The Science of Pain Management
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- Опубліковано 29 бер 2018
- 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, the realities of prescription drug dependence and new discoveries and treatments that may lead to better, safer pain management.
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I was in an on the job industrial accident, as one of two welders for a natural gas utility in a hole 30' deep, 20' wide, 80' long. I was blown off my feet about 8' into a 32' aluminum extension ladder. That was August 25, 1985. I was 26: I am now 63. I have been in constant pain for nearly 36 yrs, my accident and treatment has been documented like a book, And not one study has invited me to be a part of. I have never missed a pill count, nor a UA in 36 yrs. Do to your opioid problem I am allowed to suffer #7--#8 pain for 6 yrs, does no one care.
I'm in the same boat, I had a good DR for most of my life, luckily one that had known me when I was well and we trusted each other. The result, as he treated pain patients but he was careful not to do anything wrong, a teachers union flunky dumbed up a case against him, and despite overwhelming testimony to the contrary, he was stripped of his medical licence at nearly 70, if you were ever able to read the case and the judgement, you'd find it laughable. That's what you get for being a good and caring Dr. Now I'm losing my Palliative care Dr, and GP, she's retiring and as I haven't died quick enough, and won't take the MAID "cure" I'm out of luck, no GP, no meds I was forced by WSIB into back surgery, and I mean forced, I had an out a written job offer for over my salary at that time which was more than 3 times their benefits ceiling, so already slowly going broke, I needed to take this offer but I needed some extra courses, No was the answer if I can work with my back the way it is I should never have been on WSIB, I had worked for two years with a broken back and a severely double herniated L5 S1 level disc, for two years while I waited for them to get their act together, I think it was healed, although still painfully, the job I was offered was overseeing site set-up from a computer screen, so I needed coding and some credits to get my P.Eng. I had the opp as that was the only way without being cut off. I was only on comp because my employer organized an unsafe job for me to do and refused to supply lifting equipment, I had refused the work for a year through the safety board explaining precisely what was going to happen if I tried it his way, I would be torn in half as I was trapped in local. I had my accident about the same time as you but I'm a little older, at 34 when the last bit happened. I wish I had quit and used all my savings to put myself through college, as they went anyway. However, I wouldn't need all these damm meds and the pain levels with just the first set of problems was bearable, nothing in comparison post-surgery with Adhesive arachnoiditis caused by the surgery. I'm now nearly 70 the condition is degenerative and all my disc's stem to stern are disintegrated, they can't operate further without making it worse, The only treatment is the cocktail of pain meds I've had to take ever since the second surgery failed within a few weeks of undergoing it. Sorry for the lengthy explanation but it's hard to understand although I'm sure you're there as we are in the same boat, in short, no they don't care, we are the enumerable few, who when we are stripped of our pain meds they can show in their statistics that they are making improvements. With so many unscrupulous Drs in their trade, even calling it that is an insult to tradespeople everywhere, I refuse to acknowledge them as professionals who should be able to offer at best something better than a 50/50 guess, and then wash their hands when their mistakes become inconvenient. Transient Junkies who use their on-demand prescription meds and street-bought drugs are hard to document from homeless encampments, were not. I'm about to lose all access to a Dr and any way of getting my prescriptions, soon, she keeps toying with me like a cat, hoping I'll lose my temper with her or just take her other offer, but I'm not ready for that yet, and have some responsibilities, I should be enjoying my very ample pension by now like everybody else but they take that from you too.
Starts at 8:57
Thanks bro
I had a Broken back with major disc herniation, covered by 4 Insurance companies, and I was told I needed emergency surgery until the nursing sister discovered a 5yr old WCB claim for a back sprain following 2 weeks rest I returned to work as a field Engineer for a major manufacturer of Heavy electro-mechanical equipment. Then suddenly I became an elective surgical candidate with a pre-existing condition. Following that, I worked for 4yrs while arguing with my Insurance companies. I had 2 job offers still in the field but just doing the programming of the equipment instead of the start-up and Troubleshooting, but I needed some extra college courses. Problem solved, you'd think WSIB would stop paying me if I did that as I would be improving my situation, I made $100,000+/yr, they paid me $30,000/yr, the new position would pay me $110,000 to $120,000/yr, the problem was? They insisted on me having the surgery once one of the above idiots stated that I needed it or I would be delaying my own recovery, after 2yrs, really, other Drs recommended the opposite but were not listened to.
