DEEP DIVE · CHAPTER 1

The Cost of Pain: Mortality and Metabolic Collapse

Pain Is Paid in Years

Chronic pain is paid for in years of life, not only in dollars. Chapter 1 shows why a sore shoulder predicts a metabolic death and what it means to treat the terrain instead of the joint; this Deep Dive is the evidence behind it, claim by claim.

27 pages · 92 references, every one verified · written by Dr. Gurpreet Singh Padda, MD, MBA, MHP, and Dr. KrisJay Fucanan, MD

CHAPTER 1 ON VIDEO

The Cost of Pain Is Paid in Years

Dr. Padda walks through this chapter on video. All twenty-two are on the The Pained Brain playlist on the Padda Institute channel.

The receipts behind Chapter 1

The CDC prices chronic pain at 722.8 billion dollars a year. That is the bill, not the cost. In Chapter 1 I show why a sore shoulder predicts a metabolic death, why the woman in my waiting room is dying of something written nowhere in her chart, and what it actually means to treat the terrain instead of the joint.

The book makes the argument. This Deep Dive shows the evidence, claim by claim: the study, who was in it, the number and where it sits in the paper, what it does not show — and the questions to bring to your own physician. It is written to be handed to your doctor.

Enter your name, email and mobile number. The PDF arrives by email within a few minutes, and the other twenty-one Deep Dives arrive one a week, in order.

Frequently asked questions

Can you die from chronic pain?

Chapter 1 argues that chronic pain is paid for in years of life, not only in dollars. It shows why a sore shoulder predicts a metabolic death, and why a woman in Dr. Padda’s waiting room is dying of something written nowhere in her chart. This Deep Dive lays out the studies behind that argument, who was in them, and what each one does not show.

Is chronic pain just a problem with the joint?

No. The pain shows up in a shoulder or a back, but the risk it signals is metabolic, which is why Chapter 1 asks what it actually means to treat the terrain instead of the joint. A joint-only plan can quiet the signal and leave the terrain untouched. The Deep Dive gives the evidence claim by claim, so you and your physician can check it.

What is in the Chapter 1 Deep Dive?

A 27-page briefing with 92 references, every one verified, written by Dr. Gurpreet Singh Padda, MD, MBA, MHP, and Dr. KrisJay Fucanan, MD. For each claim it gives the study, who was in it, the number and where it sits in the paper, and what it does not show, plus questions to bring to your own physician. The PDF arrives by email within a few minutes.

Educational material. Not medical advice. If you are in the St. Louis area and want this looked at properly, that is what the Padda Institute is for.