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          <TD><A href=3D"http://www.jhu.edu/~jhumag/"><FONT =
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            align=3Dbaseline alt=3D"Johns Hopkins &#10;     Magazine =
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          <TD align=3Dright><A =
href=3D"http://www.jhu.edu/~jhumag/0699web/"><FONT=20
            size=3D-1>JUNE 1999<BR>CONTENTS</A>
            <P></P></FONT></TD></TR>
        <TR>
          <TD align=3Dright><A=20
            =
href=3D"http://www.jhu.edu/~jhumag/0699web/painnb.html"><FONT=20
            size=3D-1>AUTHOR'S NOTEBOOK</A>
            <P></P></FONT></TD></TR>
        <TR>
          <TD align=3Dright><A=20
            =
href=3D"http://www.jhu.edu/~jhumag/0699web/painweb.html"><FONT=20
            size=3D-1>RELATED SITES</A>
            <P></P></FONT></TD></TR>
        <TR>
          <TD align=3Dright><FONT color=3D#2f4f2f><B>Many chronic pain =
patients=20
            have found that morphine safely alleviates their suffering. =
Now all=20
            they have to do is convince their doctors.</B></FONT>
            <P></P></TR></TBODY></TABLE></FONT></TD>
    <TD align=3Dtop vAlign=3Dtop width=3D360>
      <CENTER><FONT color=3D#2f4f2f><FONT size=3D-1>H E A L T H =
&nbsp;&nbsp; A N D=20
      &nbsp;&nbsp; M E D I C I N E</FONT></FONT>
      <P><FONT size=3D+3>Just Give Me Something for the =
Pain</FONT><BR>By <A=20
      href=3D"http://www.jhu.edu/~jhumag/staff.html#melissa">Melissa=20
      Hendricks</A><BR>Illustration by <A=20
      =
href=3D"http://www.jhu.edu/~jhumag/0699web/contrib.html#jacques">Jacques =

      Cournoyer</A><BR><IMG=20
      src=3D"http://www.jhu.edu/~jhumag/0699web/images/p29.jpg">
      <P></CENTER>Patricia Townson's spine is on fire. A knife is =
piercing her=20
      neck. Pain has been her constant companion for almost four years =
since two=20
      car accidents ruptured disks in her neck. The 35-year-old lost her =
retail=20
      sales job and now spends her days and nights semi-reclined on a =
blue couch=20
      in her upstate New York home.
      <P>A bottle of maroon-colored pills that sits on a table next to =
the couch=20
      offers some relief. Townson has tried dozens of drugs, and this=20
      timed-release morphine is the only one that can even touch her =
pain. Her=20
      prescription is for nine pills per day, but she allows herself =
just five.=20
      That's because she does not know when she will find a local =
physician who=20
      will renew the prescription; several have already refused. Her =
doctors=20
      have told her that she will become addicted to the opiate. They =
have=20
      labeled her a "junkie" and referred her to detox, even though =
cutting off=20
      her medication left her in unbearable agony. Being told she is an =
addict,=20
      she says, "is as bad as the pain I'm feeling."
      <P>Johns Hopkins neurosurgeon James Campbell has heard many =
stories like=20
      Patricia Townson's. As director of the Johns Hopkins Blaustein =
Pain=20
      Treatment Center, and past president of the American Pain Society, =
he has=20
      treated hundreds of patients who suffer from chronic =
pain--unremitting,=20
      often incurable agony that persists for weeks, months, or even =
years.=20
      Frequently, he treats them with a "therapeutic trial" of morphine =
or other=20
      natural or synthetic morphine-like drugs, known collectively as =
the=20
      opioids.
