MSc – Oct 26, 2017
Ehlers-Danlos Syndrome, in short, EDS refers to a bunch of hereditary connective tissue disorders.
Connective tissues are a complex mixture of proteins and other substances that provide strength and elasticity to the underlying structures in the human body. Continue reading
Pain – Thomas Dikel – Medium – Aug 2017
Pain is largely a misunderstood construct. This is odd, as everyone has experience with pain, and it has been studied extensively. Nevertheless, it remains a mystery, even to those who believe they know it best.
What we understand as pain is not a unilateral function. There are in fact two basic and primary components to pain.
The first is the obvious: the physical or “nociceptive” aspect, which involves specific and particular nerve cells that respond to specific and particular stimuli. Continue reading
Editor’s Memo November 2017: Dr. Tennant opens an overdue discussion on the history and future of pain medication alternatives.
From a purely pharmacologic and physiologic perspective, we really have not had a relatively safe, potent alternative to opioids since the 1890s.
In those early days, doctors at Brompton Hospital in London described the use of opioids, morphine, and heroin, as well as a stimulant known as cocaine, which when combined (aka the Brompton cocktail) was prescribed to lessen the pain associated with a terminal illness. Continue reading
Routine use of punch biopsy to diagnose small fiber neuropathy in fibromyalgia patients – Clin Rheumatol 2014 Dec – free full-text /PMC4348533/
Recent work has demonstrated that approximately 50 % of patients diagnosed with fibromyalgia have damage to their small unmyelinated nerve fibers
A skin punch biopsy is a sensitive and specific diagnostic test for this damage as a reduction in nerve fiber density allows for the diagnosis of small fiber neuropathy.
Small fiber neuropathy is a disease with symptoms similar to fibromyalgia, but it often has a definable etiology. Continue reading
I believe this is the crux of the healthcare crisis. Costs keep rising for patients because more and more money-siphoning layers are inserted between them and their doctors.
Patient care now is passed from one corporate “healthcare service” to the next, each of which is making some profit. While this healthcare business creates a whole new crop of rich executives, aggressive corporate “cost-cutting” (i.e. profiteering) is decimating the ranks of healthcare workers. Continue reading
Line between street drugs and prescriptions blurred – Nov 10, 2017 – By George Knapp (this is one of a series)
The CDC guidelines were supposed to be voluntary, but instead were enacted into law all over the country. Millions of chronic pain patients have since been cut off from medication, while overdose deaths continue to rise.
The line between street drugs and prescription medications has been blurred, as if on purpose. Now, all drug deaths get blamed on opioids.
I’m glad to hear someone is finally publicly talking about this deliberate deception upon which all the opioid restrictions are based. Continue reading