PDF Download Why It Hurts: A Physician's Insights on The Purpose of Pain
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Why It Hurts: A Physician's Insights on The Purpose of Pain
PDF Download Why It Hurts: A Physician's Insights on The Purpose of Pain
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From the Inside Flap
Why must we feel pain?     It is a question humans have asked for centuries. In this timely book, author and Harvard-trained pain specialist Dr. Aneesh Singla offers a physician's point of view as he takes a journey through medicine, history, and the world around us to provide some insights into our experience of pain, what we can do about it, and why it hurts in the first place.Drawing upon over a decade of experience, Dr. Singla offers an honest and insightful look at how we must balance our desire to "cure" every type of pain with the urgent need to manage the colossal problem of chronic pain, which afflicts over 116 million Americans, and many millions more across the globe.As the opioid crisis in the United States is reaching critical levels, we live in a world where misinformation about the nature of pain is all around us. Countless books offer miracle cures for all kinds of pain, with varying levels of success. However, pain can be a transformative experience, and the idea of resilience and how pain can and does make us stronger is often ignored.The fact is, humans have evolved to feel pain as a necessary part of life. From children born without the ability to sense pain, we have learned that a life without pain can have serious and often times fatal consequences. In Why It Hurts, Dr. Singla takes a sobering look at how we try and manage pain based on his work as a practicing pain specialist in the nation's largest pain practice. How each of us experience and handle our pain is deeply personal. This book offers a lens from which to see pain as more than just an inconvenience. It offers a new vision of Why It Hurts and what we should do about it.
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About the Author
Dr. Singla was born in New Jersey and grew up in North Carolina. After attending college at the University of North Carolina at Chapel Hill, he stayed on for medical school, where he graduated with Honors and spent additional time obtaining a Masters in Public Health, with a focus on Health Policy and Administration. Dr. Singla completed his Residency in Anesthesiology at Massachusetts General Hospital and subsequently completed an Interventional Pain Management Fellowship at Brigham and Women's Hospital, both affiliated with Harvard Medical School. During his residency, Dr. Singla also completed a fellowship at the Harvard/Partners Institute for Health Policy, where he did research in Patient Safety. Â Dr. Singla also served as the Chair of the Massachusetts Medical Society (MMS) Resident and Fellow Section and was also a member of the Board of Directors (MMS Committee on Publications) for the New England Journal of Medicine. Dr. Singla has had several appearances in media, including print, radio, internet, and television to address public health issues and most recently the topic of Pain Management. Dr. Singla has published several articles and book chapters in medical literature and within the field of Pain Medicine. He currently focuses his practice on minimally invasive options for the treatment of chronic pain. He continues to serve on the physician faculty at Harvard Medical School with the title of Lecturer. He lives in Maryland with his wife and daughter.
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Product details
Hardcover: 240 pages
Publisher: Ideapress Publishing (May 9, 2017)
Language: English
ISBN-10: 1940858240
ISBN-13: 978-1940858241
Product Dimensions:
5.7 x 0.9 x 8.5 inches
Shipping Weight: 15.2 ounces (View shipping rates and policies)
Average Customer Review:
4.5 out of 5 stars
16 customer reviews
Amazon Best Sellers Rank:
#1,245,984 in Books (See Top 100 in Books)
Understanding the physiology, psychology, and management of pain is important for some one suffering or caring for some suffering from pain. Dr Singla's is spot on and you don't have to have a medical degree to understand the book.
I know the author, and I promised I'd write an objective review. Dr. Singla knows the subject of pain, and his book was a "painless" read for a non-medical professional like me. The book is well written, understandable, and covers the purpose of pain effectively.
