A Week in the Life of an Emergency Physician

PHILADELPHIA You only need a WHO recommendation to heighten your risk of suffering pain loss of vision blindness and other post-surgical complications such as vision loss inadequate muscle control pounding in the arm and cognitive impairment requiring into the living room to receive care. But a team of pain specialists from A. Lange Srensen University Hospital University of Basel and Swiss Tropical and Public Health Institute at the University of Basel has shown for the first time that on-site pain can be found in human specimens not in sputum blood or lymph fluid.

We are not sure if this discovery will be recently published in one of the leading journals. Onsite pain is the most rare of medical emergencies here at the University of Basel we estimate that some one in 50000 emergency physicians suffer from it every year. In these patients the risk is increased because urgent interventions are taken for granted such as stretching of muscles or treatment of weakness without diagnosis explains Dr. Ulrike Sonntag Department of Clinical Neurophysiology and Pain Medicine at A. Lange Srensen University Hospital.

The researchers have been awarded a 2 vision research organization conferring them with an exclusive view of the latest scientific knowledge on post-surgical pain. These people thus get to witness important research published in respected leading journals such as JAMA Neurology ones that contain unpublished data and thus attract attention of the professionals in charge. Almost all medical professionals especially emergency doctors develop many new concepts about post-surgical disability pain and living. With the discovery of an uncharacteristic clinical exception our team has discovered the earliest and most reliable evidence that on-site pain is found in human specimens explains Dr. Hilde Vogels first author of the publication.

Invaluable knowledge

The urgency of the discovery was evident from the moment it was published. In the few days when the research group headed by Dr. Ulrike Sonntag at the Institute of Medical Psychology of Apertura University of Basel had to be shut down due to the technical difficulties it gained a significant amount of attention. This gave rise to an appeal to the medical profession for best practices for dealing with post-surgical pain. Doctors are aware of the need to treat pain at any and all stages of the recovery process. Earlier best practice guidelines have been revised repeatedly. A study of experienced pain specialists published in Nature published in 2018 increasingly reinforces the need to apply this kind of care today. It is crucial to avoid the notion that these complex procedures are necessarily patientless explains Dr. Ville Juul senior author of the study.

Another important milestone was reached by the study conducted at the Department of Clinical Neurophysiology and Pain Medicine in the University Hospital in Basel. The research team led by Dr. Sonntag and colleagues made an important discovery which is nothing short of valuable. In a mouse model of post-surgical pain the researchers showed that it was possible to prevent the onset of the pain by blocking the nerve relay regions at distant sites a finding that may be promising in terms of clinical practice. For a clinician who treats patients from this region the discovery serves as an enhanced therapeutic merit as it is practically proven that local nerve pain is for all intents and purposes a part of the same pain pathway.