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Total 28 results found since Jan 2013.

Why I stopped prescribing narcotics, and never looked back
I was never a big prescriber of narcotics.  I grew up “country,” in a tougher world where your parents taught you to accept pain as a part of life.  Pain is how you know you’re still alive. They’d tell me, “if you’re hurtin’ you ain’t dead yet.” You fell down; it was going to hurt.  You learned not to fall.  Twisted your ankle doing something stupid (and it was always while doing something stupid, like jumping off the roof), well we’ll wait a day or two and see how it goes.  Put ice on it, and next time think harder before you jump off the roof.  Just because everyone else was doing it, yada y...
Source: Kevin, M.D. - Medical Weblog - April 10, 2016 Category: Journals (General) Authors: Tags: Physician Pain management Source Type: blogs

Bonus Features – March 5, 2023 – Two-thirds of patients connect with regular docs when they need medical care when traveling, half of clinical workflow automation users plan to expand their use, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News and Research With the COVID-19 Public Health Emergency due to end on May 11, the Drug Enforcement Administration has proposed restrictions on the remote prescription of controlled substances, with only buprenorphine and Sch...
Source: EMR and HIPAA - March 5, 2023 Category: Information Technology Authors: Brian Eastwood Tags: C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System Abridge Alan Swenson ATA Biofourmis canon medical CareCloud Carequality Chugai Phmarceutical DEA Derek Shaw Dustin Spencer eClinicalWorks eCW emt Source Type: blogs

An open letter to Psychological Medicine, again!
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.” In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following: *In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were so lax ...
Source: virology blog - March 23, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
June 09, 2022 Edition-----The Russian war on Ukraine is now well over 100 days old. The destruction and deaths are just awful and the world is being seriously re-shaped. Where this ends is unknowable but unlikely to be good.In the US we are seeing almost daily mass shootings and no-one seems to know what to do. Just pathetic.In the UK the hangover is slowly lifting after the 4 day royal celebration.In OZ we are having an energy crisis which we hope we will find solutions for soon!-----Major Issues.------https://www.theaustralian.com.au/business/economics/australias-labor-government-faces-a-whole-new-economic-ball-game/news...
Source: Australian Health Information Technology - June 9, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Acupuncture is a theatrical placebo: the end of a myth
Conclusions It is clear from meta-analyses that results of acupuncture trials are variable and inconsistent, even for single conditions.  After thousands of trials of acupuncture, and hundreds of systematic reviews (Ernst et al., 2011), arguments continue unabated.  In 2011, Pain carried an editorial which summed up the present situation well. “Is there really any need for more studies? Ernst et al. (2011) point out that the positive studies conclude that acupuncture relieves pain in some conditions but not in other very similar conditions. What would you think if a new pain pill was shown to relieve muscu...
Source: DC's goodscience - May 30, 2013 Category: Professors and Educators Authors: David Colquhoun Tags: Academia acupuncture badscience Bait and switch quackademia CAM quackery Source Type: blogs

The Painful Politics of Painkillers Opioids are deadlier than ever, but research into cannabis is still taboo
Opioids like oxycodone and methadone have been prescribed for pain relief since the early 1900s. But the rise of these painkillers, most notably Oxycontin, as a panacea treatment for chronic pain in the past two decades has been costly. Dr. Barth Wilsey, a physician specializing in chronic pain at the University of California Davis Medical Center, has watched their growth with increasing concern. Although he recalls only one patient death in his 17-year career, it's not an uncommon way to go: In 2010, 22,134 people died from prescription drug overdoses, a number that has quadrupled since 1999.“In my perspective,” says ...
Source: PharmaGossip - June 13, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

Graduate Certificate in Chronic Pain Management (online learning) | School of Physical & Occupational Therapy - McGill University
Chronic pain management is a major and growing challenge for patients, healthcare professionals and the global healthcare system. This certificate is an ongoing collaboration between the School of Physical and Occupational Therapy and the Alan Edwards Centre for Research on Pain to provide healthcare professionals with the most recent and relevant approaches and technologies for the care and management of chronic pain.An interdisciplinary approach is represented by the participants as well as by the educators of the certificate. By teaching evidence-based clinical practice with an interdisciplinary perspective, this g...
Source: Psychology of Pain - October 14, 2013 Category: Psychiatrists and Psychologists Source Type: blogs

Not Going to Take it Anymore - Doctors in the Pacific Northwest Unionize, Begin Collective Bargaining with Hospital Systems
We have posted about the plight of the corporate physician.  In the US, home of the most commercialized health care system among developed countries, physicians increasingly practice as employees of large organizations, usually hospitals and hospital systems, sometimes for-profit.  The leaders of such systems meanwhile are now often generic managers, people trained as managers without specific training or experience in medicine or health care, and "managerialists" who apply generic management theory and dogma to medicine and health care just as it might be applied to building widgets or selling soap.We have also ...
Source: Health Care Renewal - January 18, 2016 Category: Health Management Tags: concentration of power corporate physician generic management generic managers labor unions managerialism PeaceHealth University of Washington Source Type: blogs

LITFL Review 271
LITFL: Life in the Fast Lane Medical Blog LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 271st LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. The Most Fair Dinkum Ripper Beauts of the Week Get your conspiracy theory on with The Poison Review team and their round up on what we know about ...
Source: Life in the Fast Lane - February 26, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

The Case For Patient-Centered Assessment Of Value
Regardless of the outcome of the current health reform debate, patients are likely to continue to be asked to take more responsibility for their health care, whether through high-deductible health plans, health savings accounts, or other mechanisms. From a pragmatic perspective, it is time to shift the discussion toward helping patients understand what value actually means in choosing their health care and discharging their financial responsibilities. Any plan that is enacted, whether a full replacement of the Affordable Care Act or “fine-tuning” of the law, will likely require that patients make decisions about what c...
Source: Health Affairs Blog - May 8, 2017 Category: Health Management Authors: Alan Balch and Darius Lakdawalla Tags: Costs and Spending Drugs and Medical Innovation Payment Policy Population Health Quality 2nd Panel on Cost-Effectiveness in Health and Medicine patient perspective patient-centered care patient-centric approach value assessment Source Type: blogs

Orbiting ORBITA
By ANISH KOKA, MD I’m sitting amidst a number of cardiologists to go over the most recent trials presented at the interventional cardiology conference in Denver.  The cardiology fellow presenting goes quickly through the hors de oeuvres until finally getting to the main course – ORBITA. ORBITA sought to test the very foundations interventional cardiology was built on – the simple idea that opening a stenosed coronary artery was good for patients.  The trial was a double blind randomized control trial of patients with tightly stenosed arteries who either had a stent placed or had a sham procedure.  Before the resul...
Source: The Health Care Blog - December 4, 2017 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Anish Koka cardiology Orbita Source Type: blogs

Garlic Oil for Ear Infection Pain
In this study of about 100 children, the herbal drops worked as well as the prescription drops. This is great news, except the study is from July 2001 and Otikon Otic Solution is no longer available, or at least not in the United States. From my perspective, eardrops of some type should play a large role in the management of ear infections. My favorite would be to use garlic oil for ear infections, in a potent high-quality extra virgin olive oil as a base. They would include mullein and other key organic and wild foraged herbs. Many ear infections can be safely managed without antibiotics if children are given pain relie...
Source: Conversations with Dr Greene - January 14, 2019 Category: Child Development Authors: Dr. Alan Greene Tags: Dr. Greene's Blog Bambini Ear Infections Garlic Oil Remedies Source Type: blogs