      <P>"Based on my experience, opioids are more effective than any =
single=20
      class of drugs for chronic pain," the neurosurgeon says. "We have =
doctors,=20
      lawyers, professional people who are taking morphine or methadone =
[a=20
      synthetic opioid] for chronic pain and are doing fine." Opioids do =
not=20
      damage the liver or kidneys, as certain anti-inflammatory agents =
can; or=20
      lead to ulcers, the way aspirin can; or induce Parkinson's-like =
shakiness,=20
      the way schizophrenia medications can. All these substances have =
been used=20
      for chronic pain.=20
      <P></P></TD></TR></TBODY></TABLE>
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          <TD align=3Dmiddle><FONT size=3D-1><IMG align=3Dbaseline =
border=3D0=20
            =
src=3D"http://www.jhu.edu/~jhumag/0699web/images/p30.jpg"><BR=20
            clear=3Dall></FONT></TD></TR>
        <TR>
          <TD align=3Dright><FONT color=3D#2f4f2f>"Based on my =
experience," says=20
            James Campbell, "opiods are more effective than any single =
class of=20
            drugs for pain relief."</FONT> </TD></TR></TBODY></TABLE>
    <TD align=3Dtop vAlign=3Dtop width=3D360>But Campbell and several =
other Hopkins=20
      specialists who prescribe opioids for chronic pain often run up =
against=20
      obstacles. They say that many doctors who are afraid to prescribe =
the=20
      drugs are clinging to outdated conventions--such as the belief =
that=20
      opioids inevitably cause addiction or intolerable side effects. =
Others who=20
      do see the benefits of opioid medications still avoid prescribing =
them=20
      because they fear that state medical boards will take away their =
licenses,=20
      as has occurred recently in a handful of high-profile cases.
      <P>"Opioids are among the most stigmatized medicines," says =
neurologist=20
      Russell Portenoy, chairman of pain medicine and palliative care at =
Beth=20
      Israel Medical Center in New York and president of the American =
Pain=20
      Society. "There is an enormous number of myths and misconceptions =
that=20
      physicians and the public perceive."
      <P>As a consequence, Campbell and several other Hopkins pain =
specialists=20
      now routinely spend time talking with referring physicians to =
correct=20
      mistaken notions and explain the state of the art for using =
opioids for=20
      chronic pain.
      <P>"We're trying to mount education for the [medical] community at =
large.=20
      A lot of education is needed in the primary care setting," says =
Nathan=20
      Rudin, an assistant professor of physical medicine and =
rehabilitation.=20
      "Physicians need to know that if these medications are used =
properly,=20
      prescribing them is as routine as prescribing a blood pressure =
medicine.=20
      It doesn't need to carry any more of a stigma."
      <P>BUT CAMPBELL AND COLLEAGUES face an uphill battle, as Patricia=20
      Townson's case demonstrates.
      <P>After her car accidents, Townson tried chiropracty, electrical=20
      stimulation, and a large variety of medications, all futile =
attempts to=20
      relieve her pain. Finally, a pain specialist prescribed morphine. =
While no=20
      cure, the pills gave her enough relief that she was able to visit =
friends=20
      for an hour.=20
      <P>Her troubles continued this past January, however, when she had =
surgery=20
      to remove two disks in her neck. Her surgeon, says Townson, was =
horrified=20
      to find that she was taking morphine, and he forbid her to =
continue its=20
      use. Townson complied with his recommendation, but after a few =
days her=20
      pain was unbearable. Her husband rushed her to the emergency room =
in the=20
      middle of the night, as she writhed in agony; her misery was no =
doubt=20
      compounded by the effects of morphine withdrawal. "My body was =
drenched.=20
      My clothes were drenched. The pain in my neck was just so severe. =
I just=20
      wanted to die," she recalls today.
      <P>Townson's doctors told the ER staff that she should be placed =
in detox,=20
      but the detox program refused to admit her. So she was sent home.=20
      <P>In February, Townson's husband rented a van, made a bed for his =
wife in=20
      the back, and drove her to James Campbell's office at Hopkins. =
After=20
      examining Townson and studying her medical records, Campbell =
recommended=20
      that she continue taking the morphine medication. He also wrote a =
letter=20
      to her local physician explaining the merits and safe use of the =
drug.=20
      Townson's physician grudgingly agreed to give her a two-month =
supply of=20
      the drugs with the idea that she would gradually wean herself off =
of it.=20
      The dozen other doctors she's tried calling have refused to write =
her a=20
      prescription for the medication. "So I'm blackballed," she says.
