Musician as Physician #berklee #musictherapy

Musician as Physician: Interwoven Artistry for Complex Cancer Pain Management

Douglas E Brandoff, MD

Dr Brandoff opens with two vignettes; one where he describes a time of personal social frustration where he wanted to punch a wall (but played some classical piano instead – he demos it live!). His second example is a patient case (see slide).

As a palliative care expert and pain specialist, he gives us an overview of patient needs, in the context of his profession, and in the context of US healthcare. He considers opioids an important part of pain treatment, but acknowledges the rampant public health opioid crisis. We look at some disturbing stats of overdose deaths involving opioids in the US, correlated with heroin and fentanyl takeup, and a more local analysis of the picture here in Massachusetts.

[Read more…]

Pain: The Intersection of Sensation and Emotion

Daniel B Carr MD MA, Tufts University School of Medicine

Dr Carr ones with a powerful statement: Pain itself is a disease. There are a number of causes, and types, of disease (heart disease, lung disease etc) but once they become established and manifest as pain, they have similarities. Dr Carr believes that having access to pain control is a human right. Pain is a public health issue. Pain professionals view it it as a disease, which can be understood as a combination of pathology, host and environment. Definition discussion (Williams and Craig, 2016).

Loeser’s Pain Model (1980)

Pain, Dr Carr suggests, is a public health issue (O’Brien et al, 2017) and lower back pain is argued to be a global disability. [Read more…]