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Nothing in life is "free" ....it all comes with a cost. Weighing risk vs. benefit is what the art of medicine is all about.
Talking to patients today in the office : the use of NSAIAs vs the potential risks, not one of the 20 patients are willing to give them up. They would sooner die of a heart attack than bear the chronic or acute pain they were having. PAIN SUCKS, end of story. It's like the cholesterol controversy, : will you live a day or week longer if your cholesterol is lowered by a drug when it is more to do with your genes than the diet you maintain.
I for one, as a prescribing doc for acute and sub-chronic pain for patients and also the victim of pain myself refuse to give up on NSAIAs.
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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