At first glance, the subtitle of Dr. Aneesh Singla's book seems puzzling: "A Physician's Insights on the Purpose of Pain." I've never really considered that pain had a purpose. I just want it to go away! I think most people would say that.Dr. Singla, a pain specialist, examines the different kinds of pain -- acute and chronic, adaptive (has a known origin and purpose) and maladaptive (has no known cause or purpose), physical and psychological, neuropathic and nociceptive (two types of nerve pain). It was all very interesting to think about the different kinds of pain I've felt throughout my life and try to categorize them. In addition to the scholarly examination, the author illustrates his points liberally with stories from his patients. He even brings in literary and movie characters to supplement his arguments... Batman and Oprah Winfrey to the rescue!Despite our wish to never feel pain, Dr. Singla chronicles the ways pain can be an aid to better health. Pain alerts to an underlying condition (disease or illness) and warns us of dangerous activity (like touching a hot stove). Even as a wound is healing, he says, pain is an indicator that the process is going along as it should. Without feeling pain, we could be on course for an early death.Many times, Dr. Singla says that his goal as a pain specialist is not to eradicate pain altogether. For a person with chronic pain to be 100 pain free would require opiates in increasing doses, he says, until addiction is a likely outcome. He asks his patients if they can live with a 50 percent reduction in pain. I imagine that's a hard thing to hear and agree to. Perhaps for short-term, episodic pain, like that of an inflammatory GI attack of some sort, 100 percent relief might be a reasonable goal. I hope those patients never have to fight for the medicines that allow them relief, as opiates can be a godsend if taken appropriately.Throughout the book, Dr. Singla discusses some of the more extreme treatments he uses to help patients, such as steroids, nerve block surgery, and kyphoplasty (injecting a sort of cement to strengthen bones). Yet, ultimately, his message to patients is that pain serves a purpose, and it's a purpose that we should embrace. "The only possible way to live a full life is to face pain head-on, transforming it into something that leaves you better equipped to face life's challenges.... In order to survive, we need to be able to process negative experiences into positive growth." It might all sound kind of touchy-feely to you, but Dr. Singla has a point, and one that we might want to consider as age and time take their toll on our bodies. In place of extreme treatments, he stresses the beneficial effects of non-medical means of managing pain -- through activity, social networks and other ways of diverting attention from pain.Dr. Singla's book would be of interest to anyone who has read Being Mortal: Medicine and What Matters in the End, by Dr. Atul Gawande, another doctor who addresses the human condition with reason and compassion.
Aneesh Singla is not only a pain doctor, he has also suffered from intense pain for many years of his life. When lying on the ground after falling off of a boxcar with his fractured leg sticking out sideways, he had his first insight: after the intense rush of pain occasioned by the fracture, as long as he lay on the ground motionless, the pain ceased. But when he tried to get up, intense waves of pain stopped him. Pain was there to protect him from further injury.In fact, the few who are born without a sensation of pain soon die from accidents where they are unable to be warned off: burns, falls, collisions with machinery, etc.Western medicine is good at handling anesthesia and acute pain, but not so good at dealing with chronic pain. For chronic pain you cannot be asleep, oblivious to the world. You must function. And even opioids don't kill the pain, although they can reduce it.Singha took an MRI of his brain after the pain set in, showing both the areas of initial pain but also the sensory areas recruited to "flesh out" the experience of pain. He relentlessly compared it to a normal brain MRI and tried to imagine his brain normalized. He did this without fail when the pain started up. And over a few years the area diminished and his chronic pain receded.It may work better for non-medical people who don't know what the film of a brain looks like to describe the pain in inches, shape and exact location, to imagine what color or smell the pain might have. and to watch it diminish. Nonetheless, this is a long term prospect, whether or not you are using pharmaceuticalsAnother gem he presents- hit the pain very hard when it first hits so it doesn't have time to recruit additional brain circuits and you lessen the chances of the pain becoming acute. Being stoical is bad for you.This book is excellent for anyone in pain or anyone who treats pain, My only complaint is that he gives short shrift to physical pain relief like acupuncture, massage, chiropractic and physical therapy.
This book is quite easy to read though it is not at all dumbed down. The author simply writes well, and knows how to use very short anecdotes about patients, and even stories of pop culture icons, instead of longer case studies to illustrate points.It discusses the nature of pain, different types of pain, and focuses on chronic pain, and always emphasizes that pain has a purpose- that it is telling us something.While a lot of treatments are discussed, both current and historical, from pharmacology to ablation, a lot of the book is about psychological pain, suffering, and our cognitive understanding of the purpose of pain and how to listen to what it tells us. Focusing on chronic pain, it is suggested that not all pain can be cured, but that perhaps it should be listened to, so that we can change how we are treating our bodies and living our lives. The author proposes that pain can be a transformative experience, making us tougher, more resilent and better able to cope, as opposed to suffering.It reads well, and it rings true to me. I've had a problem with autoimmune hives, and once I let them teach me to avoid certain people that stress me out, and to get enough sleep, sun, and fresh air (Vit D), they have really quieted down.I think most medical professionals and chronic pain sufferers could find benefit in this book.
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