Word: analgesia
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...want to circumcise your son for religious, personal or cultural reasons, fine. If you don't, that's fine too. The pediatricians' group is adamant, however, in saying no boy should be circumcised without adequate pain relief. Perhaps 45% of U.S. circumcisions are still carried out without analgesia...
...among cancer specialists, pediatric surgeons and many other doctors, this tough-it-out attitude has begun to change. Worries about the physical and psychological risks of using large doses of narcotics have largely been proved unfounded. Technological advances have enhanced the efficacy and safety of analgesia. And, perhaps most important in an era of cost cutting, doctors have learned that not only is pain management humane, but it also speeds recovery and saves money. When a patient is in such agony that he cannot move about in his bed, the risk of life-threatening blood clots increases. When he hurts...
Some of the benefits of relieving pain may be described as psychological. Pain, after all, is depressing (and depression makes pain worse). Because of the complex interplay between emotion and physiology, experts on analgesia have learned that it is useless to make distinctions between mental and physical pain. "We never say, 'It's all in your head,' " explains Dr. Charles B. Berde, director of the pain service at Children's Hospital in Boston...
...particular patient. There is, quite simply, no such thing as a standard dose anymore. Doctors have grudgingly come to recognize that the patient is the best judge of how he or she feels. Today people in acute pain can control their own medication with PCAs, or patient-controlled analgesia. These are digital pumps that are connected to a catheter. Physicians set a base amount of drugs that enter the body continuously. When pain increases, the patient can push a button and get more medication, up to a maximum set by the doctor. Gone are the every-four- hours injections...
...weeks in 1939, he actually played with the Glenn Miller. And before his education was done, he had also played with Jack Teagarden and Maynard Ferguson. Then for 38 years he was a dentist and anesthesiologist in Hempstead, on Long Island. He produced two books, Amnesia-Analgesia, Techniques in Dentistry, and Pain and Anxiety Control in Dentistry, neither of which is as much fun as, say, Stomping at the Savoy...