What is Pet Love Worth to You?

The Wall Street Journal recently (7/2/25) featured a story about rich people in Sǎo Paulo, Brazil who pay up to $200 per hour for an off-duty police officer and his scent hound to find lost pets. Sometimes the cost of flights to and from far parts of the country were added to the bill to find the missing pet. I may be in the minority here, but that seemed truly shocking to me.

Cost of Finding a Lost Pet

So of course I searched online for more info. Several options came up immediately.

(Please note: the citations in this article are informational examples and imply no endorsement or recommendation!)

Pet Radar

“Lost pet? Don’t panic. We’re here every step of the way – 24/7 support and guidance. Find Your Lost Pet in Your City. 8000+ Pets Found. Start now! Start in 1 Minute. 5 Stars on Google & FB. 100% Satisfied Guarantee. 24/7 Direct Help. Not satisfied? Money Back. 68% Gets Found.”

Paw Boost

“Find Your Lost Pet And Alert Local People on Facebook & Notify the Rescue Squad™, For Free. Put Out a Free Alert! We Have Over 4 Million Pet Lovers in Our Alert Network. Boost Recovery Chances. Post A PawBoost Alert. Email Shelters For Free. Notify Thousands Nearby.”

Pet Detectives

The Pet Detectives is a company that has established itself as a market leader in the investigation of animal theft and the recovery of stolen and missing cats… This company is located in the UK, and has a TV show Pet Detectives.

As in most other professions, there are specialists. For example:

Kim the Cat Finder

According to the Brazilian pet detective in the WSJ article, dogs want to be found but cats, not so much.

But even if your pet never leaves home, pet love can be pricey! The rest of this article will focus on cats and dogs because they are the most common pets in the U.S.

The Cost of Acquiring a Pet

American Curl

As a cat owner for more than twenty years, I was aware primarily of relatively small veterinary bills. The cats had come free, one from a shelter, the other from a farmer’s barn. I was completely unaware that people actually pay for cats, sometimes a lot. I found one listing that said buying an American Curl, for example, costs $1000 to $2000. They are really cute, but still…

Cats

A 2019 Yahoo article, “The Most and Least Expensive Cat Breeds in the World,” quotes what it calls “sometimes staggeringly high prices” for 15 cat breeds. Here are the acquisition cost estimates the article listed for the world’s most expensive breeds:

Ashera Cat
  • Ashera $75,000 to $125,000
  • Peterbald $1,700 to $3,000
  • Savannah $25,000
  • Bengal $2,000 to $5,000
  • Persian $3,000
  • Sphynx $900 to $1,200
  • California Spangled $800 to $3,000
  • Maine Coon $1,000 to $3,500
  • Egyptian Mau $500 to $800
  • Russian Blue $400 to $3,000
  • British Shorthair $800 to $1,000
  • American Curl $800 to $1,200
  • Korat $600 to $800
  • Ocicat $800
  • Scottish Fold $800 to $1,500

PetKeen.com published a similar article, “11 Most Affordable Cat Breeds (with Pictures)” listing these affordable breeds and their estimated purchase prices:

Snowshoe Kittens
  • Turkish Van $200
  • Ragdoll $400
  • Siamese $200
  • Burmese $500 to $1,000
  • Manx $500 to $800
  • Himalayan $300
  • Cornish Rex $100
  • Oriental Shorthair $400 to $500
  • Havana Brown $300 to $1,500
  • Snowshoe $200 to $250
  • Domestic Shorthair <$50

Dogs

An article at Brownsburg Animal Clinic compared purchase prices for popular purebred and crossbred dogs, finding (not surprising to me) that purebreds are more expensive than crossbred dogs.  

French Bulldog
  • Labrador Retriever $650 to $4,000
  • French Bulldog $3,000 to $10,000
  • Golden Retriever $750 to $5,000
  • German Shepherd $300 to $3,200
  • Standard Poodle $300 to $3,000
  • Average purebred price $1,000 to $5,040

Despite these purebred costs, cats are generally cheaper than dogs due to lower adoption fees, and because they require less maintenance and fewer resources.

Shelter Pets

How much do animal shelters typically charge for adoption fees? A discussion on Quora provided a few examples (Jun 15, 2023): “At my shelter puppies are the most expensive. Cost depends on age. Dogs range from $450 to $100. Kittens are $125. Cats $40 to $20.”

The Animal Humane Society of Minnesota uses a sliding scale to determine adoption fees. Pets with special needs or who have been in the shelter longer can be adopted at a lower cost than others. They also have an option to delay the decision. If you need more time to complete an adoption, you can place an animal “on hold” for 24 hours for a fee of $30 for dogs and cats, or $10 for all other animals.

Henrico Humane Society

  • Kittens – $125 (6 months and younger)
  • Two Kittens – $175 
  • Adult Cats – $100
  • Senior Cats – $50 (10yrs +)
  • Puppies – $250 (12 months and younger)
  • Adult Dogs – $175
  • Senior Dogs – $100 (8yrs +)

Richmond SPCA Adoption Fees

  • Adult cats: $130 (ages 6 months and older)
  • Kittens: $160 (younger than 6 months)
  • Adult dogs: $160 (ages 6 months and older)
  • Puppies: $200

Cost of a Pet’s Medical Care

But back to veterinary bills: Of course the cost of veterinary bills varies depending on the type of visit, the location, and the specific needs of the pet. Routine vet visits in 2025 can range from $70 to $174 for dogs and $53 to $124 for cats. Emergency vet visits can be significantly more expensive, potentially ranging from $200 to $10,000.

Besides emergency care, modern veterinary hospitals provide virtually all the types of care that human hospitals do. Veterinarians help owners keep pets healthy as well as treating infections and injuries. Many veterinary services treat chronic medical conditions, including arthritis, cancer, physical therapy, cardio-pulmonary services, etc.

Cost of Online Pet Doctors

Just like human healthcare providers, many veterinarians are now offering services online. Virtual appointments offer pets the same convenience and accessibility as their owners. Additionally, they allow pets who become anxious or volatile in a vet’s office to see their doctors in a calm, familiar environment.

Some telehealth veterinarians offer monthly or yearly subscriptions. Others charge a fee for each visit.

However, most online veterinarians cannot diagnose pets or prescribe medications over the internet.

Cost of Pet Insurance

No wonder so many people opt for pet insurance! This, too, is a big market. Pet insurance typically comes in three options: accident-only, accident and illness, and wellness. According to the North American Pet Health Insurance Association, the average monthly pet insurance premium for accident and illness coverage is $56.30 for dogs and $31.94 for cats. However, there are plans for as little as $16 a month for dogs and $10 a month for cats.

Owners can even get a credit card specifically for pet health care—though why one would not use any regular credit card is a mystery to me. Some companies, such as All Pet or CareCredit, offer special rates and cashback options for healthcare spending.

Cost of Routine Maintenance

The annual cost of cat ownership can range widely, but generally falls between $340 and $4000. It depends on factors like food and litter choices, veterinary care needs, and whether the cat requires ongoing medical treatment.

For dogs, a recent survey gives an average annual cost of $4,512. These costs also vary widely, depending on the same factors as for cats.

