Nocere is the Latin word for hurt or harm!
One of the first things we learn in medical education has this word at the top!
The term is “Primum non nocere”!
This is the dictum and the first and foremost rule for any medical practitioner!
This Latin phrase means “first, do no harm”.
It’s a fundamental principle in medical ethics, emphasizing the importance of avoiding actions that could cause harm to a patient, even if those actions are intended to help. This principle is a cornerstone of medical training and practice worldwide.
Nocere also comes again in our medical education in the form of Nociceptors which were discovered by Charles Scott Sherrington in 1906.
A nociceptor (“pain receptor”) is a sensory neuron that responds to damaging stimuli by sending “possible threat” signals to the spinal cord and the brain. The brain creates the sensation of pain to direct attention to the body part, so the threat can be mitigated; this process is called nociception!
It is surprising that even though the brain perceives pain, the brain as such is painless! There have been times when there have been huge affliction to the brain with no pain! This is really sad since your biggest friend is pain! Pain is the brake to your speeding body!
If you ask a driver, how fast his or her vehicle can go then an experienced driver would tell that the speed does not depend on the engine power or the road! But it depends on the power of the brake! This is what the pain does to your body!
In simple terms when you have pain, it’s the best thing that can happen to you!
Most of the problems of the body lead to pain which is one of the first indicator of the underlying issue! The pain is also the first symptom we ask to any patient! The elicitation of pain on your body is called eliciting ‘Tenderness’! This is one of the most important clinical examinations in medical practice.
Most of the time all you need to know is to ask the site and severity and duration of the pain to make your diagnosis and treat! The frequency and factors which increase of decrease the pain also further make our diagnosis as well as management more efficient.
In some conditions you do not have pain which is really bad like those with diabetes which is why it is an issue.
One of the most distressing pains is the pain of Migraine which is actually the body’s reaction to either a skipped meal or a disturbed sleep! In fact the history of pain in migraine is the cornerstone in its treatment in which the most important factor is to avoid the trigger of migraine or pain!
So remember that pain is thus your irritating but actually helpful alarm which is waking you up to face the danger! So next time you have pain, try to find the cause before popping that pill And reduce stress maybe by watching an old movie!
My recommendation is Mayabazaar especially the scene and song called Vivaha Bhojanambu starring Samarla Venkata Ranga Rao!
It’s a laugh riot!
Have a painless Sleep!
Shubh ratri!
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