[M]y beloved paternal grandmother died in 1992 after about two years' illness. At one point the doctor at her nursing home refused to renew her Darvon prescription because, "she appears to be developing an addiction." My parents both lost it, culminating in my 6'5" father explaining, in his loudest voice, that "it doesn't fucking bloody goddamn matter if an 87 year old woman gets addicted. It does matter that she not be in pain."
If you thing [sic] it is your right to any type of professional or commercial service you are out or [sic] your mind [because in so doing] you [would be] making slaves of those people that provide these services.
Regarding control of acute and chronic pain, I am all for it and much closer to the issue than you could believe [ed: really? I'm not sure how "close to the issue" you'd have to be before it would be reasonable to expect your audience to be incapable of believing you to be that close]. However, I would never consider it my "right." I do expect the medical system to have pathways for patients with pain to be treated if they can pay for it and it is medically appropriate.
The recommendation by Brennan et al. (1) that failure to alleviate pain "is negligent, a breach of human rights and professional misconduct" might well lead to increased morbidity and mortality, as well as more frequent medical legal conflicts for physicians and health care facilities.
In reviewing the critical outcomes related to the use of opioids in the management of chronic noncancer pain, Eriksen et al. (6) recently concluded that long-term use of these compounds in the treatment of noncancer pain failed to improve the patients pain relief, quality of life or functional capacity. A recent study by Chu et al. (7) suggested that opioid tolerance and hyperalgesia develop within one month of initiating therapy with oral morphine in patients with chronic pain. Even short-term use of potent opioid compounds for acute pain can produce clinically significant hyperalgesia (8–10).
« Older The numbers are classified, the dollars are classi... | Real Dolls and the men who lov... Newer »
This thread has been archived and is closed to new comments
Buy a Shirt