Prayer helps even when you don’t believe in God – so many are afraid


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They say prayer helps. All traditions teach that. So many are afraid. Just because you don’t believe in a god doesn’t mean you cannot pray. Words have power. A great rishi from a realm where there are no gods taught that.

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There is pain over the election and pain from many losses, physical and emotional. Unimaginable events are occurring in the world, so many things so rapidly changing.

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Why are people so afraid? The answer is that they have made themselves helpless and dependent on others. We are so lazy, we do not want to do anything ourselves. We want a Personal God, a Savior or a Prophet to do everything for us.

 

Vivekananda

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A great spiritual teacher, beloved at the Hollywood Vedanta Society until his death in 1976, advised this:

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“Remember, if you have problems, if your mind is upset – it’s neither this nor that; it is that your mind is not in the Lord.”

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God has many names: the Lord, the Absolute, the Infinite, the Great Spirit, some feel it as intense consciousness, existence, bliss without having words to name it.

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“Try different ways of keeping your mind in the Lord. When you go to bed, think you are prostrating at the feet of  Mother. Or think of Mother in your heart. Or think of the Lord seated on the Lotus. New ways will come to you. Are you struggling? That is the point.”

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A Light to the West, The Life and Teachings of Swami Prabhavananda, Page 169.

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I especially like his teachings in the last few chapters. Vedanta embraces all paths and teaches four methods to realize the One. There is mainly one difference from Buddhism: Vedanta teaches you have a soul; Buddhism does not. That applies to the path of Jnana yoga; the three other paths worship God through devotion, meditation or work. Saint Lawrence felt closer to God in the kitchen than in the Chapel. The Great Spirit is omnipresent.

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Even those in the realm of the absolute teach prayer. They exist in the realm where there is no god, only Absolute consciousness, existence, bliss. You are not different than that. You cannot divide infinite or separate from consciousness or existence. You are That. It is omnipresent. Right here, right now, everywhere.

There is power in the word. The sacred word. Pray from the heart, located on the right side of chest.

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The Sioux Indians, enjoined by other tribes, Veterans, and volunteers are opposing the militarized police, to stop the Dakota pipeline. They are praying on our behalf to ask help from the Infinite, to teach us all on the planet that everything is sacred, the sacred Earth, sacred Fire, sacred Water.

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I am told the pipeline will go under the Missouri and Mississippi Rivers. Imagine what could happen.

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They are praying to raise our understanding that everything is sacred. That God is all that is.

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They were told today their supplies will be cut off. Neil Young asked the president for help.

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May we feel the Holy Presence in the sacred Earth, sacred Fire, Sacred Water and keep it pure.

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Here are teachings that  never fail:

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First, believe in the world—that there is meaning behind everything.

 

Don’t look back—forward, infinite energy, infinite enthusiasm, infinite daring, and infinite patience—then alone can great deeds be accomplished.

 

This is the first lesson to learn: be determined not to curse anything outside, not to lay the blame upon anyone outside, but stand up, lay the blame on yourself. You will find that is always true. Get hold of yourself.

 

Tell the truth boldly, whether it hurts or not. Never pander to weakness. If truth is too much for intelligent people and sweeps them away, let them go; the sooner the better.

 

This life is a hard fact; work your way through it boldly, though it may be adamantine; no matter, the soul is stronger.

 

This I have seen in life—those who are overcautious about themselves fall into dangers at every step; those who are afraid of losing honor and respect, get only disgrace; and those who are always afraid of loss, always lose.

 

“Face the brutes.” That is a lesson for all life—face the terrible, face it boldly. Like the monkeys, the hardships of life fall back when we cease to flee before them.

 

Those who work at a thing heart and soul not only achieve success in it but through their absorption in that they also realize the supreme truth—Brahman. Those who work at a thing with their whole heart receive help from God.

 

I, for one, thoroughly believe that no power in the universe can withhold from anyone anything they really deserve.

 

 The whole secret of existence is to have no fear. Never fear what will become of you, depend on no one. Only the moment you reject all help are you free.

