Tag Archives: opioids

Fairly Decent Article On ‘PAIN’ In The January 2020 Issue Of ‘National Geographic’.

by Anura Guruge


Click to ENLARGE. January 2020 issue.


Click to ENLARGE.

The 2 most salient points made in the article.


I have covered this same ground in my book.

Click for more details.


Click to ENLARGE.

Just two relevant pages from my book.


This article is worth it JUST for this one CRITICAL message — said twice:

“Pain — in such cases — becomes the disease.”

“Their pain is not a symptom; it is a disease — one caused by a malfunctioning nervous system”.


That malfunctioning of the nervous system is ‘Central Pain Syndrome‘ (CPS) — the topic of my book.

So, I am delighted that this article HIGHLIGHTS this very crucial aspect of chronic pain — where pain itself is the disease.


The other key message in this article is that pain is felt (i.e., perceived), tolerated and handled by each person in a different way.

Some folks deal with pain better than others. Some can modulate their pain.

This is another topic dear to I. I talk about this in my ‘Central Pain’ book as well as in my books about ‘Brain Meditation’. Yes, you can teach yourself to handle pain — and do so better than others.


As is inevitable with all ‘National Geographic‘ articles there is a lot of ‘fluff’, ‘futures’ & ‘gratuitous color’. But, the key messages make up for that.

The author, who appears Indian, pussyfoots, shamelessly, around the opioid issue. Touches upon it multiple times BUT avoids taking the issue to its conclusion. NatG does not want to offend anyone!

The article also is way too generous when it comes to doctors. Again it tries not to offend anyone. So many doctors have NO CLUE when it comes to pain. I really do mean that. They are completely clueless.

But, if you can SKIM through this article. If nothing else you should learn that ‘pain can be THE disease — not just a symptom’.

Happy Holidays.


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by Anura Guruge


 

Quadricep Tendon Tear Knee Surgery: Day 4 — Negligible Pain Throughout!

by Anura Guruge


Click to ENLARGE and admire. You can see the staples above the white dressing.


Click image to access must read post.


I had my quadriceps tendon repair surgery,
at ‘
Frisbie Memorial Hospital‘ —
performed by Dr. Charles Blitzer
of ‘Seacoast Orthopedics
on Thursday, March 7, 2019.

Today, as such, is the 4th full-day, post surgery.


There is, touch wood, very little pain — as yet.

I hope it continues to be the case. It sure would be nice and a welcome relief.

The whole surgery experience, so far, has really been near miraculous. I am in total awe.

Yes, no question, the knee hurts, like billy-o if it bends (or moves). But, I am NOT supposed to bend it.

When I keep it straight and immobile, I have had little pain. I truly lucked out. Just hoping that pain does not suddenly engulf me and I am doing everything I can to make sure that I don’t end up with ‘Central Pain Syndrome‘ (CPS) six-months down the road. Right now I am hopeful. That I haven’t had major pain to drive my central nervous system (CNS) nuts will definitely stand me in good stead. IF I end up with CPS — I will rue the day.

I just cannot tell you how effective that ice therapy with the ‘ice pump’ is. I am convinced that it is what has helped me so much. I have it on about 16-hours a day. It is on now, set to 42°F, as I write.


All I have taken for medication so far is 325mg Tylenol and Aleve.

I have, so far, not needed any narcotics. I have two bottles, 60 pills, of opioids, one from ER and the other from the surgeon, unused. I hope this continues to be the case.

The nerve block was also amazing. It ran out Saturday night — right on schedule. They said 48-hours and it probably lasted about 54. Definitely felt some pain when it was gone. That is when I started taking Aleve.

Day 1 (Friday) — I took 7 Tylenols, much of it because I felt feverish.

Day 2 (Saturday) — 6 Tylenols during the day + 2 Aleves, late at night, after the nerve block was removed.

Day 3 (Sunday) — 6 Tylenols during the day + 2 Aleves at night.

Day 4 (Monday) — 1 Aleve so far and it is 5:30pm.

As far as I am concerned that is pretty amazing. Right now I feel no knee! It is pretty frozen — but don’t worry, I am not going to get frostbite.


Appears I am the lucky beneficiary of all of the concerted effort going into preventing the prescription of opioids.

Both the nerve block & ice machine blurbs tell doctors how they can be used instead of opioids. I am all in favor.

Seeing the surgeon tomorrow. Keeping fingers crossed.

So, just wanted to share with you in case, alas, knee surgery is to figure in your future. Based on my experience it might not be as painful as you might dread.

Well, I am still keeping fingers crossed. Pain is a funny ol’ thing. Don’t trust it — as far as I can throw it.


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by Anura Guruge

Knee Surgery In 2019 — Near Miraculous!

by Anura Guruge


The Two Pumps.

The nerve block pump is in the black ball-shaped bag
— hanging down.


The inputs to the ice cooler around the knee.



The Nerve Block Pump.


Post Surgery Ice Cooler.


Click to access post.


I had my quadriceps tendon repair surgery, yesterday, at ‘Frisbie Memorial Hospital‘ — performed by Dr. Charles Blitzer of ‘Seacoast Orthopedics‘.

