Anger


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Anger at the failure of our medical system to support research and treatment of pain, anger at failure of the few currently available analgesics, anger at lack of interest or funding from Pharma – it requires at least $10,000,000 more to finish one important human treatment before submitting to FDA – that’s just one study. Pharma does not care, the price is peanuts to them. At one point, a company bought it, intending only to bury it. They do that for rheumatology treatments too, both the innate immune system and the adaptive immune system are being ignored. What could be more powerful than the immune system?

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Anger

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Anger at the failure of most medical organizations to discuss cannabis, medical marijuana. Training in cannabis is imperative.

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I am thrilled that Scripps Memorial Hospital Grand rounds in 10 days is a one hour lecture by the doctor who is head of HelloMD, national leaders in physician approval for medical marijuana, and in education.

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Anger at the destruction of the field of pain management. I posted on this two days ago, top left column. Anger at the greed in the medical system where pharma can buy whatever they want by sprinkling money at congress who will never ever ever do anything about the unholy prices of drugs. Certain elements in power will never stop trampling on the poor and the disabled. They will never treat the addicts. There is no will, they are paid off and nobody wants to help the disabled, the unwell, the poor. Not in  the U.S. Voters do not want to hear it.

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Anger says step back, surrender.

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There is nothing anyone can do. The swamp is exhausting, dirty, dangerous and black.

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I have tried 7-1/2 years to introduce a new paradigm. At various lifetimes in medicine, I have had funding, sat on boards of companies, and panels at FDA. I have witnessed the destruction of what it once was 43 years ago when I entered practice. A long and tortured history, but still the most exciting thing in the world is medicine, science. So what? They shut off the field of pain and are killing it. The world is the world. Always was, always will be. Lust and greed, says the sage. You cannot uncurl the curly tail of a pig, says the sage. Always was, always will be. Do your duty. You cannot escape it. But surrender to love.

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Surrender. Do what you can and surrender the results to the Infinite.

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Read these books:

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Dying to Get High, Marijuana as Medicine

by Wendy Chapkis and Richard J. Webb

NYU Press 2008

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From back leaf:

“How can a substance that is no mystery to half of all adults in the United States prompt such confusion and misrepresentation in the realms of law, medicine, and policy?…. Offering nuance in place of slogans, Dying to Get High tells an inspiring story of the tactics and philosophies of a little-understood health movement.”

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“A beautifully written account from the front lines of the struggle between a federal drug war complex determined to keep demonizing marijuana and the growing movement of patients and doctors who have found marijuana to be a valuable medicine.”

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“….. Provides a human element to the history, pharmacology, psychology, and politics of medical marijuana in a way that no other work has. I loved reading it.”

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Heroin Century

by Tom Carnwath and Ian Smith

Routledge Press, London

2002

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This is an extremely important, amazingly interesting, readable book for everyone.

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From back cover:

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Is heroin really dangerous? Or Is it just dangerous because it is illegal?

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Page-one 93,

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“The income of the drug barons is an annual $254 thousand million dollars, greater than the American defense budget.”

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Read this book. A page turner! Exciting! fast paced, awesome! mind boggling!

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And just because you might flash some anger to propel you to actually do something, don’t get stuck there. Be at peace. Work hard. Use your expertise. Surrender to the Infinite.

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While you are thinking about it, tell Congress to make pain management a mandatory course in more than the current 3% of medical schools, less then 30 hours in 4 years. Fund research and treatment of neuropathic pain such as CRPS, Complex Regional Pain Syndrome because it can be so disabling – the same neuropathic pain can occur from strokes. Don’t we deserve better? Not even cancer pain is taught, let alone grade schoolers who should be taught about the body, about addiction, drugs, sex. Teach all that opioids cause pain because they trigger inflammation in the immune system and that stimulates pain. The more opioid you give, the more the pain. Teach about the brain’s pleasure centers and addiction, how drugs and food and cigarettes work there and how addiction kills.

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Have a wonderful life all of you. There’s a lot of work to take up. You will meet great people. Can’t wait to see what a little anger will do.

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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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Comments are welcome.

This site is not for email, not for medical questions, and not for appointments.

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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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7 Responses to “Anger”

  1. Rick Says:

    Thank you kindly for your professional support of pain patients. Very bold and yet profoundly disheartening.

    I do strongly disagree that opioids ’cause’ pain. For some of us whom have tried all else, …

    Opioids are the only substances which even touch the refractory pain in full body CRPS. I also, have visceral abdomen and low back pain which weed and gabapentin can’t even ‘scratch!’

    Rick
    CRPS
    Arachnoiditis
    MCTD

    • Nancy Sajben MD Says:

      It would be helpful to have research funding to show more of the science. There is a great deal of work already on this, but human research would be very helpful, difficult and expensive. I have seen patients who are profoundly better after tapering off, but can we predict improvement, how do they differ from others such as yourself who benefit, and who would volunteer for a trial? Remember, opioids reduce anxiety and they relieve pain. If pain is reduced 2 to 4 points, is that the relief of anxiety or is that the analgesic effect? Is your pain severe or mild? Which opioid works best? not all are the same.

      The U.S. prescribes 80% of the world’s supply of opioids. In 1991, we were not even among the top ten countries treating cancer pain, and no opioids for chronic pain – none.

    • Nancy Sajben MD Says:

      Gabapentin – the NNT, the number needed to treat before one person feels a response is 7, i.e. 6 of 7 have no response.

      Sadly, cannabis has failed to help most of my pain patients who tried many strains. But it can help deep muscle spasm like nothing else, and Indica strain helps sleep. Many other uses such as nausea. It is anti-inflammatory, relieves pro-inflammatory cytokines in the CNS – opioids trigger pro-inflammatory cytokines in CNS and that increases pain. No dispute. Good science.

  2. Rick Says:

    Had to choose between violent night seizure and brutal visceral ibs pain and mmj over opies for my arms, legs and spine.

    Cdc won’t let me do both. ANGER😤

    Do you have any working knowledge on lsd and its ability to reset the fight or flight?


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