Guest guest Posted March 5, 2012 Report Share Posted March 5, 2012 Steve wrote: > > > my main point is a risk assessment must be considered between > treatment that works versus the treatments with an increased > likelihood of failure. > I agree, at some point risk assessment and failure risk may be a reason to choose pain management instead of other treatments. There are other reason too. Treatments, especially esophagectomy may not be timely, or affordable and pain may decrease in time if one is willing to wait and chance that it does. > Typically opioids prescribed for chronic pain do not cause cognitive > impairment, physical or mental damage. > I don't like the way they make me feel but I don't even like the feeling I get from alcohol. I like the taste of drinks but I do not like the feeling, not even a little. I do support pain management for those that need it and I may need it some day whether I like the idea or not. > > Unlike you mention, doctors are not as willing to treat chronic pain > as they do other chronic conditions. > Some are vary unwilling. My, at the time, nearly 90 years old grand mother was bed ridden and suffering greatly because her spine was crumbling and damaging her spinal nerves. Her doctor didn't want to give her opioids because she could have gotten addicted. I know, some doctors are idiots when it comes to pain management and addiction. There are those that are not idiots though. They do have the DEA to deal with and they have to be careful so they can justify what they do and that means sometimes they are too careful. There are some good ones out there. Achalasia is a special problem though. There isn't a lot of data showing how bad or common the pain can be and often doctors will not believe achalasia is bad enough to need strong meds. Some ER doctors have been known to be very difficult to deal with. I don't know what to do about it though. We can beat a drum in the support group and make people mad by telling stories of pain neglected by doctors but what do we accomplish. We can support those that are dealing with the pain and try to help them hang on. Is there anything we can do about the doctors though? I don't see it, but I am open to suggestions. notan Quote Link to comment Share on other sites More sharing options...
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