By: Rebecca,
on 5/19/2008
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The Oxford American Pain Library provides practical guides that cover current approaches and new developments in the assessment and management of pain. The Diagnosis and Treatment of Breakthrough Pain is meant for doctors and nurses but can also provide some insight into treatment options for patients suffering from uncontrolled pain flares. In the excerpt below we learn what breakthrough pain really is.
The term “breakthrough pain” began appearing in the medical literature in the 1980s on the heels of the 
increased attention, brought about by the World Health Organization, to the global problem of undertreated cancer pain. During that time, it became apparent that cancer patients commonly experience intermittent exacerbations of severe pain against a background of continuous, or baseline, pain. Episodic pains that would “break through” during the treatment of background pain that was otherwise well controlled through the use of around-the-clock opioid therapy were catergorized by Portenoy and Hagen (1990) in a seminal work titled “Breakthrough pain: Definition, prevalence and characteristics.” The definition of breakthrough pain proffered in that article took root and has been used in pain management parlance ever since.
As opioid therapy has become more commonly used in the treatment of chronic noncancer pain over the last decade, it have become equally apparent that similar patern of supervening severe pain episodes can confound otherwise well-managed chronic pain (Seppetella et al., 2001). Recognizing the similarities of sympotms, independent of underlying pathophysiology, a group of pain managment experts came together in 2006 to create a unifying definition, based on a review of all the literature on the subject in all populations studied to date. The more generalized definition incorporates the additional observation that breathrough pain seriously disrupts the quality of patients lives. Therefore, the term breakthrough pain is now categorically determined to define the particular clinical circumstance wherein patients who have controlled baseline pain experience severe episodes of pain that breaks through the medical therapy (usually opioids) that has relieved the baseline pain.
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By: Rebecca,
on 5/16/2008
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By Purdy, Director of Publicity
Michael Manner and I were English majors at Plattsburgh State before the days of email, before the days of the fax. Indeed, the modern technology of the time was floppy disk computers, and the CD was quickly replacing the cassette tape. Manner and I have kept in touch through the years and when we are together we often argue and bicker like a married couple about love, fear, greed, envy, lust, hypocrisy, music, cats v. dogs, words et al. I think the only thing we ever seem to agree on is that chocolate milk is the greatest invention ever. But enough about me, Manner is a freelance computer consultant living with his mangy, blind cat in Williamsburg Brooklyn, NY. His love of poetry dates back to when dinosaurs roamed the earth and he first heard the words “ugga bugga” uttered by a passing Neanderthal woman. He’s been writing verse since the Iron Age and one day hopes to be cited in the OED. His fave comic book hero is Batman. Despite all this I think is is a truly talented poet and have asked him to post some poems on this blog. You be his judge.
L ve
We need a new word.
I am too daunted by the current word to use it without humility. Years of misuse have granted it too much of what it is not.
It is nausea.
It is transient –
escaping between the spaces of I’m here and you’re there.
When angry, it is bitter and pitiful – Like the lonely 4 am drunk.
It is forgotten –
as a dream. Sorely missed but once prideful and known.
It is the Odyssey of my life -
and I am the Devil’s jester.
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This is another piece from the pirate book I'm working on. This is the funnest book I've ever done. I'm slowly learning how to take this less seriously. If I'm not too serious about things I'm more liable to put in more hours. I also think it's the best work I've done. I payed close attention to the text and tried to see a world between the words. My book launch is in a few days and I'll be super busy for a while so I wont be able to post until after the weekend, but I'll make sure I visit everyone elses blog. Alicia Padron Requested that I make a list of five random things about myself. My wife, Julie and I collaborated on this list over dinner preparations. 1. I don't have a driver's licence 2. I wear glasses and can't wear contacts 3. I once had a library fine of 170.00 dollars. 4. I love Appalachian folk music 5. I used to work at a wine store and learned lots about wine. I would like to have 5 random facts from Ambera, Gretel, Viviene, Stephanie and Marie.
P.S. If anyone is able, I'd love to see you at my book launch. Everyone's welcome. It's in Lunenburg Nova Scotia at the Black Duck Gallery. It will be held between 1 pm and 3 pm on Saturday the 24th. I'll also be signing at the Historic Properties, downtown Halifax on Sunday. I'm not sure of the time. Please email me if you're interested.
Hmmmm...5 Random facts about Ambee. Lets see.
1. I don't have my drivers license either. (I think that's why we're such good friends!)
2. I chew the insides of my cheeks when I'm bored/thinking/frustrated
3. I had a bunny named Elvis when I was little
4. My dates for my grade 8 & 9 proms stood me up, and out of embarrassment for not having a corsage, I faked illness at both in order to go home early.
