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My 14 Year Old Cancer Patient May Be Addicted to Opioids. What Do I Do?
By JULIE KIM, MD
I’m a pediatric oncologist, but cancer is not always the most serious problem my young patients face. Currently one of them, a 14-year-old boy, his mother, or both may be opioid addicts. I may be enabling their addiction.
Tragically, their situation is not unique. Adolescent patients are at risk for addiction from opioid pain medications just as adult patients are. But pediatric patients are overlooked in this war against opioid addiction. No policies protect them or those caring for them.
Usually pain is short-term, and only limited opioids are needed. Most providers, including those caring for children...
Source: The Health Care Blog - October 25, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cancer Julie Kim Opioids Source Type: blogs
A Sort of Medical Vacation
I can ' t drive for the next three weeks - until November 8. I was concerned about all the doctor appointments I booked for myself after this week ' s surgery follow up when I thought I would be given permission to drive again.Then I got a bright idea. I am going to take a ' medical vacation ' and not go to the doctor until after my next surgical follow up. I mean why not? A mental medical vacation is a great thing to do several times a year. I was talking to a friend who ' s husband had gone through colon cancer. She talked about having a week off as being a sorely wanted break. I want three weeks off. Because I am whiney...
Source: Caroline's Breast Cancer Blog - October 18, 2017 Category: Cancer & Oncology Tags: doctor appointments stress vacation Source Type: blogs
Can Letting Go of Control Actually Give You More?
“Anything you can’t control in life is teaching you how to let go.” — Unknown
I was growing impatient. I wanted an answer about something and it just wasn’t coming, no matter how hard I tried to prod it into happening. I was growing frustrated. And I was growing frustrated with my frustrations about it.
So I decided to take a walk. The act of breathing in fresh air and hearing birdsong is centering for me. Just putting one foot in front of the other in rapid succession for an hour or two always helps to clear my head. I receive answers and guidance to my greatest questions when I’m walking. Call it...
Source: World of Psychology - September 12, 2017 Category: Psychiatry & Psychology Authors: Psych Central Staff Tags: Family Memory and Perception Mindfulness Personal Publishers Self-Help Tiny Buddha anxiety Control Controlling Behavior Fear psychosomaticism Spirituality Source Type: blogs
Professional Athletes And Back Surgery: A Teachable Moment On Overuse In Health Care?
After four back surgeries, Tiger Woods still is not back on the golf course. Steve Kerr, the coach of the Golden State Warriors, missed most of last season and even much of this year’s playoffs with headaches and recurrent pain after back surgery. These two high-profile patients, and their very public surgery results, should encourage us all to ask whether “more is always better” in health care.
The Institute of Medicine National Roundtable on Health Care Quality coined the term “overuse” to describe the provision of health care services for which potential harms outweigh potential benefits. Overuse in health car...
Source: Health Affairs Blog - August 1, 2017 Category: Health Management Authors: William Shrank, Donna Keyser and Anthony Delitto Tags: Costs and Spending Featured Payment Policy Quality chronic pain Source Type: blogs
Here ’s something completely different for low back pain
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It’s a question that has challenged generations of patients and their doctors. The answer has changed over the years. When I was in medical school in the early 1980s, bedrest for a week or more was often recommended for severe back pain. This sometimes included hospital admission. Then, research demonstrated that prolonged bedrest was actually a bad idea. It was no better (and often worse) than taking it easy for a day or two followed by slowly increasing activity, including stretching and strengthening the back.
Medications, including pain relievers, non-steroidal anti-inflammatory dru...
Source: Harvard Health Blog - July 6, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Back Pain Complementary and alternative medicine Health Injuries Pain Management Source Type: blogs
A Primer For Conservatives: Health Insurance is not Really Insurance
By MICHEL ACCAD, MD
Is health insurance a plan to help healthy people mitigate against an unexpected illness, or an income subsidy to help the sick pay for medical care?
Conservatives ought to have a clear answer to that question. Not long ago Congressman Morris Brooks from Alabama did not and found himself on the receiving end of liberal ridicule.
By suggesting that those who take better care of themselves should pay lower health insurance premiums, Brooks implied that health insurance is indeed a type of insurance arrangement. After all, the risk adjustment of premiums is a practice proper to all other kinds of insurance...
