There's a rumor going round the town that pain is a bad thing and
should be eliminated at all costs. Big Boss Pharma has been lining up
all its big guns and, no matter what level of pain you may be
experiencing, there's a pill with your name on it, assuming you get a
prescription, of course. You may therefore look at the headline here and
be a little surprised. How on Earth can anyone think pain is a good
thing? Well, let's go back to basics. Darwin, that inconvenient man who
thinks we all evolved rather than were created, argued only the
best-adapted species survived. When it comes to survival, the animal
needs to know when it's under attack. If it's injured, it decides
whether to fight or flee. So pain is a vital signal to the brain. It
warns when the body is injured. We benefitted from that when we were
less well-developed. Today, it's still useful to know if we have
accidentally injured ourselves or just picked up something too hot to
hold.
The modern response is to seek medical assistance and then we
complain when the pain message continues. So let's move medical science a
few years into the future. Rather in the same way we can switch off the
burglar alarm when we know someone has broken into our home, a
researcher develops a magic pill to switch off pain. It changes the
brain's chemistry so we are no longer aware of any pain. Would you take
it? Before you rush to an answer, the scientist confirms this is an all
or nothing pill. Either you feel pain or you do not. We will have to go
into real science fiction to arrive at a treatment that only switches
off the pain messages from the injured part of the body. In theory, it
should be possible to neutralize the pain by interrupting the nervous
system at key junctions, e.g. where an arm or leg joins the body.
Unfortunately, this also risks paralyzing the arm or leg.
Anyway, back to the question. Would you take a pill to switch off
pain? It would mean you would not know if you were damaging any other
part of your body. Suppose you drink something that's burning your
tongue, or slip and make your existing injury worse. You would not know
to stop drinking or seek further medical treatment. Completely turning
off pain is dangerous unless you lie perfectly still and take no
physical risks. Even then, you would not know if you were getting the
first pain symptoms of a heart attack or warning indications of any
other disease. The present situation is safer because a drug like Ultram
simply reduces the intensity of the current pain. You can still feel if
any other part of your body is injured or you are affected by some
other disease or disorder.
In Europe, the trend is to teach people pain management techniques so
they can achieve a good quality of life without having to rely on painkillers. This does not deny a role for drugs like Ultram.
They will still be used for short-term relief should pain flare up. The
hope is people can cope without risking dependence on drugs.
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