 

Fear is death, fear is sin, fear is hell, fear is unrighteousness, fear is wrong life. All the negative thoughts and ideas that are in the world have proceeded from this evil spirit of fear.

 

Why are people so afraid? The answer is that they have made themselves helpless and dependent on others. We are so lazy, we do not want to do anything ourselves. We want a Personal God, a Savior or a Prophet to do everything for us.

 

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Words of Vivekanada

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I am falling behind on so many important new publications but no time to write on these pages. It’s time to pray. I hope it’s not too late.

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Pray for all who are suffering. The Earth is alive too.

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The material on this site is for informational purposes only.
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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

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This site is not for email and not for appointments.

If you wish an appointment, please telephone the office to schedule.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please ignore the ads below. They are not from me.

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Marijuana: Adverse Effects on Vascular System – Heart Attacks, Strokes, TIA’s, Peripheral Vascular Effects


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Studies were recently published on the lifesaving value of cannabis, marijuana. For many intractable conditions, it may be all that works.

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Yet cannabis, if it is mentioned at all in medical conferences, is treated like a novelty by physician lecturers who may retell its colorful history while largely ignoring its serious potential for harm as well as its remarkable potential for relief so little known to doctors in the Western world.

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Of foremost concern is the vascular system where we do not yet know the function of cannabinoid receptors. For example, in a search a few years ago, I found the youngest person who died after use of cannabis was a healthy 17 year old boy.

 

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Fortunately, this recent publication is available as a PDF:

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Adverse Cardiovascular, Cerebrovascular, and Peripheral Vascular Effects of Marijuana Inhalation: What Cardiologists Need to Know (pdf)

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by Grace Thomas, MD, Robert A. Kloner, MD, and Shereif Rezkalla, MD

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Published by the American Journal of Cardiology 2014 by cardiologists from Marshfield Clinic Wisconsin, Good Samaritan Hospital and University of Southern California in Los Angeles.

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“Marijuana is the most widely used illicit drug, with approximately 200 million users worldwide…. Temporal associations between marijuana use and serious adverse events, including myocardial infarction, sudden cardiac death, cardiomyopathy, stroke, transient ischemic attack, and cannabis arteritis have been described. In conclusion, the potential for increased use of marijuana in the changing legal landscape suggests the need for the community to intensify research regarding the safety of marijuana use and for cardiologists to maintain an awareness of the potential for adverse effects.”

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Am J Cardiol 2014;113:187e190

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More research is needed.

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We have more cannabinoid receptors in our body than any other type. The plant has 400 chemicals, of which there are 86 known cannabinoids such as THC and CBD, and there are 100 or 200 terpenes that have medicinal value. It can be inhaled (smoked or vaporized), swallowed or used topically. Mechanism of action primarily involves the immune system – one of the endogenous cannabinoids in the brain is made and reabsorbed by the microglia that is the mast cell of the brain. But we don’t have a clue what all those cannabinoid receptors are doing in bone.

 

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The material on this site is for informational purposes only.
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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~
This site is not for email and not for appointments.

If you wish an appointment, please telephone the office to schedule.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please ignore the ads below. They are not from me.

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Medical Marijuana – Open Letter to Jeff Sessions, Nominee for Attorney General


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My patients with serious intractable health issues would be unable to function without the use of medical marijuana. They are deeply concerned that the nominee for next Attorney General may act against legalization thus eliminating their own personal gains made using this plant for medical purposes. I have recently posted studies from Science November 4 that report significant drop in prescription medications for pain, nausea and sleep, and lives saved from opioid overdose, in states where medical marijuana has been legal.

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Many others view marijuana as important for recreational use, nontoxic and healthier than alcohol or drugs, allowing deep relaxation and joy.

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Therefore in support of an effective marijuana policy, from HelloMD is an open letter to Senator Jeff Sessions, nominated to become our next Attorney General.

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HelloMD is the leading digital healthcare platform for the cannabis industry. It is the largest community of patients using medical marijuana for health & wellness in the country.

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Dear Senator Sessions,

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Congratulations on your nomination for Attorney General. As the nations’ most senior law enforcement official, you have a big job ahead of you.