Food alone is notable: the annual cost of dog food can range from $250 to $700. The annual cost of cat food can range from $225 to $1,980, depending on the brand, type of food, and frequency of feeding.

No doubt you are aware of what I call TV advertised convenience: Fresh Pet and Chewy will deliver to your door—for a fee.

Bottom Line: Consider the above factors when you think of pet ownership (whether cat, dog, or something else entirely), consider your personality and finances, and then decide the price you will pay for pet love.

GAMES AND THE PEOPLE WHO PLAY THEM

This blog is intended to make you think. What are your expectations about people who do these various things?

Card Games

I’ll start with three well-known card games.

Euchre

Euchre is played in Canada, Great Britain, New Zealand, Upstate New York, and the Midwestern United States. It is often associated with blue-collar culture, particularly in the Midwestern United States, where it has long been popular among families and friend groups. Its roots are in working-class communities and its role in bringing people together for social interaction contribute to this perception.

I found no data on the ratio of male to female players, so assume it is roughly equal, given that it is often a family or couples game.

Bridge

Bridge players are often stereotyped. Common stereotypes include: a tendency towards higher education, and the game attracting a relatively high proportion of atypical individuals. (Bridgebase.com, macewan.ca) Bridge was initially a game for the upper class, but later gained popularity among other social classes.

A common stereotype is that bridge is an old person’s game. In 2019, the World Bridge Federation used Survey Monkey to gather data about American bridge players. They limited the survey to people 45+ with some college education because, “We are confident that the vast majority of bridge players fall into this category…” About 16M (out of 75M)—i.e., about 20%—reported that they know how to play bridge. 10M+ have not played in a long time, 3M+ play a few times a year, 2M+ play regularly (monthly/weekly/weekly+).

While roughly equal proportions of men and women play bridge, men tend to outperform women at the elite level. (Bridging brains: exploring neurosexism and gendered stereotypes… )

Poker

Poker is a man’s game—at least at the professional level. According to recent statistics, around 95% of professional poker players are men. However, among online poker players, research shows that nearly a third of new player buy-ins are female players. This makes one ask why male players still dominate traditional tournaments. One explanation posited is that because it’s male dominated, there’s likely an intimidation factor in in-person play.

Many historical factors have shaped modern poker: cultural expectations and gender norms, targeted advertising, and marketing campaigns. There’s nothing masculine or feminine about the game itself. Medium and Personality-Psychology have published some poker stereotypes based on players’ tendencies:

  • NITs (tight players)
  • TAGs (tight-aggressive players)
  • LAGs (loose-aggressive players)
  • Loose passive players
  • Calling machines
  • Maniacs

Other Table-Top Games

Of course, cards aren’t the only games people play around the table.

SCRABBLE

Most competitive SCRABBLE players are women. Indeed, when regular people are asked about whether they would expect more male or female SCRABBLE champions, the intuition seems to be that women should be more common. As it turns out, within the highest-performing competitive SCRABBLE divisions, 86% of the players are male, while only 31% of the players in the lowest-performing divisions are. In fact all 10 of the last world champions have been male. Psychology Today has a lengthy article trying to determine why this might be.

FYI: Nigel Richards is the widely acknowledged GOAT for SCRABBLE. Originally from New Zealand and now based in Malaysia, he has won the World Scrabble Championship five times. No other player has won more than once. His national-level titles include five in North America, twelve in Singapore, fifteen in Thailand, and many others around the world.

Monopoly

As of 2015, the game had sold approximately 275 million copies worldwide. Clearly, lots of people play Monopoly, but I found virtually no information about them. Lots of information about its history, racism, whether it’s detrimental to family relationships, but otherwise…

One tidbit: Monopoly game token choice can reveal aspects of a player’s personality. For example, players who choose the car are often male and passionate, while those who choose the hat may be introverted but strategic in the game.

Mah Jongg

Mah Jongg – a Chinese tile game of skill, strategy, and calculation similar to rummy—was developed in the 19th century in China. It has spread throughout the world since the early 20th century. Rules vary by location. In China and Japan in particular, it is a gambling game, often played by men in Mah Jongg parlors.

Travelers first brought mahjong to the United States in the early 1920s. It was an instant hit among white Americans. People in the U.S. soon came to think of it as a game for women.

At least the perception of mahjong as a women’s game is founded in reality: American mahjong players are at least 95% female. Male players likely comprise less than 5%.

In my opinion, there are two bits of history that contribute to this.

The first was the Wright-Patterson approach, started by spouses of Air Force officers stationed at Wright Field in Ohio. The Wright Patterson method was intended to regularize rules so that when military men were transferred, their wives wouldn’t have to learn new rules for every place.

In 1937 a small group of Jewish women in New York City standardized the rules for the game. Generally referred to as American Mahjong, today it is the most common version played in the U.S., and has spread worldwide. In the U.S., one stereotype is that mahjong players are often older Jewish women.

Games of Sport

Some games are more physical than cards and table-tops.

Golf

Golf is subject to various stereotypes. For example, that golf is an elite sport, a game of cliques, or a sport for older people. Other stereotypes suggest that golf is expensive, complicated, or only enjoyable in the summer. (Golfshake.com).

Zippia statistics has more details:

  • Average golfer age: 36
  • Male – 72%; Female – 28%
  • Male Income $50,103; Female Income $47,840
  • White – 72.8%; Black Or African American – 8.9%

Since the pandemic, more than 800,000 women have taken up golf. According to the National Golf Foundation, 3.7 million juniors played golf on a course in 2024, more than in any year since 2006. Thirty five percent of these were girls. This young segment is more diverse than the overall golf population and has seen a 48% increase since 2019, the largest gains of any age group.

The NGF also reports that 41% of off-course golfers are women. (Off-course golfers participate in golf-related activities that occur outside of a traditional golf course. This includes activities like driving ranges, golf simulators, mini-golf, and entertainment venues such as Topgolf. (LightSpeedHQ, NGF ))

Basketball

Basketball is the opposite of golf on many dimensions. Stereotypes include the assumption that players are tall, and that the sport is mainly for men. Some also believe that basketball is an African American-dominated sport. (gunnoracle.com) Additionally, the ‘jock’ stereotype portrays athletes as unintelligent, but physically well-endowed.

Basketball is perhaps the sport most available for pick-up games. It requires minimal equipment, equipment is inexpensive, and hoops are everywhere from driveways to public parks.

Expensive Games

Many sports require substantial monetary investments for the equipment, training, and space to practice. Utopia.org broke down the costs of the most expensive sports today.

Formula One Racing

The cars alone can cost hundreds of thousands or even millions of dollars. Rather than competing individually, racers usually compete under the sponsorship of corporations. Over $1000 is typically spent on fuel for each car per race.

Racing is also environmentally expensive. F1 racing generates 256,000 tons of carbon dioxide per year, with 72.7% of those emissions resulting from transporting equipment and personnel.

