suicide Archives - The Painful Truth

Marcus Welby, M.D. Is the Wrong Doctor for These Times

The Marcus Welby Fantasy Lives in the Past

Many people fantasize about having a folksy doctor like Marcus Welby, M.D. An idealized physician, Dr. Welby didn’t have to worry about malpractice insurance, co-payments, political agendas, interference by government agencies, or bureaucratic matters of any kind. He could be fully present for his patients.

Dr. Welby was a fictional character. Robert Young, the actor who portrayed him, may have convinced us that Dr. Welby was real, and it wasn’t all that difficult for television viewers to suspend disbelief. During the 1970s, when the show aired, many of us had a doctor similar to Dr. Welby.

Do Opioids Impact Life Expectancy?

Meet Rachel and Lorna

Meet Rachel ^* and Lorna. They are very different women, but they have one thing in common: they both used opioids.

One morning, Rachel maneuvered her maroon Civic into a parking place at a local breakfast joint to buy opioids from her dealer. Accompanied by her two-year-old daughter and her brother, she had never felt more like a criminal. While Rachel never turned to heroin or other street drugs, she used prescription opioids for non medical reasons.

Insomnia Is More Than an Inconvenience

“Sleep that knits up the ravell’d sleeve of care,
The death of each day’s life, sore labour’s bath,
Balm of hurt minds, great nature’s second course,
Chief nourisher in life’s feast.”

‒William Shakespeare, Macbeth

Why We Need Sleep

Shakespeare may be complicated, but the universal need for sleep is not. The “Chief nourisher” is, indeed, a major function of sleep. It scavenges toxins produced during the wakeful hours which are literally “the death of each day’s life.” It results in “hurt minds” or damage that may be irreparable. Sleep scavenges and disposes of the poisons that allow the system to be revitalized with a “second course” or another day.

Women, Opioids, Benzodiazepines and Pain: A Potential Deadly Combination

When we think of the segments of the population who have been most affected by the opioid epidemic, we tend to think of poor, unemployed people who live in rural areas. In September of 2016, I published a blog called “Tough Times Feed America’s Opioid Epidemic: What You Need To Know.” In it, I described how the disease of addiction and overdoses can infest an economically-challenged community. I referenced a CNN article written by Wayne Drash and Max Blau, “In America’s drug death capital: How heroin is scarring the next generation,” that tells the story of how addiction, poverty, and social issues together have opened the door to increased opioid use and deaths in America’s heartland. Additionally, I mentioned a book titled Dreamland: The True Tale of America’s Opiate Epidemic, in which author Sam Quinones ties the opioid epidemic to the same risk factors: poverty, hopelessness, and unemployment.

Can Francis Collins Help Solve the Opioid Crisis?

The problem of opioid addiction is more complex than lawmakers, the Centers for Disease Control (CDC), and the media would have us believe.

Pressuring doctors who treat pain patients to prescribe fewer opioids may reduce the amount of opioids prescribed. While that doesn’t decrease the need for opioids, it may drive people who need pain medication to the streets to find relief.

Today, opioids are the only effective, affordable treatment for some chronic pain conditions. They certainly are an imperfect medication associated with significant risks for some patients. But they are the best tools doctors have for delivering compassionate treatment to many people with intractable pain.

The Painful Truth About Suicide

Suicide Rates Have Reached a 30-year High

Suicide rates have reached a 30-year high, according to the New York Times. “This is part of the larger emerging pattern of evidence of the links between poverty, hopelessness and health,” according to Robert D. Putnam, a professor of public policy at Harvard University.

It’s true that poverty, hopelessness, and health issues do factor into the suicide problem. In fact, an article just published in Rheumatology shows a link between people, especially women, who have been diagnosed with rheumatoid arthritis (RA) and suicides. Co-morbid depressive disorders preceded the suicides 90% of the time. The conclusion we can draw is that the pain of RA for some patients causes depression which, in turn, can lead to suicide.

Chronic Pain and the Death of a New York Times Journalist

The death of the New York Times journalist, Sarah Kershaw, reminds me painfully of too many conversations I had with my patients during the course of my career as a pain doctor, about whether or not they wanted to live.

During the 30 years of my practice, countless patients told me they had no hope for a life without severe disabling pain and would, therefore, prefer to die. I believed them.

CDC Report

The CDC reports there are 44 deaths per day that involve opioids, but there are more than 105 deaths per day from suicide. An undoubtedly significant (but uncertain) number of those suicides can be attributed to people with severe pain.

Suicide and Chronic Pain

Suicide and Chronic Pain

Of all the consequences that accompany chronic pain, none other is as heartbreaking as suicide. While the physical impacts of pain are recognized and can often be improved, the stress associated with chronic pain, social stigma, and feelings of hopelessness can be overwhelming, sometimes leading a person to feel that life is no longer worth living.

Ann Nuttall and Michael Peterson married as teenagers and expected to live healthy and happy lives together. But two years into a loving partnership, they faced what would become a lifelong obstacle: pain.

The Marcus Welby Fantasy Lives in the Past

Meet Rachel and Lorna

“Sleep that knits up the ravell’d sleeve of care, The death of each day’s life, sore labour’s bath, Balm of hurt minds, great nature’s second course, Chief nourisher in life’s feast.”

‒William Shakespeare, Macbeth

Why We Need Sleep

Suicide Rates Have Reached a 30-year High

CDC Report

“Sleep that knits up the ravell’d sleeve of care,
The death of each day’s life, sore labour’s bath,
Balm of hurt minds, great nature’s second course,
Chief nourisher in life’s feast.”