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Conversations about cannabis for chronic pain
The debate about cannabis and derivatives for persistent pain continues to grow in New Zealand, and elsewhere in the world. Many people I’ve treated and who are living with persistent pain say they like to use cannabis (in a variety of forms) to help with pain intensity and sleep, adding their voices to those wanting “medicinal” cannabis to be approved. In the few patients I’ve worked with who have managed to obtain a cannabis product (in NZ it has to be legally prescribed and will generally be in the form of Sativex or similar) the effect doesn’t seem as profound as the real thing (whether sm...
Source: HealthSkills Weblog - August 6, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Therapeutic approaches Research Pain conditions Coping strategies Science in practice Health healthcare biopsychosocial pain management 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
Fight Aging! Newsletter, July 31st 2017
In conclusion, documentation is important, a critical part of advocacy and the development process at the larger scale. It isn't just words, but rather a vital structural flow of information from one part of the larger community to another, necessary to sustain progress in any complex field. We would all do well to remember this - and to see that building this documentation is an activity in which we can all pitch in to help.
Evidence Suggests that, at Least in Earlier Stages, Alzheimer's Disease Blocks Rather than Destroys Memories
https://www.fightaging.org/archives/2017/07/evidence-suggests-that-at-least-in-ea...
Source: Fight Aging! - July 30, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Primary pain disorders
In a move likely to create some havoc in compensation systems around the world (well, at least in my corner of the world!), the International Association for the Study of Pain has worked with the World Health Organisation to develop a way to classify and thus record persistent pain conditions in the new (draft) ICD-11. While primary headache disorder has been in the classification for some years, other forms of persistent pain have not. Recording the presence of a pain disorder is incredibly important step forward for recognising and (fingers crossed) funding research and treatment into the problem of persistent pain. As t...
Source: HealthSkills Weblog - July 23, 2017 Category: Anesthesiology Authors: adiemusfree Tags: Chronic pain Clinical reasoning Health Research biopsychosocial healthcare Source Type: blogs
Choice: The Hidden Curriculum in Palliative Care
By Paul CarrThank you to Dr. Naheed Dosani and the excellent team at William Osler Health Centre for inspiring this post.What three words describe the essence of palliative care for you? When I asked my friends, family, and colleagues, the most common answers are: pain management, personal and spiritual support, and end of life planning. Those are all key components. But what quickly became apparent to me during my palliative care elective is that excellent palliative care providers embrace the role of enabling patients and families to make well-informed choices.I have taken a long and untraditional route to arrive in the ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 17, 2017 Category: Palliative Care Tags: choice communication goals palliative paul carr Source Type: blogs
Here ’s something completely different for low back pain
Follow me on Twitter @RobShmerling
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
Ask your physician tough questions about opioids
A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com.
Alleviating pain has been a primary focus of my career as a physician anesthesiologist. Just as there are physicians who specialize in treating conditions such as cancer, heart disease or allergies, there are specialists in treating pain. These physicians complete four years of medical school and further training in a specialty, such as anesthesiology, physical medicine, and rehabilitation, psychiatry or neurology, followed by an additional year of training to become an expert in chronic pain.
Every day on news outlets throughout the c...
Source: Kevin, M.D. - Medical Weblog - July 3, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/anita-gupta" rel="tag" > Anita Gupta, DO, PharmD < /a > Tags: Meds Pain management Source Type: blogs
We must address young patients ’ pain and suffering from the start of their cancer journey
When a child is diagnosed with cancer, overwhelmed parents and patients are often laser-focused on the path to cure. Even though parents do not welcome pain or discomfort for their child, they may feel that symptoms are a necessary cost of curative care. Likewise, it is easy for us, as pediatric oncologists, to accept symptoms and side effects of treatment as normal. Important new research challenges this assumption and challenges pediatric oncologists to work harder to ease children’s suffering and help families maintain quality of life from the very beginning of the cancer journey.
Recent research from St. Jude, publis...
