George, Ruptured Spleen, Chronic Pain Syndrome discussed on NEJM This Week - Audio Summaries

Automatic TRANSCRIPT

Found implications for medicine contemporary economics is grappling with applying the perspectives of failure and his colleagues but most of medicine has yet to integrate the implications of current research on decisionmaking even though clinical practice is all about making the right choices the key problem is medicines ongoing assumption that clinicians and patients are in general rational decision makers in reality we are all influenced by seemingly irrational preferences in making choices about reward risk time and tradeoffs that are quite different from what would be predicted by bloodless if precise quantitative calculations controlling the swing of the opioid pendulum a perspective article by george commercially junior from the project echo pain and opioid managment clinic albuquerque new mexico mr p sees his primary care physician regularly for chronic spine pain several years ago he had a motorcycle accident that left him with a ruptured spleen shattered pelvis and multiple thoracic vertebral fractures after a prolonged hospital and rehab course he was discharged without neurological but with a severe chronic pain syndrome the accident was a wakeup call for mr p he stopped using alcohol and drugs got a job and began paying child support his daily pain regimen consisted of three thousand six hundred milligrams of gaba penton 60 milligrams of back within one hundred twenty milligrams of oxycodone i r and nonsteroidal antiinflammatory drugs as needed mr peace condition had been stable on this regimen for two years his prescription drug monitoring reports and urine toxicology screens were pristine.

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