      <P>Townson is not alone in her pain. According to the National =
Institute=20
      of Neurological Disorders and Stroke, 40 million Americans each =
year visit=20
      a doctor for chronic pain. Headache and back pain top the list of =
chronic=20
      pain conditions. Others include arthritis, endometriosis,=20
      temporomandibular joint pain (TMJ), vulvar pain, trigeminal =
neuralgia,=20
      shingles pain, and fibromyalgia. (Cancer patients, of course, also =

      experience chronic pain, and have had to wage their own battle for =

      adequate pain relief. However, the question of using opioids for=20
      non-malignant chronic pain is a more recent controversy.) Deciding =
when=20
      pain should be described as chronic is somewhat arbitrary, says =
Campbell.=20
      By and large, patients who rate their pain as a seven or above on =
a=20
      zero-to-10 scale, and whose pain has lasted four to six weeks or=20
      more,"start verging on chronic," he says.
      <P>But chronic pain patients present notoriously complex cases =
because=20
      their injury or disease is often compounded by other problems, =
such as=20
      depression and physical disability. Physicians often have a =
difficult time=20
      untangling the web of ailments that can occur with chronic pain. =
Such pain=20
      can endure for a decade or more, and it is not uncommon for =
patients to=20
      seek the help of dozens of doctors, depleting their savings in the =

      process--a pain treatment odyssey that some physicians mistake for =
the=20
      "doctor shopping" of a drug abuser. A recent survey by the =
American Pain=20
      Society, the American Academy of Pain Medicine, and Janssen =
Pharmaceutica=20
      concludes that more than 40 percent of people with chronic pain =
are not=20
      receiving adequate pain relief.=20
      <P>Many of the patients who cannot find or are denied adequate =
pain=20
      control are angry, bitter, and desperate. The tenor of the =
messages posted=20
      electronically on the listserver maintained by a patient support =
and=20
      advocacy group called the American Society for Action on Pain =
(ASAP)=20
      reflects this range of sentiments.
      <P>Some patients write that their doctors allot them only one =
short-acting=20
      opioid pill per day. The medication lasts only four hours, leaving =
them in=20
      pain for the other 20 hours.
      <P>Other patients were taking methadone, for pain, but were taken =
off the=20
      drug "cold turkey" because hospital staff said they were addicted =
to the=20
      medication. Several patients posted messages in recent months =
requesting=20
      the address of Jack Kevorkian, or debating the ethics of=20
      physician-assisted suicide.
      <P>ASAP's founder, Skip Baker, has lived with chronic pain for 20 =
years. A=20
      photographer based in Williamsburg, Virginia, Baker has a rare =
disease=20
      called ankylosing spondylitis. For years, he looked for a =
physician who=20
      could alleviate his pain. He even bought a shotgun and =
contemplated=20
      suicide. Finally, a doctor diagnosed his condition and put him on=20
      morphine. Now almost entirely pain-free, he is trying to help =
other=20
      patients. "My hobby," he says, "seems to have become getting =
severe=20
      chronic pain patients to doctors willing to control their =
suffering rather=20
      than letting them go to Dr. Kevorkian or take their own lives."
      <P>Baker has also written letters to and testified before state =
medical=20
      boards, and helped organize a march on the Capitol by pain =
patients to=20
      demand better pain management. Many doctors, he says, "are =
terrified to=20
      treat pain for fear of getting prosecuted." He maintains a =
"barbaric list"=20
      of states where patients have reported the most egregious pain =
management=20
      practices. Many medical boards, says Baker, "assume we're taking =
pills to=20
      get high."
