I couldn’t possibly explain it better myself …

Few people are aware of how much is lost in the face of chronic pain and illness. The all-encompassing nature of chronic pain, the way it takes hold of every single part of life, makes it unique among many life struggles. A friend and I were talking about life, and she shared how God had…

http://www.lifeinslowmotionblog.com/its-hard-to-explain-how-much-i-have-lost/

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Chronic Pain Linked to Attention-Deficit Disorder

ADHD word Attention Deficit Hyperactivity Disorder on magnifying glass and human brain on white background

By Pauline Anderson via Medscape

September 11, 2015

LAS VEGAS — More than a third of patients with chronic pain may have attention-deficit disorder (ADD), a small pilot study suggests.

The findings should encourage more doctors to have a high degree of suspicion of ADD in nonadherent patients with central pain, said author Forest Tennant, MD, Intractable Pain Management, West Covina, California.

“I think this is a nice new little advance in how to take care of people with pain.”  He presented the findings here during PAINWeek 2015.

For the study, 45 consecutive patients with chronic pain attending a treatment clinic completed a 16-item questionnaire. The questions were directed at whether the patient had deficiencies in concentration, attention, distractibility, impulsivity, reading and retention, coordination, temper, and short-term memory.

A positive answer to five or more questions was considered to indicate the presence of ADD.

Results showed that 37.8% of the patients met these criteria for ADD.
Most patients with centralized pain have hyperarousal of the autonomic nervous system. “First off, they become deficient in catecholamine, which is one of the compounds that relieve pain,” explained Dr Tennant.

The pain causes a change in the sympathetic nervous system, which causes the ADD, he added. “So it puts you into this hyperactive state and at times it will also deplete dopamine both in the central nervous system and in the adrenal gland.”

The finding might help explain why some patients with pain have poor function in activities of daily living, said Dr Tennant.

“For years, I’ve seen the same kind of ADD in these patients that you see in children; they can’t remember half the time, they can’t concentrate,” he said. “It’s amazing how many of these patients actually quit reading or doing things, but they won’t tell you.”

A big problem for patients with pain is adherence issues, said Dr Tennant. “They don’t do what you tell them; they walk out of there and don’t follow instructions, and part of that is ADD.”

But once they start taking drugs for ADD, such as methylphenidate (eg, Ritalin), “their pain gets better and they can remember and concentrate.”
Dr Tennant stressed that this applies only to patients with centralized pain, who have inflammation in the nervous system, not those with arthritis or neuropathic pain. “These are the patients who have constant pain, pain that never goes away.”

He noted that the connection between pain and ADD is not new. “Physicians back in 1895 at hospitals in London said that if you have severe pain patients who need morphine, they also need a stimulant.”

Commenting on the study for Medscape Medical News, Jack LeFrock, MD, a pain specialist at Above and Beyond Pain Management and Laser Center, Clearwater, Florida, said the finding “makes sense.”

“I agree with him; I think he’s right on,” he said.

In his own practice, a “high percentage” of patients have ADD and are anxious, he added.

Dr LeFrock said he’s keen to study the topic further.

PAINWeek 2015. Poster 133. Presented September 10, 2015.

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This infuriates me on so many levels!!!  😡 

My husband’s pharmacy was robbed several months ago, but luckily the pharmacist had a gun, so he successfully defended himself and his business. Now another pharmacy was robbed in my hometown!  It is only a mile or two from my place of employment. 

WTF is wrong with people???

I’m sure the suspects are likely addicts or dealers, who don’t realize or care that commiting foolish acts like this, just helps to “confirm” the public’s inaccurate beliefs about pain medications and the increasing inhumane discrimination against chronic pain patients.  

It creates even more reasons for the government to continue the never-ending, FAILED, “war on drugs” which creates endless problems for those who truly NEED narcotics and find that obtaining adequate pain relief is becoming more and more difficult (or impossible) for legitimate chronic pain patients.

If the robbers were not addicts or dealers, it could be someone in desperate pain without access to the treatment that they need.  Either way, the situation is tragic and everyone loses.

http://5newsonline.com/2015/08/19/fayetteville-police-investigate-after-pharmacy-is-robbed/