Monday, July 21, 2014

A doggie named Max - Post by Cesar A. Euribe, M.D.


About 12 years ago I made the decision to get a dog. I had been reading about how appropriately trained dogs were helping care for patients suffering chronic pain, cancer or other debilitating conditions. Doggies were able to provide calmness, comfort and emotional support to many of these patients.

So, a 2 ½ month old yellow lab became part of my life both at home and at the office. Any possible doubt about my decision, disappeared from my mind after my new friend “Max” met most of the expectations we had for a therapy dog.

As a young puppy Max underwent several months of crate training, obedience and therapy schools.  My wonderful co-workers helped me so much and delivered consistency. After all of that, out emerged a wonderful, comforting, well trained and liked dog.

Max served our patients for the rest of his privileged life, he provided comfort and attention to so many people, and yes he was privileged for having been well cared and actually have added purpose to his comfortable life. I am not a dog lover who fanatically considers dogs as almost human. Max did teach me a lesson of respect for animals and being responsible for another life.

Max passed from complications of diabetes and seizures. He was made comfortable and remained working during the 2 years he lived after his diagnosis.

We now welcome BELLA a sweet puppy who if lucky, will have the same wonderful life Max had, Her master is Mr. Dan McLaughlin, PA. She has been coming to the office for over a month now. Looks very promising.

 WELLCOME BELLA to the CFPM family.
Written by: Cesar A. Euribe, M.D.

Wednesday, July 16, 2014

Why can't you believe me? - By Cesar A. Euribe, M.D.

Todays Blog:
Why Can't you believe me?
Written by: Cesar A. Euribe M.D.

Pain has only been considered more then just a symptom for the past 30-40 years.  During this time we have been able to learn and discover many amazing things.  Scientists began to identify how many pain conditions were actually unrelated to the cause of pain initially.  They also have identified how our bodies neurological pain pathways are different than the sensory pathways physicians have always considered the same.  Pain was thought to be the over-stimulation of the sense of touch and traveled to our brain by using the same nerves as touch.  We recently discovered the multiple opioid receptors we have which when activated they produce profound pain relief.  Since they also induce the release of the most powerful "pleasure" producing substances in our brain, they can be highly addictive. "They are like the good, the bad, and the ugly".
The study of pain is still in its early phases. We have learned and understand a lot more, however, we are like the treatment of diabetes was at it’s early beginnings.  People have been aware of diabetes for thousands of years but it took ages to discover how to completely treat it as we do today. 

Unfortunately, scientists have not discovered tools to measure or document pain as of yet. Pain Management physician's have to simply accept the patient’s description of pain and believe it as true and accurate.  The patients explanation of how much pain they are in or if the patient is even in pain, becomes a pure act of faith.   Therefor, as any subjective situation in medicine it becomes complicated and for the “pure scientists” find this fact difficult to accept.  Because of the medications we use it also lends itself to manipulation and lies of the part of a few.
WE IN PAIN CARE WANT TO BELIEVE IN ALL OUR PATIENTS’ COMPLAINT OF PAIN, but because of the bad apples who complain mainly for secondary gain (like money, work, etc.) we are forced into questionable doubt.

Do you have questions?

Contact our doctors here at Central FL Pain Management here in the contact us section, or give our office a call.