Sailing

Sailing is one of the most expensive sports globally. It requires a lot of equipment such as life jackets, grippy shoes, and weatherproof sunglasses—not to mention the cost of the boat itself. A trailer is necessary to transport it to the water, unless you rent a slip at a marina or live on water and have your own dock, etc. Even smaller sailing boats, such as the single-person Laser, have a starting price of around $2000 for a used model. For many, there are additional sailing club membership fees and lessons.

Bobsledding

Bobsleds are expensive, starting at around $30,000, so teams often rely on corporate sponsorship to pay for the sled, protective gear, training, and track rental. Bobsledding also carries significant risks; “sled head,” or concussion in bobsledders, affects 13-18% of participants, making it one of the most dangerous Olympic sports.

Tennis

At first glance, tennis requires only a racket, ball, net, and a partner. However, tennis ranks among the most expensive sports, primarily due to the fees associated with renting tennis courts, which can range from $50 to $100 per hour. Additional expenses may include competition entry fees, lessons, and specialized shoes and clothing.

Pentathlon

The pentathlon, which includes running, swimming, horseback riding, shooting, and fencing, is among the most expensive sports primarily due to the extensive equipment requirements. There may be additional costs for lessons or classes in each discipline.

Equestrian Games

Polo, known as an elite sport (participants include members of the British Royal Family), is quite expensive. Any sport involving horses requires substantial funds, but playing polo also involves club and tournament fees on top of the costs of training and keeping horses. Nevertheless, equestrian events— show jumping, dressage and eventing—are all expensive. Owning a horse is expensive in and of itself, including costs for feed, shelter, winter care, shoeing, and veterinary bills. If you don’t own a horse, you can expect “rent” payments as well as covering many of the expenses listed above.

Additionally, equestrian competitions involve the costs of equipment for both the horse and rider, transportation (such as a horsebox), and riding lessons. Sports involving horses are universally expensive.

Swimming

Swimming is a favorite sport for many, and for most people it isn’t particularly expensive. But competitive swimming can be costly. Large pool rental costs per week add up, in addition to training, gym sessions, specialized diet, and even hair removal to maintain the sleekest body.

Ice Hockey

Ice hockey expenses include the cost of gear and ice rink rentals, which can be around $250 per hour. In addition, ice hockey players often suffer injuries, leading to substantial healthcare expenses. Altogether, the annual costs of playing ice hockey run in the thousands.

Gymnastics

Gymnastics is more expensive than it looks at first glance. Competitive gymnasts often start training as very young children, taking regular classes for years. Those pursuing a professional career may also invest in private coaching, space in a dedicated gym, and travel to train and compete. Specialized equipment, such as vaults, balance beams, and climbing ropes, can quickly add up to serious costs.

Please note: Utopia.org includes more details and suggests less expensive alternatives for these expensive sports.

Not surprisingly, how people spend time, and the places they frequent, imply a lot about personality, lifestyle, and values. Sport are no exception. Knowing a person’s sport and game choices—both the activity and the level of involvement—often sets others up to make inferences about socio-economic standing, level of education, and more, as well as traits like openness and extraversion, competitiveness, work ethic, organization, and motivation.

Bottom Line: Sports and other games definitely play a role in how people are perceived. What do your hobbies say about you?

The Importance of Writing

Humans have been telling stories for millennia, and the invention of the written word has allowed us to preserve and share our stories. The importance of writing, any kind of writing, is difficult to overstate.

Lesser Importance of Writing for Money

According to an article by Alison Flood of The Guardian, a 2014 survey revealed that 54% of “traditionally-published” authors and nearly 80% of self-published authors earn less than $1,000 a year. In this same survey, only a minority of respondents listed making money as “extremely important”—around 20% of self-published writers and 25% of traditionally-published authors. Overall, Flood concluded, “Most authors write because they want to share something with the world or gain recognition of some sort.” Clearly, most writers aren’t in it to put food on the table.

If you aren’t writing to put food on the table, you’re writing to feed your soul.  And if you are writing to put food on the table, you are likely on a starvation diet!

Importance of Writing for Health

So why write? Because it’s good for you! A regular writing practice can benefit every aspect of your life. Many people have researched the importance of writing. I’ve combined below some of the findings discussed by Baihley Grandison (“11 Reasons Writing is Good for Your Health”, Writers Digest), Amanda L. Chan (“6 Unexpected Ways Writing Can Transform Your Health“, Huffington Post), and Jordan Rosenfeld (“Your Writing Practice is Calling | Why Do You Write?“, Medium).

Physical

  • Increase memory capacity
  • Healthier immune system
  • Reduce blood pressure
  • Improve lung function
  • Boost athletic performance
  • Writing what you’re thankful for could help you sleep better
  • Writing entertains you and others, and having fun is an important part of good health
  • It could help cancer patients think about their disease

My own experience with breast cancer and its treatment gave rise to three publications: a magical realism piece, “Beast and the Beauty”; a memoir titled “Hindsight” about altering my view of my mother’s invalidism; and a newspaper essay titled “Repair or Redecorate After Breast Cancer.”

Social

  • Learn to communicate better
  • Boost job prospects
  • Writing connects you with others through blogging, writing groups, live readings, and self-publishing outlets like Scribd and Smashwords
  • Through writing, we preserve stories and memories that may otherwise be lost

Mental

  • Expressing emotions through words may speed healing
  • It can form a fundamental part of your gratitude practice
  • Creativity has been proven to have positive effects on health, self-esteem, and vitality
  • Writing is good for your brain, creating a state similar to meditation
  • Writing hones your powers of observation, giving you a fuller experience of life
  • Writing hones your powers of concentration and attention, which is more fractured than ever thanks to technology and TV
  • Writing strengthens your imagination, and imagination is key to feeling hope and joy

Importance of Writing in My Life

From college until I left paid employment thirty years later—excepting the occasional lines of private poetry—I wrote only academic articles and research reports. When no longer employed, with no title and no built-in social network, I found myself lost. And depressed.

That’s when I started writing Dark Harbor.  Mysteries had been my favorite escapist reading, so of course I thought I could write one! I quickly realized I had no idea what I was doing and enrolled in a writing class at the VMFA Studio School. And here I am, four books and more than seventy short stories later, still writing.

It keeps my brain sharp. I learn new things when researching stories—everything from the effects of ketamine on humans to the price of gasoline in 1930 to the characteristics of Buff Orpington hens. I understand myself better in relation to my family. I meet interesting people. (I’ve never met a boring writer!) My journal helps me keep track of personal events, thoughts, and trivia. Publishing—even without much financial reward—is good for my self-esteem. And now that I am a writer, I no longer define myself by what I used to be—as in, “I’m a retired academic.”

Bottom Line: Write for your health, for your community, for your sanity, for your soul. Whatever the reason, write!

AN EYE FOR AN EYE

I venture to assert, with absolutely no evidence necessary, that revenge is older than the Old Testament! It’s both ancient and contemporary. (Think Homer, Hamlet, and Pres. Trump’s campaign slogan, “I am your revenge.”)

The Hatfield clan of Appalachia was engaged in one of the most famous feuds in American history with the neighboring McCoys, triggered and kept going by waves of revenge and retaliation.