So, far, so good. Actually pretty blinking bloody amazing (though my use of ‘bloody’ is kind of ironic since there is just a minimum of blood that I can see)!

Nearly 24-hours later NO PAIN. Maybe a slight twinge, but no pain per se.

Have not taken taken any of the opioids they gave me as yet — and that is consistent with the v. precise instructions I got.

First Tylenol, then Aleve and if that doesn’t work opioids. I am cool with that.

But, I am well and truly bionic. I have two pumps attached to I as well as my trusty DonJoy X-Act ROM knee brace (which fully immobilizes the damaged knee).

One is a Nerve Block catheter attached high up on my left hip. I knew about that.

They kind of semi-knocked me out before inserting that. I had been told about that too. Did not expect them to be using an ultrasound unit to locate the vein. Pretty cool. The staff at Frisbie were pretty amazing and the anesthesiologist was very cool. I have been told that the Nerve Block should work for about 48-hours. Maybe longer. It is a ‘balloon’. When it is totally deflated I am supposed to pull out the catheter. That might be interesting.

What I was not expecting was the ice cooler pump for my knee. That is so COOL and that is not a pun.

Never knew they existed. As the ads for it say (when I went and checked them out yesterday night) they sure beat a bag of frozen peas or traditional ice packs.

Between the two pumps I am doing ‘OK’.

Can’t put any weight on the leg and it is weak.

We live in a 4-story house with 3-staircases. I have to go up & down the staircases on my bum. I had not realized how weak my shoulders were. I guess I don’t exercise them enough. But, they are sure getting a workout now and I am ASHAMED to admit that I have to take a break when climbing up the stairs with my shoulders. For someone who averaged 56 floors a day, climbing stairs was a pleasure. It is now embarrassing! When I am better I may split my floor climbing — some by foot, other by shoulders.


Dr. Charles Blitzer who performed the surgery is said to be outstanding. I met him fleetingly prior to surgery and when I was recovering. Both times I was under the influence. He seems very nice and had the air of quiet confidence. I had read about him and liked what I read.

This is what caught my eye: “Dr. Blitzer has been recognized for his humanitarian work as he regularly travels abroad to provide orthopedic services to the disadvantaged in the developing world”. Anybody who has that mentality and commitment has to be pretty decent. I liked that.

I will meet him properly next Tuesday. Looking forward to that.


So, far, 24-hours into this all I have taken is three 325mg Tylenol. And that was because I felt feverish.

That is my story for now.

Yes, it could all turn on a dime. I am not totally stupid as I repeatedly point out. Just partially stupid. I know I am not out of the woods. When the Nerve Block wears off I could be in significant pain.

I hope I didn’t bore you too much.


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by Anura Guruge

Effectiveness Of Opioids On Chronic Pain Again Questioned By ‘American Medical Association’ (AMA) Study.

by Anura Guruge


Click image to access original.


Click image to access original.


The actual AMA study as published in JAMA —
Journal of the AMA.

Click image to access original.


BIG study — involved clinical trials of 26,169 patients! That is a boatload.

So, you can’t accuse this of not having been based on enough actual data.

Essentially it was condensing of data gathered in 96 separate trails. Hence the claim “Meta-Analysis”.


The findings here are consistent with what the AMA reported back in March 2018.

Click image to access my post.


It is also very much inline with what I discovered when I wrote my “Central Pain” (e.g., Fibromyalgia) book last year.

If you are still NOT convinced read the AMA report & my book.

It is worth finding out. It can save you a lot of pain … down the road.


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by Anura Guruge


 

Shock Horror! CNN Discovers That Doctors Get Rich Prescribing Opioids! Wow. Fancy That.

by Anura Guruge


From CNN.


Does CNN really think we are that stupid.

We all know that doctors AND NURSES make a killing prescribing opioids.

This has not been a good weekend for CNN. Their Pope series was not very good.

And then this.

What is the exclusivity here. Nothing new here. Fake news.


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by Anura Guruge


 

‘American Medical Association’ (AMA) Study On The Effectiveness Of Opioids On Chronic Back Pain — USELESS!

by Anura Guruge


The Google News Headlines
March 9, 2018.

Click to ENLARGE. Check Google News or Google “JAMA opioids”.


From the ACTUAL Journal of the American Medical Association (JAMA). Click to ENLARGE and read here. Image below provides access to the FULL JAMA article and abstract.


Click this image to access the original JAMA article in the March 2018 issue in full or as an abstract.


Totally POINTLESS!

Waste of time & money.

This is NOT going to make a BLIND bit of difference.

There is way, way, way TOO MUCH money in opioids for the pharma companies, the doctors (AND NURSES) that write prescriptions and for the other drug dealers. It is like everything else. Money talks.

This report will NOT convince a single doctor, patient or addict. They are all into this hook, like and bloody sinker.

This report actually made me angry because of its impotence.

It is like guns, the NRA and the politicians. Where are the opioid control laws? Just talk. Just chatter.

Common sense does NOT prevail. Money talks.

So, pathetic.


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by Anura Guruge