Eliminating Opioids from Breast Conserving Surgery: Perioperative Pain Management Pathway

Opioid prescribing guidelines for partial mastectomy (PM) and PM with sentinel lymph node biopsy (PM-SLNB) recommend prescribing anywhere from 0 to 15 oxycodone pills for postoperative pain. We sought to eliminate opioids after breast-conserving surgery.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: New England surgical society article Source Type: research

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What are some fellowships that people have considered to get out of full time EM. Things like US or EMS are mostly just attempts at getting specialized into academics, but realistically, you're still practicing emergency medicine. Can we compile a list of fellowships that help you get out - Please list pros, cons, career outlook and field saturation, lifestyle, compensation, work hours, career longevity, training length, fellowship competitiveness etc. Are pain and palliative the only two... Best Fellowships To Get Out Of EM
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Emergency Medicine Source Type: forums
Publication date: 1 December 2020Source: Personality and Individual Differences, Volume 167Author(s): Lasse F. Lui, Claudia Sassenrath, Stefan Pfattheicher
Source: Personality and Individual Differences - Category: Psychiatry & Psychology Source Type: research
Publication date: Available online 4 July 2020Source: BurnsAuthor(s): D. Dewing, C. McGrory, W. de Mello
Source: Burns - Category: Dermatology Source Type: research
Authors: Engels R, Graziani C, Higgins I, Thompson J, Kaplow R, Vettese TE, Massart A Abstract OBJECTIVES: Code status specifies the action that healthcare providers should take in the event of cardiac arrest. Studies have shown, however, that patients with do-not-resuscitate/do-not-intubate (DNR/DNI) orders have worse outcomes and do not consistently receive the standard of care. Several studies have demonstrated that physicians behave differently toward patients with DNR/DNI orders, but little research exists into whether DNR/DNI status affects the practice of other members of the care team. Our objective was to ...
Source: Southern Medical Journal - Category: General Medicine Tags: South Med J Source Type: research
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Title says it all. Feeling FOMO seeing my friends making 400-500k with no fellowship...and doing pain may actually be a pay-cut. Any words of encouragement from potential pain fellows or pain attendings would be greatly appreciated.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Had a weird case about a month ago, curious to see what others would do, and differential diagnosis, investigative workup etc. Identifying details have been changed to protect confidentiality. I will start the post with all the details when I took over her care. I can post the autopsy results at the end. This was a 77 year old woman, admitted with acute abdominal pain. PMHx of hypertension and gout, appy/chole. Living independently, married, non smoker, reasonably healthy lady. CT scan of... Case discussion
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Critical Care Source Type: forums
This year is different. Disagreements, misunderstandings, and stress combine as political, economic, social, and health-related concerns merge to make this one of the most challenging years any of us have faced. If you are grieving on top of everything else, your pain and griefwork have been interrupted by isolation, fear, anxiety and, possibly, numbness. Now it is summer. Upcoming special days can be difficult enough to endure anytime, but trips and gatherings of families and friends this year are sure to be challenging even if they are virtual.  Everyone needs a guide and a little concrete advice because everyone kn...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Family Relationships Self-Help Boundaries Communication Estrangement Personal Boundaries Source Type: blogs
Authors: Momeni M, Arab M, Dehghan M, Ahmadinejad M Abstract Materials and Methods: This randomized, parallel, single-blind controlled trial study was performed on 75 ICU patients. Patients were allocated into three groups (massage by a nurse, massage by the patient's family, and control group) by the minimization method. Swedish massage was provided for the patients in experimental groups (each foot for 5 minutes) once a day for six days. The pain was examined in all three groups before, immediately, and one week after the intervention. Results: The mean scores of pain in the groups of foot massage by the pati...
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
Conclusion: Overall, our study suggests that strength training through virtual reality training protocol improves pain and sports performances than isokinetic training and other conventional trainings in university football players with chronic low back pain. PMID: 32617104 [PubMed]
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research
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