Brian Knutson published research in Science in 2004, showing that when people are wronged in a laboratory game and then given a chance to retaliate, the part of the brain activated is an area known to process rewards. (In even earlier work, researchers found that this part of the brain was active during cocaine and nicotine use). Just thinking about revenge is pleasurable!

Eric Jaffe, The Complicated Psychology of Revenge
Association for Psychological Science

Why We Seek Revenge

A belief in justice is the primary driver when seeking revenge, according to Fade Eadeh, an assistant professor of psychology at Seattle University. If the world was just and fair, bad things would happen to bad people and good things to good people. As a “good person,” you may feel compelled to even the score with a “bad person” to restore justice. However, such retaliation seldom brings balance or justice.

Alexander Hamilton and Aaron Burr feuded for years before finally meeting on the dueling field in 1804, when Burr mortally wounded Hamilton and destroyed his own reputation. The popularity of Lin-Manuel Miranda’s musical in Hamilton’s name might be deemed the ultimate revenge.

Carlsmith et al. in a 2008 issue of the Journal of Personality and Social Psychology, reported that although people believe revenge will make them feel better and provide closure, in fact those who delivered punishment continued to think about what they had done and felt worse than those who had no opportunity to avenge a wrong. Guilt, shame, and embarrassment may tamp down any pleasure derived from vengeance,

More recently, Allie Volpe (Vox, 2024) observed that even chimpanzees and elephants have shown vengeful tendencies. Revenge, to deter offenders (and would-be offenders) from future harmful behavior is a response to wrongdoing that anthropologists have observed in practically every culture.

For revenge to have the best chance of eliciting a positive outcome, the punished party needs to know what she/he/they did that harmed another. “When [revenge] goes right, it triggers remorse and guilt, and a need for the other person to fix things,” asserts Stephen Yoshimura , a professor of communication studies at the University of Montana. “But a lot of times, because things don’t get explained or there’s a lot of misunderstanding about what exactly is the situation … they just respond with counter-retaliation. That’s where things start to get out of hand.”

A Dish Best Not Served At All

Despite spending 27 years in prison, Nelson Mandela embraced reconciliation and worked to dismantle the apartheid regime in South Africa through peaceful methods, eventually winning the Nobel Peace Prize and being elected President of South Africa.

As a supervisor, parent, and spouse, I’ve long been an advocate of simply telling a person, “When you do X, I feel Y.” Among others, Dr. David Chester, Associate Professor at Virginia Commonwealth University, also suggests finding non-harmful ways to communicate how someone mistreated you.

“While interpersonal revenge can be functional, in contemporary societies it can trigger a cycle of potentially violent (not to mention potentially illegal) acts. But suppressing thoughts of revenge may cause them to rebound. So what to do? At the risk of perpetuating an overwrought cliche, the best revenge, experts say, is a life well-lived.” (Volpe)

The June 5 edition of The Wall Street Journal, has an excellent review of this topic, written by James Kimmel, Jr., a lecturer in psychiatry at the Yale School of Medicine. The title of his article pretty much says it all: “This Is Your Brain on Revenge: The neuroscience of vengeance shows that it can be as addictive as drugs and forgiveness works like detox.” He concludes that “Neuroscience supports the ancient forgiveness teachings of Jesus and the Buddha,” and maintains that we can heal an entire nation addicted to revenge by following modern science and ancient teachings about forgiveness. “We need to Make America Forgiving Again.” You can read all about it in his new book The Science of Revenge: Understanding the World’s Deadliest Addiction—and How to Overcome It.

Bottom Line: The evolutionary nature of revenge may make it “human nature,” but in this instance, what’s natural is bad for you.

IMPORTANCE OF STONES

You may recall that I’m fond of stones. I wrote a whole blog about Shiva Lingam, the sacred stone of India.

Uluṟu-Kata Tjuṯa National Park in Australia’s Northern Territories

But think of the many important stones worldwide, for example:

Stones for Power and Beauty

If visiting stones is good for you, why not just wear them? Many people wear precious and semiprecious stones for more than just eye appeal.

Whenever I am in Corolla, NC, I always visit The Mystic Jewel. (They also have a store in Duck and sell online.) Each purchase has been accompanied by a card. Based on these cards and information in a stone “bible” by Simmons and Ahsian, I venture to assert that there are no bad stones!

Robert Simmons and Naisha Ahsian have written The Book of Stones: Who They Are & What They Teach, an interesting guide to crystals, minerals, gemstones, and the many ways people use them.

For example, one of my favorites (because it coordinates with my go-to black pants or jeans) is black onyx. (Fyi, onyx can be red, green, or several other colors.)

According to Ahsian, “Black Onyx teaches the appropriate use of power and the focusing of energy into positive force. It is excellent for those who are working to develop their telekinetic abilities.” And physically, “Black Onyx can be used to help stimulate the connection between the feet and the first chakra. This can be helpful for those suffering from weak legs, or who have difficulty grounding or eliminating bodily waste or excess energy.”

You can research virtually any stone for its purported spiritual, emotional, and physical qualities, and any astrological connections as well.

Chakras

Millions of people worldwide wear chakra jewelry for such reasons. Chakra means wheel in Sanskrit. The basic belief is that the body has seven main energy centers that look like spinning wheels or Chakras. They permit energy to flow from one part of the body to another. When these Chakras are aligned and functioning properly, we feel a sense of balance on all levels—physical, emotional, and spiritual. Gemstones are often used to strengthen and balance the Chakras.

The concept of the chakra arose in Hinduism. Beliefs differ between the Indian religions: Buddhist texts mention four or five chakras, while Hindu sources often have six or seven. The modern “Western chakra system” arose from multiple sources, starting in the 1880s.

Chakra Stones

Crown

  • 7th chakra
  • Center of wisdom and knowledge
  • White stones (quartz, selenite, or moonstone)

Brow or Third Eye

  • 6th chakra
  • Center of insight and intuitive powers
  • Purple stones (quartz, amethyst)

Throat

  • 5th chakra
  • Center for communication and creative expression
  • Blue stones (turquoise, sodalite, or lapis)

Heart

  • 4th chakra
  • Energize love, compassion, and forgiveness
  • Pink or green stones (rose quartz, aventurine)

Solar Plexus

  • 3rd chakra
  • Center of energy and emotion
  • Yellow stones (citrine, tiger eye, calcite)

Spleen

  • 2nd chakra
  • Center of creativity and social interaction
  • Orange stones (carnelian and amber)

Root or Base

  • 1st chakra
  • Center of safety, stability, and grounding
  • Red or black stones (garnet, hematite, black tourmaline)

All sorts of jewelry—rings, bracelets, pendant, earrings—featuring stones for all seven chakras, in order, is readily available. If you search for chakra jewelry, for example on eBay or Etsy, the seven-gem option will come up as a “best match” although jewelry designs featuring a single stone are touted as well.

Bottom Line: Wear, touch, seek out, and treasure stones, whether for esthetic, fashion, or other reasons. Even if they don’t actually help, they won’t hurt!

SWEET: WHEN TOO MUCH OF A GOOD THING IS A BAD THING

sweet cupcake

Sugar here,
Sugar there,
Sugar in your pasta sauce
Sugar from your pear.
Sugar on your cereal
And in your bakery treat.
The more sweetness you enjoy
The more you want to eat!

