In Pain
A Bioethicist’s Personal Struggle with Opioids
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Narrated by:
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Travis Rieder
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By:
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Travis Rieder
About this listen
A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal - a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic.
Travis Rieder’s terrifying journey down the rabbit hole of opioid dependence began with a motorcycle accident in 2015. Enduring half a dozen surgeries, the drugs he received were both miraculous and essential to his recovery. But his most profound suffering came several months later when he went into acute opioid withdrawal while following his physician’s orders. Over the course of four excruciating weeks, Rieder learned what it means to be “dope sick” - the physical and mental agony caused by opioid dependence. Clueless how to manage his opioid taper, Travis’ doctors suggested he go back on the drugs and try again later. Yet returning to pills out of fear of withdrawal is one route to full-blown addiction. Instead, Rieder continued the painful process of weaning himself.
Rieder’s experience exposes a dark secret of American pain management: a healthcare system so conflicted about opioids, and so inept at managing them, that the crisis currently facing us is both unsurprising and inevitable. As he recounts his story, Rieder provides a fascinating look at the history of these drugs first invented in the 1800s, changing attitudes about pain management over the following decades, and the implementation of the pain scale at the beginning of the 21st century. He explores both the science of addiction and the systemic and cultural barriers we must overcome if we are to address the problem effectively in the contemporary American healthcare system. In Pain is not only a gripping personal account of dependence, but a groundbreaking exploration of the intractable causes of America’s opioid problem and their implications for resolving the crisis. Rieder makes clear that the opioid crisis exists against a backdrop of real, debilitating pain - and that anyone can fall victim to this epidemic.
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AWESOME !
- By Paula on 08-06-18
By: Wayne Jonas MD
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Falling into the Fire
- A Psychiatrist's Encounters with the Mind in Crisis
- By: Christine Montross
- Narrated by: Christine Montross
- Length: 8 hrs and 56 mins
- Unabridged
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Falling into the Fire is psychiatrist Christine Montross's thoughtful investigation of the gripping patient encounters that have challenged and deepened her practice. Beautifully written, deeply felt, Falling into the Fire brings us inside the doctor’s mind, illuminating the grave human costs of mental illness as well as the challenges of diagnosis and treatment. At once rigorous and meditative, Falling into the Fire is an intimate portrait of psychiatry, allowing the reader to witness the humanity of the practice and the enduring mysteries of the mind.
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Buy this book! and READ it
- By joyce on 08-15-13
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The Caregiver's Guide to Dementia
- Practical Advice for Caring for Yourself and Your Loved One
- By: Gail Weatherill RN CAEd
- Narrated by: Ann Osmond
- Length: 4 hrs and 45 mins
- Unabridged
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When caring for someone with dementia, your own mental stability can be the single most critical factor in your loved one’s quality of life. The Caregiver's Guide to Dementia brings practical and comprehensive guidance to understanding the illness, caring for someone, and caring for yourself. From understanding common behavioral and mood changes to making financial decisions, this book contains bulleted lists of actions you can take to improve your health and your caregiving.
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As a RN myself I HIGHLY HIGHLY recommend
- By Amazon Customer on 01-13-21
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The Spectrum of Hope
- An Optimistic and New Approach to Alzheimer's Disease and Other Dementias
- By: Gayatri Devi MD
- Narrated by: Wendy Tremont King
- Length: 12 hrs and 41 mins
- Unabridged
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Imagine finding a glimmer of good news in a diagnosis of Alzheimer's. And imagine how that would change the outlook of the five million Americans who suffer from Alzheimer's disease and other dementias, not to mention their families, loved ones, and caretakers. A neurologist who's been specializing in dementia and memory loss for more than 20 years, Dr. Gayatri Devi rewrites the story of Alzheimer's by defining it as a spectrum disorder - like autism, Alzheimer's is a disease that affects different people differently.
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Aging with Grace
- By Lisa F on 05-19-21
By: Gayatri Devi MD
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Surviving and Thriving with an Invisible Chronic Illness
- How to Stay Sane and Live One Step Ahead of Your Symptoms
- By: Ilana Jacqueline
- Narrated by: Lori Prince
- Length: 5 hrs and 14 mins
- Unabridged
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Do you live with a chronic, debilitating, yet invisible condition? You may feel isolated, out of step, judged, lonely, or misunderstood - and that's on top of dealing with your actual illness. Take heart. You are not alone, although sometimes it can feel that way. Written by a blogger who suffers from an invisible chronic illness, Surviving and Thriving with an Invisible Chronic Illness offers peer-to-peer support to help you stay sane, be your own advocate, and get back to living your life. This compelling guide is written for anyone suffering with an illness no one can see.
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Great Reference Guide!
- By Heather D on 03-21-18
By: Ilana Jacqueline
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Confessions of a Surgeon
- The Good, the Bad, and the Complicated...Life Behind the O.R. Doors
- By: Paul A. Ruggieri MD
- Narrated by: Eric Martin
- Length: 8 hrs and 2 mins
- Unabridged
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As an active surgeon and former department chairman, Dr. Paul A. Ruggieri has seen the good, the bad, and the ugly of his profession. In Confessions of a Surgeon, he pushes open the doors of the OR and reveals the inscrutable place where lives are improved, saved, and sometimes lost. He shares the successes, failures, remarkable advances, and camaraderie that make it exciting.
