I do not mean to be petulant. I was honestly not planning on a huge academic challenge. Dr. Tennent is a well-respected pain management physician with over thirty years of practice and I relied upon his book for my source. If I had known the that I needed to have NEJM sources before stating something that seemed far it'll self-evident and obvious to me, I guess I would have done hours worth of research to put it "just right" for you.
Honestly, what is concerning to me is that while there seems to be an astounding amount of criticism for the method of my communication, no one seems willing to discuss the validity of the content itself.
By this I mean, you're right, I did not prepare my sources to pass a peer reviewed submission, as it was late and I honestly I did not give a tremendous amount of preparation into my post. Mostly because I truly believed this was a fairly well accepted assertion. For example, do I need to post full citations if I state that the common cold usually lasts 7-10 days and is often accompanied by runny nose, fever, sore throat, and body aches? Would that statement be unacceptable here? To post those facts, according to you, I would need to post the actual AAFP clinical description?
This seems to me to have become w form vs. substance discussion with so much academic snobby news. Essentially, you do not accept my statement, which I quoted from Dr. Tennent's book, that the side effects of living in chronic, intractable pain, such as high blood pressure, high levels of cortisol and adrenal hormones, and other cardiovascular, neurological and other changes, adversely affects life span and can shorten it by 10-15 years? You reject this?
Here is how one intractable pain support group defines intractable pain: (I accept this is not an ACADEMIC JOURNAL, but do you disagree with this definition itself?")
"DEFINING IP Intractable Pain: a severe, constant, disabling condition that is not curable by any known means and which causes adverse biologic effects on the body's cardiovascular, hormone and neurologic systems. Heart attack or stroke caused by a pain flare is the most common cause of death in IP patients. IP requires intensive, long-term care by multiple physicians and ancillary providers; untreated pain in IP patients results in death within a few weeks. Though incurable, this illness can be managed to relieve suffering and prolong life."
Because otherwise you are just beating a pedantic horse.
If to participate here one must have full citation journal articles to make a statement, then you're right, I guess I should have known better.
But if you can get off your academic high horse and address the substance of my comments, do you actually disagree with the information itself, or just my presentation of it?