midwestern pain position, psych certified
Have an interventional group in central mid-western location adding to current multi-disciplinary practice and is in need of both an interventionalist to join and a psychiatrist with pain management fellowship (preferably double boarded) to use in a multi-situational approach which, along with procedures and base patient load, work as a second systematic to contain chronic cases and assure correct long term treatment plans as well as weaning stabilizing and assisting with patient whole life...
midwestern pain position, psych certified (Source: Student Doctor Network)
Source: Student Doctor Network - December 6, 2017 Category: Universities & Medical Training Authors: painj Source Type: forums
Portenoy's Presage from 1996
"During the past decade, debate has intensified about the role of long-term opioid therapy in the management of chronic nonmalignant pain. Specialists in pain management have discussed the issues extensively and now generally agree that a selected population of patients with chronic pain can attain sustained analgesia without significant adverse consequences. This perspective, however, is not uniformly accepted by pain specialists and has not been widely disseminated to other disciplines or...
Portenoy's Presage from 1996 (Source: Student Doctor Network)
Source: Student Doctor Network - November 23, 2017 Category: Universities & Medical Training Authors: algosdoc Source Type: forums
Abandoned Practices for Chronic Pain???
A lawyer asked me a couple thought-provoking questions:
Lawyer: "Doctor, is there a professional consensus on the use of opioids for chronic pain?"
Me: "No."
Lawyer: "Doctor, has the field of pain management abandoned using opioids for treating chronic pain?"
Me: "No."
So, it got me thinking. What have we abandoned? How will we ever know that there is a consensus about the appropriate use of a modality based upon evidence?
Everything (chiro, acupuncture, opioids, PT, psych, etc)...
Abandoned Practices for Chronic Pain??? (Source: Student Doctor Network)
Source: Student Doctor Network - November 20, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
Methadone Rx
Hi everyone,
There's a patient who has been filling methadone (~12 tabs/day= 120 mg) and klonopin at the pharmacy for almost 3 years. Upon review of the state's PDMP report, that's 369 mgEq/day. Per the dr's office the diagnosis code is M54.5 for chronic low back pain. I am relatively new to the pharmacy, and am not feeling comfortable filling the script. Under what circumstances, if any, would you fill the Rx? What if I don't fill it and the patient ends up going through withdrawal...? Any...
Methadone Rx (Source: Student Doctor Network)
Source: Student Doctor Network - November 13, 2017 Category: Universities & Medical Training Authors: mimi06bg Source Type: forums
Effect of Opioid Reduction on Pain and Function
There is a long history of US clinical experience and published articles regarding the surprising improvement in pain or function with opioid reduction or elimination in chronic pain patients. Most of the articles are of low to moderate quality level since the studies have been performed over decades across several evolving standards of evidence based medicine, and it is difficult to use blinding or control populations. Nonetheless there is medical evidence of improvement on withdrawal of...
Effect of Opioid Reduction on Pain and Function (Source: Student Doctor Network)
Source: Student Doctor Network - October 27, 2017 Category: Universities & Medical Training Authors: algosdoc Source Type: forums
Re: Is gabapentin effective for women with unexplained chronic pelvic pain?
(Source: BMJ Comments)
Source: BMJ Comments - October 13, 2017 Category: General Medicine Source Type: forums
starting own pain practice
Ever since I finished my fellowship a few years ago, the end goal was always to start my own outpatient pain practice. I have worked for a few years now as an employed physician, found out what I liked and didn't like about the practice I am working for, and most importantly, how I would like to see chronic pain patients, so they can receive the best possible care. I am ready now as I will ever be to take the leap.
I did a search and found a couple of threads about this topic, but to be...
starting own pain practice (Source: Student Doctor Network)
Source: Student Doctor Network - September 10, 2017 Category: Universities & Medical Training Authors: promethius Source Type: forums
Seeking advice about switching from anesthesiology to pain management
Anyone gone from the practice of general anesthesiology to pain management recently? Is it worth switching now? It was much better time to switch in the early 1990's because of reimbursement.
My jobs have been mainly anesthesiology, but I also have provided both acute and chronic pain management services.
An anesthesia management company is taking over our hospital soon, and this may be an opportunity to change directions into a job with no call.
Thank you in advance for your responses. I...
Seeking advice about switching from anesthesiology to pain management (Source: Student Doctor Network)
Source: Student Doctor Network - August 21, 2017 Category: Universities & Medical Training Authors: Shouldawouldacouldas Source Type: forums
God's Hands
'I Felt Like It Was God's Hands Putting the Needles In': A Qualitative Analysis of the Experience of Acupuncture for Chronic Pain in...
God's Hands (Source: Student Doctor Network)
Source: Student Doctor Network - August 20, 2017 Category: Universities & Medical Training Authors: ateria radicularis magna Source Type: forums
Is the grass greener in pain management than general anesthesiology?
Anyone gone from the practice of general anesthesiology to pain management? Is it worth switching now?
My jobs have been mainly anesthesiology, but I also have provided both acute and chronic pain management services.
An anesthesia management company is taking over our hospital soon, and this may be an opportunity to change directions.
Thank you in advance for your responses. I will also post this same question in the anesthesiology forum. (Source: Student Doctor Network)
Source: Student Doctor Network - August 19, 2017 Category: Universities & Medical Training Authors: Shouldawouldacouldas Source Type: forums
Re: Gabapentinoids should not be used for chronic low back pain, meta-analysis concludes
(Source: BMJ Comments)
Source: BMJ Comments - August 17, 2017 Category: General Medicine Source Type: forums
Is the multidisciplinary pain program era over?
Controversial and provocative idea for sure. Who will save them?
"While I think that’s great, reading the comments on that story will help you separate a single home run result from the reality we have seen with chronic pain programs since the 90s. Scroll to the bottom of the piece and click the “Comments” in the lower right. It’s basically filled with angry patients who know their pain is quite real and were insulted by the premise of the piece and the pain program reboot. Why the...
Is the multidisciplinary pain program era over? (Source: Student Doctor Network)
Source: Student Doctor Network - August 11, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
Wisdom of Yoga in Chronic Pain and Beyond
(Source: BMJ Comments)
Source: BMJ Comments - August 11, 2017 Category: General Medicine Source Type: forums
Re: Management of chronic pain using complementary and integrative medicine
(Source: BMJ Comments)
Source: BMJ Comments - August 7, 2017 Category: General Medicine Source Type: forums
