Pain Medicine is an Official Subspecialty of Emergency Medicine
Just a reminder. This fellowship exists for you. I just got a private message from another Emergency Physician who matched in Pain. EM people are getting in and have been for years now. If you like cool procedures, it might be worth looking into. If you want more control over your life, schedule and patient population, if constantly changing shifts gives you chronic circadian rhythm dysphoria that you don't think you can sustain until retirement, it might be worth looking into. The... Pain Medicine is an Official Subspecialty of Emergency Medicine (Source: Student Doctor Network)
Source: Student Doctor Network - October 17, 2019 Category: Universities & Medical Training Authors: Birdstrike Tags: Emergency Medicine Source Type: forums

Re: Efficacy of antibiotic treatment in patients with chronic low back pain and Modic changes (the AIM study): double blind, randomised, placebo controlled, multicentre trial
(Source: BMJ Comments)
Source: BMJ Comments - October 17, 2019 Category: General Medicine Source Type: forums

NPR: Low Dose Naltrexone Can Help Some with Chronic Pain
In Tiny Doses, An Addiction Medication Moonlights As A Treatment For Chronic Pain Naltrexone, commonly used for opioid and alcohol use disorders, may also help patients with chronic pain — when prescribed in microdoses. But few doctors or patients seem to know about it. www.npr.org "Those patients may report that this is indeed a game changer," Vrooman says. "It... NPR: Low Dose Naltrexone Can Help Some with Chronic Pain (Source: Student Doctor Network)
Source: Student Doctor Network - September 26, 2019 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

WaPo: Opioid Crackdown Forces Chronic Pain Patients Off Meds
https://beta.washingtonpost.com/health/opioid-crackdown-forces-pain-patients-to-taper-off-drugs-they-say-they-need/2019/09/10/3920f220-c8da-11e9-a4f3-c081a126de70_story.html?fbclid=IwAR3JRUBkVb5Arcc0YomrjBrmVmJ_FwSr8-mlz1bE3vt02joHJBuN_PuAl3U "The United States is now in the midst of a “national experiment” as misguided as the one it conducted 20 years ago, when doctors put millions of patients on opioids with little understanding of the consequences, says... WaPo: Opioid Crackdown Forces Chronic Pain Patients Off Meds (Source: Student Doctor Network)
Source: Student Doctor Network - September 12, 2019 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

Re: Gabapentinoids should not be used for chronic low back pain, meta-analysis concludes
(Source: BMJ Comments)
Source: BMJ Comments - September 3, 2019 Category: General Medicine Source Type: forums

Be my devils advocate, why shouldn't you do Neurology?
I am very interested in Neurology as a specialty choice. The nervous system, brain and all the amazing pathology. No other specialty made me want to come in on the weekend to see patients. It sounds like a great specialty choice, but as a student I only know so much about what happens in the real word. So be my devils advocate. Help me make an informed decision on a career. Is it the chronic pain patients? The relationships between other specialties? Is it the pressure put on administration... Be my devils advocate, why shouldn't you do Neurology? (Source: Student Doctor Network)
Source: Student Doctor Network - August 11, 2019 Category: Universities & Medical Training Authors: neuro4me Tags: Neurology Source Type: forums

Re: What does chronic pain look like?
(Source: BMJ Comments)
Source: BMJ Comments - August 6, 2019 Category: General Medicine Source Type: forums

Re: Chronic use of tramadol after acute pain episode: cohort study
(Source: BMJ Comments)
Source: BMJ Comments - July 19, 2019 Category: General Medicine Source Type: forums

Chronic pain after near fatal swatting.
Swatting a Fly Without Killing It May Cause It Pain for the Rest of Its Life, Study Finds — Gizmodo Barely missing a fatal slap at a bothersome fly might be a headache for both of you, according to new research from scientists at the University of Sydney. They say they’ve found evidence that insects are capable of feeling chronic pain after an injury, much like we do. What’s more, studying why... apple.news Treatment algorithms? CBT? (Source: Student Doctor Network)
Source: Student Doctor Network - July 16, 2019 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums

Kevin MD: Doctors being killed for not writing opioids...
Physicians are being murdered for not prescribing opioids I would argue that a large portion of what we are truly treating with chronic opioid therapy is psychological. www.kevinmd.com "Why is it that I as a double board certified pain physician have to consider whether or not I should have a firearm in my office to protect myself or my staff? Should I carry one at home in the event someone tries to find me or my children? It is easy to think, “Wow, this lady needs some Zoloft and a few... Kevin MD: Doctors being killed for not writing opio...
Source: Student Doctor Network - July 16, 2019 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

Psychiatric letter of medical necessity for a surgical procedure
I have an adolescent female patient who wants to get a breast reduction due to the effects her breast size have had on her, contributing to her depression and causing chronic pain. She has been wanting to have this procedure for more than a year but just recently brought it up to me. She has already met with a surgeon who recommended the procedure, and suggested she meet with me to talk about this. After discussing the impact this has had on her life, I agree that she would likely benefit... Psychiatric letter of medical necessity for a surgical procedure (Source: Student Doctor Network)
Source: Student Doctor Network - July 11, 2019 Category: Universities & Medical Training Authors: SpongeBob DoctorPants Tags: Psychiatry Source Type: forums

Suicidal pt due to chronic pain
Are there any good treatments for a lady on the inpatient unit that was admitted because of suicidal ideation due to chronic pain. She’s had many surgeries in the past and as a result has chronic pain all day only relieved by tons of opioids which were stopped by her pain medicine doc. She’s still on 7.5 mg Percocet 4x a day but that’s not enough she says. If her pain was manageable she would be able to move around the house and do stuff and be less depressed and suicidal but I can’t really... Suicidal pt due to chronic pain (Source: Student Doctor Network)
Source: Student Doctor Network - July 4, 2019 Category: Universities & Medical Training Authors: Merely Tags: Psychiatry Source Type: forums

For those of your prescribing opioids?
For those of your prescribing opioids, what percentage of your COT pts are on >90MME for chronic non cancer pain? (Source: Student Doctor Network)
Source: Student Doctor Network - June 25, 2019 Category: Universities & Medical Training Authors: thecentral09 Tags: Pain Medicine Source Type: forums

IBS in med school
Hi Everyone, I'm an incoming M1 with IBS-D and was wondering if there are any others with this issue in med school. I've become progressively sicker over the past year, with significant weight loss (BMI of 16) and pain, chronic weakness, fatigue, and dizziness, as well as recurring fevers, in addition to my diarrhea and constipation. I often find it difficult to get through each day, and can no longer do certain things. For example, I can no longer drive due to my chronic dizziness. Given... IBS in med school (Source: Student Doctor Network)
Source: Student Doctor Network - June 23, 2019 Category: Universities & Medical Training Authors: confusedpremed12345 Tags: Medical Students - MD Source Type: forums

Re: Chronic use of tramadol after acute pain episode: cohort study
(Source: BMJ Comments)
Source: BMJ Comments - June 19, 2019 Category: General Medicine Source Type: forums