I have, however, known
far too many people who have needlessly suffered from under-treatment of pain. That was a major contributing factor in the premature deaths of both my grandparents. Too much pain, especially when the body is weak from injury or illness, can cause shock, weaken the immune system and contribute to or directly
cause death. My grandmother had breast cancer and had a good chance of survival. But they refused to give her anything but tiny doses of morphine orally (morphine is extremely weak orally). She moaned and screamed and cried, and even told the doctors that her dosage of morphine was so low that two Lortab did a better job (she was right...morphine's bioavailability orally is pathetic, and it was only 20mg every 6 hours). They didn't want to hear it -- they had to "protect" her from addiction.

The pain got really bad, and she went into shock... she had seizures as a result, and slipped into a coma and died. The coroner and the doctors said "her pain was just too bad, causing shock, and she was weak and couldn't handle it". My grandfather's death, though it was inevitable, was accelerated by similar causes. A friend of mine got into a horrible car accident when he was 17. He was still conscious when they picked him up, and they brought him to our local hospital -- notorious for neglect and under-treatment. They gave him good odds of living. He had some broken bones, tissue damage, serious trauma, etc... but he was
expected to live. But they wouldn't treat his pain, despite his screaming and pleading. They would give him a baby's dosage of hydrocodone every 12 hours. The stress lead to shock, and he also slipped into a coma and died. I know two other car accident victims who died of virtually identical causes and should have survived. Another friend of mine got into the
worst car accident I've ever seen... I've never seen a human being so twisted and shredded before. That hospital treated him the same way, and he was on the brink of death... they even encouraged the family to "pull the plug". They knew better, however, and had him med-evaced to the hospital in New Orleans. They immediately put him on an adequate dosage of morphine and oxycodone for discomfort/breakthrough pain. He returned to full consciousness in three days and his immune system beat the infection that had set in within a week. They also gave him compassionate physical therapy and pain management throughout his long recovery. Today he is in great health, and walks, works and lives like a normal person.