by eamarquardt » Sat May 08, 2010 6:16 am
The nose is enervated by the second branch of the trigeminal nerve. The trigeminal nerve is one of the twelve pairs of cranial nerves. Cranial nerves do not go through the spinal column but exit the skull from openings called foramen. The trigeminal nerve is the nerve that is responsible for a conditon known as Trigeminal Neuralgia. Trigeminal Neuralgia is generally accepted as the most painful conditon known to the practice of medicine. It is nicknamed the "suicide disease".
http://en.wikipedia.org/wiki/Trigeminal_neuralgia
Only in the last few years has it been recognized that there are two different forms of trigeminal neuralgia. Type one (short intense pain) and type two (continous burning crushing pain). The diagnosis of neuralgias of the cranial nerves is sometime confusing and difficult. Often times there is no effective treatment. The "gold standard" surgical treatment for the condition is a microvascular decompression a procedure pioneered by Dr. Peter Jannetta who trained at UCLA and then moved to the University of Pittsburg. There are other treatments as well such as destroying the nerve with focused radiation (the gamma knife), injecting it with toxic substances, and numerous medications with significant side effects.
Although I have a degree in Biology, I didn't learn all of the above in my pursuit of said degree. Don't ask me how I know! I have, however, been to Pittsburg three times and it wasn't to see the Pirates or Steelers play!
I think the acronym FUBAR applies in my case also! The psychologist I saw after my last hospitalization recommended that I: "avoid further treatment by MDs as they have done you more harm than good". I have pretty much taken his advice but did go to the doctor on Monday for a handfull of painkillers so I could fly across the country. You can't get off a plane (noise and vibrations set me off) at 35,000 feet. Wanted 6 pills. Left with 30 vicodin and 15 valium. Potentially a "lifetime" supply. Livin the drug addict's dream. Ask doctor for pills, get 7 times number requested! Not exactly my dream!
Cheers,
Gus
The opinions in this post are my own. My comments are directed to those that might like an alternative approach to those already espoused.There is the right way,the wrong way,the USMC way, your way, my way, and the highway.
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