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Treating pain after opioid addiction: A personal story

What happens when a person who was addicted to opiates is injured and needs pain medication? A doctor who is in recovery has firsthand experience.

Uncovering the link between emotional stress and heart disease

The brain's fear center may trigger inflammation and lead to a heart attack. But stress reduction techniques can break the chain.


 Image: © Cardiology Division, Massachusetts General Hospital

A small, almond-shaped area deep inside the brain called the amygdala is involved in processing intense emotions, such as anxiety, fear, and stress. Now, a new brain-imaging study reveals how heightened activity in the amygdala may trigger a series of events throughout the body that raises heart attack risk.

"This study identifies a mechanism that links stress, artery inflammation, and subsequent risk of a heart attack," says study leader Dr. Ahmed Tawakol, an associate professor of medicine at Harvard Medical School. Earlier animal studies have shown that stress activates bone marrow to make white blood cells. These infection-fighting cells trigger inflammation, a process that encourages the buildup of fatty plaque inside artery walls. "But what we didn't know was, does this happen in humans? And what is the role of the brain?" he says.

Tired of being fatigued

Don't accept regular fatigue as part of aging.


Image: © seb_ra/Thinkstock
Weariness, tiredness, lack of energy. There are many ways to describe those times when you are so fatigued you can't do anything. Often you bounce back after a quick rest or a good night's sleep, but if fatigue is occurring more often and lasting longer, it could be a sign of something more serious.

"Men may chalk up fatigue to aging, but there is no reason you should battle ongoing fatigue," says Dr. Suzanne Salamon, a geriatric physician with Harvard-affiliated Beth Israel Deaconess Medical Center. "Everyone gets tired sometimes, and your endurance may decline with age — you may not move as fast and sometimes tire quicker — but you should never be too fatigued to enjoy an active lifestyle."

Long-term use of opioids may depend on the doctor who prescribes them

Some doctors are more likely to prescribe opioids to their patients, and those patients are more likely to end up taking them long-term. It's crucial for consumers to educate themselves about the risks of taking opiates, and to consider alternatives if possible.

Teen drug use is down: Better parenting, or more smartphones?

Data from an annual survey show that use of illicit drugs among teenagers is in decline, and has been for some time. It’s possible that this can be partially attributed to the popularity of smartphones.

Depression and pain

Hurting bodies and suffering minds often require the same treatment.

Pain, especially chronic pain, is an emotional condition as well as a physical sensation. It is a complex experience that affects thought, mood, and behavior and can lead to isolation, immobility, and drug dependence.

In those ways, it resembles depression, and the relationship is intimate. Pain is depressing, and depression causes and intensifies pain. People with chronic pain have three times the average risk of developing psychiatric symptoms — usually mood or anxiety disorders — and depressed patients have three times the average risk of developing chronic pain.

Parents: As more states legalize marijuana, here’s what you need to know and do

As marijuana becomes legal or is decriminalized in more states, teens are less likely to view its use as risky, so parents need to talk with their children about safety, especially if they use it themselves.

What you can learn from wellderlies

Some people live long lives with no disease or serious illness. What can they teach you about healthy living?


Image: Creatas | Thinkstock /Thinkstock

You won't live forever, but it may be possible to live a long and maybe disease-free life by following the lead of "wellderlies."

This is a term to describe a special group of people who have reached ages 90 to 100 without having any major health issue or disease. And if they do get sick, it often happens late in their life and a short period before death.

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