to perscribe or not perscribe…

Note: I am not a medical professional. Any information in my blog is from  my own experiences and personal opinions as an IC patient.  It is not ment to replace medical advice from you Dr.

 Still in toady’s world of ipods and directTV, where you never have to leave your house but have all your needs met through a simple click of your mouse, there are people unable to leave there house due to pain that can and should be treated.  It seems almost barbaric that people with real chronic medical conditions are left to suffer alone. 

 Whether afraid of prescribing a potentially addictive medication or the belief that the suffers pain is not bad enough, some Dr.’s have refused that avenue of treatment to IC patients.  Some in the Medical profession still view pain management for non-malignant(pain not due to cancer) unnecessary.  And although there are many oral pain medications that are not opioids, they unfortunately are not successful for everyone.

The advocates and supporters of certain non-malignant pain conditions have already been able to make great strides in the area of pain management, yet there are still a number of suicides each year by those lest helpless and alone in pain. 

I do not advocate blindly prescribing opioid medications or any narcotics for that matter.  But I do think that those with a real diagnosable condition requiring the management of pain when all other treatment options fail, should be treated with the same seriousness as pain stemming from a malignant condition.

“pain is a more terrible lord of mankind than even death itself”-Albert Schweitzer

The professional research is out there.  The potential risks versus the potential benefits.  Yet there is a very large and sometimes ignored fact.  That those taking opiates for the use of altering there mental state are attempting to run from life while those taking opiates for severe chronic pain such as IC  are trying to run back into life.  And for those two very different reasons the chemical reaction experienced in the brain is a very different one for the chronic pain sufferer.  When used properly, the risk of addiction to an opioid medication is very low.  And between risk and benefit, that fact should not be ignored. 

With that said, do I believe opioid pain medication should then be doled out without the risks being well at the forefront of the mind? Absolutely not.  I believe all medications in that category should be strictly monitored by either the prescribing  physician or pain management specialist.  And that the least amount of medication that  gives the most benefit be prescribed. 

But above all instead of asking “why should I prescribe opioid medicine for this person?” Dr.’s should be asking themselves “why should I leave this person in pain?” When viewed from the perspective of those that needlessly suffer on a daily basis, the benefits outweigh  the risks tenfold.

For a more in-depth look at what has and is being done for today’s chronic IC pain sufferers visit www.ichelp.org

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