Source: The Health Care Blog - June 23, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Its Complicated
Personally, I do not consider myself to be a complicated person. However, alas, my health is very complicated. Yes. I am the kind of patient that forces doctors to consult with other doctors on my health before they see me or offer treatment options. They come to me with big sighs and long and repeated looks at my charts.Nothing is simple for me. I am ineligible for clinical trials because my health is too complicated so I am always kicked off the list. Medications are complicated. I am allergic to lots of things or they might interact with all my other medications.If I go to physical therapy for anything, I can never...
Source: Caroline's Breast Cancer Blog - June 11, 2017 Category: Cancer & Oncology Tags: being a patient health issues unhealthiness Source Type: blogs
Acupuncture: A point in the right direction, or a stab in the dark?
Acupuncture is a treatment that dates back to around 100 BC in China. It is based on traditional Chinese concepts such as qi (pronounced “chee” and considered life force energy) and meridians (paths through which qi flows). Multiple studies have failed to demonstrate any scientific evidence supporting such principles. Acupuncture involves the insertion of thin needles into the skin at multiple, varying locations based on the patient’s symptoms. Once inserted, some acupuncturists hand turn the needles for added therapeutic benefit. Although there are many uses for acupuncture in traditional Chinese medicine, in Wester...
Source: Harvard Health Blog - May 3, 2017 Category: Consumer Health News Authors: Paul G. Mathew, MD, FAAN, FAHS Tags: Complementary and alternative medicine Headache Health Pain Management Source Type: blogs
What are the best uses of rehabilitation medicine in patients with cancer?
Rehabilitation medicine is one of the best-kept secrets in health care. Although the specialty is as old as America’s Civil War, few people are familiar with its history and purpose. Born out of compassion for wounded soldiers in desperate need of societal re-entry and meaningful employment, “physical reconstruction” programs were developed to provide everything from adaptive equipment to family training, labor alternatives and psychological support for veterans.
Physical medicine and rehabilitation (PM&R) then expanded to meet the needs of those injured in World Wars I & II, followed closely by children disa...
Source: Kevin, M.D. - Medical Weblog - April 5, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/val-jones" rel="tag" > Val Jones, MD < /a > Tags: Conditions Hospital Source Type: blogs
Cancer Patients May Not Get The Rehab They Need: A Missed Opportunity To Consider
This blog post first appeared at: Curious Dr. George
Rehabilitation medicine is one of the best-kept secrets in healthcare. Although the specialty is as old as America’s Civil War, few people are familiar with its history and purpose. Born out of compassion for wounded soldiers in desperate need of societal re-entry and meaningful employment, “physical reconstruction” programs were developed to provide everything from adaptive equipment to family training, labor alternatives and psychological support for veterans.
Physical medicine and rehabilitation (PM&R) then expanded to meet the needs of those injured in Wo...
Source: Better Health - April 5, 2017 Category: American Health Authors: Dr. Val Jones Tags: Health Tips Opinion Cancer Rehab Oncology Physiatry PM&R Rehabilitating From Cancer Rehabilitation Medicine Source Type: blogs
Solutions That Will Be Essential for the Future of Healthcare
By ROBERTO ASCIANO
We are living in an age where thousands upon thousands of individuals and companies are trying to find faster, better and cheaper ways to get things done leveraging the latest digital technologies. We are so completely surrounded by efforts to innovate, disrupt and accelerate, that it may come as a surprise to find out that “innovation” has been around ever since our earliest ancestors shed their body hair and started walking upright.
Since those early days, our ancestors have sought solutions to their everyday problems and the “technology” they leveraged was whatever the environment around them...
Source: The Health Care Blog - April 3, 2017 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 Health 2.0 Europe Roberto Asciano Speaker 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
An open letter to Psychological Medicine about “ recovery ” and the PACE trial
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...
Source: virology blog - March 13, 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
Some medications don ’ t help back pain as much as we thought
This study found that NSAIDs don’t work as well for back pain as many people think. However, it is not true (as stated by some headlines about this study) that NSAIDs were not effective at all. Some people did improve with these medications. The trick is figuring out in advance who is most likely to get better with NSAID therapy. We can’t yet do that very well.
Here’s my suggestion: if you take an NSAID for spinal pain (or just about any other pain), keep track of how you’re feeling. A “pain diary” is one way to do this. If you aren’t clearly better in a week or two, talk to your doctor about adjusting the do...
Source: Harvard Health Blog - March 2, 2017 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Back Pain Drugs and Supplements Pain Management Source Type: blogs
