FROM OUR EXPERTS
Out with the old, in with the new; the world seems to revolve around this constant turnover. Sometimes new technology has a huge advantage, but sometimes the old stuff is just irreplaceable - like an old pair of jeans that fits just right and is soft from use.
Some medications from the past might be irreplaceable too. One such category of medications is the tricyclic antidepressants (TCA) . Although they are rarely used to treat depression, they are still used to treat chronic pain. Lately, the new medications on the block called the serotonin-norepinephrine reuptake inhibitors (SNRIs ) are grabbing the attention of physicians and patients around the world, leaving the TCAs nearly a forgotten memory. Is the replacement of the TCA by the SNRI justified? To answer that question, comparisons regarding effectiveness and safety must be made.
Both the old and the new antidepressants seem to be effective at treating chronic pain. Even some of the most difficult to treat pains res...
Life can be better with the use of chemicals. Every year, I embark on chemical warfare in my rose garden. The bugs try to eat all of the first blooms and I try to kill all the bugs with chemicals. Most of the time, I win the war and have a bounty of colors and perfumes gracing my garden. This year, I learned that these poisonous potions can have some major consequences. After spraying, one of my prized plants immediately turned brown and sickly. Worst of all, the targeted pest is still in my garden.
Chemicals do not always live up to their promises. The same can be said of opioid pain medications like morphine, methadone, oxycodone and hydrocodone. Sometimes these chemicals have some serious consequences and can still leave a person in pain. Are these chemicals really worth it in the long run? Was the loss of one rose bush worth the blooms of the others? I am not sure, but I am definitely having second thoughts about using chemicals in my garden knowing the consequences.
Caring for a child with a chronic illness places many demands on a parent. While the practical challenges may be the most exhausting physically, they may not be the hardest part of the experience. In fact, the practical challenges can often be shared with others who want to lend a helping hand which then lightens the burden for the parents. However, the more demanding challenge may be the emotional side of the situation. When we embark on the journey toward parenthood we tend not to focus on the scary possibilities of what might go wrong during pregnancy, birth or childhood. If we did, we might decide not to have children at all. As parents, we also quickly discover that we have an intense need to protect our children from harm and shield them from unhappiness as much as possible. As I have learned from a woman whose child has severe acid reflux and a host of complicated food allergies, chronic illnesses in children often alter the day to day experience of the child so severely that th...
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