Pain Infomation

After a bit of a break, I really haven't. This is a toe in the water on some really new stuff...

"Take a few days off"... . Doesn't quite work that way. So I'm into week two, and I talk a little bit about processes of acute pain at this stage, and how we get through the day. Acute pain rarely becomes chronic pain, and that's what we're going to be thinking about here. However, acute pain happens chronically and chronic pain happens acutely. What do I mean by that? Take a listen... .

There are two types of pain, acute pain, and chronic pain- in the broad sense. We can break them down, but there is acute pain, and chronic pain that finds us with our story today. Acute pain happens chronically, and chronic pain happens acutely. We are going to walk through both of these processes, and I will chronicle them real-time. Question. Who is the worst patient? Answer. A physician. Who is the second worst patient. A physician. Well, here we are, a day-to-day portrayal of a traumatic fracture to yours truly, at the proximal head of the humerus, and the adventures that lay ahead. Probably “adventure” is a horrible word, as I’m sure we shall see. I'm going to let you know how we do as a family. That's of course my immediate family, my patient family, dear employees, and those that are affected around the very active individual whom has great difficulty pondering " doc,take it easy"(me). I have responsibilities, to my patients and the community, so I'm going to figure this out. Physician heal thyself. Actually, it takes a team. I am going to be compliant and follow my doctor's orders. We’ll talk it up as we go through the next few weeks, and I'm sure it will be interesting…..

Well. there is a difference. This is one of the most common questions, and problems in the clinic. Let's talk about it.

The famous Dr. Welby works his therapeutic magic with amytrptilline...

'Bout right. A new class of bioactive drugs are right around the corner... CBD, Krato, Kava, D8, D10. Yikes!!

Each day pain finds a way to be challenging to all involved. Some glimpses at decision making -real life. The chronic migraine, the medications, the processes, doing the most with the stuff we have....

Basically, there is more than one way to get the relief from pain you need, and deserve. I am quizzed daily about my thoughts about options and alternatives. A brief tour of a few- always open to options....

The Greek God of dreams is Morpheus, which morphed to Morphine. Morphine is the standard which others are compared, and World Health Organization essential agent. A potent opioid, it is a workhorse throughout the World for pain management.C'mon, take a quick tour of this important pain control strategy that millions use each year for relief...

Codeine is known worldwide for its versatility, and availability. An important option for pain, but it does have its misunderstood side, and those quircks...Podcast in a car!

Hydrocodone is a very popular, readily available opioid pain medication....really a big deal in the States. Oxycodone, Hydrocodone, the 2 big hitters in the acute and chronic pain arena, most of us will see these in our lifetime- friends, family, Us! Nice to know a bit about these readily available and useful tools for pain management.

Let’s start with Oxy, a favorite. Good, no, a great drug for mid to awful pain. Pitfalls, the why, the need, all there. So why revisit it? Because 2020 happened, and Oxycodone needs attention….

Season 6 Number 13

A pain and addiction management provider addresses real patients, their presentation, decision making and what transpired. Real life events. Real clinic. It's what we see and do....

Central nervous system drug delivery pumps, what they are, and you must know about them.... A world leading expert, Dr. Schultz

Why am I talking fibro. Because it tells a tale that affects us all. We may be testing markers regularly in the future, like we obtain routine blood work. Wouldn't it be ironic if fibro validated commonality in the world of pain, while remaining a silent diagnosis for so long....

Brief tour of my take on support groups. Enter with caution, but many are worthwhile. Pain has a lonely world around it, and the insecurities are abundant. Validation of your situation drops the anxiety. Low dose Naltrexone is discussed- the science makes sense.

Chronic pain from any source is often misunderstood and undertreated. The more you know, the more you know, for yourself or loved ones.

Pain is a subject that is much bespoken, often characterized, poorly presented, and a confusion waiting to happen. It's invisible, and everybody has an opinion. Here's some science.

Pain, addiction, depression (PAD) shares a common denominator and is all about the experience of everyday life for millions of souls. Understanding is part of healing. Here is a bit of that.

The Neuroscience of brain inflammation sure seems to fit the fibro model. Glial cells have a story to tell.

Beginning a series on the diagnosis and treatment of fibromyalgia and widespread pain….

The medical world has changed…and fast. A popular topic, opioids takes a twist…what’s a prodrug?

Finishing up a 3 part series about geriatric pain. A necessary discussion because no one talks about it. Only, astonishingly, 1% of the literature directly reviews this stuff. Guess what... it's the largest population of hurting out there.

The good problem to have is an aging body- the alternative is not so good. This series discusses the complexities of the aging body, pain, and the myths that people encounter about geriatric pain. I believe that a well informed patient that understand their own skin lives a happier and more productive life.....

Let's talk about a nice problem to have...ageing. Really. The alternative is, well, you know. Aging and the aches and pains of life is a real subject,full of subtle variances and treatment needs. Cautions, reassurance, a necessary discussion....

We have 3 crisis- Pain, Opioid, Virus. How will you get and respond to your pain control needs. A start to understanding where and how.....

Talking about the new world... How we approach the daily challenges of access to care, and taking care of you. Where there is adversity, there is advantage.....

Live a life without fear- it's always something.....

This is a podcast from the car. Of course, ending at Publix. Oxytocin, oxycodone, CBD, Autism? Let's see where this goes.....

Podcast from a car. This med has potential for tough pain control states, and may be one of the few drugs with a high risk/reward relationship at a reasonable cost..... check it out

Returning from a great ASIPP/Kentucky/Ohio meeting, I felt the need to talk about CBD. You know, it's everywhere. What does it do, how it works, does it work...Let's talk about it. This is a good start - a primer, on the way home from the airport.

Incredible opportunity to talk with history that saw it. He lived it, endured it.

Dr. Jordan, a renowned Neurologist and rearcher talks exosomes, exciting chemotherapy, and the future of important research. I'm really lucky to have him on- I know you'll enjoy this....

I'll scratch at the surface of the new Stimulater technology, and talk about Ponce de Lion....

Depression is a common, oh so common, malady. It is understandable, treatable, real. Let's tak a look....

A primer on drug stuff. Getting you all ready for the heavy metabolism talk you MUST know. It's not the drug you take, it's where the drug takes you.

Title says enough.

Driving back from a multispecialty conference, I had to shout out to the fibro folks