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Enjoyed the anecdotes!
- By suzanne on 07-31-17
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The New Normal
- A Roadmap to Resilience in the Pandemic Era
- By: Jennifer Ashton
- Narrated by: Jennifer Ashton
- Length: 8 hrs and 42 mins
- Unabridged
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From Dr. Jennifer Ashton comes a doctor’s guide to finding resilience in the time of COVID, while staying safe and sane in a rapidly changing world. The New Normal is a holistic road map through the ongoing struggles of the pandemic, providing the guidance you need to navigate this unsettling time and take charge of your future well-being.
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Live Each Day Alive
- By Barbara A. Badalewski on 06-02-23
By: Jennifer Ashton
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Doing Harm
- By: Maya Dusenbery
- Narrated by: Dara Rosenberg
- Length: 13 hrs and 33 mins
- Unabridged
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Editor of the award-winning site Feministing.com, Maya Dusenbery brings together scientific and sociological research, interviews with experts within and outside the medical establishment, and personal stories from women across the country to provide the first comprehensive, accessible look at how sexism in medicine harms women today.
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One of the most important books ever written
- By Dresden on 03-18-18
By: Maya Dusenbery
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The Pain Chronicles
- Cures, Myths, Mysteries, Prayers, Diaries, Brain Scans, Healing, and the Science of Suffering
- By: Melanie Thernstrom
- Narrated by: Laural Merlington
- Length: 11 hrs and 30 mins
- Unabridged
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Each of us will know physical pain in our lives, but none of us knows when it will come or how long it will stay. Today as much as 10 percent of the population of the United States suffers from chronic pain. It is more widespread, misdiagnosed, and undertreated than any major disease. While recent research has shown that pain produces pathological changes to the brain and spinal cord, many doctors and patients still labor under misguided cultural notions and outdated scientific dogmas.
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Informative, well researched and nicely written
- By Nathan O'Hara on 08-21-10
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Healing the Broken Brain
- By: Dr. Mike Dow
- Narrated by: Dr. Mike Dow
- Length: 6 hrs and 3 mins
- Unabridged
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If you're interested in listening to this audiobook, it likely means you or someone you love has had a stroke. Dealing with the onslaught of information about stroke can be confusing and overwhelming. And if you happen to be a stroke survivor with newly impaired language skills, it can be especially hard to comprehend everything your doctors, nurses, and specialists are telling you. This audiobook consists of the top 100 questions that survivors and their families ask, with answers from the top physicians and therapists in the country.
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Wonderfully written and narrated, rich source of important information for stroke survivors and their families
- By deanna on 07-14-17
By: Dr. Mike Dow
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Counterclockwise
- Mindful Health and the Power of Possibility
- By: Ellen J. Langer
- Narrated by: Sandra Burr
- Length: 7 hrs and 10 mins
- Unabridged
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If we could turn back the clock psychologically, could we also turn it back physically? For more than 30 years, award-winning social psychologist Ellen Langer has studied this provocative question, and now has a conclusive answer: opening our minds to what's possible, instead of clinging to accepted notions about what's not, can lead to better health at any age.
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Surprisingly disappointing
- By Stephen on 06-23-09
By: Ellen J. Langer
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A Nation in Pain
- Healing Our Biggest Health Problem
- By: Judy Foreman
- Narrated by: Karen White
- Length: 14 hrs and 57 mins
- Unabridged
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Published in partnership with the International Association for the Study of Pain, A Nation in Pain offers a sweeping, deeply researched account of the chronic pain crisis, from neurobiology to public policy, and presents practical solutions that are within our grasp today. Drawing on both her personal experience with chronic pain and her background as an award-winning health journalist, she guides us through recent scientific discoveries, including genetic susceptibility to pain.
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Broad but superficial.
- By J. P. Murphy on 07-03-15
By: Judy Foreman
What listeners say about In Pain
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Lawrence Fish
- 08-30-19
Hits close to home
As unfortunate as it is it was uplifting to hear this story of struggle and triumph from a medical professional perspective. So many times it feels like we are the only ones experiencing every thing he described in the book. To know that we are not alone keeps the drive alive one day at a time. I'd like to hear the story from his partners perspective as that's the role I am in and hear how she survived this time in their lives. Inspiring.
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- Amazon Customer
- 01-29-21
Excellent Book to be read by Health Care Professionals, Politicians, and Patients
Excellent book providing insight on acute pain leading to dependence. It explores the flaws of our healthcare system as well as the 3 Opioid Epidemics. The book is well written and narrated. As a former plastic surgery resident and currently an Acute Pain Medicine Fellow (via Anesthesiology), this book was an eye opener to our obligations to patients when deciding to start them on any medication.
This book should be read by all—especially all members of the healthcare profession, politicians, members of Congress, senators, and even patients.
