Transcript HISTORY OF PAIN - Dr. Mehdi Hasan Mumtaz

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