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When it comes to marijuana, the fact is that previous administrations have left you with a pickle of a problem. One that has put millions of Americans and about half the state’s laws out of sync with the policies of the federal government, and the law of the land.
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As Attorney General, you will oversee the DEA. You won’t need any assistance in destroying the medical cannabis industry if you so choose. The laws are in place and the resources lined up for you already. You simply need to unleash the DEA and they will go about arresting and charging people from California, to Oregon, to Colorado and in 25 other states. Federal law breakers all of them, and so easy to find since they are doing business openly, even paying taxes on their illegal activities. Can you believe that?
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Let’s review what some of the consequences of DEA action might be:
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  • Destroying the cannabis industry would be hugely unpopular, likely generating widespread protests across the country. 89% of Americans now support the use of cannabis for medical purposes with a small majority (54%) supporting complete legalization. Young people in particular would feel very passionate about this issue causing further disenchantment with the new Trump administration.
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  • Prosecution would drive thousands of (otherwise law abiding) business people underground, where they would once again sell on the black market.
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  • People who rely on cannabis would once again be meeting dealers in cars, in their homes and on street corners. Associated petty crime would flourish with all this new illegal activity.
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  • Millions of people with anxiety, PTSD, migraines, chronic pain, insomnia and about 18 other medical conditions would find it much harder to get the products that they have come to rely on over the past few years. There are millions with serious medical conditions, including children with epilepsy and seizure disorders, that depend on medical marijuana.
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  • Fewer people would use to cannabis get off opioids and end their opioid addiction. This is currently one of the biggest health issues in America.
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  • Tax revenue for schools, drug treatment programs, education, law enforcement, medical research and lots of other programs would dwindle.
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  • Growers would continue growing, but doing so once again out of sight. Their products would no longer be tested for pesticides or harmful chemicals putting people at risk.
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  • Thousands of businesses owners would close their doors, lay off their employees and stop paying taxes.
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  • People would still use marijuana, just as they have done for thousands of years.
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  • All of this would be hugely unpopular within the electorate, at a time when the Trump administration desperately needs to unite the country around its agenda.

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Mr. Sessions, I know that you are no fan of marijuana, but let me propose a way that you might navigate this huckleberry, while remaining true to your core beliefs as a conservative, as well as showing support for the ‘jobs first’ agenda of our new President.

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  1. State publicly, even though you don’t support the marijuana movement, that you strongly believe in the conservative principles of states’ rights and federalism, and therefore marijuana policy should be up to the states to decide. The federal government has no business involving itself in this issue.
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  2. Instruct the DEA to continue following the Cole Memo which said that the federal government should not expend its resources pursuing people that are observing state and local laws.
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  3. Recognize that more than 60 percent of Americans now live in states where voters have approved either medical marijuana, recreational marijuana, or both. Allowing states to get further out of alignment with the federal government is problematic. To solve this problem once and for all, simply instruct the DEA to remove marijuana from the list of controlled substances, where it can be regulated and taxed like alcohol or tobacco (two far more harmful substances).
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  4. Recognize that cannabis is the fastest growing industry in the US, and with $100B industry forecast by 2029, it’s a massive job creator (something every conservative should be able to get behind).

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Mr. Sessions, if you have any remaining doubts, have your people give me a call. I would be happy to connect you with tens of thousands of everyday Americans, who are finding incredible relief for their serious medical issues, by using a harmless weed that grows just about anywhere. I would also be happy to put you in touch with countless medical professionals who have advised these patients, and are equally convinced of the healing benefits of medical cannabis.

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At HelloMD, we see this first-hand every day of the week. I know things look different in Alabama, but perhaps you should pay a visit to California?

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Your Sincerely,

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Mark Hadfield

 

 

 

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The material on this site is for informational purposes only.
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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~
This site is not for email and not for appointments.

If you wish an appointment, please telephone the office to schedule.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please ignore the ads below. They are not from me.