      <P></P></TD></TR></TBODY></TABLE>
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          <TD align=3Dmiddle bgColor=3D#2f4f2f><FONT color=3D#e6e6ec>
            <CENTER><B>Coming to Terms with Pain=20
        Control</B></CENTER></FONT></TD></TR>
        <TR>
          <TD bgColor=3D#e6e6ec><FONT size=3D-1><B>Opiate</B> - A =
narcotic pain=20
            reliever that is derived from the opium poppy, Papaver =
somniferum.=20
            Includes morphine and codeine.
            <P><B>Opioid</B> - Opiates and other semi-synthetic and =
synthetic=20
            narcotics that are related to the opiates. Includes =
methadone,=20
            heroin, oxycodone (Oxycontin), meperidine (Demerol), and =
hydrocodone=20
            (Hycodan).
            <P><B>Misuse</B> - Unintentional, inappropriate use of a =
medication.=20
            An elderly person has trouble seeing in the dark and =
mistakenly=20
            takes blood pressure pills, thinking they are aspirin.
            <P><B>Abuse</B> - Intentional misuse of a medicine to get an =
effect=20
            different from the drug's intended medical effect. Instead =
of taking=20
            his prescribed dosage of pain pills, a man takes several =
extra and=20
            washes them down with beers at the ballpark to enhance his =
mood.
            <P><B>Physical dependence</B> - Stopping a drug causes a=20
            physiological response called withdrawal. For instance, =
morphine=20
            withdrawal can lead to diarrhea, muscle aches, and fever.=20
            <P><B>Addiction (chemical dependence)</B> - Loss of control, =

            compulsive use, and continued use of a drug despite harm. A =
person=20
            who has cirrhosis and drinks only one beer per week but must =
have=20
            that beer is an addict. But a pain patient taking opioids =
over an=20
            extended time period who abides by her doctor's rules is =
not.
            <P><B>Source:</B> Dennis Doherty, co-chair of the Pain and =
Addictive=20
            Disease Committee of the American Society of Addiction =
Medicine, <A=20
            href=3D"http://www.asam.org/">http://www.asam.org/</A>)
            <P></FONT></P></TD></TR></TBODY></TABLE>
    <TD align=3Dtop vAlign=3Dtop width=3D360>MORPHINE IS EXTRACTED from =
opium, a=20
      drug that itself is obtained from the juice of the opium poppy, =
Papaver=20
      somniferum. Physicians in the 19th century freely prescribed opium =
for=20
      pain.
      <P>But through a series of federal and state initiatives, =
physicians=20
      throughout this century have been warned to avoid prescribing =
opioids for=20
      fear of the risk of addiction. The War on Drugs has further fueled =
this=20
      fear, says Campbell, ultimately resulting in what he calls "The =
War on=20
      Patients."
      <P>When Campbell was in medical training 20 years ago, many =
doctors were=20
      even opposed to prescribing opioids for terminally ill patients. =
In=20
      general, they worried that opioids would make patients depressed,=20
      irritable and withdrawn, impair their thinking, and lead to =
addiction.=20
      Doctors also feared that, over time, patients would develop =
tolerance to=20
      the drugs. While they might first need only 20 milligrams to =
achieve pain=20
      relief, they would soon need 50. Then 80. Then 100. Where would it =
end?=20
      Side effects were also a problem; the opioids were known to cause =
nausea,=20
      constipation, and depressed respiration.
      <P>At many pain clinics, pain treatment was synonymous with detox, =
says=20
      Campbell. "We were taught, if you stop the opiates, the patient's =
pain=20
      will go away." But the scientific premise for this notion was =
"fuzzy. It=20
      certainly was not rooted in good science," he says today.=20
      <P>Many doctors would prescribe anything but opioids, says Marco=20
      Pappagallo, director of the division of pain medicine in Hopkins's =

      Department of Neurology. But each alternative medication had its =
own=20
      problems. The list included schizophrenia drugs, which have =
potentially=20
      dangerous side effects and now are thought to have no effect on =
pain;=20
      sedatives such as Valium, which can cause organ damage; or=20
      anti-depressants, which are effective pain relievers but have a =
long list=20
      of side effects including drowsiness, constipation, and dry mouth. =
"There=20
      was no science at all, but a mix of biases, prejudices, and a lack =
of=20
      education," comments Pappagallo.