That’s a fact—and it’s bad news. The American Heart Association recommends limits on the amount of sugar you consume every day:

  • 25 grams (6 teaspoons) for women
  • 36 grams per day (9 teaspoons) for men

According to Anna Taylor, RD, LD, “The average American eats about 68 grams [~16.3 teaspoons] of sugar per day. That can add up to as much as 28 pounds of body fat per year.”

Too Sweet

But it’s even worse than getting fat. According to the AARP Bulletin, May/June 2025, eating a lot of sugar causes your body to age at seven times its natural rate. It ages you in several ways:

Magazine ad for GW sugar from 1930s
  • Raising dementia risk by increasing inflammation and weakening the blood-brain barrier.
  • Making your belly bigger, which indicates that your liver is storing fat, which can lead to higher cholesterol, insulin resistance, cardiovascular disease, and stroke.
  • Storing fat in the liver can also lead to nonalcoholic fatty liver disease.
  • Making it less likely you’ll eat enough healthful foods.
  • Increases risk of diabetes.
  • Worsens menopausal symptoms, including hot flashes.
  • Promotes tooth loss by damaging tooth enamel and creating gum inflammation.

Hidden Sugars

The Cleveland Clinic and the American Heart Association strongly support limiting table sugar. It’s high in calories and offers no nutritional benefit. Besides which, it’s hiding in some favorite foods:

  • Condiments such as ketchup and salad dressings
  • Pasta and barbecue sauces
  • Flavored yogurt, especially low-fat ones
  • Granola, instant oatmeal, and other breakfast cereals
  • Nut butters, both peanut butter and others
  • Drinks, which can contain more than three tablespoons of added sugar per serving

Check your food labels for hidden ingredients. Added sugars now must be specifically listed. Especially look for fructose, glucose, and sucrose.

The good news is that whiskey has no added sugar! The bad news is that it’s still empty calories and is otherwise hazardous to your health.

Naturally Sweet

The best way to sweeten food and drinks is with fresh or frozen fruit, which provide nutritional benefits such as fiber, vitamins, potassium, and antioxidants.

So, what about natural sugars? Things like raw honey, maple syrup, agave nectar, and raw sugar.

The good news is that some natural sweeteners provide a few more nutrients than table sugar. Raw honey and pure maple syrup both help feed gut flora, keeping your digestion on track.

Agave nectar, although natural, provides fewer nutrients than raw honey or pure maple syrup. It contains as many carbs and calories as table sugar. However, it tastes very sweet and so you might use less.

The bad news? They’re all still forms of sugar, high in calories. All natural sugar should be counted toward your daily sugar intake.

(Beware: Honey shouldn’t be given to infants under the age of 1 because of possible botulism bacteria spores.)

Artificially Sweet

So, just switch to artificial sweeteners? Problem solved? NO! Common artificial sweeteners, including saccharin (Sweet n’ Low®), aspartame (Equal®), and sucralose (Splenda®), come with concerns of their own.

According to The Cleveland Clinic, “Just as with sugar, artificial sweeteners may cause you to crave more sweet and sugary foods. Artificial sweeteners often include sugar alcohols. One sugar alcohol commonly used in artificial sweeteners, erythritol, has been linked to increased risk for heart attack and stroke.”

Some researchers suggest artificial sweeteners may be linked to a range of other health conditions , including having obesity, hypertension, Type 2 diabetes, heart disease, and more. However, those outcomes haven’t been validated across the board. Research is still ongoing.

Bottom Line: Roses are red.
Violets are blue.
Sugar is sweet
But BAD for you!

HAIRY ISSUES

Fun fact: About 95% of your total skin area is covered in hair. Who knew you were so, well, hairy?! (wella.com)

But when speaking of someone’s “hair” the usual meaning is hair growing from the scalp, although less frequently facial, pubic, and other body hair. This blog will focus on head hair.

Discrimination in Hair Care

Historian Ibram X. Kendi wearing locs (Steven Voss)

Hair care routines differ according to an individual’s culture and the physical characteristics of one’s hair. In the United States, my search for “ethnic hairstyles” turned up only Black hairstyles. Here are a few examples:

Jada Pinkett Smith sporting Bantu knots as Niobe in Matrix Reloaded

Shamefully (in my opinion) these and many other distinctive hairstyles have been forbidden in schools and work settings—historically, but still today. Even when not dealing with outright bans, people wearing these hairstyles often still face discrimination at work, when seeking medical care, at school, while shopping, even while seeking housing.

Although Black people, especially women, are aware of hair styles as part of their self-concepts, I venture to suggest that many women (and some men) are deeply committed to their hair as an expression of their unique identities.

Hairy Length

Some people don’t ever cut their hair, for religious, fashion, or cultural reasons.

One of the most obvious and most noticeable hair variations is length.

Fun fact: According to Wella, when you add up how much each hair on your head grows over a year’s time, you get 10 miles worth of hair!

Hair can be any length, of course. For the average person, growing waist-length hair would take about 7 years, 3 years to grow to your shoulders.

As of 2024, the Guiness record for hair length is 8 ft. 5.3 in. (257.33 cm) in length, officially the longest hair on a living person (female). The record holder is Aliia Nasyrova of Ukraine.

Hairy Beatles
The Beatles illustrating several hair lengths (Valisk)

Shaved – hair that is completely shaved down to the scalp
Buzz – hair that is extremely short and hardly there
Cropped – hair that is a little longer than a buzz
Short back and sides – hair that is longer than a crop, but does not yet hit the ears, with the top being left longer
Ear-length – hair reaching one’s ears
Bob – reaching to one’s chin
Shoulder-length – brushing the tops of one’s shoulders
Princess-length – reaching between the shoulder blades and the tailbone, depending on the speaker

In short, anything goes for hair cuts, but by and large, it seems to me that the longer the hair, the more time, effort, and possibly money go into taking care of it.

A 2024 CNN report found the average cost of a women’s haircut ranging between $45 and $75 across the country, while men’s toggled between $25 and $50. Besides sexism, what might account for this?

Enhancing Nature’s Hairy Bounty

If you are naturally less hairy or differently hairy than you would like, fear not! There are a variety of ways you can change the appearance of the hair on your head.

  • Wigs
  • Hair pieces
  • Extensions
  • Dyes
  • Texture changes (straightening or curling)
  • Transplants
  • Removal
Hairy mannequins

Changing Color

Hairy rainbow
Specialized colorists can achieve pretty amazing results!

Fun fact: According to Wella, in 1950, about 7% of American women dyed their hair. Today, 60% of American women dye their hair.

Hair coloring, technically, can be either adding pigment to or removing pigment from the hair shaft, commonly referred to as coloring or bleaching, respectively.

—Among the best-known products for men are Just For Men shampoos and comb in color to cover gray hair or beard.

—Temporary hair tints simply coat the shaft with pigments that later wash off.

—Most permanent color changes require that the hair shaft be opened so the color change can take place within. This process can leave hair dry, weak, prone to breakage, or coarse, or cause an accelerated loss of pigment. Generally, the lighter the chosen color from one’s initial hair color, the more damaging the process may be.