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Medical Marijuana Proven to Save Lives, Science Issue on Pain, November 4, 2016


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The entire issue is devoted to Pain 

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From “Pot and Pain” page 566:

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Analyzing Medicare drug prescription data from 2010 to 2015 in states where medical marijuana is legal, David and Ashley Bradford at University of Georgia in Athens found significant differences in prescription of medications for anxiety and nausea. “But one condition stood out from the rest: ‘The effect for pain was 3 to 4 times larger than all of the others.'”

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“In medical marijuana states, each physician prescribed 1826 fewer doses of conventional pain medicines each year.” The reduction in pain prescriptions is even more dramatic in the younger Medicare Group.  [presumably disabled by pain]

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Marcus Buchhuber, previously at the Veterans Affairs Medical Center in Philadelphia, examined death certificates in all 50 states between 1999 and 2010. In states that permitted marijuana, there were nearly 25% fewer deaths from opioid drug overdose.

In 2010 alone, “that translated into 1729 fewer deaths” from overdose. And the effects grew stronger in the 5 to 6 years after medical marijuana was approved.

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Further information on Marijuana here.

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The material on this site is for informational purposes only.
.
It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~
This site is not for email and not for appointments.

If you wish an appointment, please telephone the office to schedule.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please ignore the ads below. They are not from me.

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Medication Summary for Intractable Pain, CRPS/RSD


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  Medication Summary for

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Intractable Pain, CRPS/RSD

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I spoke only briefly this morning at the RSDSA conference but there is so much to add. Most importantly, thanks to RSDSA for helping so many people with CRPS. They fund pain research, they are starting a free children’s camp, and now offer physicians one hour free CME teaching about CRPS.

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Holistic view, 36 points – that’s how I view caring for brain and nerves, very similar to the details used by UCLA Alzheimers Research Unit. In June 2015, I posted on their work on memory loss, dementia. We know chronic pain means inflammation in the brain, excess of proinflammatory cytokines. CT scans show memory loss and brain atrophy in those with chronic low back pain.  Can this inflammation lead to Alzheimers? Even if it doesn’t, why not maximize what we know we can do to help brain. As I view it, simply be meticulously detailed in giving the central nervous system (CNS) the best chance to relieve or prevent pain or disease.

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Below is a brief list.

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To find detail and sometimes depth, check the alphabetical lists on either side column until you see the category or tag when I first posted on that. Or simply plow through 7.5 years of detail with references. You do the work to check the side columns as I have no time to embed links below, taken from throughout this site.

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For now just a list of medication players that may be strikingly important in trying to bring intractable pain into remission even after 20 years. Yes, even chronic for decades.

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The list applies to intractable pain of all causes. I omitted listing standard interdisciplinary approaches commonly used by every pain specialist around the world. My patients have failed all those.

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Some patients with CRPS combine my medications with ketamine infusions.

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For those who remain on opioids, ultra low dose naltrexone (10 to 60 mcg three times daily) can significantly reduce pain, reduce opioid induced hyperalgesia, reduce windup, and thus reduce the dose of opioid needed to give improved relief.

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Opioids cause pain and trigger pro-inflammatory cytokines that create more pain.

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I strongly recommend slowly, gently tapering off opioid, and remaining off for 3 weeks before the following is trialed:

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 1. Vitamin D is anti-inflammatory. Important. Helps pain, depression. If bone loss is an issue, you will not absorb calcium from food if D is low. Mayo Clinic’s publication in 2012 showed more morphine is needed for pain if D is low. Huge literature of its benefit for depression. First topic I posted on – it is that important.

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2. Vitamin B6 can cause burning pain from scalp to toe, a toxic neuropathy. It can be toxic to brain. It is loaded in tons of soft drinks, “energy” drinks, supplements.

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3. MTHFR mutation may be present. Body cannot process  the B12 and folic acid you are eating or taking in supplement. A simple blood test, costly. Treatment is as simple as buying methyl folate and methyl B12 – no prescription needed. Folic acid in particular is profoundly important for one of the major energy cycles in the body. Can cause multiple conditions, some fatal, all from one single cause.

