Why It Hurts

Оглавление

Dr. Aneesh Singla. Why It Hurts

Introduction

Chapter 1. What is Pain?

Types of Physical Pain

Pain and the Withdrawal Reflex

Pain as a Tool for Growth

Pushing Through the Pain

The Human Response to Pain

Chapter 2. A Blessing in Disguise

The Tragedy of Life without Pain

Pain as Protector

The Cartesian Model of Pain

The Expectations and Goals of Pain Treatment

The Process of Reversing Pain

How to Approach Your Pain

Pain, Inflammation, and Peripheral Sensitization

The Body’s Protective Warning

Pain as a Guide

Chapter 3. Psychological Pain

Depression

Psychological Pain

Severe Psychological Pain

Functional MRIs and Pain

Narrative Therapy

Psychological pain can result in physical damage

Psychological Pain Makes Physical Pain Worse

Anxiety and Pain

Pain Makes Us More Empathetic

National Trauma and Pain

Distraction from Pain

Video Games Reduce Pain

Virtual Reality

Psychological Pain and Money

Stoic Philosophers

Chapter 4. Pain in Literature and Film

Pain Is Unavoidable

Humans and Personal Transformations in Life

Pain + Experience = Growth. Pain × Experience = Wisdom

Heroes and Painful Transformation

The Odyssey

Real-life Odyssey

Batman Begins

The Dark Knight

The Dark Knight Rises

Comparing Batman and FDR

Game of Thrones

Daenerys and Oprah Winfrey

Jon Snow

Jon Snow compared to Nelson Mandela

Chapter 5. I Want a New Drug

The Happiness Equation

H = R – E

The Opiate Reality

The Doctor Problem

Doctors Prosecuted for Opiate Overprescribing

Expectations around Pain and Opiates

More Access, More Abuse

Deaths from Opiates

The Goals of Pain Treatment

Opiate Regulation

Can Opiates Make Pain Worse?

The Future

Chapter 6. Referred Pain and the Complexity of Diagnosis

Pattern Recognition

How Pattern Recognition Is Used

Referred Pain

Spinal Stenosis Case

The Neuroanatomy of Pain

Another Spinal Nerve Pain Case

Physician Bias

Symptom versus Source

Phantom Limb Pain

Mapping Out the Pain

The Dream of Pain-free

Neuroinflammation

Spinal Cord Stimulation and Neuroinflammation

Spinal Cord Stimulator Case

The Importance of Making a Diagnosis

Chapter 7. How We Manage Pain

Making the Right Diagnosis

How Soon Do I Get Relief?

Imaging the Painful Spine

Finding the Pain Generator

Alternative Treatments for Chronic Pain

Another Personal Experience with Pain

Chapter 8. The Only Easy Day Was Yesterday

Defining Resilience

The Heart Rises to the Occasion

CO = HR × SV

The British Invasion in World War II

An Example of Resilience

Acknowledgements

Final Thoughts

Author Bio

References by Chapter. Introduction References

Chapter 1 References

Chapter 2 References

Chapter 3 References

Chapter 4 References

Chapter 5 References

Chapter 6 References

Chapter 7 References

Chapter 8 References

Footnotes

Отрывок из книги

Table of Contents

Introduction

.....

Physicians are notorious for tolerating discomfort many others would not as they undergo the rigorous training and punishing hours of medical school, residencies, and beyond. How are we supposed to know when a patient is on the right path when we are treating their pain? Do we draw an arbitrary line somewhere in the sand?

In When Breath Becomes Air, Paul Kalanithi relates the pain he experienced from stage IV lung cancer, and how he pushed through that pain to complete his rigorous neurosurgical training at Stanford.

.....