Pain Management
Chronic Pain and the Death of a New York Times Journalist
The death of the New York Times journalist, Sarah Kershaw, reminds me painfully of too many conversations I had with my patients during the course of my career as a pain doctor, about whether or not they wanted to live. During the 30 years of my practice, countless patients told me they had no hope…
Read MoreLawmakers Are Looking in All the Wrong Places
In the movie titled with their names, Butch Cassidy and the Sundance Kid look back at an unknown posse that’s following them far more doggedly than the two outlaws would desire. At night, watching the lights of the oncoming riders, both men wonder aloud, “Who are those guys?” The next day, from a bluff where…
Read MoreWhy Keep a Pain Journal
“Julie” mentioned that her doctor advised her to keep a pain journal, and she wanted some direction. She loves to write, but she wasn’t sure how to approach the task. Also, she was concerned that dwelling on her pain might make it worse. Wasn’t the goal to distract herself from the pain rather than to…
Read MoreFollow up to President Obama’s Opioid Funding Request
I blogged that President Barack Obama has requested that Congress earmark $1.1 billion to combat the U.S. opioid, and the fact that I support the president on that. Yet the president made no mention the need to help people in pain. The CDC and Johns Hopkins issued opioid prescribing guidelines without out a peep…
Read MorePresident Obama Requests $1.1 Billion to Combat the Opioid Abuse Epidemic
President Barack Obama’s request that Congress earmark $1.1 billion to combat the U.S. opioid abuse epidemic has turned out to be controversial. That’s not surprising, since controversy infiltrates everything related to every president and every Congress. Nothing any president does is viewed by everyone as the right thing to do. But, to me, there is…
Read MoreWill Cancer and Pain Melt Away?
Alec Ross, author of a book called Industries of the Future, writes that, in 20 years, cancer may be curable. We might just be able to “melt it away.” Frequently, I compare pain to cancer. Believe it or not, pain is far more complex than cancer. Cancer usually starts from a single DNA mutation. On…
Read MoreThe Merry-Go-Round of Chronic Pain
As if it’s not enough that some people have chronic pain, we know that these people also don’t live as long. There is new evidence that persistent pain affects the function of the same cells that fights AIDS, lymphomas, and other diseases associated with an impaired immune system. It is hard to know how much…
Read MoreCan Fun Help Overcome Pain?
Can good, old-fashioned fun help people overcome chronic pain? Sometimes. It all depends what we mean by “fun.” One person’s fun is another person’s work For example, therapists have been recommending coloring books to their adult patients for years. The benefits of using crayons (and markers and colored pencils), the theory goes, extends beyond…
Read MoreCan Environment Be Responsible for Opioid Addiction?
For more than fifteen years, I have lectured that addiction is determined by one’s genetic vulnerability and environment. Exposure to a drug is necessary, but not sufficient by itself, to cause the disease of addiction–any addiction. Genetics is more of a factor for opioid addiction than it is for most other forms of addiction, but…
Read MoreIs It Possible For Young Children To Misuse Opioids?
Author’s note: “Emily” is a pseudonym, and she’s someone I know. I’ve changed just enough details of her story to protect her family’s privacy. Four-year-old Emily had a rare form of cancer. She had received chemotherapy every week for about three months. She also had to bear frequent painful procedures. Emily’s mother, Sally, vicariously experienced…
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