—Other options for applying color to hair besides chemical dyes include the use of such herbs as henna and indigo, or choosing ammonia-free solutions.

There is growing demand for natural and non-toxic hair dyes. Various natural pigments, like melanin in animals and curcumin in plants, are used for coloring and dyeing. These alternatives to conventional dyes are bio-friendly and less irritating. Despite the proposed benefits of these dyes, such as antistatic, antioxidant, and antibacterial properties, their complex pigmentation mechanisms remain largely unexplored.

Curling and Straightening

Before and after a chemical perm

You can temporarily change the texture of your hair with curling irons, foam rollers, blow dryers, flat irons, hot combs, and many other implements of heat and pressure. However, time and moisture will return hair to its natural state.

Perms (curling) and relaxing (straightening) using relaxer or thermal reconditioning involve chemical alteration of the internal structure of the hair in order to affect its curliness or straightness. Hair that has been subjected to the use of a permanent is weaker due to the application of chemicals and should be treated gently and with greater care than hair that isn’t chemically altered.

Research shows that hair becomes drier with age. This makes it less able to take and maintain a change in shape.

Hair Transplants

Sew-in hair extensions

Those who are not hairy enough for their personal tastes have a variety of options, some more permanent than others.

One can purchase clip-in hair extensions for a quick boost of hirsute-ness. They need to be taken out before sleeping, washing, or restyling.

For a longer solution, one can visit a hairdresser to have someone else’s hair taped, glued, or sewn onto one’s own tresses. These hair extensions can last from a few weeks to several months, depending on type and care.

For a more permanent change, one might turn to a surgical hair transplant. In this procedure, a doctor surgically moves bits of skin or individual follicles from a hairy area of the head (typically the back or sides) to a less hairy area of the head (typically the top or front). After a few weeks of healing, the newly located hair follicles should behave like any other follicles, giving the patient the appearance of a full head of hair.

Hair Removal

Threading to shape eyebrows

Alternatively, one may feel too hairy. In that case, a variety of methods can help remove unwanted hair.

Hair may be shaved, plucked, or otherwise removed with treatments such as waxing, sugaring, or threading.

Laser hair removal and electrolysis are also available, though these are provided (in the US) by licensed professionals in medical offices or specialty spas.

Hair Loss

Alopecia (baldness) on a man

Alopecia is the blanket term for a range of conditions that cause hair to fall out in up to half of all Americans. It may be temporary or permanent and can have a range of causes, including autoimmune disorder, genetics, and medical treatments.

For it to be apparent that you’re balding, you would have to lose 50% of your hair, according to dermatologists. Most of the factual information in this section comes from The Cleveland Clinic.

On average, you can expect to lose between 50 and 150 hairs daily. On the other hand, you have around 100,000 (or more) hair follicles on your head. So, routine hair shedding is just a drop in the bucket. (This will also depend on the length and thickness of your hair. For example, you’ll appear to shed less if you have shorter or thinner hair.)

Things like stress, heated styling and other health conditions or treatments may cause you to lose more hair than normal. Everyone is aware that chemotherapy often leads to hair loss, but other medications, such as some antidepressants or anticoagulants (blood thinners), might have a side effect of hair loss.

Men vs. Women

Female pattern baldness

Studies have shown that, in general, men are more likely to experience hair loss than women. On the other hand, women are more likely to experience higher levels of shedding during pregnancy and menopause. Over half of all women will experience noticeable hair loss over time.”

In addition, a study in 2017 showed that women tend to shed more hair due to styling practices. Anyone who uses heavy styling or tight hairstyles can experience increased shedding, which can lead to permanent hair loss if it becomes chronic (called traction alopecia).

Not getting enough protein, iron or certain vitamins, like biotin and B12, and micronutrients can lead to increased hair loss. Crash dieting can cause temporary hair loss.

The Norwood-Hamilton scale illustrating types of male pattern baldness

Relatively few men are totally bald –i.e., have no hair at all on their heads. Male pattern baldness is common worldwide. However, rates vary by country; in the U.S., the percentage is 42.69, number four after Spain, Italy, and France. According to World Population, Indonesia is the country with the lowest percentage on the list with 26.96%.

Female pattern hair loss (FPHL) affects approximately 40% of women by age 50. Estrogen is related to hair growth and hair loss for women. When estrogen levels are high, hair appears thicker and healthier.

Growing and Regrowing Hair

Men’s hair grows faster than women’s. Anticipating sex makes the hair grow faster. Are these facts related?

Growing, tending, and arranging hair often strengthens community bonds

Fun fact: According to Wella, in the 16th century, a doctor claimed applying a blend of boiled slugs, olive oil, honey, saffron, soap, and cumin on the scalp could restore hair.

Today, one common treatment to regrow hair is Minoxidil. It is available OTC as liquid or foam to be massaged into the scalp. Tablets in various strengths are available by prescription.

In addition, you can find various nutritional supplements, shampoos, and topical applications on line and in drugstores. Recently, I’ve noticed lots of TV commercials for Nutripol.

And then there is regrowth equipment featuring laser treatments. You can easily find $199 lasercombs or a laser hair growth helmet $995.

Hairstyling Equipment

I didn’t find statistics on the most used hair equipment, but the most popular tools seem to be hair dryers, flat irons, curling irons, and hair brushes. (Good Morning America, missamericanmade.com) Below is a more comprehensive list, although certainly not exhaustive. How many do you use? Others in your household?

“Daenggi” and “Binyeo” used to create traditional Korean “Jjok” hairstyle (by Glimja)

Dryer
Brushes
Clips
Combs
Ornamental combs
Curling/straightening iron
Rollers
Clippers
Pins and barrettes
Beads
Headbands
Kanzashi (hair ornaments used in traditional Japanese hairstyles)
Ribbons
Hair ties
Scissors
Shower cap
Sleeping cap

Pre-styled coiffures fashionable Victorian women could attach to their own hair

Hair Care Products

In 2022, American consumers spent around $85.53 on hair care products. (Statista) The average spending per month on hair products is $31, according to Advanced Dermatology. Frankly, I’m surprised it isn’t more, given all the products in use:

Spikes this high require glue rather than gel
  • Coloring agents
  • Conditioners
  • Gel
  • Glue
  • Mask
  • Mousse
  • Scalp scrubs
  • Serum
  • Spray
  • Sonic
  • Wax
  • Pomade
  • Shampoo
    • As of Feb 22, 2025, according to Brainly, the number of shampoo options available to Americans is estimated to be at least 600 different products.

Looking at the big picture, “Hair care boasts one of the largest shares in the global beauty market, about 22 percent as of 2022, second only to the skin care segment. In the United States, forecasts show that revenues for hair care will increase up to 14.2 billion U.S. dollars in 2028.” (Statista)

Assorted Hairy Information

A geisha chooses every element of her hair style and hair ornaments very carefully to indicate her rank, age, mentor, and specialties as well as to complement her outfit and the season.

