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The Science of Pain Management



We all experience pain in our lives, but can the cure be worse than the condition? In this seminar, Harvard Medical School experts explore the science of pain, …

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  1. To the Lady, Dr Madras ?, who gives her talk about the Opiod Crisis at around 26:00 , the trouble with the opiod issues are not necessarily in the hands of the 'sufferer.'

    Here in the UK – and I'm sure it's similar in the US – we have to have a 'Prescription' that is signed by the Doctor. It is the Doctors who put me on Dyhydrocodeine 20 years ago – not me, I didn't ask for that…I didn't even know of that opiod. I was never warned of the dangers of addiction. Now, in fairness to my Dr (GP), he did not give the opiod to me for long-term use…that came later. He had known me since I was a young boy and knew my medical history…which was normal and saw me for the odd medical issue and for annual or bi-annual imunisations against things certain medical issues because, as a Firefighter, I was more at risk of Tentanus, or infectious diseases like Hep B. He prescribed the Dihydrocodeine for a lower back injury that I sustained at an incident and for which he expected me to recover within a few weeks and be back at work. However, that didn't happen. I saw Orthopaedic Surgeons, had X-rays and MRI scans, and apart from a bulge in my L5/S1 disc impinging on a nerve, they could seen nothing that could account for the pain.

    I was then shipped off to a 'Functional Restoration' Specialist Hospital. They said that I had 'Neurological Pain Disorder' and a disfunctioning Neurophysiological Muscle-Brain Mapping Mechanism. And it was here that I was whacked onto more Dyhydrocodeine as well as a myriad of other drugs.

    I was retired from the Fire Service, who sought a 'second opinion' from an independent Orthopaedic Surgeon. Finally, and because this Surgeon had viewed my med notes and the history since the injury, he was able to point that I had classic symptoms that pointed to Internal Disc Disruption (IDD), first postulated by H V Crock in his research paper back in 1970, and followed up by him again in 1986. I also had soft tissue damage, including to muscle, nerves, ligaments, and facia as well.

    Since then, I have seen many doctors and specialists, all having differings of opinion about the debilitating pain I am suffering. Many Pain Management specialists have either approved continuing opiod medication or have 'added' to the list, including Gabapentin/Pregabalin. But in the last couple of years I've witnessed a 'sea-change' in opinion as to the continuing use of Dihydrocodeine and Gabapentin/Pregabalin. They have pretty much all said "We want to get you off these drugs." I reply "Great, I'd love to be off these drugs, but what's the plan to do that, and what will be in its place to help with my pain ?" And this is where they stare at me blankly, or recently was told "We will work out some strategies to get you off them." But when I say "And pain management ?" they go blank again, seeming to have concentrated on removing the 'opiod' and 'GABA-receptor' meds, but forgotten the undelying issue of PAIN !

    The trouble with any of this is that things swing from one extreme to another – from 'Opiods will fix ALL your pain', to 'Opiods are really BAD and do NOTHING for your pain.' And the Doctors lap this up with great gusto and then start implementing this without agreement with the patient…and we with pain are in the middle…and in more PAIN; not just physical but emotional too, because the chronic pain issues are known to detrimentally affect and change (for the worse) areas of the brain.

    I have had RF treatment on my facet joints and sacroilliac joint and Denervation work, with some success…though it wears off as the nerves regenerate…but have experienced side-effects including loss of sensation for when my bladder was full, when you would normally know you needed to urinate, which can cause toxic shock if you hold in for too long – this got the doctors really worried and informed my better half (the Wife) to call for an ambulance and get me to hospital quick should I collapse, plus some other not-so-pleasant issues.

    But, as I continue to watch the whole video, all I see is the talk of those who use surrupticious means to 'get' these opiods – and things like Pregabalin (which also has a 'street' use in the UK) – and addiction, almost making anyone using them – and lets remember it is the doctors who prescribe this – are using them for 'pleasure' (and I use this term loosely, as dependency means you supress the 'withdrawl effects' but get no pleasure or 'better feeling'). So, we who are in pain are ALL tarred with the same brush as those who have ulterier motives for receiving these drugs, which are not related to their own pain, and it is us in the middle that are affected both physically and emotionally as we struggle day-to-day with an issue that no-one seems able to fix.

    To any doctors/specialists out there who watch this – We ARE people, not just Statistics on some research paper that says 'On average, these people abuse their Opiods' !

  2. Another rich doctor that only cares about money . Someone should introduce these people to pain because if you haven't lived it you have no idea . Doctors are the problem especially ones from Harvard with big egos .

  3. Of coarse people are using prescription drugs first they think they are safer to take but then they find out that the doctor is giving them heroin in a pill no different at all one is mixed by a pharmacist and the other mixed on Mexican drug cartels you choose who you want to mix your pain meds

  4. In my case, workplace injury was "DENIED" medical investigation, The Workers Compensation Board did "EVERYTHING POSSIBLE" to deny investigation. 5 orthopedic surgeons / 3 neurosurgeons, over a 3 yr period, 2006 to 2009 "ALL REFUSED" medical investigation of my specific complaint. "No Physical Examination Whatsoever" – When I was finally diagnosed, with my Specific Complaint" Workers Compensation deliberately denied requested medical treatment of workplace injury. WCB = Medical Insurance FRAUD " = "RACKETEERING''

  5. Fast Fast Fast Fast the us go, International gov, USID and all these people gave me all their pain. because they were joining gorced eith D do dying zi cant take it

  6. I have a don Mario D Rich Jr but there are alot of them theybare small and I am asking that uou take themon too and join mybcare team it will be finbut Ithinkthey experience pai ln too thetevate alotof them and zi sm looking got a in hone doctor yo come and pay us a visit.

    I would really appreicate it and thank you for jpiming my care team

    Rhonda Lynn Pickett

  7. HI we have spoke on several occasionsbI would like to say hello I need to be treated its beenngoingno gor a minute they are really taking the mouth and tounge area ona trip olenastyass bitches diggingnintheir nasty ass pussies puttingit on my toungeand mouth I need you gotta a coupe more people to call remember

    D nose now whole body
    S nose now whole body
    N ankle yo ankle now whole body v in back

    worlds wiring tune like you toning a radio

    Love Rhonda Lynn Pickett

  8. Hi and welcome to the V;/Club all gou ha e go do is all gve US vo. and vo from there phone broke please bare with ne me please join mgbgesm.of doctors abd specilust as we go gbouvh this jouney there us alot voinv on inside pkease join rivhg now

    sorry about the phone usually more professional

    Rhonda Lynn

    Picke

    Jackson, MS

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