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The above is from the board of preventive medicine website. Is it possible that your training is leading to an observer bias? I now understand your perspective. As for your diabetics and peripheral vascular patients probably suffer from neuropathic pain and certainly could benefit from analgesics specific to that which or course are non narcotic. However I think that perhaps your training has lead to certain black and white stsremrs rendered above for which there is considerable debate in the literature. Certainly the science is not as accepted as you would lead others to believe in any event.
Observer? You mean like, an arm chair? I don’t know of any MD who just “observes” unless they’re into Ethics or are administrators.
I’ve been in the field for over 30 years. I see patients. Probably 10s of thousands over the years. I’m the medical director for large to small companies that employ 100s to over 5000 people. I provide nursing staffs and physicians to these companies. I also see patients in the clinic which is hospital based.
Like I said before. I tell my patients who have chronic pain...who are dependent on pain meds. Do you want to feel better, or do you want to get better? That’s where we start. If they just want to feel better, because it satisfies a lot of psycho social issues in their life, then go somewhere else. If they want to get better, I can help you.
I’m missing your point here, and in fact, I have to run.