Tag Archives: patients

The forgotten victims of the opioid epidemic

Chronic pain patients are forgotten victims of opioid epidemic – By Elyse Morgan and Jacqueline A. Schwarz – Jan 2019

In this article, the authors explain how our screwed up opioid policies arise from 3 fundamental myths firmly embedded in the American mind and endlessly repeated by PROPaganda.

Our country’s well-intentioned efforts to stop opioid abuse and related overdoses have left a group of Americans fighting for their lives. Medications including opiates have allowed hundreds of thousands of patients with chronic pain to function for many years.

Recent media stories to the contrary, research reveals that fewer than 1 percent of patients became addicted following lengthy opioid treatment. Long-term treatment does not cause addiction rates that are higher than those in the total population. Continue reading

4 disturbing trends in health care

4 disturbing trends in health care – Praveen Suthrum | KevinMD | Aug 2018

I agree with the author that health care is changing dramatically and not necessarily in a good direction. This article points out some fundamental issues that must be addressed before any “progress” can be made.

It’s easy to get excited about technological advances such as nanobots that swim in blood to deliver drugs or 3-D printers that print human tissues. However, in our enthusiasm to find the next fix, we are failing to notice the ground slipping underneath the health care industry.

Here are four trends that are changing health care but on the surface are too unsexy for us to care about.   Continue reading

Patient-Centered Care for Chronic Pain

My Take on the Biopsychosocial Model of Patient-Centered Care | Pain Medicine | Oxford Academic – Jianguo Cheng, MD, PhD, FIPP – September 2018

I am privileged to participate in the US Department of Health and Human Services (HHS) Pain Management Inter-Agency Task Force (PMTF) and in the National Academy of Medicine (NAM) Action Collaborative on Countering the US Opioid Epidemic.

Promoting patient-centered care is what I believe to be the most important mission of our profession.

And patient-centered care should be the guiding principle of policy-making by federal and state agencies, health care payers, and professional organizations and societies.   Continue reading

Pain Management Choices: One Person’s Point-of-View

Pain Management Choices: One Person’s Point-of-View – By Danny van Leeuwen – Oct 2018

Pain and choices mix, but not too well. A sudden new pain requires professional attention and a pill – I gotta get over this. With severe chronic pain, I pray for some choices that I know might work.

I want choices to prevent the pain – a routine.

Please find the audio and slide deck here on my YouTube channel. It’s 44 minutes long with the Q&A portion.

Or, read on for more information in print:  Continue reading

Perspectives of primary care patients with chronic pain

Voices that may not otherwise be heard: a qualitative exploration into the perspectives of primary care patients living with chronic pain| JPR – June 2014

Background: The purpose of this study was to examine the utility of a combination of qualitative methods (Photovoice, one-on-one interviews, and focus groups) in examining the daily experiences of primary care patients living with chronic pain.

Methods: A sample of English-speaking primary care patients aged 30 years or older, who had been prescribed an opioid for long-term, noncancer pain management, participated in the study.

Each patient took photographs that best reflected both

  • his/her experiences with chronic pain and
  • what he/she would like his/her life to be without chronic pain.

Continue reading

Can physical therapists identify malingered pain?

Can Physical Therapists identify malingered pain in the clinical setting? – August 2011

Background: Many physiotherapists use tools in an attempt to detect malingering; however, there are discrepancies within the literature as to their ability to identify patients who malinger.

Purpose: To survey the literature available on diagnostic tools that could be used in physiotherapy practice and their ability to detect malingering of pain.

This is the holy grail: to find an objective test for pain, one that can definitively determine its existence and, even more ambitiously, measure the “amount” of pain.

Of course, that can’t happen because the horrible feeling of being in pain is the brain’s interpretation of signals it’s getting from the body and other parts of the brain – a very intricate and convoluted process.  Continue reading

Pain patients: ‘Suicide is always an option for us’

Suicide is always an option for us’: Pain patients beg for more options – by Maggie Fox / Jul.10.2018

At this week’s Food and Drug Administration hearing on chronic pain, accommodations were at the forefront.

And the agency says it wants to be accommodating in other ways as it tackles the opioid crisis. Thus, a meeting was called simply to listen to people’s stories about their pain and how they may, or may not, handle it.

It was a room full of some very unhappy people.   Continue reading

Patient Privacy Threatened By ER Marketing

Patient Privacy Threatened By End of Legal Decency | American Council on Science and Health – By Jamie Wells, M.D. — June 3, 2018

While our culture is preoccupied with violations of consumer data privacy yielding targeted marketing for shoes, travel or food preferences, law and advertising firms are leading a more nefarious erosive charge on patient privacy.

Unbeknownst to emergency room visitors, companies are setting up digital geofences around hospital perimeters that capture mobile phone entry to the premises.   Continue reading

Forgetting chronic pain in fight against opioid abuse

Francis Collins: We can’t forget people with chronic pain in fight against opioid abuse | FierceHealthcare | by Tina ReedJun 4, 2018 

National Institutes of Health Director Francis Collins, M.D., is warning against forgetting chronic pain patients as his agency looks for solutions to curb opioid abuse.

Speaking at an NIH meeting on chronic pain and the opioid crisis, he said the healthcare system is grappling with a “joint crisis of pain and addiction.”

It’s refreshing to hear someone of (medical) authority voice concern about chronic pain patients in the headlong rush to ban all kinds of opioid use.   Continue reading