Category: Pain

Rx abuse

Rx abuse: We largely rely upon subjective assessments of pain. “How much does it hurt on a 1 to 10 scale?” I have always been surprised that a patient will tell me that his pain is a 9 while calmly sitting there (and yes, affect is not the barometer of suffering but it is an …

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Harm

Harm:  There may be an unwritten policy to disallow “psychic” claims. The term “psychic”, by definition, means phenomena that are inexplicable by natural laws or relating to the soul or mind. Applying that term to the psychological aftermath of injury has always seemed inapplicable and inappropriate to what is clinically occurring to those in pain. …

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Candidate

Candidate: “When it became mandated that all patients seeking implant trial (whether pump or stimulator) be psychologically evaluated, I was pleased yet surprised. Pleased that there was an awareness that each patient has different psychological capacity to tolerate an implant trial. And I was surprised that anyone noticed that this was true. Between the pain …

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Persistent

Persistent & Severe: “There are some terms that continue despite their not being accurate descriptors. A “cold” or a “stomach ache” or “a sore back” are such terms. They tell us little about either the source or the extent of the discomfort and suffering. Chronic pain is such a term. We are familiar with pain, and …

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Co-Morbid

Co-Morbid Patients who are taking prescribed narcotics for their chronic pain are exposed to a system in which the following is true: a. Time spent with the patient is specifically targeted at the site of the pain and not the person who has the pain. b. Although drug testing can determine if the patient is …

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financial

Financial

Financial Advisor I have a patient who was injured >2 years ago. Despite three surgeries, she has not recovered sufficiently …
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recovering

Recovering

Recovering or Retribution We are a retaliatory species, and if someone causes harm to us, or to someone about whom we care, …
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abuse

Rx abuse

Rx abuse: We largely rely upon subjective assessments of pain. “How much does it hurt on a 1 to 10 scale?” I …
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