DNA Pain Study

I am a patient at the USC Pain Management Clinic (Los Angeles, CA), have been for approximately 30 years. About three months ago, I became part of a DNA study about how the body of a chronic pain patient processes pain medication. It involved a DNA swab of the inside of each cheek and filling out some rather long, in depth questions about different aspect of my pain, of my daily ability to maintain my health, myself and my life. I got the results this past Monday.

The outcome told me that I am NOT susceptible to opioids . I already knew that from my lengthy dance with pain meds; trying this, trying that, etc etc etc. But having it written in medical-study ink gave some power to me as a patient. This study indicated strongly that I can be given opioids with no risk of physical addiction.

This is a new study and I don't know if it's taking place anywhere other that USC. But it seems to me that this is a HUGE step forward in pain treatment. If doctors can run a DNA test to see which medications a patient is and isn't reacting well to or has the potential to react poorly to a drug or family of drugs, addiction from doctor prescribed opioids would drop significantly. Which would mean more effective treatment of acute and chronic pain, especially chronic pain. People who can chemically process opioids would be able to rely on them without doctors and hospitals and family and friends and the public thinking them drug addicts.

This is just a first step. But it's an excellent step. One I will continuing taking part in. My recent visit to my pain doctor also included filling out questions again. They are lengthy and address different aspects of chronic pain and how it effects your life but that's a good thing. Details given by patients along with the DNA information is how treatment of pain is going to grow past the sense that you're a criminal if you ask for pain medication, even with good cause.

I have been fortunate to be treated at USC Pain Management Clinic by Dr. Linda Rever for 30 years. She knows me. She knows my reactions to different treatments; we've tried everything there is to try over time. And we might go on trying new things to see if my treatment can be taken in a different direction for better pain relief.

The study also showed my body's reaction to the other medications I'm on; a cocktail of multiple pain blockers. It showed I have a tendency toward toxicity with two of the medications in that cocktail so now the doctor knows to track those two drugs more carefully, to test for side effects. This is also information for *me* to use. I now know what to watch for in myself and to track what is and isn't normal reactions to the medications I take each day.

This is a powerful step forward in the shadow of the CDC's recommendations about opioid prescription, it's advice to try everything BUT opioids before prescribing them. Which sounds fine unless you're the person in pain right now. Not in a week, not in three months, NOW. Trying hypnosis and meditation and using psychological tools to overcome pain sounds great. But from someone who is often stricken with pain so bad that I am immobile, the only thing that will allow me to live to the next day when I am stricken with this level of pain is serious pain medication.

Not to knock these other treatments. I've been meditating regularly for about 30 years. Every night and, if it's a bad day, more often. I regularly see a psychologist who helps me deal with living every day with chronic pain. I've tried hypnosis and acupuncture and acupressure and things that seem like Voo Doo. I'm not telling anyone not to try alternative methods of pain relief. But access to opioid medication is necessary. Until something else comes along to indicate more precisely how each person should be treated -- possibly a DNA study of chronic pain -- they are the best option we have.