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Sir William Osler

Sir William Osler was very probably the most influential physician of the 20th century. He was Canadian born and Canadian trained, and he rose rapidly, becoming Professor of Medicine at McGill...

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Differences of Opinion About Opiate Addiction

A pain management doctor will tell you that the risk of addiction in patients treated legitimately for chronic pain is low, something on the order of 3% to 5%. An addictionologist, and I have heard...

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Cosmetics for Hydrocodone

An email: I actually found you on a search engine – researching Hydrocodone and depression. I had my bottom teeth pulled and was prescribed Hydrocodone. I suffer from depression, on Prozac and endless...

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The Stimulator, the Pump, and a Lesson Learned About Opiate Therapy

Mack came to me in 2006. His back pain had begun five years before, and he had undergone two surgical operations, but his pain continued even though he was under the care of a very competent pain...

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Mental Illness, Opiates, and a Hesitant Doctor

I continue, three years into my retirement, to receive emails and calls from people around the country who know of my work. The theme of their correspondence is virtually identical. They discover...

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Physician Assisted Felony

I recently received an email and phone call from a man on the west coast who had discovered quite by accident that Hydrocodone in extremely small doses gave him complete control of his...

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Low Dose Opiate Therapy: Bipolar & Pain Treatment

I recently blogged about the occasional need for very high dose opiate therapy. I will share with you conversations I had with a man from the Midwest who, aware of my work, wanted to tell me about his...

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Pain and Psychiatric Illness

As many of my readers know, I have, because of alleged professional misbehavior, been deprived of my license to practice medicine by my state board. My encounters with the board, about which I will...

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Opioid or Ambien?

An email (one of many) from visitors to my website. Dr. Cochran, to be short. I am 36, female, single, ex-police officer, ex-terrorism officer. I was injured overseas and had two back surgeries. I have...

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A Uniquely American Tragedy

Unless you have been living in a cave or under a rock for the past few years, you are aware that we are in the midst of an “opioid epidemic.” We are told that the misuse of prescribed painkillers is...

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