      <P>Sentiment began changing in the 1970s, when oncologists started =
finding=20
      that their cancer patients garnered pain relief from =
morphine--with little=20
      or no risk of addiction.
      <P>Drug companies also began developing timed-release morphine=20
      preparations that delivered the drug slowly, in contrast to the=20
      short-acting spurts of pain relief that wore off within three or =
four=20
      hours and left the patient counting the minutes until the next =
dose.=20
      <P>Scientists also learned more about how opioids relieve pain. =
Previously=20
      they thought that opioids didn't really reduce pain-- they merely =
caused a=20
      patient to become less aware of the pain through "disassociation." =
But=20
      then researchers discovered that the body produces its own natural =

      opioids. These bind to special receptors on the neurons that =
transmit pain=20
      signals to the spinal cord. Morphine and morphine-like drugs bind =
to these=20
      same receptors and thereby do diminish pain.
      <P>CAMPBELL BEGAN PRESCRIBING OPIOIDS for chronic pain in the =
early 1980s.=20
      His first patient was a night watchman in his 30s who had lost his =
arm as=20
      a result of an injury. The man had experienced excruciating =
phantom limb=20
      pain ever since. He'd had more than a dozen surgeries. Campbell =
performed=20
      another operation, but the man was still in agony. "He was next to =

      suicide," says Campbell.
      <P>The patient remarked that the methadone he had received to =
relieve=20
      post-operative pain had been very effective. So Campbell decided =
to see if=20
      a long-term prescription of a modest dose of methadone would help. =
The=20
      results were remarkable, says Campbell. The watchman returned to =
work and=20
      continued to take methadone for the next 10 years.=20
      <P>Since then Campbell has treated dozens of chronic pain patients =
by=20
      prescribing long-term courses of methadone, morphine, and other =
opioids,=20
      often with promising results. Many patients have called or written =
to=20
      thank him for easing their pain after everything else that they =
tried had=20
      failed. Pappagallo's patients tell similar stories.=20
      <P>But Campbell and Pappagallo have also heard from patients who =
encounter=20
      skeptical looks and questions from dubious doctors and =
pharmacists, or the=20
      astonished reactions of relatives who find a methadone bottle in =
the=20
      medicine cabinet.=20
      <P>A few years ago, Roberta Halliday, an energy lawyer struggling =
with=20
      chronic neck pain from degenerative disks, walked into a pharmacy =
in her=20
      Chevy Chase, Maryland, neighborhood to fill a prescription for =
methadone.=20
      While several shoppers looked on, the pharmacist railed at her. =
She would=20
      have to go to a heroin detox clinic, he said. His pharmacy could =
not fill=20
      prescriptions for heroin addicts.
      <P>"I was astonished," says Halliday. "It was embarrassing. My =
mother was=20
      with me and she was horrified."=20
      <P></P></TD></TR></TBODY></TABLE>
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          <TD align=3Dmiddle><FONT size=3D-1><IMG align=3Dbaseline =
border=3D0=20
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            clear=3Dall></FONT></TD></TR>
        <TR>
          <TD align=3Dright><FONT color=3D#2f4f2f>When Roberta Halliday =
tried to=20
            fill her prescription for methadone, the pharmacist railed =
at her=20
            for being a heroin addict as customers looked on. She would =
have to=20
            go to a heroin detox center, he said.</FONT> =
</TD></TR></TBODY></TABLE>
    <TD align=3Dtop vAlign=3Dtop width=3D360>CAMPBELL AND PAPPAGALLO =
POINT OUT that=20
      there's an important distinction between drug dependence, and drug =
abuse=20
      or addiction. Opioid users do become physically dependent on the =
drugs=20
      they take and will suffer withdrawal symptoms if they stop taking =
them.=20
      Morphine withdrawal can include diarrhea, muscle aches, fever, and =
general=20
      flu-like symptoms. Though uncomfortable, these symptoms are not=20
      life-threatening.
