Abbyy pdf transformer 3.0 software

I’ve just read a abbyy pdf transformer 3.0 software very interesting article in The New Yorker by Atul Gawande, entitled The Itch.  The article itself is worth reading.  Itching is abbyy pdf transformer 3.0 software a really bizarre sensation that we all get. Think of it, A touch has abbyy pdf transformer 3.0 software to be very deep and hard to cause discomfort.  But a tiny sensation like a bug’s leg or abbyy pdf transformer 3.0 software hair brushing against us can set off a really uncomfortable feeling, so uncomfortable that abbyy pdf transformer 3.0 software we claw at ourselves to experience relief.  Even more odd, we just have abbyy pdf transformer 3.0 software to THINK about a bug walking on the back of our neck, or abbyy pdf transformer 3.0 software a hair brushing against us to start itching (OK, how many of you  have the urge to scratch right now?  You’re not alone, an abbyy pdf transformer 3.0 software experiment chronicled in the article took an audience and showed them crawly videos like ticks, fleas, and abbyy pdf transformer 3.0 software feathers, then showed them benign videos.  The audiences were filmed and abbyy pdf transformer 3.0 software they definitely scratched more with the first videos).  In this abbyy pdf transformer 3.0 software way, itching seems to have more in common with hunger and abbyy pdf transformer 3.0 software sexual arousal and other sensations that we can bring on by thinking about them, rather than abbyy pdf transformer 3.0 software with pain (thinking of getting punched in the nose doesn’t make your nose hurt).
So, it abbyy pdf transformer 3.0 software is speculated that itching is actually something that happens in the abbyy pdf transformer 3.0 software brain.  Somehow, your abbyy pdf transformer 3.0 software brain gets confused into thinking that something is irritating a part of your abbyy pdf transformer 3.0 software body, and it sends out the “scratch” message.  Here’s where the article got really fascinating to me.

There are abbyy pdf transformer 3.0 software a lot of conditions that I see in patients that share the abbyy pdf transformer 3.0 software same characteristics.  Fibromyalgia, TMJ, tinnitus (ringing in ears), repetitive strain injury, chronic back or abbyy pdf transformer 3.0 software neck pains, pelvic pains and vaginal pain and a whole slew of other pain conditions.  They are what I call “hyper-vigilant” conditions. It takes only a abbyy pdf transformer 3.0 software little stimulus, or sometimes no perceptible stimulus at all, to trigger the abbyy pdf transformer 3.0 software discomfort.  Many times, these patients are hyper-vigilant generally.  They startle easily, they are abbyy pdf transformer 3.0 software sensitive to noises, smells or touch, and they are sensitive to abbyy pdf transformer 3.0 software medications, that is, tiny doses of medications (even natural ones) have major effects, sometimes toxic effects. 
 
I treat these conditions basically as if I’m treating a abbyy pdf transformer 3.0 software centralized, or global form of what used to be called “reflex sympathetic dystrophy”.  This is a condition in which local
fight-or-flight nerves get so stimulated that abbyy pdf transformer 3.0 software an area of the body (usually a limb) gets very painful, even to the lightest touch.  To my observation, many of the abbyy pdf transformer 3.0 software conditions I mentioned come from patients getting over-stimulated by something traumatic (an accident, injury, emotional or physical trauma). The brain seems to abbyy pdf transformer 3.0 software generalize this so that any stimulus, even tiny ones, set off the abbyy pdf transformer 3.0 software same fight-or-flight response, the same pain response or the same muscle spasm or abbyy pdf transformer 3.0 software inflammatory response.  Eventually, even thoughts of a abbyy pdf transformer 3.0 software stimulus trigger a response, and it doesn’t stop.
In conventional settings, many of these conditions can’t be measured or tested,  Thus, these patients are abbyy pdf transformer 3.0 software treated as if they have a psychiatric condition (although why depression would cause ear-ringing in one patient, vaginal pain on another and abbyy pdf transformer 3.0 software wrist inflammation in another is beyond me).  Or, they’re treated with local treatment (wrist splints, or muscle relaxants, or pain-relieving creams).  In my experience these measures work briefly and abbyy pdf transformer 3.0 software incompletely, if at all.

But what abbyy pdf transformer 3.0 software if all of these patients have a problem with their brain signaling, and abbyy pdf transformer 3.0 software not with the local areas?  What if the abbyy pdf transformer 3.0 software brain has gotten a message that the particular area of the abbyy pdf transformer 3.0 software body is being threatened, and it responds to the threat with pain, spasm, inflammation and abbyy pdf transformer 3.0 software other “appropriate” responses?  What if we can abbyy pdf transformer 3.0 software develop ways of quantifying the brain response, and retraining the brain to abbyy pdf transformer 3.0 software stop thinking it’s under attack?

These ideas open up all new areas of study and abbyy pdf transformer 3.0 software of therapy, even as they ask questions that are in need of answering.  In later posts I’ll touch on some of these new ideas.

And OK, I”ll say it, we’ve just scratched the abbyy pdf transformer 3.0 software surface of our knowledge of these conditions and how the abbyy pdf transformer 3.0 software brain is involved.  And I, for one, am itching to know more.

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