Manage this, pal

This will last, I suspect, for about five years after it’s proven worthless, after which the Next Big Thing will be proclaimed:

It’s been maybe 20 years since I first read that “pain management” was the most important aspect of health care that the medical profession was overlooking. That quickly became a fad, and now it’s an unhealthy obsession, as the opioid crisis demonstrates. The fact is, these fads cause all manner of damage not just in medicine but in pretty much every human endeavor — education, politics, economics — and it needs to stop.

Everyone hates opioids except for the people who use them. Most of the pills are off-patent and are therefore dirt cheap, which means no windfalls for Big Pharma. And your “pain-management” regimens seem to be based on the dubious premise that physical pain is somehow good for your immortal soul, a proposition I would hate to try to defend before the Almighty. I’m not at all enthusiastic about the therapeutic properties of marijuana, but I suspect that thousands of Oklahomans, myself included, voted for its legalization simply to spit in the eye of the Drug Warriors.

Oh, and if you want to see political fads in action, watch the so-called “Resistance,” which has an attention span of about 96 hours. Families split up at the Mexican border? That was last week. This week, Mr. Justice Kennedy retires, and it’s just a matter of days before women are turned into brood mares at the behest of the New Gilead. Expect something marginally less stale to take over the media by Tuesday.


  1. McGehee »

    29 June 2018 · 8:22 am

    Mrs. McG’s doctors seem almost at a loss for how to treat her symptoms if they don’t include pain. She is literally the last person I would suspect of failing to mention it if she’s having it — so when she explicitly and intentionally tells her doctors that she’s not having pain, they should probably oughta believe her.

  2. Roger O Green »

    29 June 2018 · 9:39 am

    As you know, the ignoring of pain started the pendulum swing in the more meds direction.

  3. L. Beau Macaroni »

    29 June 2018 · 10:36 am

    Roger O Green is right. Dr. Drew (Pinsky) tells a story about, during his training as a young doctor in the 1970s, he was told not to give a high dose of opioid pain killers to a terminally ill cancer patient, who had only weeks left to live, because, “we don’t want to make him an addict.” It’s loopy thinking like that that perpetuates these crazy pendulum swings.

  4. In The Mailbox: 06.29.18 : The Other McCain »

    29 June 2018 · 10:11 pm

    […] Dustbury: Manage This, Pal […]

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