      <P>In contrast, people who are addicted to a substance have a =
compulsive=20
      need to use it. They go to great lengths to get it-- even breaking =
the=20
      law, hurting people, or destroying personal relationships.
      <P>Several studies of cancer patients and other pain patients have =
shown=20
      that these patients rarely become addicted to their pain =
medication. As to=20
      why that is the case, Pappagallo notes that only a small minority =
of the=20
      general population has a predisposition toward addiction to begin =
with.=20
      Further, adds Campbell, most patients who take opioids do not =
experience=20
      euphoria from their medication, particularly from the =
timed-release=20
      preparations. Patients are not going to go to great lengths to =
seek a=20
      "high," as the heroin abuser would, because there is none. "You =
don't walk=20
      a mile to get a nicotine patch," says Campbell.
      <P>Under the supervision of a properly trained physician, even =
chronic=20
      pain patients who have a history of drug or alcohol abuse can take =
opioids=20
      with minimal risk of abuse, says Pappagallo, although he makes =
these=20
      patients abide by a stricter set of rules, such as agreeing to =
random drug=20
      tests. Experienced physicians learn the red flags that suggest =
abuse. For=20
      instance, a patient will say on several occasions that he lost his =

      medication and needs a new prescription.=20
      <P>What about tolerance? Won't patients need ever higher doses to =
get the=20
      same amount of relief? Here again, it would appear the risk is not =
as=20
      great as doctors once thought. "Tolerance, or decreasing pain =
relief with=20
      the same dosage over time, has not proven to be a prevalent =
limitation to=20
      long-term opioid use," concludes a consensus statement issued =
recently by=20
      the American Academy of Pain Medicine and the American Pain =
Society. The=20
      statement continues, "Experience with treating cancer patients has =
shown=20
      that what initially appears to be tolerance is usually progression =
of the=20
      disease."
      <P></P></TD></TR></TBODY></TABLE>
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          <TD align=3Dmiddle bgColor=3D#2f4f2f><FONT color=3D#e6e6ec>
            <CENTER><B>How the Thinking Has =
Changed</B></CENTER></FONT></TD></TR>
        <TR>
          <TD bgColor=3D#e6e6ec><FONT size=3D-1>Many commonly held =
assumptions=20
            about opioid use need to be modified, according to a recent=20
            consensus statement issued by the American Academy of Pain =
Medicine=20
            and the American Pain Society.
            <P><B>Myth</B><BR>Opioids are always addictive. Patients who =
use=20
            them regularly will become drug addicts.
            <P><B>Reality</B><BR>Studies show that very few chronic pain =

            patients become addicted to their opioid pain relievers. =
What's=20
            more, even known addicts can benefit from carefully =
supervised,=20
            judiciously prescribed opioids for treating pain due to =
cancer,=20
            surgery, or sickle cell disease.
            <P><B>Myth</B><BR>Over time, chronic pain patients will =
develop a=20
            tolerance to opioids, making it necessary continually to =
increase=20
            the dosage.
            <P><B>Reality</B><BR>Tolerance does not appear to be =
prevalent among=20
            long-term opioid users. In some cases, what appears to be a =
decrease=20
            in pain relief over time is actually the progression of the =
disease=20
            being treated.
            <P><B>Myth</B><BR>Opioids often cause prohibitive side =
effects, like=20
            depressed respiration, sedation, and nausea.
            <P><B>Reality</B><BR>Respiratory depression tends to be =
short-lived=20
            and generally occurs only in patients who are newly taking =
the=20
            medication. Likewise, sedation and nausea usually dissipate =
with=20
            continued use.