I can't listen to this crap being spouted above, it's just a load of mubo jumbo, being mixed up to confuse and justify their current positions. Let us stick with neurological pain only in patients who are not already addicts, why are you even talking about addiction, I thought this was supposed to be about chronic pain Bitch!
I am a 100% service connected combat veteran, who is labled a partial paraplegic; I have been using narcotics to manage chronic pain since 2009. This response is directed at just one comment that you made in your message or text.
There is a difference between physical dependency and addiction. Fact: 100% of the people who use narcotics for long term chronic pain will have some physical dependency. The physical dependency symptoms are: stomach cramps, vomiting, and diarrhea. There are others, and different people may have different symptoms…but you will have some.
Addiction is where a person starts to make lifestyle changes to support a habit that goes beyond their prescription. As an example, they may start to sell personal items that have significant personal meaning to them…resort to prostitution…stealing, etc… Not all of the people who use narcotics for chronic pain will become addicted; just like not everyone becomes addicted to alcohol.
Your thoughts…
@@TrainWreck000 You're absolutely correct in your comment, there is no correlation between Dependency and addiction. Chronic pain patients experience dependency, we don't abuse our meds in any way, take them as prescribed, and if the dosage is correct you shouldn't be experiencing any withdrawal pain like you described regularly, but only when reducing or changing meds. It's less than 1% and a very small proportion of that one experience any problems with addiction. we are sadly being used as pawns in this political game as we are accounted for and our results abused by certain scum in the medical field as we can be enumerated on every level. I refuse to refer to Drs as professionals as I don't believe they have earned the right to use a title like that. I was an Engineer before they butchered me for extra dollars, this whole epidemic as they call it was created by them over-prescribing for small amounts of acute pain/Discomfort, it was just easy and conveniently profitable for them to do so, not the mark of professionals. Before they ruined my engineering career that I spent 6 years of hard work for very little pay to achieve, I would never have done such a thing, nor would I have turned my back on a Botched Job because I didn't want to deal with the ramifications, something nearly all of them have done at some point. Not that I would have Botched a multi-million Dollar project that I couldn't have left until it was troubleshot and then fixed! Now that we can be used by this mob, which at best after they've looked up a problem if you get a good one, you're going to have to live with the results of their 50/50 Guess, for the rest of your life. If that's not bad enough, now as it's convenient, they will deny you the meds you require to just make life bearable, at best. They also have no problem lying, ignoring juried information from other reputable sources, if it contradicts what they want, and our pain fits the bill right now. When my Dr took me on 8 yrs ago now she nigh killed me with the reduction in medication she required, according to McMaster University pain clinic, the place Bought and paid for so they will never contradict a police agency, This is what pain care is about now, not finding the best solution for you or I, I've been enduring this calamity for over 30+ years now, I know what works and what doesn't I've been on loads of pain trials, etc. You may have gotten your injury cleanly and simply in Battle for our benefit, and I thank you. Mine was an honest accident doing what I love, riding a Bike I engineered myself as quick as I can to prove my abilities and I paid for special Insurance through the Blue Cross to cover that. However, the Sister, at the Hospital I didn't want to go to, found a 6.5yr old Back sprain from a work injury, to throw a spoke in the works, and then the state Govern's all, other insurance falls away beneath them. You and I then both become ruled by the state and their silly definitions all designed to minimize what has happened to you. I am a full para, the operation gave me Adhesive Arachnoiditis, by nicking my spinal cord, when the student performing an operation way over his head removed the entire disc allowing the bone-on-bone rubbing, but the Scar tissue he had caused carelessly filled the void first. This pain I endure is comparable with end-stage Bone cancer, it's also degenerative, something the state ridiculously doesn't recognize so neither do the Drs. If you and I were Junkies and living in either of the two homeless encampments, whose occupants attempt to rob me, as I'm now both elderly and crippled ass to Skull, but I walk quietly and learned how to wield a big stick, they are given the very prescription medications we require and have to jump thru hoops to get and hang onto, by request. How does that make you feel, I helped build our society you defended it, and were treated abysmally, they get what they want for robbing seniors this is a big retirement area and getting High. 8yrs ago my this Dr took over my case as I was supposed to be Dying? she's a palliative Dr. I was having daily seizures as I'd become Toxic to the High Dose Gaba they had me on that insurance Co didn't pay for Lyrica back then, so they just said it doesn't work and left me having fits, on the Gabs as Death is now recognized as a Cure? I survived that and I'm still alive at nearly 70, I've been offered the MAID solution, but refuse as I have nobody to take my Dogs. Now this Dr is retiring she wants me off her books for the practice, which she hopes to sell, myself and others and embarrassments, so she's dropping me and the others who keep living. This sad world you have now found yourself in is about far more than addicted or Dependant, if you're enduring those stomach cramps on a regular basis, your meds are not lasting long enough, and whatever you're on, they often put you on 4 times/day, the med's probably off label as you were or are in the army will be 3hrs at best, Name brand only 4hrs none do the 6hrs they claim. I'm sorry you're here with me, it's as close to hell on earth as you can get, and it isn't going to improve. I'm going to be without a DR soon which means no scripts. If you go twice to either an emergency to get a script, or a walk-in clinic, even under those circumstances you are labelled a drug seeker. Now you won't be able to get any meds at all, you're pain clinic if you're in one will drop you, with no primary care physician? Drs, more like Dogs it's not a Hippocratic oath, it's a Hypocritically one!.
