Zyp’s Favorite Posts


Our Ethical Duty Is to Relieve Pain and Suffering

Our Ethical Duty Is to Relieve Pain and Suffering // American College of Emergency Physicians | September 2007 |  Andrew Luke Aswegan, MD

This seems so obvious, yet 8 years later, the problem of undertreatment is getting far worse, especially with PROP’s influence in the upcoming CDC opioid prescribing guidelines. Pain as a presenting complaint accounts for […] December 13, 2015


Suicide and Pain: The Silent Epidemic

Pain Medicine News – Suicide and Pain: The Silent Epidemic

On Oct. 26, 2003, two patients of mine, Randy and Helen—a married couple in middle age and both weary with chronic pain—attempted a dual suicide. Randy succeeded by overdosing on the methadone that was prescribed for his pain. His wife was either lucky or unlucky, […] December 2, 2015.

Depression, Chronic Pain, Suicide, Overdose: On the Edge

Depression, Chronic Pain, and Suicide by Overdose: On the Edge –   Jun 2011 – free full text

PubMed article Comorbid conditions that pose risks for suicide, especially depression, are prevalent in people living with chronic pain. The true numbers of failed attempts and successful suicides are unknown and may never be determined. Yet risk factors […] November 15, 2014.

Physical Pain

PubMed: Pain in Ehlers-Danlos Syndrome Common & Severe

Pain in Ehlers-Danlos Syndrome Is Common, Severe, and Associated with Functional Impairment Accepted 19 January 2010. published online 25 June 2010.

Abstract Context The Ehlers-Danlos Syndrome (EDS) is a clinically and genetically heterogeneous group of heritable connective tissue disorders characterized by joint hypermobility, skin hyperextensibility, and tissue fragility. Musculoskeletal pain is mentioned in the […] August 11, 2014.


The Case For Opiates

The case for Opiates – Daniel Brookoff; Hospital Practice, July 2000;

Opioid medications allow us to treat chronic pain as aggressively as we would any pathogen, but we must first overcome ingrained misconceptions about patients’ motivations for seeking treatment and about the addictive properties of the drugs. With controlled use, the newer sustained-release formulations give […]  February 12, 2015

Pain catastrophizing

Pain catastrophizing: a critical review

Pain catastrophizing: a critical review | Expert Rev Neurother. 2009 May | free full-text PMC article

This article points out that pain catastrophizing has not been sufficiently studied to make it a certain *cause* of increasing pain. I, and others, believe the catastrophizing could just as easliy be caused by pain. It may be a […]   April 28, 2016