Pain: How to Teach About It

Looks like Johns Hopkins jumped on the pain train. They decided that they needed to expand their teachings on the subject and get a nice NPR piece about it. The authors got to interview some medical students:

She wasn’t the only one aware of how fraught pain can be right now. Student Jenny Franke says she has been shadowing doctors in a clinic and has seen new patients come in with pain.

“And it seems that the therapy that they are on hasn’t been working, and a lot of the time, their past primary care providers just keep prescribing the same thing over and over,” Franke says. “Sometimes those patients will ask for opioids, and then it turns into kind of an awkward conversation.”

Those darn primary care providers. The narrative in this whole opioid crisis has been to blame the doctors. I hate that. Forget the pill mills that accounted for most of this. Forget the diverting patients who worked the system.

So is this course going to teach students to to treat pain like the 5th vital sign or are they going to restrict opioids like it is never to be used? You can read the whole piece and they basically run the whole gamut of not demonizing narcs, that they are just a tool in the toolbox routine, and on and on.

I bet this course is pretty good but these students aren’t in the real world and won’t be for years so what good will 4 days of a course do? By the time they are in the real word something else will be problematic. Hey where is the course on vaping?

Lastly, I would be remiss not to add this:

Brennan:
I smoked pot with Johnny Hopkins.

Nancy:
You don’t know anyone named Johnny Hopkins.

Brennan:
It was Johnny Hopkins and Sloan Kettering. And they were blazing that shit up every day.

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

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