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NPR Best Book of 2019 A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal—a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic. Travis Rieder’s terrifying journey down the rabbit hole of opioid dependence began with a motorcycle accident in 2015. Enduring half a dozen surgeries, the drugs he received were both miraculous and essential to his recovery. But his most profound suffering came several months later when he went into acute opioid withdrawal while following his physician’s orders. Over the course of four excruciating weeks, Rieder learned what it means to be “dope sick”—the physical and mental agony caused by opioid dependence. Clueless how to manage his opioid taper, Travis’s doctors suggested he go back on the drugs and try again later. Yet returning to pills out of fear of withdrawal is one route to full-blown addiction. Instead, Rieder continued the painful process of weaning himself. Rieder’s experience exposes a dark secret of American pain management: a healthcare system so conflicted about opioids, and so inept at managing them, that the crisis currently facing us is both unsurprising and inevitable. As he recounts his story, Rieder provides a fascinating look at the history of these drugs first invented in the 1800s, changing attitudes about pain management over the following decades, and the implementation of the pain scale at the beginning of the twenty-first century. He explores both the science of addiction and the systemic and cultural barriers we must overcome if we are to address the problem effectively in the contemporary American healthcare system. In Pain is not only a gripping personal account of dependence, but a groundbreaking exploration of the intractable causes of America’s opioid problem and their implications for resolving the crisis. Rieder makes clear that the opioid crisis exists against a backdrop of real, debilitating pain—and that anyone can fall victim to this epidemic.
Pain is the most frequent cause of disability in America. And pain specialists estimate that as many as thirty to sixty million Americans suffer from chronic pain. Chronic pain is a complex phenomenon—often extremely difficult to treat, and surprisingly difficult to define. Just as medical literature in general neglects the experience of illness, so the clinical literature on pain neglects the experience of pain. "Camp Pain" takes an approach different from most studies of chronic pain, which are typically written from a medical or social perspective. Based on a year's fieldwork in a pain treatment center, this book focuses on patients' perspectives—on their experiences of pain, what these experiences mean to them, and how this meaning is socially constructed. Jackson explores the psychological burden imposed on many sufferers when they are judged not to have "real" pain, and by harsh moral judgments that sufferers are weak, malingering, or responsible in some way for their pain. Jackson also looks at the ways in which severe pain erodes and destroys personal identity, studying in particular the role of language. While keeping her focus on patients' experiences, Jackson explores Western concepts of disease, health, mind, and body; assumptions about cause and effect; and notions of shame, guilt, and stigma. "Camp Pain" does not attempt to resolve the uncertainties and misperceptions associated with pain but rather aims at enhancing our understanding of the wider implications of chronic pain by focusing on the sufferers themselves.
Dr. John E. Sarno's groundbreaking research on TMS (Tension Myoneural Syndrome) reveals how stress and other psychological factors can cause back pain-and how you can be pain free without drugs, exercise, or surgery. Dr. Sarno's program has helped thousands of patients find relief from chronic back conditions. In this New York Times bestseller, Dr. Sarno teaches you how to identify stress and other psychological factors that cause back pain and demonstrates how to heal yourself--without drugs, surgery or exercise. Find out: Why self-motivated and successful people are prone to Tension Myoneural Syndrome (TMS) How anxiety and repressed anger trigger muscle spasms How people condition themselves to accept back pain as inevitable With case histories and the results of in-depth mind-body research, Dr. Sarno reveals how you can recognize the emotional roots of your TMS and sever the connections between mental and physical pain...and start recovering from back pain today.
Your traumatic past may just be the fuel you need to soar!In Baked in Pain, Amanda takes readers through the emotional roller-coaster, which was her life growing up in apartheid South Africa. A product of abandonment and rejection, she goes very deep in narrating the abuse she suffered as a child and the negative scripts that were fed to her over the years. She further explores, supported with research the way these messages can be internalised and become the truth. She flips the lid on what is expected of victims of abuse and challenges the notion of "once abused always abused" as she reflects on her own life as a mother, wife and an internationally celebrated business woman. What would happen when Amanda finally summonses the courage to break free from her old life, in search of a relationship with her mother and a brighter future? Would she find what she's looking for? Amanda's candid recollections bare her soul, the deep faith and courage that carried her from her earliest days as a young child to her current life. It is an applaudable universal story. In a time where all forms of abuse remain rife, this book provides incredible inspiration and lessons that will motivate the reader to use their traumatic past as the fuel they need to soar and live a life filled with purpose and to be of service to others.Buy your copy of Baked in Pain today!
This book serves as a practical resource for pain medicine providers. It presents important clinical concepts while covering critical pain medicine fundamentals. Chapters were carefully chosen to cover common aspects of clinical pain medicine and also follow a common format to facilitate quick look-up. Each chapter includes a concise discussion of the latest supporting evidence as well as relevant case scenarios. The coverage is clinically and board relevant, evidence-based and up-to-date. It will appeal to residents preparing for the written board examination and practitioners preparing for board re-certification, which now occurs every 10 years. Beyond these groups, the book has the potential to appeal to learners and practitioners around the world; pain medicine is burgeoning globally, and there is great need for concise, clinically relevant resources.
Covers virtually every aspect of pain. More than 125 leading minds in the field document all of the very latest knowledge about the neurophysiology, psychology, and assessment of every type of pain syndrome, and describe today's full range of pharmacologic, surgical, electrostimulative, physiotherapeutic, and psychological management options. This revised edition covers all aspects of the physiology, psychology, assessment, and management of pain.
Based on the gold-standard nondrug, nonsurgical Wise-Anderson Protocol for treating chronic pelvic pain, A Headache in the Pelvis is the definitive resource for anyone suffering from pelvic pain. Pelvic pain afflicts millions of men and women and goes by many names, including pelvic floor dysfunction and prostatitis. David Wise, Ph.D., searched for relief for his pelvic pain for more than 20 years. After researching medical journals and performing outside-the-box self-experimentation, he found a way to resolve his symptoms. He then joined forces with Stanford urologist Dr. Rodney Anderson in the mid-1990s, and together they treated patients and did research on what is now called the Wise-Anderson Protocol. Often incorrectly diagnosed, debilitating, and disruptive, pelvic pain is correlated with psychological distress. Using a holistic treatment integrating physical therapy and meditative relaxation, this book guides you through understanding your pain, why conventional treatments haven't worked, and describes the details of the physical and behavioral protocol that can help to heal the painful pelvic floor. At last, this life-changing protocol offers hope and help to lead a pain-free life.
Diagnose and treat your patients confidently with Fundamentals of Pain Medicine. This comprehensive new resource addresses the concerns you face when treating your patients with acute and chronic pain. Chapters present the key pain management options available today along with expert advice and insight into overcoming diagnostic and therapeutic obstacles, including prescribing medications and avoiding opioid abuse. In addition to interventional and non-interventional treatments, multidisciplinary approaches such as physical therapy, complementary therapy, and chiropractic treatment are presented. Fundamentals of Pain Medicine is an essential guide for any healthcare professional seeking to improve the quality of pain treatments and patients’ comfort. Features: eBook with searchable text, accessible image bank, and patient education materials Illustrations accompanying text with numerous images and boxed elements Numerous case examples and most common treatments, relevant and applicable to everyday clinical use Step-by-step instruction on office-based procedures