And to end this blog, a few fun facts from Wella that don’t fit anywhere else:

A single strand of hair can support up to 6.5 pounds of weight. That means a whole head of hair can support up to 2 tons (though the owner’s neck and spine might protest)!

The major cause of dandruff is a fungus called Malassezia globosa, which pushes dead skin cells to the surface quicker than normal.

Believe it or not, humans have the same amount of hair follicles per square inch as a chimpanzee!

Less than 4% of the world’s population has natural red hair.

The color of hair depends on how much melanin each strand has. Or which hair dye you use!

Someone purchased a lock of Elvis’ hair at an auction for $15,000.

Stories have circulated for generations that women encoded secret messages or escape maps in the patterns of their braids or cornrows. Alternatively, people have claimed Black women may have been able to smuggle gold, seeds, keys, or other small items in their hair. Though there is little concrete evidence to support these claims, they illustrate the versatility and cultural importance of hair.

Bottom Line: Hair is virtually everywhere, and hair issues are virtually innumerable.

STEALING INTELLECTUAL PROPERTY!

Plagiarism Today
Recent article from Plagiarism Today

Plagiarism is the act of presenting someone else’s work, words, or ideas as your own without proper attribution. (Plagiarism.org, Yale University) Plagiarizing is representing another person’s language, thoughts, ideas, or expressions as one’s own original work. Most people consider it a violation of academic integrity and journalistic ethics. (Wikipedia)

Plagiarism can take many forms, according to Bowdoin College:

  • Direct plagiarism (word-for-word copying without quotation marks)
  • Self-plagiarism (submitting your own previous work without permission)
  • Mosaic plagiarism (borrowing phrases without quotation marks or using synonyms while keeping the original structure)
  • Accidental plagiarism (neglecting to cite sources)
Fiona Lisa by AndrewSS7

The University of Oxford defines plagiarism as “Presenting work or ideas from another source as your own, with or without consent of the original author.”

The above would make it seem as though plagiarism is largely an academic concern, but not so. It can be a concern for creative writers, musicians, visual artists, essayists—pretty much anyone who comes up with a concept or product and makes it public. As stated in a slightly different way, plagiarism is the use of another’s work, words, or ideas without attribution. (Poorvu Center for Teaching and Learning) It is also defined as the use, without giving reasonable and appropriate credit to or acknowledging the author or source, of another person’s original work. (Stanford Office of Community Standards)

Is It Plagiarized?

In actual practice, plagiarism may not be so clear. For example, professional speech writers write the words for politicians or others who frequently speak in public. Is the speaker plagiarizing?

Fan Works

And then there is fan-fiction. The entire point is to use characters or plot lines from the works of a popular, admired writer. The source of the ideas is inherent in the genre. Is further acknowledgement required? Or permission?

For example, there are hundreds of “variations” on Jane Austen’s Pride and Prejudice. Using the characters and place names and some of the basic tenets are central to these works. And whatever else changes, whatever obstacles they face, Elizabeth and Darcy come together in the end.

Common Facts

American Gothic, not plagiarism
American Gothic by Udronotto

What about facts? For example, what is the most popular spice in the United States? Black pepper. This same information can be found on numerous websites. Is a reference necessary, or can one say “according to sources across the web”?

As a writer, I have a notebook of words or phrases I’ve come across that strike me as strong or effective. Beef-brained. Butt-polished pews. Veins stand out like blue worms twisting. Skinny and straight as a broom handle. A look so pointed it could bruise. Dare I ever use such in my own writing? I have no idea where I heard or read them.

Plagiarism in the Public Domain

And what about public domain? According to Wikipedia, “The public domain (PD) consists of all the creative work to which no exclusive intellectual property rights apply. Those rights may have expired, been forfeited, expressly waived, or may be inapplicable. Because no one holds the exclusive rights, anyone can legally use or reference those works without permission.”

Public Domain, Wikipedia authors

Common knowledge does not need to be cited. But what qualifies? Information generally known to an educated reader, such as widely known facts and dates, and sometimes ideas or language. Information that most people know or can find out easily in an encyclopedia or dictionary. MIT says it’s information shared by a cultural or national group, and includes knowledge shared by members of a certain field. Just about any subject has common knowledge, including science, literature, history, or entertainment. That George Washington was the first president of the United States is common knowledge for most citizens of the U.S.

Last Supper, not plagiarism
The Last Supper by R. Smith

If you want more examples, a search for “common knowledge questions” will give you many options.

The widespread availability of AI has further complicated issues of plagiarism. Most generative AI systems and large language models rely heavily on creative output (music, writing, and visual art) taken without the artists’ knowledge or permission to generate imitations. Students now openly admit to using generative AI to plagiarize all of their college assignments.

Plagiarism Fallout

Girl with the Pearl … Necklace by limpfish

Consequences of plagiarism in school can include failing grades, suspension, or expulsion. (Yale University) Academic Institutions may fire or otherwise censure faculty members who plagiarize. Novelists, composers, or visual artists may sue a plagiarist and win monetary compensation. And regardless of anything else, a plagiarist suffers public shame for the theft of intellectual property.

By any definition, plagiarism is bad. So, don’t do it! If you don’t want to plagiarize “accidentally” there are tools to help you. Here are two I quickly found online:

(1) Instant Plagiarism Scan – Ensure originality and make the grade with Grammarly’s AI-powered plagiarism checker. Don’t risk plagiarizing! Instantly find and add sources for your work. Try it today. Fix punctuation mistakes. (https://www.grammarly.com/plagiarism/checker)

(2) Instant Plagiarism Scan – Plagiarism checker: Fast, Reliable & User-friendly. Perfect For Students & Professionals. Get Instant Plagiarism Analysis Write Clear, Compelling Papers And Essays with JustDone AI Humanizer Tool (https://www.justdone.com/plagiarism)

Bottom Line: Think—and research if necessary—before you publish.

PAIN, AGONY, HURT!

Studies suggest that about 10% of one’s nervous system is dedicated to sensing pain. Given what else the nervous system does—sight, smell, taste, hearing, thinking, moving, digestion, etc., etc., etc.—that’s a lot!

Why so much attention to pain? As it turns out, there are benefits to feeling poorly.

Pain for Gain

Foremost is survival: without unpleasant sensations, we wouldn’t know to avoid fire, allow injuries to heal, attend wounds such as broken bones or cuts, etc.

There are additional ways in which negative feelings lead to have positive consequences.

Pain facilitates pleasure by providing an important contrast for pleasurable experiences, increasing sensitivity to sensory input, and facilitating self-rewarding behavior.

In many communities, the ability to withstand pain or physical endurance marks a child’s elevation to adult status.

Pain augments self-regulation and enhancement by increasing cognitive control, reducing rumination, and demonstrating virtue.

Pain promotes affiliation by arousing empathy from others, motivating social connection, and enhancing group formation.

Pain Reduction

Mesopotamian goddess Nisaba, with opium poppies growing from her shoulders. c 2430 BCE

But for all of that, we try to avoid or minimize feeling bad. Indeed, pain is the most common reason why people seek medical care. Seeking relief is not a new phenomenon, but getting it is.