5. My earlobes aren't attached to my head like most people's.
By the way, I agree, these new paintings for the pirate book are your best. They strike a beautiful balance between your dark and your bright paintings, and I love them.
ps. did you want me to post these random facts on my blog or yours?
Post them on your blog, although I like the sneak preview! Thanks for the complement Ambera.
I love the pirate pieces Eric. I (we) can't wait to see the book. When will that one be out?
Good luck with the book launch this week.
What are the prints that you are making?
I don't have a driver's license either, AND I have a library fine of 120. I can't wait to see this book, thanks so much for the sneak previews. This is one of my favorites of your actually. Really exceptional piece!
Driver's License? Eh? Who has one? Not me... :D
Thanks for sharing this Eric!
I can imagine you making the list with your wife at dinner...that is very sweet :o)
Wow! That's a pretty big library fine! That's so interesting you know all about wine... My husband would love that.. to work on a place like that. He loves wine and knows some about it.
By the way, this illo is just amazing. Love it. The book is going to be wonderful!!
I love your last pirate illustrations, They're amazing! Cheers!
Thanks Eva!
Your pirate illustration is amazing. And what could be more fun than drawing about pirates??? Good luck with the book launch - I'm keeping my eye out for when it hits down here (in NJ).
Thanks Mary Beth!
Hello, I found you through Alicia...I love your style! I hope you don't mind that I add link to your blog on my blog.
Hi Mika, I'm so glad you found me. Your work is fabulous! And you live in one of my favorite provinces. I'll link you up to my site right away.
I see you get a lot of comments from other artists.. I'm not an artist myself. i'm a teacher who love books- for adults and children; doesn't matter, I must be both at the same time- and the illustrations that wonderful artists add to books. I visit your blog regularily- and must tell you that your art brings me right into a different world every time! It's just like when I was little and forgot everything around me because I was studying an illustration or reading a story- and sort of living it. I so admire your work!
Thank you so much, LØb! You've really made my day. I was feeling a bit down about things today, so much work and things like that. It makes me feel especially good to get a complement from a teacher and a mother, two of the hardest and most important jobs in the world.. I would love to see Norway some day. The folk stories of Norway are very special to me. And you lived in Canada for a while! My Wife's family lives in Ontario.Thanks Again!
Aaah and good luck with the signing!!! I totally would be there if I were on the right continent!
Thanks Viviene, i wish all my blogging friends could be here.
Your work is Stunning!
Sandra Evertson
Thanks Sandra!
Hi Eric.. don't know how I missed reading you p.s. on this post about your book launch.. How exciting!!! And just realized it's today... Congratulations Eric! That's wonderful news.. enjoy that signing :o) You are going to make lots of kids so happy and dreaming with your books :o)
Thanks Alicia, I can't think of a nicer thing to say!
HI Eric!
I've been M.I.A. for a little bit, but just finished my list of 5- thanks for the excercise- it's good to come up with these things...So- after your wine experience, do you have favorites and recommendations?? I want to order some of your stuff- what are the titles??
Steph
OH and I have a thing for Appalachian folk music too- my favorite 2 albums are the last 2 that June Carter Cash recorded before she died- do you know them? I know Viviane does-
So how did it go?
Hi Stephanie. my favorite wines? That's a hard one, for just pleasant drinking I really like Spanish wines from Rioja, they use the tempranillo grape which is really smooth. I also like gawurtraminers (which is a great word!) from Alsace in France. They can be a little sweet but lovely. For very special occasions Rocha Svava Valpolacello from Italy is amzing. And as you probably know there are tonnes of great wines from Califonia. Leaping Frog, some of the mid range Robert Mondavis I still really like, and La Crema, I think La Crema is from Oregon though. I feel a bit silly recommending U.S. wines to you, you're probably more aware of the good ones.
And I don't have June Carter Cash's last couple of albums, I'll certainly check them out though. I've really been into Elizabeth Cotton these days.
Hi Frank, thanks for asking! It went really well. I felt like a celebrity for a couple of hours, not a feeling I could get used to. It was held at an art gallery and shop called the Black Duck. The books sold out and I sold a lot of prints and Christmas cards which I had made up. A lot of my Friends came to support me, which was amazing! And we all had dinner at a pub after. Later that night an illustrator friend from Ontario was in town asked me to go out for coffee and that was a great cap to the evening. My friend Keram tok photos which I'll post later.
Stephanie,
I forgot to list my boks for you. I only have one released- A forest For Christmas, written by Michael Harris. It's available on Amazon. I have another book done- Anything But Hank, Which is waiting for publication- the designer still has it. And I'm nearing the end of my third book-The Horrible, Terrible, Stinky Pirate, which should be out by Spring. I'll post links soon for ordering stuff.