User talk:Johnpf

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I have a list of Wikipedia Resources that should prove useful. They're located on my user page. Martial Law 07:18, 5 January 2006 (UTC)

re: your Content Review request
Temporarily restored to User:Jonhpf/Phil Gray (Gaven). Rossami (talk) 23:33, 19 September 2006 (UTC)

Statistica page
I'm not sure how often you check the discussion page for Statistica, but I wanted to let you know that I asked you a few questions there. Take care, EntropyAS 22:31, 27 October 2006 (UTC)

user comment
Hi John REALLLY EXCELLENT re working / editing of the medications section. I am the guy who put the NSW health dept suff in and i just want to say you have done a much better job with the layout and contents than I could have done. This was my first contribution to Wiki and I may not have followed all the proceedures properly. When I saw how you had reworked it i just thought WOW this is great. timh2007 _______________________________________________________________________________

Hi John. Regarding your reversion of the changes to the chronic pain article, first, i would like to start off with saying there was a terrible section above your entry, and now its back. It looks like this.

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"Because patients with chronic pain suffer many consequences of their illness, any treatment with the potential to improve their symptoms should be prescribed and the results carefully studied." conclusion of the Johns Hopkins Arthritis Center see http://www.hopkins-arthritis.som.jhmi.edu/mngmnt/opioids.html

Medicine and Pain can be an emotional subject, You are not an addict if you take the medicine your Doctor recommended, they way your Doctor recommended.

This Government Health Department recommends a three stage approach in the treatment for chronic pain see for more details http://www.health.nsw.gov.au/public-health/psb/chronic_pain/pf_faq4.html#what_meds in Summary

FIRST LINE paracaetamol ( Tylenol etc ) OR an non steroidal antiinflamatory (NSAID) like Naprosyn

for example 1/3 of arthritis sufferers get good pain relief with extended release Panadol. NSAIDS can cause stomach pain. A tablet called a "proton pump" like esomeprazole ( Nexium ) will stop the stomach complication.

MAJOR HEALTH WARNING if you take a blood pressure tablet it may also contain a diuretic. Taking a blood pressure tablet, a diuretic and a NSAID eg ibuprofen has a SEVERE risk of sudden, potentially fatal kidney damage. If you take a blood pressure tablet see your doctor before taking a NSAID.

SECOND LINE paracaetamol AND a NSAID. Often in combination smaller doses of each give much better results than a single drug alone. OR paracaetamol and codeine combined in one tablet.

THIRD LINE opiate based pain killers. When the first line and second line medications do not provide adequate pain relief, the stronger opioids morphine and oxycodone are most commonly tried. Some opioids, such as hydromorphone, pethidine, and fentanyl, are not usually recommended for the treatment of chronic pain.

Opioid medications provide between 6 and 72 hours of pain relief. Your doctor will usually assess your response to the short-acting drugs before switching you to the long-acting (sustained release) drugs. The most commonly prescribed sustained release opioids are oxycodone (eg. OxyContin) and morphine (eg. Kapanol, MS Contin, MS Mono).

Most opioid treatment is oral (tablet, capsule or liquid), but suppositories and skin patches can be prescribed. An opioid injection is rarely needed for patients with chronic pain.

Opioids sometimes cause concern among patients and health providers because they are potentially addictive and are abused by some individuals.

Although opioids are strong painkillers, they do not provide complete relief from pain for all people who suffer from chronic pain.

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Anyways, before the person re added it, it said "I do not agree with the previous entry" and as you can see, it is terribly written. I'm going to delete it again and bring it up on the talk page. Also, I don't think it acheives a neutral point of view and in some instances he is talking to the reader, ie "Medicine and Pain can be an emotional subject, You are not an addict if you take the medicine your Doctor recommended, they way your Doctor recommended." This is not standard of wikipedia at all. Rather than deleting your entry, I should have added information about NSAID's and other OTC medications, because arthritis is a form of chronic pain, and there are other chronic pain problems that don't require opiod treatment

Edit:My apoligies, i didnt see how complete your entry was referring to NSAIDs and otc meds. Just make sure that other edit doesn't keep coming back. Sorry if i got political. I believe chronic pain sufferers should use opiod treatment because it is their best option, despite its adverse effects

--Deadlytab 22:01, 29 April 2007 (UTC)