Surgeons have been using general anesthesia in the Islamic world for nearly two thousand years. In the 1600s, many European doctors gave their patients opium to relieve pain.

The earliest European surgeons operated while keeping patients wide awake and physically restrained. By the 1800s, the nicest surgeons introduced ether and chloroform anesthetics for surgery. And why was this controversial?

Several major religions view physical suffering as intrinsically linked with atonement or moral goodness. Some, such as Buddhism and Taoism, hold that it is caused by an imbalance within the individual and can only be resolved through personal effort. Others, such as Christianity, have historically believed that suffering brings one closer to an ideal spiritual state.

Surgeons operating on patient under ether anesthesia, 1847

Some doctors questioned the ethics of operating on unconscious patients. Others were concerned that relieving pain might hamper healing. “But the surgeons could not long resist their new power to perform longer and more complex procedures, and most patients thought anesthesia a divine blessing,” wrote Marcia Meldrum, an associate researcher in the department of psychiatry and biobehavioral sciences at the University of California, Los Angeles.

By the 1900s, people were using morphine and heroin as pain medications. At first, doctors thought these “safe.” However, over time, it became clear that these treatments also made people vulnerable to addictions.

Until this time, the medical field considered pain to be primarily a problem to manage in acute care (related to injury, for example, or surgery) or during a painful death from cancer.

“Flavors” of Pain

Acute pain is what you feel when you become hurt or injured. You may have experienced acute pain from an injury such as a cut or a broken limb or from disease or inflammation in the body. Acute pain can be intense and severe, but it typically resolves as your body heals from whatever caused it.

Nociceptive pain is caused by tissue damage. Most acute pain is nociceptive. 

According to NIH, chronic pain is a sensation that lasts much longer than acute pain―usually months and sometimes years. Chronic pain sometimes has a clear cause, such as an acute injury, a long illness, or damage to and dysfunction of your nervous system. However, it sometimes happens without any obvious reason.  Medical providers have often assumed that patients complaining of on-going pain are delusional, hypchrondiacal, malingering, or addicts. Patients often turn to psychotherapy, or sometimes neurosurgery.

Neuropathic pain is caused by nerve damage or dysfunction. You can experience neuropathic pain from injuries or illness that affect the spinal cord and brain (for example, a slipped disc in your spine) or the peripheral nervous system (the nerves throughout the rest of your body). This kind of discomfort often feels similar to burning, shooting, or stabbing. 

Inflammatory pain happens when your immune system activates in response to injury or infection. In addition to causing redness or swelling, it can also make you more sensitive to feelings of pain.

Everyone’s pain feels differently, and the only way to know whether someone is hurting is to ask. Has a medical practitioner asked you to rate your discomfort on a scale from 1 to 10? They may also ask you to describe what you feel: dull, throbbing, aching, shooting, stabbing, etc.

Treatment Options

Just as there isn’t a way to measure it objectively, there isn’t one single treatment that will work for everyone. It often involves a combination of treatments, which may include:    

  • Over-the-counter and prescription medications (such as pain relievers and drugs that reduce inflammation)
  • Physical and occupational therapy to improve function and limit discomfort
  • Counseling and therapy to teach skills for coping with pain
  • Medical treatments (such as medications and injections) to interrupt the brain’s signals or change how nerves process painful sensations 
  • Neuromodulation therapies (devices that stimulate nerves or the spinal cord) to reduce pain 
  • Complementary and integrative therapies (such as acupuncture and mindfulness meditation). 

And When Nothing Helps…

Chronic pain is an enormous problem.

More than 1 in 5 adults in the United States experience chronic pain.  Chronic conditions, such as low back pain and migraine, are the leading causes of disability around the world.

Not surprisingly, rates of chronic pain, including conditions that severely limit work or life activities, are highest among adults ages 65 and older.

Advertisement for treatment to cure morphine addiction, c 1900

In the 1980s, several prominent pain specialists suggested that opiods had a “low incidence of addictive behavior.” They pushed for increased use of the drugs to treat long-term, non-cancer pain, as Meldrum noted in her paper “The Ongoing Opioid Prescription Epidemic: Historical Context.” Today we all know how wrong they were, and we are still trying to undo the opioid crisis.

Where Does Aspirin Come From?

1923 advertisement

Apart from prescription medications, over-the-counter options are popular. Aspirin, as it is known today, was first developed in 1895 in Germany. By 1915, Bayer Pharmaceuticals developed the first tablet form, which they then sold throughout the world as a medicine.

The active ingredient in aspirin is acetylsalicylic acid, which is formed by the acetylation of salicylic acid, which is derived from natural plant sources such as jasmine, willow and poplar trees, as well as certain species of legumes.

This gives credence to the efficacy of willow bark tea for minor aches and pains, as long claimed by folk medicine practitioners.

Aspirin molecule, acetylsalicylic acid (ASA)

However, aspirin is no longer made from willow bark. Today, pharmaceutical companies derive aspirin from plants of the Spiraea genus. Compounders then convert the salicylic acid into acetylsalicylic acid via acetylation.

Aspirin is very useful in many ways besides pain relief. Indeed, doctors use it as a blood thinner to treat clots. At a daily dose of 81mg, it is helpful in preventing future heart attacks.

But beware: You should not use aspirin if you have a bleeding disorder such as hemophilia, a recent history of stomach or intestinal bleeding, or if you are allergic to an NSAID (non-steroidal anti-inflammatory drug) such as Advil, Motrin, Aleve, Orudis, Indocin, Lodine, Voltaren, Toradol, Mobic, Relafen, Feldene, and others.

OTC Alternatives

A common alternative to aspirin is Tylenol. Acetaminophen, commonly sold under this brand name, is a non-opioid analgesic that relieves pain and reduces fever. Acetaminophen regulates the body’s temperature and alters its perception of pain.

Tylenol is generally safe at recommended doses. For adults weighing more than 110 pounds (50 kg), the recommended acetaminophen dosage is 1000 mg every six hours or 650 mg every four hours.

Risks

However, elderly individuals may face higher risks of certain side effects due to physiological changes, including:

  • Liver Damage: Aging decreases liver efficiency. This raises the risk of liver damage from acetaminophen, especially if taken in high doses or with alcohol.
  • Kidney Damage: As kidney function naturally declines with age, long-term or high-dose use of acetaminophen may lead to kidney damage in the elderly, particularly if their kidneys are already compromised.
  • Gastrointestinal Issues: Although Tylenol is easier on the stomach than nonsteroidal anti-inflammatory drugs (NSAIDs), it can still cause gastrointestinal discomfort. This may include nausea, constipation, or diarrhea.
  • Acetaminophen toxicity occurs when a person takes more than the recommended dosage of this medicine. Tylenol overdose leads to 56,000 emergency department visits, 2,600 hospitalizations, and 500 deaths each year in the United States, making it one of the most common poisonings. Too much of a good thing is not a good thing!

Apart from any hedonistic motives to “just feel good,” pain is an economic drain: the estimated yearly national cost of pain, including medical treatments, disability, and lost productivity, is $560 billion to $635 billion in the U.S. alone!

Bottom Line: Pain is universal, and treating it is only human. But proceed with caution!