AP: Doctors who say "no" to opioids face personal threats...
I've taken a lot of heat by saying that if you're going to manage pain patients you need self-protection in your office. But, surveys show that pain doctors have gotten threats and lost their lives over managing managing chronic pain... #healthcareheros #itsneverthePRPpatients
Doctors who say no to opioid use face threats from patients
One patient threatened to shoot Dr. Terry Hunt if physical therapy didn't relieve his pain as effectively as opioids did. Another harassed his staff, then roamed a hospital searching for Hunt...
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Source: Student Doctor Network - February 28, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Chronic testicular pain
Pudendal, Genitofemoral, ilioinguinal, all failed. Lyrica, Cymbalta, Narcs, Gabapentin, tramadol, anti depressant all fail. MRI of spine is perfect. Someone tried TFESI without success. Ideas? Would SCS help? Will insurance cover? Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - November 22, 2020 Category: Universities & Medical Training Authors: gator2886 Tags: Pain Medicine Source Type: forums
Re: Chronic pain: how to bill for a placebo?
(Source: BMJ Comments)
Source: BMJ Comments - November 18, 2020 Category: General Medicine Source Type: forums
Intralipid Availability
I just graduated from fellowship this last June and have started at a private practice gig where most of the procedures short of implants are done in office. I am anesthesia trained and it has been emphasized to me since residency to have Intralipid available and know where it is at any location I will be performing blocks. That being said, I looked through the emergency kit in the office and didn’t see any intralipid. Of course most of the blocks I do for chronic pain are lower doses of...
Intralipid Availability (Source: Student Doctor Network)
Source: Student Doctor Network - October 21, 2020 Category: Universities & Medical Training Authors: Gnarvin Tags: Pain Medicine Source Type: forums
Academics vs PP...how to choose?
If I am unsure of whether I would enjoy academics or private practice more, which should I start out in? Is it easier to move from PP to academics or vice versa? I imagine I would stick with a situation for at least 2-3 years before trying something new.
Can anyone speak to their experiences and satisfaction regarding either setting, especially those who have done both? I am interested in hearing from OR anesthesiologists and chronic pain doctors. (Source: Student Doctor Network)
Source: Student Doctor Network - October 18, 2020 Category: Universities & Medical Training Authors: Ravenclaw90 Tags: Anesthesiology Source Type: forums
first experience with a DO
Hi! Im seeing a DO family physician for the first time tommorow for my chronic neck pain. what should i expect different from a traditional MD exam, IF any? THANKS (Source: Student Doctor Network)
Source: Student Doctor Network - October 16, 2020 Category: Universities & Medical Training Authors: cmd12 Tags: Medical Students - DO Source Type: forums
Podiometric Referral Patterns
Why the hell do PCPs refer podiatrists patients with Chronic gout? It’s called medical management Dr. PCP MD. What am I going to offer the patient?
Why the hell do PCPS refer podiatrists patients with general neuropathic pain? I’m not talking neuroma or tarsal tunnel. I’m talking about chronic neuropathic pain. Why can’t their PCP order an EMG and medically manage the patient? If they can’t do that then why can’t they refer to neurology?
Why does it take a podiatry visit to put that all...
Podiometric Referral Patterns (Source: Student Doctor Network)
Source: Student Doctor Network - October 10, 2020 Category: Universities & Medical Training Authors: CutsWithFury Tags: Podiatric Residents & Physicians 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 - September 17, 2020 Category: General Medicine Source Type: forums
"Lawsuit: CVS Pharmacy refused to fill Riverview woman ’s opioid prescription"
Lawsuit: CVS Pharmacy refused to fill Riverview woman’s opioid prescription
A Riverview woman is leading the charge against what she calls discrimination of people with chronic pain. She recently filed a class action lawsuit against the biggest pharmacy chain in America; C…
www.wfla.com (Source: Student Doctor Network)
Source: Student Doctor Network - August 14, 2020 Category: Universities & Medical Training Authors: WVUPharm2007 Tags: Pharmacy Source Type: forums
cancer pain only practice
Do you guys think there is enough volume to support an outpatient interventional cancer pain & cancer rehab practice?
I will be starting my PM&R residency training at one of the top programs in the country after this academic year (am an prelim medicine intern right now). And I ultimately want to help cancer survivors.
I think with the continuing improvements with cancer treatments (most recently with immunotherapy), cancer will be/is a chronic disease with debilitating side effects that...
cancer pain only practice (Source: Student Doctor Network)
Source: Student Doctor Network - August 4, 2020 Category: Universities & Medical Training Authors: Slowpoke Tags: Pain Medicine Source Type: forums
Belbuca
I’ve been seeing a lot of patient on Belbuca for chronic pain.
1. do you guys think belbuca is more efficacious or lower risk than just using conventional opioids for chronic pain.
2. I’ve seen some people prescribing big doses of Belbuca, and concurrently prescribing immediate release oral opioids for breakthrough pain. Am I right in thinking these IR opioids aren’t really doing anything? (Source: Student Doctor Network)
Source: Student Doctor Network - July 31, 2020 Category: Universities & Medical Training Authors: dipriMAN Tags: Pain Medicine Source Type: forums
case - options for pain control
40 yo F morbid obesity (BMI 50 w/ OSA requiring CPAP) presents for bariatric surgery - laparoscopic. H/o Chiari malformation, h/o hydrocephalus w/ ventricular-thoracic shunt and lumbar-peritoneal-shunt s/p multiple revisions for failure and optic nerve fenestration for blindness, chronic neck/headaches on Norco 10-325, gabapentin 300 once daily, flexeril, fibromyalgia.
Thoughts on pre-intra-post operative pain control options? Neuraxial? Multimodal?
How would you manage her preop opioid use? (Source: Student Doctor Network)
Source: Student Doctor Network - July 28, 2020 Category: Universities & Medical Training Authors: mtu620 Tags: Anesthesiology Source Type: forums
Chronic pain: how to bill for a placebo?
(Source: BMJ Comments)
Source: BMJ Comments - July 28, 2020 Category: General Medicine Source Type: forums
Sign NANS Petition to Fix CDC Guidelines to Include IPM
Petition Call to Action – CDC Opioid Guidelines
www.ipetitions.com
"As part of the process of creating the next edition of the guidelines, we urge the CDC to recommend that patients with chronic pain lasting for more than 3 months, be referred to a pain management specialist, who can assist in determining the precise cause of the pain and thereby best help guide treatment through a multimodal platform that may include nonopioid medications, minimally...
Sign NANS Petition to Fix CDC Guidelines to Include IPM (Source: Student Doctor Network)
Source: Student Doctor Network - June 8, 2020 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Electronic prescribing of controlled substances: building a momentum for chronic pain patients
(Source: BMJ Comments)
Source: BMJ Comments - April 2, 2020 Category: General Medicine Source Type: forums
