Pain Assessment and Pharmacologic Management - E-Book

Adding to my previous review with another profile since comment cut off....
...fear causes even the most compassionate doctor to choose to harm chronic pain victims over their job/license/family/reputation (no matter how unjust the tarnish) & even freedom (hah, not to practice since they are handcuffed, already by Fascist rules!) since they can be jailed for doing no harm & properly managing pain so will either turn us away to be some other doctors problem or if they do take us will undermedicate us while forcing us to jump through hoops, keeping the carrot on a stick to force us into therapy with no evidence it helps like CBT for neuropathic pain & should our pain advance past their comfort zone ( ie:DEA dose limits) they will abandon us without cause & we can do nothing as they toss away the carrot & shove the stick, well, nevermind....but believe me, I know firsthand!
So, thank you for proving what I keep saying.... opiates can be safe & effective, even in nerve pain, mu agonists have no dose limits except patient response/if side effects do arise, with low risk of tolerance or addiction & legitimate chronic pain should be treated, legitimately & methadone/opiates are not an evil to be shunned but an important tool for pain management. Now, if you could just get pain M.D.'s to actually treat us! 

I wish my pain management physicians read this! I am a long time chronic pain patient who has tried everything & my only option has proven to be opiates.... yet, I have been lied to, shamed, bullied, falsely imprisoned, fired without cause, turned away & only ever had my pains barely tamped down despite proving "real" vs crazy causes.. Hah! FORGET "titration to effect", in the real world...that is crazy! Over just the past 18 months of being fired Sept2016 by Dr Segura of Neuroscience & Pain Institute (despite being compliant, merely honest about my new pain progression, which proved to be "real" by biopsy....Small Fiber Neuropathy) only by the kindness of a doctor friend who switched me from fentanyl (150mcg q 48 hrs) to my current 1 Norco 10 & 20 mg methadone q6hrs then my PCP & briefly a retiring pain MD, have I been treated. Being misdiagnosed, mistreated, misunderstood & mismanaged has been my usual experience with most M.D.'s. This is wrong. My only recourse has been to attempt self-advocacy by talking, blogging (see my Facebook group Fighting PainMismanagement) & blabbing my experiences in an attempt to create awareness of chronic pain victims plight, to educate in the face of overwhelming misinformation about opiates safety/effectiveness yet near inaccessibility while trying to overcome the stigma against those of us therapeutically dependent upon them to survive otherwise unmanageable agonies. Every month I cannot be sure of my care & know that wrongfully suffering further impairments or even dying in an ER or detox as a wrongly assumed acting out junkie is a real possibility. My only crime is having multiple sources of intractable neuropathic & other pains that have failed >10 years of exhausting other interventions. Of course, many non-opiate treatments help but only certain thing(s) but not everything. M.D.'s should be helping me instead of routinely harming me and I include those who even refuse to see me not just treat me! I hate requiring opioid medications & certainly get no buzz or bump! They merely allow me to function, have some quality of life but it appears like the only help out there is for drug abusers who helped create this nightmare for chronic pain victims and the FEW pain management physicians willing to still do medication management not merely interventional treatments which are not for everything! I cannot watch TV or listen to radio without an addiction crisis center hawking its wares but cannot find help targeted for those of us who NEED therapeutic, prescription opiates who are discriminated against, as the norm. Most chronic pain victims are unaware (or too scared or too ashamed to even ask or research) that opiates can help them, even with nerve pain & with minimal risk so cannot fight for their right to access the proper treatments, as taught in med schools! How America has gone so low as to allow government agencies to dictate patient care over what their physician's would decide if not too scared is tragic....truly as some are forced into unimaginable acts but they are NOT suicides but murder victims! Murdered indirectly by the two things we should most count on....our country and our heathcare team if they deny lifesaving pain care, tbey are murderers. The PDR's are supposed to be where doctors go to find therapeutic dose ranges & appropriate medications....NOT DEA, CDC, FDA! Instead doctors may go to jail for treating patients, properly.,as PDR, med school, textbooks teach! These agencies should be protecting M.D.'s when some addict slips through reasonable precautions & gets inappropriate pain meds or steals script pad or when a chronic pain patient goes against M.D.'s instructions and mixes drugs/drinks alcohol/overdoses. How it has instead become that criminals are protected over good doctors and good patients so much so that doctors have to be so cautious as to view all patients with suspicion, developing an ''us against them" mentality & fear causes