            <P></FONT></P></TD></TR></TBODY></TABLE>
    <TD align=3Dtop vAlign=3Dtop width=3D360>Doctors can also minimize =
the side=20
      effects of opioids by titrating the medication, starting with a =
small dose=20
      and increasing it gradually over weeks or months until pain relief =
is=20
      achieved, Pappagallo says. Opioids alone are not the answer to =
every=20
      patient's pain, he concedes. He has found that combining pain =
relievers,=20
      such as an antidepressant with an opioid, can give some patients =
pain=20
      relief at a lower dosage of each medication.=20
      <P>But there is a wide range of opinion on whether and when =
opioids should=20
      be prescribed--even among Hopkins physicians.=20
      <P>"I find there is a subset of patients who do benefit," says =
Rudin, of=20
      Hopkins's Division of Physical Medicine and Rehabilitation. But, =
unlike=20
      Pappagallo, Rudin is reluctant to give opioids to a patient with =
serious=20
      psychological problems or an addiction history. "These medicines =
can=20
      contribute to depression," he says. "I'd have these people =
referred to=20
      psychological counseling first."
      <P>Rudin recommends trying all other non-surgical medical =
alternatives=20
      before resorting to opioids. "You have to be careful about =
monitoring=20
      these medications," he says. "If they are improperly used they can =
have=20
      serious side effects. This is a very, very sensitive issue. I'm =
really=20
      still on the fence on how well they work. In a lot of cases we =
give them=20
      to people who shouldn't have them, and in a lot of cases we =
[probably]=20
      don't give them to people who should. I think they can be useful =
tools if=20
      you carefully pick your patients. We're still trying to figure out =
how to=20
      pick those patients."
      <P>Donlin Long, Hopkins neurosurgeon-in-chief, is among those at =
Hopkins=20
      who have serious reservations about widely prescribing opioids for =
chronic=20
      pain. Long, who directed Hopkins's inpatient Pain Treatment Center =
for 15=20
      years, has prescribed mainly short-acting opiates for certain pain =

      patients. But he questions their effectiveness. "I find my =
patients don't=20
      like the way opioids make them feel," he says. "It would be =
wonderful if=20
      they turned out to be effective, but my patients take them, and =
their lack=20
      of activity remains exactly the same."=20
      <P>In a study he conducted a few years ago involving 494 pain =
patients,=20
      volunteers were placed on opioids. When the patients stopped =
taking the=20
      medication, says Long, "none of the patients thought their pain =
was worse=20
      than it had been when they were on the drugs."=20
      <P>He says he would be willing to prescribe opioids more often if =
research=20
      demonstrated that they give significant pain relief but do not =
impair=20
      cognition and other functions. "The problem is that nobody has =
done a=20
      reasonable study," he says.
      <P>Research now under way at Hopkins may provide some answers. =
Pappagallo,=20
      anesthesiologist Srinivasa Raja, and psychologist Jennifer =
Haythornthwaite=20
      are studying a group of shingles patients who are randomly =
assigned to=20
      take either an opioid, an anti-depressant, or a placebo. The =
patients=20
      rotate through each of the three groups so that by the end of the =
trial,=20
      each patient has received three interventions.
      <P>Initial results show that neither opioids nor anti-depressants=20
      adversely affect a patient's attention, concentration, verbal =
learning,=20
      and psychomotor skills. The study is still in progress, =
Haythornthwaite=20
      cautions, but it confirms earlier research that she and her =
colleague have=20
      conducted.
      <P>However, she adds, it is also important to note that opioids do =
not=20
      completely eliminate patients' pain. Indeed, Pappagallo reports =
that his=20
      patients on opioids achieve a 50 to 60 percent decline in pain.=20
      <P>Moreover, Haythornthwaite has found that opioids are not the =
magic pill=20
      for returning patients to a normal life.
      <P>She has counseled and evaluated hundreds of chronic pain =
patients at=20
      Hopkins, many of whom are the most severe cases in the chronic =
pain=20
      spectrum. Many have not held jobs or been physically active for a =
decade=20
      or more. Their muscles have atrophied. They are depressed. They =
are=20
      physically or psychologically unable to leave their homes. She has =
found=20
      that opioids give "a slight improvement in function but it is not=20
      impressive."
