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A Nation in Pain: Healing Our Biggest Health Problem
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Review
"The shadow pain casts and the toll it takes on individuals and society are revealed in this remarkable book by nationally syndicated health columnist Foreman, who chronicles the genetics of pain, types of pain receptors, and the effect of hormones and gender on pain and pain relief... this work is thoughtful and thought-provoking reading for the medical community, policymakers, and patients, especially in light of the F.D.A's recent call for tightening regulations in the administering of pain medications." --Publishers Weekly starred review"Encyclopedic in scope... Foreman's text underscores the fact that pain really is an extraordinarily complex phenomenon that requires more research. If we continue head-in-the-sand policies, we will remain a nation in pain." --Kirkus Reviews "Finally, a scientific and empathetic book that sensibly sorts out the problems and possibilities of adequately controlling pain. What a relief!" --Booklist "This is a book that has been waiting to be written. Tens of millions of Americans suffer from chronic, unrelenting pain, yet until now they've had nowhere to turn to understand how pain arises or what to do about it. Whatever the source of pain -- and there can be many -- it can come to dominate the sufferer's life and be soul-destroying. Foreman has written a superb analysis of this most distressing of medical conditions. Many people will thank her for it." --Marcia Angell, M.D., Senior Lecturer in Social Medicine at Harvard Medical School and former Editor-in-Chief of The New England Journal of Medicine"The great majority of books written on pain in the past decade provide simplistic recipes based on untested remedies. Judy Foreman's new book, A Nation in Pain, attacks the complexity of chronic pain, and thoughtfully provides a realistic approach to optimal pain management. Her research on this topic, including interviews with pain patients and pain scientists, provides a wealth of personal and professional expertise and experience. This book will be a valuable asset to patients, physicians and professional organizations wanting an encyclopedic and unbiased treatise on the very difficult topic of chronic pain." --Don L Goldenberg, M.D., Chief of Rheumatology, Newton-Wellesley Hospital; Professor of Medicine, Tufts University"The experience of chronic pain forges new alliances and A Nation in Pain provides insights, knowledge, critiques, questions and comfort for readers -- be they individuals impacted by pain, those who care for them and those who might benefit from this thoughtful and comprehensive treatise. I am one of those individuals." --Philip Pizzo, MD, Former Dean, Stanford University School of Medicine, David and Susan Heckerman Professor of Pediatrics and of Microbiology and Immunology"Judy Foreman has provided a masterful chronicle of the commonest of human miseries -- chronic pain. The author delves into neurobiological mechanisms and notes the failure of our educational system to prepare physicians to deliver adequate care, including the perils of ignoring benefits of non-traditional (non-Western) therapies. This is a book for everyone; scientists and sufferers, physicians and their educators." --Joseph B Martin, Lefler Distinguished Professor of Neurobiology and Dean Emeritus, Harvard Medical School"A Nation in Pain: Healing Our Biggest Health Problem is an extensive and eye opening look into the world of pain from the heart and soul of someone who understands what it is like to live with pain. Judy Foreman explores the anatomy of pain guiding us through treatments both conventional and unconventional and the debate that many of them ignite. I found it refreshing and honest while making a strong point that we need to do a better job at managing chronic pain." --Penney Cowan, Founder, American Chronic Pain Association"Encyclopedic in scope... Foreman's text underscores the fact that pain really is an extraordinarily complex phenomenon that requires more research. If we continue head-in-the-sand policies, we will remain a nation in pain." --Kirkus Reviews"Finally, a scientific and empathetic book that sensibly sorts out the problems and possibilities of adequately controlling pain. What a relief!" --Booklist"In this book, Judy Foreman, an award-winning health columnist has beautifully narrated the saga of chronic pain--how it happens, how far it can go; why it happens, why it happens to you, and why it happens to you more than the others; and why the suffering is often endless... I would recommend this book for everyone: those in pain, those healing pain, those learning pain, and those policing pain relievers (the drugs and the people who prescribe them)." --R. Goyal, British Journal of Anaesthesia
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About the Author
Judy Foreman is a nationally syndicated health columnist who has won more than 50 journalism awards and whose columns have appeared regularly in the Boston Globe, the Los Angeles Times, the Dallas Morning News, and other national and international outlets. She graduated Phi Beta Kappa from Wellesley College, served in the Peace Corps in Brazil for three years, and received a master's degree from the Harvard Graduate School of Education. From 2000 to 2001, she was a Fellow in Medical Ethics at Harvard Medical School. From 2001 to 2004, she was a Lecturer on Medicine at Harvard Medical School. She has also been the host of a weekly call-in radio show on Healthtalk.com. In 2014 she was the recipient of the American Pain Society's Kathleen M. Foley Journalist Award.