Thank you
HI! How have you been?
@@Override.Health good
@@radhakandarpa470 are you dealing with pain management or facilitating others in their journey?
Anybody let me know how can I get the certificate in pain management???
I’m sitting here right now in such pain I can’t move or get back into bed! I need help soon or I’ll do something that I don’t want my family to experience! I was dismissed from my pain clinic because I took a Klonopin from my Primary doctor!! Now what do I do? I’m getting ready to listen
A trick: you can watch series at KaldroStream. Been using them for watching loads of movies during the lockdown.
@Emanuel Muhammad yea, been using kaldroStream for months myself :D
I would start by what issues caused the chronic pain...dont say that here...I'm just thinking out-loud. Try getting a different doctor, and explain the decision...but taking another drug...not a strong move....the pain management doctor approves everything, down to vitamins.
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''
there has to be change in the mindset to tackle pain. we are still in the dark ages to treat pain or source of it. that even showed itself during corona pandemic. we still don’t understand how brain really works and we are unable to target a certain pain. the medicine should be more focused per condition and aging phenomena has to be understood than a generic opioid approach.
I suggest that part of the problem is that the medical providers, politicians, and the media have tried to conflate narcotics that are prescribed, controlled, and managed by medical providers with drugs that include fentanyl and are illegally bought off the streets. Everyone I just described has their own agenda, and the people that suffer from chronic pain are the ones left holding the bag. I argue that most of the people weighing in on this argument have no idea what they are talking about, and they twist the opinions of others on TV to support their own opinion.
I know it’s wrong, but I can’t stop hoping that those who know nothing about this issue, but continue to argue against narcotics for chronic pain, find themselves in desperate need of narcotics for the management of chronic pain; but be blocked by some liberal who thinks narcotics for pain management is evil. I just want to be a fly on the wall when they are denied.
They understand it quite well, you're an embarrassment to them, I'm in severe pain now 30yrs +, and I'm about to lose my GP which means I lose contact with everything, I'm nearly 70yrs old, I should have their cooperation to live as well as possible, not recommended to MAID as a "cure" because I will not obey and have little respect for them. They can call themselves DRs but Drs like Engineers are supposed to be professionals, You don't Guess 50/50 an educated opinion is a minimum requirement and finish the job even if you and the patient are not happy with the outcome don't throw your hands up and walk away. I had 3 insurance companies covering me, what was I paying for if WSIB can opt to take over when what happened really has nothing to do with them other than they own you, and pay the less, then claw back you're pension contributions to offset the loss? Now this! the only reason we are all targets is that, we can be evaluated and numerated, so they can show quantities for what they've done, not what they have done to. Shameful.
I wonder if there are studies that have explored the use of animal and plant “toxins” and their properties as possible pain inhibitors.
Yes, there are many studies that explore the use of animal toxins, such as the toxin from the Black Mamba as an alternative to morphine, and other plant sources.
Yes. Another example would be the toxin from cone snails. In fact, a peptide isolated from one species is now clinically available as a non-addictive morphine alternative, while a couple more are under clinical trials.
@@alexrider9096 I have no doubt that promoting black mamba poison as a safer alternative to opioids is just that...snake oil! Also opiates are as natural as honey and they come from a plant too (not that it matters but at least they don't act as toxins)
THC Baby!!!!
IMPACT ON THE LIFE OF PAIN PATIENTS IS ... SUICIDAL. Thanks so much.
How have you been Terry?
Not all pain patients are suicidal.
I haven't checked out because im a big sissy; however, what im willing to live with today, may be different tomorrow.
