I have used the opioid Oxycodone for well over ten years to treat the intractable pain of my recurrent Parsonage-Turner Syndrome. I tried many other medications prior, but none of these were effective. I am under the care of a pain management specialist who understands the debilitating pain my condition causes. While this drug allows me to function, it does not provide a pain-free life. However, without access to this drug, I would be bedridden and very likely considering self-termination. I am most certainly physically dependent on the drug, so sudden discontinuation would likely put my life in danger. Still, that reality does nothing to blunt my enthusiasm for the drug's analgesic effect.
@DWHistoryandCultureАй бұрын
Hi @Indrid__Cold, thank you for sharing your story with us! You are right, there is a fine line between danger and benefits of opioids. Sometimes the danger can be a legitimate risk in order to live a life with less pain. Hopefully science will be able to eliminate that risk one day. We wish you all the best, your History and Culture Team 💕
@azaraelhyzer3874Ай бұрын
Yayyy Rachel is back.
@quasimodo8215Ай бұрын
Rachel it is so nice meeting you again. Edit: What an impudence, you can't even express good taste without getting a heart! We didn't even discuss vegetable prices!!😁
@RachelStewart04Ай бұрын
😂 I’ll get to this in a future episode…
@quasimodo8215Ай бұрын
@@RachelStewart04Rachel you could report on the roof tiles and I wouldn't care. The only thing that matters to me is that your sparkling intellect, subliminal humor and wonderfully sharp English have not disappeared into the depths of the internet! As long as you don't stalk me ;), I'm looking forward to the next episode. Cheers😉!
@PozoBlueАй бұрын
My god. I had heard about Tramadol a LOT as it is prescribed ALL the time here in Nicaragua for common pains. The name stuck in my mind cause my mother would always exclaim "are you insane?" when the docs prescribed it to her or a family member. I never paid attention nor understood why my mom would get angry. Now I know. 😮
@RachelStewart04Ай бұрын
Interesting! Is there a big issue with opioid abuse in Nicaragua?
@dylanmacdonald7908Ай бұрын
The chronic use of NSAIDs can cause kidney problems and stomach ulcers (with the COX1 type) and heart problems (with the COX2 type). I think that it is irresponsible to imply that NSAIDs can be used in place of opiates in all cases. Many people with chronic pain rely on opioids, so I think it's incorrect to vilify opioids in the manner that this video does.
@RachelStewart04Ай бұрын
It’s not about vilifying a certain type of drug, more about questioning conflicts of interest and unintended consequences. The episode states that not all patients can use NSAIDs. It’s a complicated issue for sure. Thanks for listening!
@TheAnthoula14Ай бұрын
We have a real conundrum with opioids. Yes they have high potential for abuse, always have, always will. But they are still the only real existing option for severe pain. That doesn't mean they should be abused, it just means we don't have a lot of other choices for critical situations. Until something with equal strength comes along, we have to find a way to safely live with them.
@RachelStewart04Ай бұрын
Exactly, it’s much more complicated than simply banning or not. Thanks so much for listening!
@minaselim3758Ай бұрын
This absolutely is a social problem and those companies are taking advantage of it : the Poverty level increase , the stress increased , the work right always to favor of the owner .
@DWHistoryandCultureАй бұрын
How do you think it can be better controlled?
@mohammedsaysrashid35872 ай бұрын
Pain, it's not disease, its symptoms of diseases, and physical disabilities...Edection is disastrous....
@DWHistoryandCulture2 ай бұрын
So do you think too much emphasis is put on treating pain?
@andreea.andreea2 ай бұрын
🎉 Dear Rachel you are back🎉🎉🎉🎉
@RachelStewart042 ай бұрын
Yes indeed :D I hope you enjoy the podcast!
@DWHistoryandCulture2 ай бұрын
Happy to have her back 😍
@andreea.andreea2 ай бұрын
@@DWHistoryandCultureRachel is a gem please don t let her go this time
@DWHistoryandCulture2 ай бұрын
We will do our best! 🤞🥰
@DWHistoryandCulture2 ай бұрын
hehe, we're always watching 😉
@fabiodeoliveiraribeiro1602Ай бұрын
In 2015, while the US was fighting opioid overdoses in Brazil, the purchase of these drugs increased by 465%. In 2018, approximately 4.5 out of 100 Brazilians with prescriptions were prescribed tramadol or something similar. I quote here the conclusion of a 2022 study: "The lack of medical training, insufficient education and low priority of chronic pain as a health policy are growing concerns and result in unequal access to opioids and, therefore, inadequate treatment of patients. However, the authors highlight the scarcity of data on the prescription and consumption of opioids in Brazil. More studies are needed to assess the use of opioids in general clinical practice." In 2023, the press reported that in addition to medical prescriptions, the illegal use of opioids in Brazil already exists and, according to experts, public policies are needed to avoid a crisis like the one in the US. I know a young man of about 50 years old who became addicted to this drug and became completely unfit for work.
@m3talHalide-rt2fzАй бұрын
As someone who received pain management and later surgery for a broken leg, I can say only one really warranted pain meds. Its absurd how little we treat the causes. I pulled a muscle last year, way worse than when I did receive "pain management" and 6 weeks of PT, tylenol and advil worked great. Not that all ailments are cured by PT - my broken leg was made much worse by a hesitancy to prescribe - but opiates dont cure anything. I wonder if its patients desire for immediate outcomes that bias doctors away from root-cause treatment in favor of "doing something," Id be curious to see how doctors manage their own treatment - do doctors ever have their own back pain treated with spinal fusions?
@RachelStewart04Ай бұрын
Interesting question! Maybe we have some doctors here in the comments...
@CONNELL195112162 ай бұрын
Read John le Carre's The Constant Gardener
@RachelStewart042 ай бұрын
Oh yes interesting. And that also gives a little clue about another episode that is coming up...
@Alfredo786662 ай бұрын
Carla Cugino is british?
@DWHistoryandCulture2 ай бұрын
Her mother is British-Irish, but she was born in Florida, thank you for your question!