All Journal Entries Journals
Sort By:  

You might want to read this.....

Apr 28, 2010 - 0 comments
Tags:

urine

,

test

,

challenge

,

test result

,

read this



If you have failed a urine test, take a look at this article on trace elements (morphine) found in mouse urine:

http://www.nature.com/news/2010/100426/full/news.2010.202.html

Of course, humans are not mice, but the study could be the basis for any challenge you might level against erroneous urine test results!

Chronic Pain Kills

Apr 13, 2010 - 0 comments
Tags:

Death

,

Chronic Pain

,

Severe Chronic Pain

,

inadequate pain control




I haven't posted in a bit, mainly because I need to make hay while the barometric pressure is on my side. When I can make it through the day substituting in a classroom, I have no energy, or pain relief, left to sit at my computer.

I found a great bit of information today, though, and had to share it.

If you have been denied treatment. left in pain and couldn't find a good argument to convince your doctor to be more aggressive, a 10 year study may be your next best avenue for scaring your doctor into doing something:

http://updates.pain-topics.org/2010/04/severe-chronic-pain-is-killer-study.html

Take a Look!
__________________________________________________________________________________

Thursday, April 8, 2010
Severe Chronic Pain is a Killer – Study Finds
Briefly Noted:

Previous research has demonstrated a clearly negative influence of chronic pain on health. Now, a new study portrays a profound link between severe chronic pain and death; inflicting nearly a 70% greater mortality risk than even cardiovascular disease.

In 1996 a large cohort of 6,940 persons was recruited by researchers at the University of Aberdeen, UK, and information collected about chronic pain status, general health, and sociodemographic details [Torrance, et al. 2010]. Followup 10 years later linked these data with routinely collected national data for death registration. A total of 5,858 (84%) individuals from the original cohort were linked, including 1,557 (27%) who had died. The researchers found a significant association between chronic pain and all-cause mortality. Particularly troublesome was severe chronic pain — survival among persons with this condition was significantly worse than among those reporting mild or no chronic pain. Even after adjusting for various confounding sociodemographic factors and effects of long-term illness, patients with severe chronic pain had a 49% greater risk of death compared with all-cause mortality and a 68% greater risk of death compared with all cardiovascular-disease-related deaths.

COMMENT: The negative impact of severe chronic pain on survival discovered by this research is dramatic and concerning; especially when considering the recent brouhaha about purportedly high risks associated with analgesic agents, particularly opioids. In an objective risk-benefit analysis, it would appear from this study that the increased mortality risks associated with untreated or inadequately treated chronic pain could pose a greater threat than any hazards potentially associated with pain-relieving medication therapies. In brief — and this is admittedly a strong way of putting it — any restrictions on access to effective therapies for severe chronic pain might be tantamount to fostering premature death in the afflicted patients. *As always, reader comments are welcomed.*

REFERENCE: Torrance N, Elliott AM, Lee AJ, Smith BH. Severe chronic pain is associated with increased 10 year mortality. A cohort record linkage study. Eur J Pain. 2010(Apr);14(4):380-386 [abstract here].
Posted by SB. Leavitt, MA, PhD at 5:27 PM

The original abstract is here:
http://www.europeanjournalpain.com/article/S1090-3801%2809%2900155-4/abstract

Enjoy!

Intricacies

Mar 24, 2010 - 0 comments
Tags:

Pain

,

cervical

,

MRI

,

stenosis

,

Neck



I finally sat down and typed up my last MRI report, had to type because I have no scanner, and am amazed how everything on the MRI could be boiled down to "minor arthritic changes. Check this out:

Findings: straightening and reversal of the cervical lordosis.

C2-C3: Posterior disk bulging along with marginal osteophytes somewhat asymmetric to the right.This results in moderate spinal canal compromise and mild right neural foraminal encroachment.

C3-C4: Shallow central disc protrusion. Mild spinal canal compromise is present without significant encroachment identified.

C4-C5: Disk bulging is present along with marginal osteophytes. Moderate spinal canal compromise is felt to be present along with mild bilateral neural foraminal encroachment.

C5-C6: Posterior disk bulging and marginal osteophytes asymmetric to the left with degenerative changes in the joins of Luschka. There is felt to be moderate spinal canal stenosis and moderate left neural foraminal encroachment.

C6-C7: Posterior disk bulging and marginal osteophytes with asymmetric degenerative changes in the left joint of Luschka. There is moderate spinal canal compromise and moderately severe left neural foraminal encroachment.

Craniocervical junction is unremarkable.

OK!

Now, how many vertebrae are in our necks? This makes me laugh and cringe at the same time.

It also makes me think that physical therapy might have been the wrong place for Kaiser to start treating me, years ago, BEFORE they took the time to do the first MRI or xray. I've been in pain since 1986, they did the first medical imagery of my neck in...now get his...2006. I went through physical therapy 5 times before someone decided to take a closer look.

Would this make you a little nervous?

LOL!



Frosty Weather

Feb 22, 2010 - 0 comments
Tags:

weather

,

meds

,

pressure

,

changes



It is now 21 degrees outside and I can only have the heat turned up to about 65 without breaking the bank. I have my heating pad on my chair, a permanent fixture during the winter, and a throw on my lap. Meds are working "ok", meaning I'm not quite writhing but I sure can't concentrate.

Does anyone else have trouble concentrating when, even with pain meds on board, the weather is challenging? I've even noticed concentration failing me when the barometric pressure changes but the temperature remains about freezing.

Is it just me?