What non medicinal treatments are there for nerve pain
Anal probe...I "heard" that works for everyone else
The old model. Best of luck. We achieve far better results in ways already well known.
1:00:00 (personal note - pain reading)
Many ppl hated pain mgmnt docs ( calling them drug pushers) ODD isn't it?
Those are ignorant people...just running their pie-holes. I find myself hoping that people like that will find themselves...at some point...in desperate need for narcotics due to chronic pain; and I want to be a fly on the wall when they are denied...so I can openly laugh in their faces, and metaphorically dance around the room...giggling, and I don't giggle.
question : about continuous use vs when pain is worst
Can you add on to that...not sure I understand the question, and I don't have all the answers. However, I will try and give you a balanced answer.
There is no way to arrest there way out of this the insurance is not helping cutting people off there meds are just making it worse
You are right. Incredibly, throwing millions of disabled chronic pain patients under the bus has done nothing to stem the tide of the opioid epidemic. Which is in fact a crisis of IV street drug addiction and the illicit Fentanyl coming in from over the borders.
Their hysterical campaign never really considered the ramifications of denying pain medications to those who are otherwise crippled by pain. They have ripped Chronic pain patients, disabled and in frail health to begin with, off the meds that helped them enjoy some sort of life and mobility.
The Lunatic Fringe response to street drugs has been a classic case of barking up the wrong tree. They have caused millions of human beings to suffer, twisting in the wind while these good doctors try to dream up new ways to treat pain. Other pain patients have died from pain related illnesses, but who cares. Seems their lives matter not at all to the Temperance Leaguers. Nor do the suicides of pain patients who finally could no longer endure the agony that healthy "Spartan types" dictated that they live in.
Meanwhile, more people are dying from street drugs than ever before.
These anti-pain med zealots are monsters and idiots. Don't listen to them.
Subliminal messages for pain relief is a novel idea.
Didn't work with popcorn in theaters so why now? Tech is no better!
I thought you were being a conspiracy theorist for a second saying this video was full of them. Glad I looked at your comment again. It would be interesting to see the effects
Cancer/Pain patients fighting to live are being lumped together with those seeking to checkout and this complete disconnect is causing pain patients to have medication reduced that eventually leads towards suicidal issues and creating further issues that could be avoided. Politicians are incapable of solutions and these social crisis will lead towards collapse if we don’t get a grip of this insanity and apply sustainable solutions that scale accordingly!
What are pain neutrons?
They are the nerves that carry pain signals to and from your brain, I believe.
Wait no that's a neuron, neutron is something with no charge so I have no idea what a 'pain neutron' could be
@@megan5445 Megan, u know how dumb ppl are. could u pls delete ur 1st answer and maybe the 2nd one and restate it just so ur answer is very clear as u are correct. thanks for ur attention to detail! Cheers
Most of this has nothing to do with pain management.
Just about addiction.
Don't confuse addiction with physical dependency...totally different
Doctors don’t want to treat pain, and unfortunately there are people who do suffer from chronic pain. Moreover, there are not any better alternatives than analgesics.
Health and Wellness coaching is proven to help. Would you like the research article on that?
if they did it right and took care of patients the way they should ,things would be different. this woman talking about the us being the highest known country with opioid addiction. the drugs like fetynol is something regular ppl are making themselves and ppl are dying and addicted to it cause it's the ppl making it not Dr's. things were ok and better and it's such a contradiction. now Dr's are not wanting to give pain medication due to this problem and ppl who are addicts. they need to drug test patients and if a patient gets caught doing cocaine 5 times, you don't keep giving them meds, you get them help and take them off these meds. they didn't do that, they continued giving the meds and they blame us who truly suffer and won't treat us. they really need to start with themselves and nip it in the bud. I watched 2 ppl get the medication before me and I was turned away?! why cause, she was mad at the dr? yes! it's horrible how I was treated and how I suffer and I watched the drug addicted walk in and out with pain management medication who had no problems. I'm fighting and I'm not going to give up cause until this stops, ppl will suffer and take another way put like suicide because they can't handle this pain. I will find away to have my voice heard and teach these Dr's or so called Dr's how to fix and watch ppl who are addicted and who are not! I was so sad hearing someone took their own life because he couldn't get help and they said nothing?! they're going about this so wrong and it's real and I watched it happen right in front of my face. what is it about me who is honest, versus the person who's lying?!! it angers me to my core! I will not stop not being heard! it's my life and I want a quality of life! this woman who talks about fetynol so much doesn't talk about it coming from the streets ands it's killing ppl. it's not the drs giving all this fetynol, start with the truth and fetynol wasn't given out in this way that it killed ppl and created a problem! it was the ppl who did it and made it with to much fetynol and ppl were dying of overdoses. why bring up the us and all that if you won't talk about what is happening here and who's truly suffering? God I'm so angry.😢
Teach the alternatives to narcotics...so there is a meaning to pain management profession
@@Override.Health I have tried health and wellness, but chronic pain is not solved with one approach. However, narcotics are a significant part of that solution...they others help after the meds are prescribed. Every case is different, but...if the pain is bad...the more relevant the meds will be. Whereas, if a veteran has light pain...some other modalities might work by themselves.
