history of pain prof. mehdi hasan mumtaz early pain demons. evil humors dead spirits treatment ...
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HISTORY OF PAIN
Prof. Mehdi Hasan Mumtaz
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EARLY PAIN
Demons. Evil humors Dead spirits
TREATMENT Block entry Transferring Removal
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PAIN
Punishment from God
Pain – Latin word “Poena”
(Punishment)
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SOURCE OF PAIN
Ongoing mystery.
Aristolte (384-322 BC).
“Sensorium Commune”
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SOURCE OF PAIN
18th century two
Schools of Thought
“HEART vs BRAIN”
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SOURCE OF PAIN
Ancient Egyptians View.
Ancient Indians View.
Ancient Chinese View.
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SOURCE OF PAIN “views”
Alcmaeon (500 BC) Pythagorus (566 – 497 BC) Hippocrates (460 – 370 BC) Democritus (460 – 362 BC) PLATO (427 – 347 BC) Aristolte Herophilis (315 – 280 BC) Erasistratus (310 – 250 BC)
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SOURCE OF PAIN
Celsius Observation. Galen (AD 130 – 200) William Havvey (1628) Descartes (1664)
Melzack & Walls (1965)
“Article in Science”
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MEDICINE
Opium poppy (4000 BC)
Thomas Sydenham (1624 – 1689)
Sir William Osler (1849 – 1919)
Missionaries in China
Friedrich Wilhclm Adam Sertuerner
(1783 – 1841).
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MEDICINELocal Anaesthetics
Procain – Alfred Einhorn (1856-1917)
Albert Niemann (1860)
Karl Koller (1884)
Francesco Pizarro (1533)
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MEDICINE
COX – 2
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MEDICINE
Aspirin Salicin Ancient Egyptians Myrtle Leaves
(Myrtus Communis) Hippocrates Winter Willow bark.
(Salix Alba) Druids Meadow Sweat.
(Filipendula Ulmanria)
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MEDICINE
Methyl Salicylate.
Sweat Birch.
(Betula lenta)
Wintergreen
(Oil wintergreen)
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MEDICINE
SALICIN ASPIRIN (Bayer)
“Filipendula Ulmaria”
or
Spirea Ulmaria
Suffix “in” common
Aspirin = Acetyl (a) spirea (spir) & (in)
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MEDICINE
DIACETYL MORPHINE
“Bayer”
(Heroin)
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PAIN CLINICS
First Multidisciplinary Pain Clinic
Temple of Aesculapius
“Greek God of Medicine”
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MODES OF TREATMENT
Magic potions – Nepenthe.
Bandages.
Medical, physical procedures.
Mystical & transcendental energies.
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PAIN CLINICS
1948 – E.A. Rovenstine
“ E.M. Paper
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PAIN CLINICS
1944 – John Bonica (1917-1994).
Pain control – Madigan Army Hospital Washington.
Orthopedist, Neurosurgeon, Psychiatrist.
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PAIN CLINIC
“JOHN BONICA”
1947 – Multidisciplinary clinic.
“ Tacoma General Hospital.
1960 - Moved to University of
Washington
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PAIN CLINIC
1947 – William K. Livingston
Pain Project – University of Oregon
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PAIN CLINIC
“Sever chronic pain is massive
economic and social problem”
What we are achieving?
How can we improve the service?
What does the patient expect?