Patient Name: Jen
In today’s main episode Jen talks about needing regular opioid pain medication at a time when those medications, and the people who use them, are public enemy number one. We talk about why she needs access to these medications, how we deal with drugs here in the US, how that has created a climate in which we can't have open and honest conversations about drug use, and how challenging it can be to really treat chronic pain. We discuss the important distinctions between addiction, abuse, and dependence, and the many tradeoffs and compromises we often have to make in treating chronic health conditions.
In today’s bonus episode, we talk about cognitive difficulties and brainfog, privilege and the response to the current opioid epidemic in contrast with the response to the crack epidemic in the 1980’s, and the social isolation of being a non-drinker in their 20’s.
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More information on Ehlers-Danlos Syndrome from the EDNF
"Ehlers-Danlos Syndrome, Hypermobility Type: An Underdiagnosed Hereditary Connective Tissue Disorder with Mucocutaneous, Articular, and Systemic Manifestations” M Castori, ISRN Dermatology
More information on POTS from Dysautonomia International
More information on Osteoarthritis from the Arthritis Foundation
More information on Hip Dysplasia from the International Hip Dysplasia Institute
More information on Supraventricular Tachycardia (SVT) from the journal Circulation
“What percentage of chronic nonmalignant pain patients exposed to chronic opioid analgesic therapy develop abuse/addiction and/or aberrant drug-related behaviors? A structured evidence-based review” Fishbain et al. from the journal Pain Medicine
“An epidemic of chronic pain: The crackdown on prescription drug abuse is treating the wrong problem” from The Boston Globe
"The Likely Cause of Addiction Has Been Discovered, and It Is Not What You Think” from The Huffington Post (terrible title, interesting piece)
The D Word: Jen’s Tumblr about being disabled
Jen’s post “Opioids, Stigma, and the CDC”
Jen’s interview with Only Human
“A Doctor’s Love Affair With Vicodin” episode from Only Human
“Your Sanity or Your Kidney’s” episode from Only Human
03 Accessibility Means More Than Ramps (Part One) with Rebecca
Cara on the Just Talking Podcast
The Dysautonomia Series from In Sickness + In Health
11 What a Pain w/ Jill Fancher PhD
Vocabulary and resources for Dr. Jill’s episode