Category: Pain

Patient Care or Patient Dumping

After surgery, patients complain of chronic pain. They are kept on narcotics, and there are no measures available. THey are then referred to one of several pain clinics. This is a major concern. If the referral to a pain clinic is meant to be a discharge of the patient, it is not interpreted that way. …

Read more

Dire Consequences of Oxycontin

Ideally, you know what kind of pill you are giving the patient, but do you know what kind of patient is taking the pill? It is erroneous and dangerous to assume that because a patient eagerly takes Oxycontin that he/she is a good candidate for the drug. For example, like many narcotic pain killers, Oxycontin …

Read more

Fibromyalgia

Fibromyalia is one of several “diagnoses” that concern many of us who have examined such patients and their families. A conference on this subject was reported in the May, 2000, issue of the Journal of Rheumatology. Nine years of litigation over putative fibromyalgia said to be caused by a minor accident has yielded little satisfaction …

Read more

Psychology & Disabling Headaches

I have had injured workers who complain of severe headaches and say they cannot work. Often these individuals have had no head injury. The neurologists seem to feel the headaches are disabling. There is an article in the journal Headache with a lengthy discuss of depression and anxiety as being among the psychological symptoms that …

Read more

Physical and Psychological

Tthere are two psychologically based pain disorders. “Pain Disorder Associated With Psychological Factors” is diagnosed when psychological factors play a major role and medical condition plays minimal or no role. “Pain Disorder Associated With BOTH Psychological Factors and a General Medical Condition” is quite often diagnosed in work-related injuries in which psychological factors impact the …

Read more

hypervigilance

Hypervigilance

Hypervigilance is a symptom. Vigilance is the ability to stay focused upon a task and/or concept for an extended period of …
Read Blog Post

contradiction

Contradiction

Contradiction “We read two of your consultation reports last month.  One said that the patient lost 20 pounds which was …
Read Blog Post

generalized

Generalized

Generalized Anxiety Anxiety is a milder form of fear, and as you know, fear is an essential emotion that protects us from …
Read Blog Post