I have a question why Pain Dr's prescrive Suboxone to treat chronic pain when this medication is deasign to treat opioid addiction is not for chronic pain also is not appoved by FDA to threat chronic pain, People with addiction problem don't have chronic pain, this medication contains oppioid and oppioid blocker it dosen't work and is very $$$?
I would suggest that there is some information that shows it somehow helps. there are other medications that providers discovered had a slight effect on chronic pain...so they use it along with narcotics.
They lodged ledges a though my body
You're only interested in drugs. Fine. We've taken the meds, we still hurt like hell.
how about controlling pain by quantumn healing ?
3-6-9😊
Pseudoscience
The minute humanity can leash quantum computing, we'll get right on it! Otherwise, it's psuedoscience!
47,000 deaths opioid related (2018) a year is not an epidemic. 450,000 deaths from tobacco and 250,000+ deaths annually from medical malpractice truly is an epidemic. Not to mention the obesity epidemic!
Hear Hear!
Look up cocain, meth, ciggerettes, and deaths from alcohol related deaths idiots! This is all a smokescreen for our ridiculous president and his crack smoking son but he did not get into any trouble? Maybe bc he and his dementia ridden dad in bed with China, opened the border, and the Chinese have sold very very dangerous fentynal that you have to where a haz mat suit. Not an opoid crisis..... That's called chemical warfare! Unbelievable
Drs are afraid to prescribe opoids so people who can't afford insurance? Who suffer chronic pain, you are sending them out to the streets and they get one toxic fentynal and die,, even people who try to give cpr die. Again look at the stats of the deaths from cigarettes, alchol related deaths. What a crock
100,000 deaths 3 years after this video was made. main culprit? profit, systemically and self serving stupidity at the individual institutional level and recklessness and laziness at the family & individual level. "right now our budget looks very promising" @ 47:30 , she says this about solving the problem, right before it explodes in its damaging death count. shows you how people will lie to an audience, and to themselves.
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
If you don’t have pain yourself, you have no business controlling the rules of prescribing pain medicine. Anyone who says otherwise, should be given the conditions of their patients to be forced to have empathy.. doctors would squeal like baby rats being fed to reptiles.
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
Quackology
I wont watch any more of these because as a chronic pain patient with a dying daughter unable to get pain relief, I have done my reseach and found the 2016 guidelines are based on rat studies, corrupt doctors and the lure of millions to be made by doctors as 'expert witnesses' whether pain is their speciality or not.Its all about money. Us pain patients are dying world wide, in Australia, Canada, UK and USA. It is medical malpractice worth a class action by all us pain patients, in memory of all who have overdosed or suicided when left without what works...opiates. Let all these clever doctors go for a year in chronic and acute pain and lets see the result. Thats a medical study I would love to see as their ignorance is astounding.Unlike addicts, we did not choose these drugs, we take them responsibly for pain.The CDC is killing us, without care.
The best for server chronic pain is opioid sorry is a facts got diabetes nerve pain n bulge disc desease 4 in my back n 2 in my neck to control that crazy pain is opioid is crazy but facts is the only think that work being opioid for 15 years I just take a little bit n my pain be gone n make me feel good I have no choice I had tried everything in the book nothing will work rather than opioid I know they dengerios well I only take half of bupronorphine naloxone that really work for my back I be 3 day without taking no more opioid film it work for me just haft of suboxone naloxone that why God put those plant so we human don't suffer but other people use it to get hight is a shame what they did to me way lady we got two different opioid we got prescription opioid n we got street opioid y'all don't know that n blame the prescription opioid 15 years with this pain I'm lucky I'm still alive I buy my med under ground they work cus I use it when that server chronic pain kick in my serve chronic back pain n neck pain n diabetes nerve pain only bupronorphine is the only think that control my pain
You are 100% correct.