De-Prescribing Thread
SDN Pain shamans, lets use this thread to post the good, bad and ugly about opioid deprescribing. We can share our success stories - and failures- and support each other. I look forward to learning new tricks, techniques, and ways to handle the difficult conversations that we have every day.
I'll start- 45 yo F with fibromyalgia, PTSD, diffuse pain came to me from PCP on 140 MME, slurring her words, disheveled and disabled, unable to string together a coherent sentence.
Three months later,...
De-Prescribing Thread (Source: Student Doctor Network)
Source: Student Doctor Network - February 8, 2018 Category: Universities & Medical Training Authors: 61November Source Type: forums
Lady Gaga Postpones Tour Due to Fibromylgia Flare
Lady Gaga Suffers Fibromyalgia And Cuts Tour Short Due To 'Severe Pain'
Guess her PCS... (Source: Student Doctor Network)
Source: Student Doctor Network - February 7, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
Who manages fibromyalgia?
I'm sorry if this has been discussed elsewhere, but in y'alls practice setting, who manages fibromyalgia? I'm starting to get more and more of these patients with diffuse muscle and joint pain, especially now that I just started seeing medicaid, yay. Typically I will refer to PT and a pain psych consult for cbt (which >50% never go to, and I'm in a small city with no good psych so refer outside), maybe start gabapentin/lyrica/cymbalta.
There is no rheum in my town. I'll order the basic...
Who manages fibromyalgia? (Source: Student Doctor Network)
Source: Student Doctor Network - December 18, 2017 Category: Universities & Medical Training Authors: manowar rules Source Type: forums
What do programs look for?? FAQ
I got a lot out of this forum when I was a medical student. So now that I'm on the other side I would like to give back. I am in the residency leadership at program X. Every year, we review hundreds of applications, and here are the lessons learned. Keep in mind, much of this is my personal opinion and others might disagree.
What do you look for in an application?
I go straight to the SLOES and start at the bottom, where you are compared to your classmates in 2 categories. Take a look...
What do programs look for?? FAQ (Source: Student Doctor Network)
Source: Student Doctor Network - September 27, 2017 Category: Universities & Medical Training Authors: Malignant Fibromyalgia Source Type: forums
Green Title CFS/M.E and Fibromyalgia Awareness Day 2017
Forum: Health
Posted By: chelseadagg3r
Post Time: 12-05-2017 at 02:32 (Source: The Student Room)
Source: The Student Room - May 12, 2017 Category: Universities & Medical Training Source Type: forums
Epigenetics and Fibro
http://fibromyalgianewstoday.com/20...ic-widespread-joint-pain-fibromyalgia-symptom
“For too long, people with fibromyalgia have struggled to get a diagnosis for their painful symptoms. This research will help pave the way for better understanding, management and treatment of joint pain,” Simpson said. (Source: Student Doctor Network)
Source: Student Doctor Network - November 29, 2016 Category: Universities & Medical Training Authors: drusso Source Type: forums
Epigenetics and Fribro
http://fibromyalgianewstoday.com/20...ic-widespread-joint-pain-fibromyalgia-symptom
“For too long, people with fibromyalgia have struggled to get a diagnosis for their painful symptoms. This research will help pave the way for better understanding, management and treatment of joint pain,” Simpson said. (Source: Student Doctor Network)
Source: Student Doctor Network - November 25, 2016 Category: Universities & Medical Training Authors: drusso Source Type: forums
c-section case
30 y/o 200lb Mallanpati #3 patient with high anxiety, fibromyalgia with multiple psych issues who has had a localized allergic reaction to lidocaine (says she had a raised red rash on arm from iv start with lidocaine). wants a general anesthetic for repeat c-section. (1st c-section was under general due to failed epidural- no anesthetic record available). Pt convinced to have spinal. No immediate reaction to lidocaine sq. 2 passes of spinal needle patient starts crying saying to stop...
c-section case (Source: Student Doctor Network)
Source: Student Doctor Network - August 29, 2016 Category: Universities & Medical Training Authors: KungPOWChicken Source Type: forums
Is fibromyalgia a psychosomatic illness?
Kind of an overly broad question that requires definitional clarification, but I think you get the picture. The purpose of the question is essentially to discuss whether individuals with fibromyalgia require predominantly psychiatric as opposed to medical treatment. (Source: Student Doctor Network)
Source: Student Doctor Network - June 29, 2016 Category: Universities & Medical Training Authors: cbrons Source Type: forums
When to turn a doc in?
I recently got a curbside on a patient who was on astronomical doses of OxyContin for fibromyalgia. Her PCP had been treating her for years with massive doses and it has come to the attention of several people. She also in the past apparently had some serious psych issues with threats of self-harm. I suggested to wean off and refer to addiction, but the PCP ignored this and has gone around regulatory roadblocks to continue this mis-management.
My question is, at what point do you...
When to turn a doc in? (Source: Student Doctor Network)
Source: Student Doctor Network - March 23, 2016 Category: Universities & Medical Training Authors: PainDrain Source Type: forums
21 YO cf patient looking to move
I currently live in the greater kansas city area and see the KU CF team regularly. I am looking at the possibility of moving to Phoenix Arizona. I have a roommate lined up if I do but other than that I would be alone with the nearest family over 2 hours away. I have more than just my CF to contend with as well as typical CF problems with infections and viral and bacterial pneumonia within the past year. MY past PFT was only about 55% average. At the moment I am being tested for TB because of some symptoms I have been having including small portions of blood in my mucus from the lungs. Other problems i have include the rare...
Source: Cystic Fibrosis Adults Forum - August 14, 2015 Category: Respiratory Medicine Authors: b4herbiesbug Tags: Adults Source Type: forums
