000			03974cam a2200409Ii 4500
001			on1104208125
003			OCoLC
005			20190701144800.0
008			190611s2019 nyu b 001 0deng d
010			_abl2019015139
040			_aNjBwBT _beng _cFMG _erda _dFMG _dOCLCO _dUAP _dILC _dGTA _dDAD _dNFG
019			_a1105952611
020			_a9780062854643
020			_a006285464X
035			_a(OCoLC)1104208125 _z(OCoLC)1105952611
043			_an-us---
092			_a362.293 _bR551
049			_aNFGA
100	1		_aRieder, Travis, _eauthor.
245	1	0	_aIn pain : _ba bioethicist's personal struggle with opioids / _cTravis Rieder.
250			_aFirst edition.
264		1	_aNew York, NY : _bHarper, an imprint of HarperCollinsPublishers, _c[2019]
300			_axiii, 297 pages ; _c24 cm
336			_atext _btxt _2rdacontent
337			_aunmediated _bn _2rdamedia
338			_avolume _bnc _2rdacarrier
504			_aIncludes bibliographical references (pages [265]-284) and index.
505	0		_aA salvage situation -- Pain and drugs -- The swinging pendulum -- The opioid dilemma -- Abandoned -- Dependence and addiction -- What doctors owe patients -- Recovery -- Pain, drugs, and doing the right thing -- America's three opioid epidemics -- Epilogue: Making a difference.
520			_aA bioethicist's memoir of opioid dependence and withdrawal exposes the American health care system's failures at managing the use of opioids for pain relief and reveals the lack of resources and structures to handle the nationwide epidemic of opioid addiction.
520			_a"A bioethicist's eloquent and riveting memoir of opioid dependence and withdrawal -- a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic. Travis Rieder's terrifying journey down the rabbit hole of opioid dependence began with a motorcycle accident in 2015. Enduring half a dozen surgeries, the drugs he received were both miraculous and essential to his recovery. But his most profound suffering came several months later when he went into acute opioid withdrawal while following his physician's orders. Over the course of four excruciating weeks, Rieder learned what it means to be "dope sick" -- the physical and mental agony caused by opioid dependence. Clueless how to manage his opioid taper, Travis's doctors suggested he go back on the drugs and try again later. Yet returning to pills out of fear of withdrawal is one route to full-blown addiction. Instead, Rieder continued the painful process of weaning himself. Rieder's experience exposes a dark secret of American pain management: a healthcare system so conflicted about opioids, and so inept at managing them, that the crisis currently facing us is both unsurprising and inevitable. As he recounts his story, Rieder provides a fascinating look at the history of these drugs first invented in the 1800s, changing attitudes about pain management over the following decades, and the implementation of the pain scale at the beginning of the twenty-first century. He explores both the science of addiction and the systemic and cultural barriers we must overcome if we are to address the problem effectively in the contemporary American healthcare system. In Pain is not only a gripping personal account of dependence, but a groundbreaking exploration of the intractable causes of America's opioid problem and their implications for resolving the crisis. Rieder makes clear that the opioid crisis exists against a backdrop of real, debilitating pain -- and that anyone can fall victim to this epidemic."-- Publisher description
650		0	_aOpioid abuse _zUnited States.
650		0	_aOpioid abuse _xTreatment _zUnited States.
600	1	0	_aRieder, Travis _xHealth.
650		0	_aDrug addiction _zUnited States.
650		0	_aPain _xTreatment _zUnited States.
994			_aC0 _bNFG
999			_c293311 _d293311