The Truth About Treating Pain in Senior Citizens

Objections to Senior Citizens Receiving Opioids According to a recent report by the Office of Inspector General for the U.S. Department of Health and Human Services, opioids are commonly prescribed for senior citizens in pain. Almost 12 million Medicare beneficiaries received at least one prescription for an opioid painkiller last year. The report goes on…

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Enormous Gender and Ethnic Bias in Pain Treatment

  Sometimes, it embarrasses me to be a medical professional. I honor and respect my colleagues, and typically, I’m proud to call myself a physician. But a recent Washington Post story about the enormous biases medical students have regarding pain treatment has troubled me deeply. The Washington Post story reports that a majority of medical…

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This Is Why an Implant Cannot Stop Heroin Addiction

A recent The Daily Beast article asks the question: Can an implant stop heroin addiction? Heroin Addiction Implant The short answer is that, no, an implant cannot stop heroin addiction. The buprenorphine implant the article cites is only used once someone has already developed an opioid addiction. Therefore, the implant isn’t preventing heroin addiction, it’s…

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Is 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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What’s Massachusetts Thinking?

What’s Massachusetts thinking? The newest twist in the painkiller abuse debate is that Massachusetts Governor Charlie Baker has  proposed legislation that has me in dejected disbelief. The bill would restrict both doctors and dentists from prescribing more than 72 hours of medication to patients upon initial injury or surgery.  I understand the thought but it…

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Pendulums and Painkillers

Carl Jung once remarked, “The pendulum of the mind alternates between sense and nonsense, not between right and wrong.” When I think about the nation’s patchwork quilt policy toward opioids, I’m reminded of how right he was. In my book “The Painful Truth,” I devoted some space to outline a brief history of opioids, and…

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Confronting Mental Illness and Guns: What Should We Do?

In my column in Pain Medicine News this month, I talked about a tragic dual suicide attempt of a married couple I knew, both of whom suffered from chronic pain. From one standpoint, a story like this is as shocking as it is incomprehensible. From another perspective, it’s becoming another sad milepost in society–not unlike the rash…

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Fighting Chronic Pain as a Teenager

Fighting Chronic Pain as a Teenager Chronic pain is almost always life altering, but it can be an especially difficult adjustment when it impacts someone whose life is just beginning. Ali Goldsmith was 14 when she started to feel the effects of chronic pain. After surgery to remove bunions, her pain worsened when her doctor…

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