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Volume 2, Issue 10, May 1997
Full text articles and references are available by subscription.

PRACTICE POINTS:

Compensation adversely affects severity and prognosis of chronic pain.

Multidisciplinary assessment and fuller investigation have led to organic diagnoses in almost all patients with a previous diagnosis of chronic pain.

When considering costs for specific psychological treatments of chronic pain, use the new estimates of efficacy.

PRACTICE POINTS:

Evidence for co-existing Post Traumatic Stress Disorder should be considered when Chronic Pain is refractory to treatment.

Traumatic Brain Injury and PTSD are generally mutually exclusive, but "windows" or "islands" of memory may explain the occasional exceptions.

Childhood PTSD, sometimes difficult to diagnose, is often serious, disabling and warrants vigorous treatment.

The efficacy of specific treatments for different aspects of PTSD is now better founded in empirical research.

Quantum of damages should take into account the increased vulnerability to future illness and physiological stress.

PRACTICE POINTS:

Both surgeon and pathologist are responsible for the adequacy of a biopsy in suspected melanoma

Insufficient experienced pathologists may miss, or fail to refer, suspicious features in atypical melanoma.

For early melanomas, evidence-based causation is not usually in dispute.

PRACTICE POINTS:

Even nonspecialists are trained and required to recognise rare causes of symptoms, if those diseases are treatable.

Serious and unexpected complications of common procedures do not necessarily imply substandard technique.

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