      <P>"If opioids are as good as everybody says," says =
Haythornthwaite, "then=20
      people should be getting back to work. But I'm not seeing that. We =
don't=20
      see robust improvements that could be totally attributed to the =
opioids."
      <P>Truly effective pain management, she says, should be a=20
      multidisciplinary affair that includes the option of pain =
medication,=20
      nerve blocks, surgery, physical therapy, and counseling. It should =
steer=20
      patients back into the normal flow of life, in addition to =
reducing their=20
      pain.
      <P>Many questions remain about opioid use for chronic pain, say=20
      Haythornthwaite and her colleagues. The unknowns include: Which =
patients=20
      benefit from the opioids and which don't? And how do patients fare =
who use=20
      opioids for a long time, say five or 10 years?
      <P>A BUTTON PINNED TO PAPPAGALLO'S bulletin board reads: "Pain: =
the 5th=20
      Vital Sign." It is from a national campaign to encourage =
physicians to pay=20
      more attention to pain.=20
      <P>The fray over the use of opioids for chronic pain is just one =
small=20
      part of a more fundamental problem--a lack of education about pain =
and=20
      pain management, says Pappagallo.
      <P>"Pain is patients' chief complaint," he notes. Back pain and =
headaches=20
      account for 60 to 70 percent of visits to physicians. "But when =
you talk=20
      to doctors at academic institutions, pain is not a priority." =
Hopkins's=20
      School of Medicine, for example, does not offer a course =
explicitly in=20
      pain management.=20
      <P></P></TD></TR></TBODY></TABLE>
<TABLE border=3D0 width=3D550>
  <TBODY>
  <TR>
    <TD vAlign=3Dtop width=3D190>
      <TABLE border=3D0 cellPadding=3D5 cellSpacing=3D0 width=3D140>
        <TBODY>
        <TR>
          <TD align=3Dmiddle><FONT size=3D-1><IMG align=3Dbaseline =
border=3D0=20
            =
src=3D"http://www.jhu.edu/~jhumag/0699web/images/p34.jpg"><BR=20
            clear=3Dall></FONT></TD></TR>
        <TR>
          <TD align=3Dright><FONT color=3D#2f4f2f>"Pain is patients' =
chief=20
            complaint," notes Pappagallo. Back pain and headaches =
comprise 60 to=20
            70 percent of visits to physicians. "But when you talk to =
doctors at=20
            academic medical institutions, pain is not a =
priority."</FONT>=20
        </TD></TR></TBODY></TABLE>
    <TD align=3Dtop vAlign=3Dtop width=3D360>There are signs of change. =
The American=20
      Academy of Neurology will soon offer board certification in pain =
medicine,=20
      says Pappagallo, who is chairman of the academy's section on pain=20
      medicine. And an increasing number of state medical boards and=20
      organizations are issuing guidelines and policies clarifying the =
use of=20
      opioids and reassuring doctors that they can prescribe opioids for =
relief=20
      of patients' chronic pain without fearing sanctions (see box on =
page 33).=20
      The Maryland Board of Physician Quality Assurance issued such a =
policy and=20
      guidelines in December 1997.
      <P>Such policies may one day be rendered unnecessary. Several =
promising=20
      new pain medications are in development or already starting to =
find a=20
      place on pharmacy shelves. They include new topical opioids;=20
      anti-inflammatory agents called cox2 inhibitors that come without =
the risk=20
      of bleeding ulcers common to high doses of regular aspirin; and, =
farther=20
      in the future, gene therapy.=20
      <P>But until these new options become widely applied and =
available,=20
      patients like Patricia Townson will continue to hoard their pain =
pills,=20
      desperately holding onto the tenuous lifeline that connects them =
to a=20
      bearable existence.
      <P>
      <HR>

      <P><FONT size=3D-1>RETURN TO <A=20
      href=3D"http://www.jhu.edu/~jhumag/0699web/">JUNE 1999 TABLE OF=20
      CONTENTS</A>.</FONT> </P></TR></TBODY></TABLE></BODY></HTML>

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