The Song of Our Scars

The Untold Story of Pain

De: Haider Warraich

Narrado por: Haider Warraich, Fajer Al-Kaisi

A doctor’s personal and unsparing account of how modern medicine’s failure to understand pain has made care less effective

In The Song of Our Scars, physician Haider Warraich offers a bold reexamination of the nature of pain, not as a simple physical sensation, but as a cultural experience.

Warraich, himself a sufferer of chronic pain, considers the ways our notions of pain have been shaped not just by science but by politics and power, by whose suffering mattered and whose didn’t. He weaves a provocative history from the Renaissance, when pain transformed into a medical issue, through the racial legacy of pain tolerance, to the opiate epidemics of both the nineteenth and twenty-first centuries, to the cutting edge of present-day pain science. The conclusion is clear: only by reckoning with both pain’s complicated history and its biology can today’s doctors adequately treat their patients’ suffering.

Trenchant and deeply felt, The Song of Our Scars is an indictment of a broken system and a plea for a more holistic understanding of the human body.

Reseñas de la Crítica

“In a wide-ranging overview, the author draws on scientific and medical studies, his work at the Pain Management Center of Brigham and Women’s Hospital, and his clinical practice to examine the history, physiology, biology, and treatment of pain… A clear and timely examination of the complexities of pain.”—Kirkus

"In this insightful and humane book about pain, suffering and survival, Warraich once again braids history and personal history to confront questions both ancient and contemporary. It is a marvelous read.”—Dr. Siddhartha Mukherjee, author of The Emperor of All Maladies

"As physician-author Haider Warrich aptly points out, ‘Almost everything we know about pain and how we treat it is wrong.’ His masterful new book is a unique, panoramic and deep view of pain, taking us through his personal experience, its history and evolution, the science, and the massive corporate corruption that undermined the opioid epidemic. An incredible book."—Dr. Eric Topol, author of Deep Medicine

“Pain is both a universal experience and one that is deeply connected to class, gender, race, and power—truths that the opioid epidemic and declining life expectancy have made tragically apparent. In The Song of Our Scars, Warraich explores how the medical community’s approach to pain went off the rails and makes a passionate case for more holistic, person-centered treatment. Beautifully written and deeply humane, this is essential reading for anyone seeking to understand the roots of the opioid crisis.”—Beth Macy, author of Dopesick

“A wonderful exploration of the chronic pain conundrum—past and present—in all of its varied dimensions: biomedical, psychological, social, and economic. Warraich is truly a gifted storyteller.”—Dr. Damon Tweedy, author of Black Man in a White Coat

“The Song of Our Scares is a brilliant deep dive into the emotional, physical, and metaphysical world of pain. The very personal and ultimately hopeful book, takes us on a remarkable journey, across the millennia and deep into the brain and consciousness. It also offers an unsparing look at how the cure (for chronic pain) became the disease. Dr. Haider Warraich has written The Emperor of All Maladies for pain.”—Dr. Jonathan Reiner, author of Heart

This book is Truth

As someone who has lived with chronic joint and back pain, and now also trigeminal neuralgia, this is the single best book I have read since neuropathic Pain took over my life. I wish everyone could read it immediately, especially doctors . 

Learn about why you hurt

Technically intense but entirely understandable, this book contains a vast amount of information based on fact & research. Every medical student, practitioner of health and treaters in the medical field should be required to read this before being allowed to hold a license or degree in medicine.
While I am not in that category, I am on the receiving end of the medical treatment dispensed by these “experts”. I have been in chronic pain for decades due to a deteriorating spine and, like the author, have had to describe my pain in order to be dispensed a variety of pain relief modalities including drugs (which I cannot take) and physical therapy (which has been helpful).
After listening to this book, I now use different terms to describe what I am experiencing.
Excellent book, although written for the technician and not a lay person, I would still recommend it.
A little too much time spent repeating the sordid account of the Sackler family’s criminal influence with opioids & their adverse influence on our society. It was still valuable background information.
Overall, highly recommended reading.

The authors personal experience only adds to the story and all it covers

As someone who struggles with chronic pain and is also a medical professional I deeply connected with the authors story.

While I enjoyed the authors approach to covering so many aspects of pain and what we know of it the last third of the book seemed a bit choppy at times trying to cover so many facets of the topic.

While a great portion of the book recounts personal experience and that of so many others experiencing chronic pain, it differs from memoirs by also touching on topics like past and present research, clinical trials, the opioids crisis, and the impact race, geography, and gender play in the pain experience.

A good read if you want to better understand the your own pain, that of your patients, or even just to better understand the silent battle so many fight daily.

The author only narrates the first chapter, and while the other narrator is great, it took a while to come around the change in voice at first.

Fascinating

Fascinating, and confirms what I, a person with chronic pain, have long believed. It’s about caring, not just cutting, and living an integrated life.

It's unfortunate the author did not explore

The author clearly did historical research on pain and opioids and is a good write with good story telling. However, it is so unfortunate that he spent his time writing a book about the history and the current state -- without investigating effective ways to alleviate his pain. The takeaway message of "live with your pain" is heartbreaking and will lead to suicides. With the scientific research around neuroplasticity, when you tell people the pain is in the brain -- work to rewire their brain. You know who figured this out? A physicist and martial artist who had chronic knee pain. He favored that knee for years, but when he slipped and fell and hurt is other knee, he had no problem standing on the original painful knee. When was this? During World War II. He knew it was in the brain -- and he began creating movement puzzles to rewire his brain. There is a hope for people with pain. And, hope for people to do movements to avoid chronic pain such as back pain (and so many others). It is called The Feldenkrais Method. And, there are hundreds of free lessons online that people can explore at zero cost to alleviate their pain. And, there are practitioners who can guide you to move out of pain. No painful exercises. Easy. Gentle Movements.

Not good for me...

Some good information, but a lot of twisting of facts. There is a lot of just plain wrong information in this book, as well. The author gets the whole opiod epidemic wrong by leaving out the fact that they lump heroin use and over doses with doctor prescribed opiods. This is a huge issue for me, maybe isn't for you. I'm a pain patient and almost all of this authors assertions are wrong for me. That is probably why I couldn't get through this book. If you get this book just do a little digging as you listen.