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lets discuss pain -accident pain - 3/18/2008 3:36:42 PM

pahunkboy

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http://news.yahoo.com/s/nm/20080318/hl_nm/pain_trauma_dc;_ylt=AtLl48wMq1iNOmeYSANRInBa24cA.

how can they be surprised by this study. they conclude not enough is known to deal with it.
i recall some --well- grilling where a dr wanted to know what type of pain. one cant alwsys know if it is sharp or dull or even if it is in the proper side of the body!

they teach pain patients not to exaggerate the 1-10 measure of- pain.

what are your thoughts?

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RE: lets discuss pain -accident pain - 3/18/2008 3:42:53 PM

christine1

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my daughter deals with kidney stones several times a year and when they ask her to rate the pain on a scale of 1-10 she always says a 10 and i believe her. i haven't had that pain before but seeing her writhe and cry and beg for mercy kills me. any medical professional who doesn't take her pain seriously deals with momma bear. the only thing that really helps her is morphine. it's not quite the same as what the article is talking about, but pain is pain and i think a lot of times docs and nurses become numb to what patients might be going through.

< Message edited by christine1 -- 3/18/2008 3:44:04 PM >

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RE: lets discuss pain -accident pain - 3/18/2008 3:49:26 PM

camille65

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I am so very lucky to have a doctor who understands pain and the fact that I need help with it. My pain level/tolerance is all out of whack and it was several years before finding the combo that worked.Somehow I managed to deal with gallstones for just over a year.. until my gallbladder actually blew up ( ew ew ew gross!! ) while I was at home, yet a blister on my foot can be sheer agony.Weirdness.

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RE: lets discuss pain -accident pain - 3/18/2008 5:38:14 PM

Lockit

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Pain has been under treated for a very long time and with most in the medical community and certain legal issues and confusion on addiction verses dependency, it will continue to be under treated.

Many choose to end the pain. The physical, the emotional and the attacks and accusations of a cold medical community that thinks too often the pain client is just a drug addict. Again, they don't care as long as they aren't being looked at and reviewed in what they are prescribing. It's a cycle that isn't going to be broken soon enough for many.

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RE: lets discuss pain -accident pain - 3/18/2008 5:43:30 PM

DesFIP

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And even more frightening, is that the government actively seeks to prosecute doctors who specialize in pain management. Mant doctors won't take on patients with chronic pain because they may lose their licenses.

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RE: lets discuss pain -accident pain - 3/18/2008 6:09:42 PM

petdave

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quote:

ORIGINAL: DesFIP

And even more frightening, is that the government actively seeks to prosecute doctors who specialize in pain management. Mant doctors won't take on patients with chronic pain because they may lose their licenses.

Somewhere along the line, our beloved .gov, that nurtures and protects us, decided it would be the absolute end of the fucking world if people could get effective pain relief without jumping through a million hoops. i can only guess that it started out with the AMA lobbyists making sure their boys got the appropriate pound of flesh for people's sickness, and then some dumbass zeolot ended up in charge and it got detoured into the bizarre cluster-fuck that it is today. Either that, or you strap on the ol' tinfoil hat and decide that it's all part of a conspiracy to make people understand that life is suffering, so there's nothing they can do but go to the jobs they hate, give all the proceeds to their betters, and shut the fuck up. There's just no other way to go.

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RE: lets discuss pain -accident pain - 3/18/2008 6:57:38 PM

SirRober

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quote:

ORIGINAL: pahunkboy

they teach pain patients not to exaggerate the 1-10 measure of- pain.

what are your thoughts?

I think that a 1-10 scale to measure is as inaccurate as can be.

many people have higher pain tolerances well above average. I for one fit in that catogorey. on new years I just about cut off my finger..... went to the ER and was asked the same question... so I countered with a my rating or a normal persons rating..... the nurse didn't belive my normal persons rating untill I took off the towel holding in the blood and squirted her in the scrubs from 5ft away.....

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RE: lets discuss pain -accident pain - 3/18/2008 7:10:50 PM

ownedgirlie

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For some levity...my favorite comedian talks about describing pain on the 1-10 scale:

Part 1 (getting to the emergency room):
http://www.youtube.com/watch?v=k9m2FLHlEwA&feature=related

Part 2 (describing pain on the pain scale - funniest):
http://www.youtube.com/watch?v=UM-HWkbnDfg&feature=related

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RE: lets discuss pain -accident pain - 3/19/2008 11:36:51 AM

Lockit

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After reading the original question, I realize I didn't answer it.