I love the fact that the author presents some reasonable solutions.
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- a Customer
- 08-20-19
Excellent treatment of a challenging issue
Pain management is one of the most challenging and paradoxical medical issues that we face as both individuals and as a community.
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- Bert J. Debusschere
- 09-24-19
Putting a human face on a national problem
Travis Rieder's book "In Pain" starts out as a gripping and very personal story of how the author deals with pain and the impact of opioid pain killers in the aftermath of a motorcycle accident that severely injured his foot. Before too long though, it becomes clear how this intimately personal story is also the story of millions of people in the grip of opioid dependence and how a gaping gap in the medical system contributes to this epidemic. Rather than just blaming the medical system, the author does a wonderful job showing how larger societal factors such as our perception of people with addictions, and racism play a significant role. I personally would go one step further and also implicate capitalism and mental health oppression as some of the agents. Either way, this book is a highly recommended read that will shift your perspective on the opioid crisis and how we can counteract it.
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- Kelly Heuer
- 06-25-19
An essential read in a time of crisis
This brave, important book belongs on the nightstand of anyone touched by the opioid crisis—that is to say, most Americans. In direct, lucid prose, the author interweaves the harrowing story of his own struggle with opioid dependence with philosophical, clinical, and policy-oriented reflections on the roots of the broader opioid crisis in the US. Rieder’s role as both a professional ethicist and a pain patient places him in a unique position, and the book is laced with careful but substantive suggestions for ways to change everything from medical prescribing to drug laws to our own attitudes about race, addiction, and blame. A stunning achievement.
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7 people found this helpful
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- Anonymous User
- 03-10-20
The reality of pain
Travis does a justice to all alike myself whom have suffered from pain & the medicinal worlds failings in assisting, managing & treating pain. With gripping moments about the difficulty to find a professional to listen & then help, to the withdrawal nightmare Travis goes through. This book/audiobook is a must for anyone whom has any interest on this topic, or has someone in their life facing battles in this area. Thanks for your vulnerability & for telling your story Travis. It has significantly helped me during a very challenging flare up patch with my Chronic Pain, Fibromyalgia.
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2 people found this helpful
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- nancy
- 07-24-19
In Pain
I loved this book. A detailed personal story of a journey thought the medical system coupled with well thought out, well reasoned discussions about addiction, dependence and the social and healthcare implications. It is a great contribution to those of us who work in this field but should be read by everyone.
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- Anonymous User
- 07-14-19
Fascinating perspective
Loved this book. It sheds such an important light on the complexities of the opioid crisis, our fractured health care system, and gave me the hope to do what I can to fight back against this overwhelming problem. My mom has been taking rxn opioids since the mid nineties and I am also a registered nurse and mother of 4. I’ve too struggled with my own debilitating addiction. Travis’s vulnerability helped me feel connected and understood, it has been and continues to be such a frustrating and overwhelming problem. Thanks for your work Travis!!
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2 people found this helpful
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- Frankie
- 11-02-19
Covers all bases; hits it out of the park
I heard an interview w Dr Rieder in NPR and was hooked on this book (hmm...bad choice of words in this context, perhaps). As a retired oncologist, I lived thru the “Pain-is-the-5th-vital-sign” era and the “Pain is what the patient says” and “Din’t worry about dependence.” I had never known the interesting history of the evolution of opiods and especially the early experiences in the US including the addiction of Civil War survivors!
This book is so powerful, however, not just because of the gripping scenes of his courage in the face of withdrawal (I honestly did not think I would make it thru Chapter 5!), and how his personal story illuminates the problem our country faces. It is powerful because he drives this story right into our living rooms with contemporary events—eg, the clean needles program in Ohio signed into law by a reluctant Gov Mike Pence as the lesser of two evils—addiction vs spread of HIV—but he uses his training as a bioethicist to provide a framework for moral decisions in this area where there are many strongly held, and often negative, beliefs.
Dr Rieder lays out the complexity of this problem empathetically but starkly and challenges us to act. Not with simple solutions, but with a simple change in mindset: this is a medical problem that requires expert medical treatment not shame AND with widespread acceptance of this attitude, then the political, legislative, and financial muscle to effect this treatment.
Finally, I can’t imagine how his wife held it together with a toddler and the agony in which she saw her husband. In that sense this is the most uplifting of love stories.
I ALWAYS LOVE AUDIOBOOKS READ BY THE AUTHORS. I feel like I am sitting across from them in an easy chair listening to their animated retelling of their story.
A great read!
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- JustBill
- 10-24-20
BEWILDERING AT BEST
The book is full of skewered facts, and very disingenuous, and you will learn nothing in this book other than this doctor trying to convince you he was dependent on a drug that has a half life of 12 hours at most, but it took him a month to withdraw from it. Millions nation wide suffering from chronic intractable pain, and are being under treated for their pain. Addiction is a serious problem I will admit, but their are great addiction recovery units nationwide, but this book is basically a book for a senior in high school. A book about one doctors feelings about addiction, but surely shows the author needs to spend some time educating himself on this subject matter.
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2 people found this helpful