Blog
The Pain Pump
The pain pump is an implantable device consisting of a reservoir and a pump attached to a catheter. The catheter is threaded into the spinal canal, and the pump implanted beneath the skin in the flank. The reservoir is filled by hypodermic needle with the opiate of choice. In theory, if not always in practice, the pain killing drug from the reservoir infuses a spinal canal blocking pain receptors and thereby relieving pain.
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Pain and the Bipolar Spectrum
There is increasing recognition that obsessive-compulsive disorder (OCD), attention deficit disorder (ADD), narcolepsy and bipolarity and bipolar disorder are linked, commonly with chronic pain. This linkage is identified as the Bipolar Spectrum.
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Tourette's Syndrome, Attention Deficiency, Obsessive-Compulsive Disorder, Chronic Pain, and Opiate Therapy.
Tourette's Syndrome is characterized by repetitive tic-like movements of the face and sometimes the extremities with uncontrolled vocal utterances like yelps or barkings. It is often attended by obsessive-compulsive disorder (OCD). That disorder is a part of the bipolar spectrum and, therfore, Tourette's and OCD is often comorbid with attention deficiency (ADD), bipolar disorder, and chronic pain.
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Opiate Therapy for Attention Deficit (ADD) and Obsessive Compulsive Disorder (OCD)
A young man who had been injured with the fracture to his right ankle and later to his hand continued to be chronically painful.
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Treating the Alcoholic with Opiates
It is widely accepted among pain physicians that a prior history of drug, on alcohol abuse, does not preclude the administration of opiates for the relief of pain. That is to say that past indiscretions do not demand that a patient should not be offered opiates for the relief of pain.
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Timeline on the Opiate Cure
It was in 2006 that I first witnessed the opiate cure, which is the control of bipolar disorder with opiates. In this blog I want to give you a timeline of the acceptance of this idea by physicians, particularly pain doctors, those who prescribe opiates liberally.
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Change in Disposition
A forty five year old woman with severe ankle and foot pain following several fractures was referred by her orthopedist to me. She had a many year history of depression and was under psychiatric care taking the drugs Prozac and Welbutrin.
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Protecting the Patient
I am increasingly attracted to the idea that we could diminish drug abuse by prescribing more opiates, by giving our patients the quantity that they request for relief of their pain.
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Angry in the morning
A patient asked if I would see her husband who suffered from fibromyalgia. Her greater concern, however, was his anger and hatefulness. Their marriage, she told me, was in jeopardy.
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Sexual Abuse and Chronic Pain
At least 50% of my female patients and a lesser number of males with chronic pain have suffered childhood sexual abuse. Many other patients, male and female, have experienced physical or verbal abuse in their youth
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Dilaudid,Bipolarity, and Pain
In my writings, I have often commented on the mood stabilizing effects of opiates administered to the painful bipolar.
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Nocturia,Pain, and the Bipolar Spectrum
I have written about the occurence of nocturia ( frequent awakenings to void)in the painful.A recent patient reminded me of the phenomenon.
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chronic fatigue and vivid dreams
I have long believed that chronic fatigue and chronic pain were kindred diseases, perhaps reverse sides of the same coin.
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methadone again
My experience in the use of methadone in the treatment of bipolar disease and pain extends over nearly three years now. I have learned a lot and witnessed some remarkable and surprising outcomes outcomes
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methadone again
My experience in the use of methadone in the treatment of bipolar disease and pain extends over nearly three years now. I have learned a lot and witnessed some remarkable and surprising outcomes outcomes
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