3 Key Questions to Ask Yourself Before You Pop That Pill

I still remember the day as if it were just yesterday. I was sitting in my office across from a patient who came in to see me for his intractable pain. I was covering for another physician, so this patient was new to me. He was wearing a heavy winter coat and sat at the edge of his chair. I asked him to sit back and take his coat off. He said he was in a hurry and wanted his prescription. As I wrote the prescription for methadone, a little voice in my head told me that this encounter was not the way medicine should be practiced. I wanted him to prove to me he needed this strong narcotic. Was he following the lifestyle changes I would typically recommend such as yoga and stress management? Had he taken time to even evaluate why he was in pain and the possible meaning behind it? In a flash, with the prescription in his hand, he was gone. Today, the facts are jaw-dropping: 100 million Americans suffer with chronic pain, costing $600 billion per year with medical treatments and lost productivity at work combined. [1] If you're in that club, you know it costs nothing to join but you'd pay anything to get out. And whether you have back pain or a headache, you know it not only limits your ability to function, but it affects your mind and well-being over time. We are blessed as a nation to have a thriving pharmaceutical industry that is continually researching new classes of medications for pain, mood disorders, insomnia, and many other chronic conditions. For a new drug to be develo...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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OBJECTIVES: To describe short- and long-term neurologic prognosis of patients with thrombotic thrombocytopenic purpura and to identify clusters associated with evolution. DESIGN: Prospective French cohort. SETTING: ICU in a reference center. PATIENTS: All consecutive patients with newly diagnosed thrombocytopenic purpura. INTERVENTION: Comprehensive clinical, biological, and radiological evaluation at admission. Neurocognitive recovery was assessed using Glasgow Outcome Scale (range 1–5, with 1 representing death and 5 representing no or minimal neurologic deficit). MEASUREMENTS AND...
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
CONCLUSIONS: Gaps in memory and various memory types were common after ICU admission, whose prevalence waned over time. Compared with nightmares and fearful memories, gaps in memories were most strongly associated with poor mental health and quality of life. Identifying patients with gaps in memories might be an objective way of planning interventions to improve their long-term outcomes.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
CONCLUSIONS: These recommendations are intended to assist researchers in the design, conduct, selection of endpoints, and reporting of clinical trials involving sedative medications and/or sedation protocols for adult ICU patients who require mechanical ventilation. These recommendations should be viewed as a starting point to improve clinical trials and help reduce methodological heterogeneity in future clinical trials.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Clinical investigations Source Type: research
If it hurts – take notice, and avoid it. Learn from it. If there are other people around, make sure your behaviour is noticeable so they take care of you and don’t do what you just did. If they look after you, you’ll probably do the same thing again when you hurt, if they don’t you probably won’t. This is one description of pain behaviour and how it works. It’s the only part of our pain experience that we can share directly with one another (actions and words). The “doing” part is also the part that is most affected by pain – even distress is signalled to others &nd...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Uncategorized Chronic pain Clinical reasoning pain management Research Source Type: blogs
Source: Journal of Pain Research - Category: Anesthesiology Tags: Journal of Pain Research Source Type: research
Last week, I became involved in two situations of pain between the eyes that seemed to potentially be presentations of very serious medical conditions. Autumn took a call from her sister late on Friday afternoon. Her sister had been tested for COVID the day before and told Autumn she instantly felt a severe pain betweenRead more …The art and uncertainty of triage originally appeared inKevinMD.com.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Primary Care Source Type: blogs
Hi, I was wondering if anyone knows of any pain management docs in Scranton, PA or surrounding area (private practice or hospital employed). I'm looking to learn more about local market and network. Thank you.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
I've been getting a variety of lectures about various SCS waveforms from my faculty during fellowship, industry events, and society meetings. I think neuromodulation in general (not just SCS) is a fascinating therapy and has a lot of promise. However, I've become a bit disillusioned by the influence of industry in our understanding of these therapies that WE prescribe and implant into our patients. I've heard a lot about the novel mechanisms of action of the various different waveforms... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
In Aly Raisman: From Darkness to Light, the former Olympian confronts her most challenging task yet: recovering from the sexual abuse she experienced while training as an elite gymnast. Raisman is one of more than 200 survivors of sexual abuse by former USA Gymnastics’ team doctor Larry Nassar; in the documentary, which airs tonight on the Lifetime channel, she sits down with other survivors who were sexually abused by trusted members of the community as children, and breaks through the walls of fear, intimidation, ignorance and prejudice that keep such abuse in the dark. The journey she chronicles is both theirs and...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: news
ARTHRITIS or other similar conditions that affect the joints, impacts more than 10 million people in the UK. The common condition causes pain and inflammation in a joint.
Source: Daily Express - Health - Category: Consumer Health News Source Type: news
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