Letters Bad medicine: pain

Ignorance, opioids, and bliss

BMJ 2010; 340 doi: http://dx.doi.org/10.1136/bmj.c458 (Published 26 January 2010) Cite this as: BMJ 2010;340:c458
  1. Michael H Basler, consultant1
  1. 1Glasgow
  1. michael.basler{at}ggc.scot.nhs.uk

    Spence says: “Pain clinics have pursued a hospital model of care for pain without fully appreciating the implications of generating a ‘pain disability’ and opioid dependence in the community.”1

    As a practising pain clinician for over 10 years, I have spent most of my time trying to keep patients out of hospitals and away from inappropriate surgery, as well as weaning them off the strong doses …

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