Prince did not die from pain pills — he died from chronic pain

The media can’t seem to get its stories about Prince right. As the news feed overflows with stories with the word “Prince” and “addiction” in them, very few of them feature the word “chronic pain.” Multiple reports mention that Prince had suffered from years with pain in his hips due to injuries racked up during his performances. His body wracked with pain, Prince relied on opiate pain medications to provide him some relief. And yet, even today, the stately New York Times features a long article about Prince seeking “help” with an “addiction.”

Prince was not addicted to pain medication. Prince had a medical condition — chronic pain — which is criminally under-treated. It is also a medical problem that is more likely to be reacted to with stigma and condescension, even challenges about the patient’s moral character, or, if male, masculinity. Pain is still the condition that we treat by telling its sufferers to just “suck it up,” or “maintain a stiff upper lip,” or to stop acting like a “wuss.” And yet, when someone dies from complications of the disease — for that is what chronic pain is — we react with shock and pity and anger that the person died from a drug overdose. Some outlets make money off our confusion about overdose and medications and our fascination with drugs.

As early as 2009, reports surfaced that Prince was in chronic, debilitating pain. His friends reported that he was taking pain medication to try to control the constant, excruciating pain from damaged hips. The supposed conflict between Prince’ conversion to the Jehovah’s Witnesses and his ability to accept a blood transfusion — should the need arise during hip replacement surgery — was bandied about by the vultures who pose as gossip reporters. The idea that Prince would forego surgery in order to serve his faith contributed to the undercurrent that Prince was “weird.” Nevertheless, at least some news outlets report that Prince did have the double hip replacement surgery in 2010.

But it’s not just about how the media doesn’t understand how chronic pain works. They are also ignoring the realities of the impact of race upon the practice of medicine.

Into the mix must surely be added the element of race. Prince was a black man. Strong racial disparities in how doctors and other medical staff respond to pain in the emergency room has been documented. For example, a recent study published in one of the most prestigious pediatrics journals studied the treatment of appendicitis, a condition that is often initially suspected after a “chandelier test.” In medical slang, if a doctor places her hand on the pain point in the lower abdomen affected by the pain of an inflamed appendix, the patient will try to jump up into the metaphoric chandelier on the ceiling above their head.

And yet, even here, black kids cannot get a break.

“Our findings suggest that there are racial disparities in opioid administration to children with appendicitis,” wrote one of the lead researchers, Dr. Monika Goyal.

“Our findings suggest that although clinicians may recognize pain equally across racial groups, they may be reacting to the pain differently by treating black patients with nonopioid analgesia, such as ibuprofen and acetaminophen, while treating white patients with opioid analgesia for similar pain.”

Similar studies have documented that African Americans’ chest pain is less likely to be diagnosed correctly as a heart attack. Other studies have attempted to measure whether African Americans have a “lower pain threshold.” Similar studies about why women’s pain is not taken seriously in emergency rooms have also been produced.

Surgeries can fail to repair the issues that trigger intense pain. And they fail often.  In medical conditions in which pain has been long-standing, scientific evidence suggests that the brain’s pain receptors “short out.” After a while, regardless of even whether the painful part of the body has been removed — as in amputations — the brain’s pain receptors continue to process signals that the body is under attack. Phantom limbs can cause severe pain. It does not make the pain fake. It is the brain that feels pain. And the brain can continue to experience pain even after surgery has been performed.

And yet, despite the evidence that Prince was being given Percocet for documented pain, the media narrative has shifted to a story in which Prince died of an overdose. An overdose is a self-inflicted wound. It’s a moral judgment. That’s how we react to it. “He was such a talented actor. Why overdose?” Or,

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One Comment

  1. I think Prince was an artist that will forever make music history. He is my personal favorite. I applaud and greatly admire him for standing up for his beliefs (even though they are not mine). I have a brain aneurysm. I have horrible migraines and also suffer from fibromyalgia. I agree that people with chronic pain are not taken seriously. I do not necessarily believe it has anything to do with race. I am a white female . By these standards, I should get treated perfectly. Not so. I too, have dealt with the doctors who think you are there to get a fix, until you puke on their shoes or whip out your MRI’s.It took me years to find a team of doctors that would work with me . Doctors all over the US have seen my scans. Health care now is all business. It used to be about making people better. Insurance companies are different too. They do not care if you are in pain. The folks on the phone are not sleeping in the bathroom floor because they are throwing up every 2 minutes and can’t make it back to bed. So what if the meds aren’t working. Insurance has power. You do not. They can also deny paying the bill if you go to Urgent care because you can’t wait 3 hours at your family doctor’s office (BC the meds aren’t working and you need something else). Chronic pain sucks! Insurance does want cheap! It cost, $200 to see your regular doctor. $600 at Urgent care $1200 at the ER. $1.00for aspirin, $200.00 for a Triptan,they can get a narcotic for less than $100.00. You could have a drug compounded cheaper than that, but most Dr’s/Insurance won’t because of liability, I guess . we have people with chronic pain forced to taken high powered drugs when something else would work (sometimes not). So even if we aren’t in the lime light. If we have a day of pain, on the day we pass and we have taken our meds…. we will all be labeled. It’s sad . Bottom line is though, You will know the truth. People that love you will know the truth. Do what you have to to live well. Prince, God love him, was just famous. He had standards and like the rest of us… Nobody took him seriously. People assumed he was another star that hit bottom.