Karlin
Also faked!!
Dr. Reuben, as we are learning today, was also the lead author of the studies used to bring in the new drug regimine for chronic pain patients who are taking opiod drugs such as morphine.
The idea of adjunct therapy, or "the multi-modal approach", is to prescribe all sort of other drugs on top of the morphine so that patients will not need increases of their morphine prescription as tolerance develops.
That rationale was supported by Dr. Reuben's fake studies, and so it would seem reasonable now to review that whole idea of adjunct therapy.
Reasons why the multi drug approach is silly:
* Tolerance to morphine still develops, increases are still needed.
* inflammation is not present in many of these patients, yet they are told to take Celebrex, an anti-inflammatory drug.
* anti depressants are not well tolerated by chronic pain patients due to their increased sensitivity "to almost everything".
* morphine is the most powerfull drug, and so taking weaker painkillers will do nothing to help reduce pain.