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Pain Medicine's Future: a Pebble or the Water Around it? Think of all the medical specialties as pebbles in a bowl. Pain Medicine would be, or, more aptly, should be the water filling the bowl and surrounding all the pebbles. Pain Medicine affects virtually every discipline that prods, pokes or cuts. However, pain management is an integral part of every physician's practice. Alarmingly, prior to ten years ago, no medical school curriculum devoted any appreciable time to teaching students about pain. Nociceptive pathways were often mentioned more as a neuroanatomical fact that as a powerful human motivator. 'Nociception' is not synonymous with 'pain'. Nociceptive signals are the data bytes transmitted to our motherboard for synthesis, interpretation and then action. Pain is our most complex human emotion producing a memory which lasts a lifetime. Given this premise, today's practice of pain medicine by specialists, which is largely symptom control by means of invasive...

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