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Author Topic: How do I obtain a New England Journal of Medicine article?  (Read 1393 times)

Offline Pmb

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Hi Folks. I need some help. Do you or someone you know have access to the New England Journal of Medicine?

As some of you may know I'm disabled from degenerative disk disease. I live with chronic pain. The pain ranges from moderate to severe, sometimes mild and sometimes extreme. My doctors have been reluctant to prescribe opiates. They're too scared of getting into trouble or getting patients addicted in the sense that they will abuse the drug. I was on it before and did very well and never got addicted. Luckily I don't get the euphoria normally associated with opiates so I don't see myself ever getting addicted. But they work well for pain. If I can get on them I'm going to try to go back to school and get my PhD.

If you have access to the New England Journal of Medicine can you obtain this article for me on electronic form and e-mail it to me? Thanks.

The article is called called Opiod Therapy for Chronic Pain. It's at ttp://www.nejm.org/doi/full/10.1056/NEJMra025411 .

In reands in part
Quote
The legal use of opioes was thus placed entirely in the hands of physicians, who were, and still are, liable to lose their medical licenses and rrisk criminal prosecution if they prescribed these drugs inappropriately. The immediate effect of such strict regulatory control was that physicians became reluctant to prescribe opiods, and as a result pain was woefullyt undertreated. Through the effortss of advocates of pain control, toward the end of the 20th century opiod therapy was reestablished as an invaluable and accepted treatment for acute pain, pain due to cancer, and pain caused by terminal disease. The most difficult issue now facing physicians who treat patients with chronic pain probably is whether and how to prescribe opiod therapy for chronic pain. [.....] The recognition that opiod therapy can relieve pain and improve mood and functioning in many patients with chronic pain has led experts on pain to recommend that such patients should not be denited opiods
.

Finally someone having pitty on people like me!

Best wishes,

Pete
« Last Edit: 24/03/2013 14:17:13 by chris »


 

Offline CliffordK

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Re: Request New England Journal of Medicine article
« Reply #1 on: 24/03/2013 04:04:32 »
 

Offline cheryl j

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Re: Request New England Journal of Medicine article
« Reply #2 on: 24/03/2013 13:47:56 »
Have you ever been referred to a Pain Clinic? There are doctors who specialize in long term management of chronic pain. This would allow your other doctor  to just focus on your disc disease, without worrying about under or over medicating your pain and possible addiction issues. Pain specialists are often more experienced and understanding in managing chronic pain so that you can continue to live a normal life.
 

Offline Pmb

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Have you ever been referred to a Pain Clinic?
I've been to both Brigham and Women's and Mass General's pain clinic. They both recommend either Suboxone or Methadone. I didn't get much relief with the former so I want to try the later. But I'm finding it difficult to find someone to prescibe it. There's another pain clinic I'll be going too in two months which will probably precribe it. I'm hopeful.

CliffordK - Thanks!!!

Thanks for the advice
 

Offline evan_au

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I'm sorry to hear about your condition.
I don't know if this will help you, but there are 3 stories from 8 Apr 2013 which deal with back pain, diagnosis and treatment. Total podcast duration: 30 minutes.
http://www.abc.net.au/radionational/programs/healthreport/
 

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