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Product details
Paperback: 464 pages
Publisher: Oxford University Press; 1 edition (May 1, 2015)
Language: English
ISBN-10: 9780190231798
ISBN-13: 978-0190231798
ASIN: 0190231793
Product Dimensions:
9.2 x 1.5 x 6.1 inches
Shipping Weight: 1.8 pounds (View shipping rates and policies)
Average Customer Review:
4.3 out of 5 stars
57 customer reviews
Amazon Best Sellers Rank:
#1,204,714 in Books (See Top 100 in Books)
Judy Foreman's new book, A Nation in Pain, doesn't waste any time diving in to the shocking statistics and research related to chronic pain and the severity of the problems surrounding it. It is a mandatory reading for Chronic Pain patients, Medical professionals, and society at large - who is so often misinformed by the media and general lack of education surrounding these issues. This book covers everything from the basic definition of chronic pain --- to opioid wars --- to ideas on how to make real improvements in our nation's response to chronic pain.Some early facts in this book that i found to be highly interesting:1). "[the government] spends only about 1% of its vast budget on pain research, despite the fact that chronic pain....is a bigger problem than heart disease, cancer, and diabetes COMBINED. ...Federal spending on chronic pain is actually going down."2). Judy Foreman discussed the problem of doctors not being educated to treat or work with patients with chronic pain. She cites, "Across all the years of medical training, students got an average of 13 to 41 hours of pain education. Veterinary students got more than twice that - 87 hours on average."3). "Out of 238 million American adults, 100 million live in chronic pain. And yet the press has paid more attention to the abusers of pain medications than the astoundingly widespread condition they are intended to treat. Ethnically, the failure to manage pain better IS TANTAMOUNT TO TORTURE."I fully believe that we will be better as a country due to this book, the more people that read it the better. It is rare that any book fills me with this level of inspiration for positive change. I know i will read this book many times, and buy it for those who are important to me. Ms. Foreman's research appears to be ignited by her own personal experience, fueling her passion for this subject. I am further impressed as I emailed her with some of my questions and comments and she responded within 24 hours! If you are interested in improving our country and preventing the unnecessary torture of our citizens, i highly recommend you read this book!
A Nation in Pain: Healing Our Biggest Health Problem is a detailed and well-researched book, highlighting the conflict between those fighting to severely restrict access to opioids, and Pain Patients, who often depend on these medications to maintain even a modicum of relief from chronic, even life-long intractable pain. Unfortunately, in the "Opioid Wars," Pain Patients are often the last consideration on everyone's list but their own. Judy Foreman changes the discussion by focusing on the crisis in treating pain in our country, and around the world, siting needless suffering from under- and non-treated pain.An earlier review states that Foreman prescribes "pills" as the only solution; my take-away suggests he and I read two different books. In my reading, the author recommends a multimodal approach (albeit one that is difficult to achieve in today's healthcare climate,) as often as possible. She presents detailed information on how pain works, how acute pain becomes chronic, and what methods work well to treat pain of different types.You may have noticed my capitalization of "Pain Patient." I have done so in honor of Judy Foreman, who stands up for those who are often afraid to make their voices heard, in fear that there might be reprisals, that they would jeopardize their access to one of the few tools that make their lives tolerable -- their opioid pain medications. As Foreman points out, very few true pain patients are addicts. Being dependent--as opposed to addicted--a critical distinction, on a medication used to treat a medical condition, in the same way that diabetics need insulin, should not result in a person being demeaned and treated like a criminal. Somehow, in this war, we must separate the true abusers from the pain patients. Otherwise, there will be a monumental amount of collateral damage, people in pain, forced to suffer what would be for many a fate worse than death.
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