For me, most of the time I am asked to use the number scale to explain my pain, it is in an ER. I have found that the medical training, the doctor or PA I am seeing has their own communication style and then add my own and you have a mix that doesn't always mix. If more took you at your word and didn't assume that the patient was looking for a high and didn't want to cover their own tail end, they would communicate better with me. Instead I am judged before I even open my mouth. I would be happy if they didn't just believe me, but instead looked at my medical records and saw that there was a reason for the pain! Or looked online to see what my rare illness is and tried to understand it before they labled me a liar because there is no such illness. I would say that one in twenty might do these things.

I didn't create the number system they use. I didn't teach them that patients were more likely to lie or misunderstand their pain. I didn't fail to remark on the fact that should be mentioned in medical schools that pain changes and that sometimes the pain is so bad that one cannot tell the difference between the stab and the throb and that they are often times trying to ignore the pain to handle it and yet by the time they cannot do so, they can't tell wth it is doing because it is so all consuming.

Until someone has known such pain and frustration of communicating it to one who actually would rather not hear it because it means they have to do something about it, going to an unsafe place for them because they must prescribe a narcotic or ignore someone's pain, we who suffer will depend on the luck of the draw. So I hope most in the medical community feel that pain so that they can at least look into the eyes of one in pain and see the pain there from their own experience and then hope they have a heart.

Besides all this... what does the pain scale of 1-10 tell of sharp, stabbing or throb?

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RE: lets discuss pain -accident pain - 3/19/2008 12:09:04 PM

boytoy4female

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Havent you ever noticed that your memory of an intense bdsm experience does not have the full intensity? My theory, as a doctor of nothing except an indepth long term analysis of my own mind is;
memories are like mp3 files. Some of the excess is trimmed off for storage. Therefore, though you may have had a 10 pain rating before, you don't have an accurate memory file to compare it against.

Or maybe its like over-reving your car. It doesnt matter how far over the red line you go, your car just knows you over rev'ed again

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RE: lets discuss pain -accident pain - 3/19/2008 12:24:53 PM

Hippiekinkster

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quote:

ORIGINAL: SirRober

quote:

ORIGINAL: pahunkboy

they teach pain patients not to exaggerate the 1-10 measure of- pain.

what are your thoughts?

I think that a 1-10 scale to measure is as inaccurate as can be.

many people have higher pain tolerances well above average. I for one fit in that catogorey. on new years I just about cut off my finger..... went to the ER and was asked the same question... so I countered with a my rating or a normal persons rating..... the nurse didn't belive my normal persons rating untill I took off the towel holding in the blood and squirted her in the scrubs from 5ft away.....

I find it difficult to assign a number as well. It's an arbitrary number which is not quantifiable. My 4 could be another person's 10. My 10 I have only experienced a few times, one of which I pissed myself it was so bad.

I'm lucky in that I have a pain specialist who is compassionate, and who understands that it's not a single, simple number, but is the trend over time. He's not afraid to prescribe, either.

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RE: lets discuss pain -accident pain - 3/19/2008 12:38:39 PM

Hippiekinkster

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quote:

ORIGINAL: ownedgirlie

For some levity...my favorite comedian talks about describing pain on the 1-10 scale:

Part 1 (getting to the emergency room):
http://www.youtube.com/watch?v=k9m2FLHlEwA&feature=related

Part 2 (describing pain on the pain scale - funniest):
http://www.youtube.com/watch?v=UM-HWkbnDfg&feature=related

Hahahaha that's some funny stuff. So true, too!

Morphine just makes me talk a lot. Last time I had it, back in September, I barely felt it. Just a little wave, that's all. But then, I'm not opioid naive.

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RE: lets discuss pain -accident pain - 3/19/2008 1:28:05 PM

PanthersMom

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the injury heals and the pain persists? well duh! if there's nerve damage, that may or may not heal over time. if it doesn't heal, those nerves will continue to report warped signals to the brain, which may or may not be interpreted as pain signals. i deal with neuropathy every day, it can be a bitch. the degenerative disease i have that's destroying the bones and joints in my feet and ankles presents a different pain sensation, something i have found young residents have a hard time understanding at first. pain is one word we use to describe a multitude of sensations. medical science needs to catch up with the concept that the same person can experience many painful but different sensations at the same time, some even in the same area, and start teaching these kids we call doctors better than "a scale of 1 to 10".

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RE: lets discuss pain -accident pain - 3/19/2008 3:13:12 PM

pahunkboy

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one such dr visit- i asked them what the level needs to be. upon knowing that- i then chose my answere.

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