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4. Minocycline 100 mg/day is the dose I use but higher doses could be given. It is used daily for decades for acne. I may prevent spread of CRPS if given before surgery, dental work, even minor procedures. I start 24 hrs before, and continue for days after full recovery from surgery.

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5. Testosterone  in either male or female is depleted by opioids, it may be depleted by stress. Low T is a risk for depression, weakness and osteoporosis.

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6. Naltrexone low dose (LDN) – profoundly important. A glial modulator. Lifelong use.

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7. Dextromethorphan – reduces hyperexcitable glutamate

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8. Oxytocin

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9. Memantine – double the Alzheimers dose for CRPS. Like ketamine, it blocks the NMDA receptor.

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10. Lamotrigine

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11. Palmitoylethanolamide (PEA, PeaPure) a glial modulator, also acts on mast cells. A food supplement. No Rx. Your body makes it. Plants make it. Capsules & cream

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12. Ketamine via nasal spray, under tongue combined with IV or not, works on glutamate-NMDA receptor. Not an essential drug. Where ketamine has stopped working, patients have become pain free after years of CRPS.

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13. Creams combinations, so many

most of my CRPS pts very much like   Mg++/guai  10% each.

You may or may not trial various combinations lido/keto/keta, etc. Numerous. DMSO 50%.

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14. Medical Marijuana (CBD, THC, terpenes) Marijuana saves lives. Entire issue of Science, November 4, 2016, devoted to pain.

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NAC and alpha lipoic acid are noted by research from the Netherlands.

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Appendicitis

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If it has not burst, treat it like the infection that it is. Surgery may never be needed. I posted details of publications early 2016 with a case report. That young man was being rolled into the OR, instead was discharged 100% better without surgery 2 days later.
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Medications target 3 main systems

as discussed at the conference

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The opioid receptor – opioids create pain. They trigger glia to produce pro-inflammatory cytokines. Opioid induced hyperalgesia may occur. Cannot be used with low dose naltrexone.

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The glutamate NMDA receptor – ketamine, memantine

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Glia, the innate immune system – glial modulators

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Before they see me, my patients have failed all prior therapies even ketamine coma. I view it like football. You have one guy running down the field with one ball. Do you want to win the game? You’ve dealt with this for years. Let’s not prolong it. Hit it with my main choice of meds all at once. Jump on it. What if you get 10% relief – will you even notice 10% after many years of severe pain? But if you get 10% from each of 5 meds, then you are talking 50% relief as a start. Address those 3 main pain systems – even without ketamine – and I have posted a case report after 20 years and 3 suicide attempts before seeing me, she has been pain free for about 4 years as I recall. A surgeon nicked her sciatic nerve when she was 27. Two years ago, pain free, running on her treadmill, she twisted her ankle. She has permanent foot drop from the sciatic nerve injury, but even spraining her ankle did not flare her CRPS. Twenty years of CRPS, pain free for about 4 years. And ultimately, years ago, she was tapered off all the drugs with one exception: LDN lifelong.

 

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Most importantly, I did not have time to relay a very special message from my patient in Brooklyn:

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.Surround yourself with friends and family who love you.

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.Never give up hope.

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She had her first 2 or 3 pain free days this week, as she slowly increases doses of medication. She’s not yet at maximal effect and even then there can be increases. Sending love and courage.

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MOVEMENT

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Watch this on the RSDSA video, afternoon speakers, the parents of young ones who had RSD discussed today all the toys and games they had to devise to slowly force yourself to move through the pain, every single day, several times a day, all day, begin to move the body as much as you can. Set goals and slowly, at a pace you set, do the work. Make progress. Go forward. Keep moving. Do whatever you can to keep moving.

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RSD support groups are essential and I am glad to see the RSDSA list of so many throughout the country.

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There is so much more. Indeed, at least 36 points discussed on June 2015.

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The material on this site is for informational purposes only.
.
It is not legal for me to provide medical advice without an examination.

.
It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~
This site is not for email and not for appointments.

If you wish an appointment, please telephone the office to schedule.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

.

Please ignore the ads below. They are not from me.

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