Source: Kevin, M.D. - Medical Weblog - June 30, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/jennifer-mack" rel="tag" > Jennifer Mack, MD, MPH < /a > Tags: Conditions Cancer Pediatrics Source Type: blogs
Peek into the Future of Hospitals: Smart Design, Technologies and Our Homes
A simple, round table with a desktop computer and a projector, where the patient and the doctor have their friendly chat. Whenever an examination is necessary, they cross the “blue line” in the room indicating the “boundaries of the clinic” elegantly. It’s definitely not rocket science, but the patient satisfaction index is soaring. What’s the secret?
Radboud University Medical Centre & Cleveland Clinic leading the way into the future of hospitals
The scenery takes place at the Oral and Maxillofacial Surgery Department of Radboud University Medical Centre Nijmegen in the Netherlands. The head of the departm...
Source: The Medical Futurist - June 6, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Healthcare Design architecture future of hospital gc4 hospital design Innovation technology Source Type: blogs
An Interview with Orthopaedic Oncologist Dr. Vincent Ng
Dr. Vincent Ng is an orthopaedic oncologist with the University of Maryland Greenebaum Comprehensive Cancer Center and an Assistant Professor or Orthopaedics with the University of Maryland School of Medicine. Dr. Ng specializes in treating bone cancer and soft tissue sarcoma. Below he answers common questions about orthopaedic oncology.
What is an orthopaedic oncologist? How do they differ from surgical oncologists?
“An orthopaedic oncologist specializes in bone and soft tissue tumors. I treat any adult or pediatric patient with any bone or soft tissue tumor/lesion/mass, whether benign or malignant, whether it is...
Source: Life in a Medical Center - June 2, 2017 Category: Universities & Medical Training Authors: UMMC Tags: Cancer Doctors bone cancer oncology orthopedics Source Type: blogs
Interview with Harshal Shah, Head of Oncology Drug Delivery at Cambridge Consultants
Thanks to the ongoing advancements in standards of care and gradual improvements in more targeted therapeutics, some argue that cancer is slowly turning into a chronic disease, and with it bringing about a host of new challenges for oncology care. Th...
Source: Medgadget - May 22, 2017 Category: Medical Devices Authors: Mohammad Saleh Tags: Exclusive Oncology Source Type: blogs
Electronic Medical Records 2017: Science Ignored, Opportunity Lost
By KENNETH BARTHOLOMEW, MD
My big brother Bill, may he rest in peace, taught me a valuable lesson four decades ago. We were gearing up for an extended Alaskan wilderness trip and were having trouble with a piece of equipment. When we finally rigged up a solution, I said “that was harder than it should have been” and he quipped in his wry monotone delivery, “There are no hard jobs, only the wrong tools.”
That lesson has stuck in my mind all these years because, as simple as it seems, it carries a large truth. It rings of Archimedes when he was speaking about the simple tool known as the lever: “Give me but one fir...
Source: The Health Care Blog - May 8, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized EHR EMR Knowledge Coupler Number Needed to Kill POMR value-based care Source Type: blogs
Taking Charge of My Medical Crap - Again
I try to be in charge of my medical care. I really do. I take notes at appointments and I write little notes to myself in my calendar on things to ask my doctors at each visit. I am not sure if I am weird for doing this or not but I have no brain so I can ' t remember anything.In recent months, I have a new pain management doctor who has been very good at talking to me about different pain medications and what are options. I am very happy with this. Basically he is helping me switch to new medications to replace the ones that I have with ones that work better - fewer side effects, reducing the number of medications I am on...
Source: Caroline's Breast Cancer Blog - May 7, 2017 Category: Cancer & Oncology Tags: doctor questions health issues medical crap organization Source Type: blogs
The truth about long-term antidepressant use
A great piece today in the Guardian by Aida Edemariam. Good to see such a comprehensive piece of reporting in the mainstream media.
This what you and I know has happened to many of us, but at the same time GSK continues to deny is a major health crisis because of Seroxat (and other SSRIs). In the UK, as the High Court action moves ever closer to trial, GSK and their expensive legal team still have their collective head in the sand – at least that’s their public stance. I believe that for many years GSK has known about the problems Seroxat causes while you take it, about the terrible problems people have wit...
Source: seroxat secrets... - May 6, 2017 Category: Addiction Authors: admin Tags: Anti-depressant David Healy GSK Seroxat SSRI Source Type: blogs
