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Therapy: Pain Management

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Total 472 results found since Jan 2013.

I See Potential
I finally met with my new pain management doctor. I liked him. He actually read my whole file (or at least the most recent relevant parts - the entire thing is probably close to the size of the complete Proust) before seeing me. Then he listened to what I had to say. Asked questions. Appreciated my seriousness - I was actually taking notes - and that I go to the gym. I think I am happyHe did tweak some medications but asked me what I thought about it instead of just saying ' up that dose ' or ' here ' s more pills ' . I am going to have injections in my back in a couple of weeks and follow up after that.There is such a dif...
Source: Caroline's Breast Cancer Blog - January 26, 2017 Category: Cancer & Oncology Tags: appreciation doctors happy uncertainty with doctors Source Type: blogs

Chronic Pain and the Opioid Epidemic: Wicked Issues Have No Simple Solutions
Written By Myra ChristopherMy mom was a steel magnolia (i.e., southern and perfectly charming), but she had a steel rod up her back. After her first surgery for stomach cancer at age 53, she refused pain medication because she said that she “could take it.” She was young and strong and committed to “beating cancer.” After nearly two years of chemotherapy, radiation and two more surgeries, the cancer won. Eventually, I watched her beg nurses to give her “a shot” minutes before another was scheduled and be told they were sorry but she would have to wait. I could tell by the expressions on ...
Source: blog.bioethics.net - January 23, 2017 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care chronic pain Opioid addiction Opioid Epidemic Opioid prescriptions syndicated Source Type: blogs

The Wrong Doctor
Synopsis ofa very sad story: A man with horrible pain issues was cut off of pain meds by his doctor and as a result took his own life.The details: The man ' s pain issues were treated by his PCP who was concerned about potential opioid abuse and cut him off of medication. His PCP was concerned about losing his own license as a result of tightening laws regarding opioid medications due to the current abuse epidemic. His pain, when untreated was so bad, caused him to commit suicide.I think my big problem is that the man was not treated by a specialist who would have a better understanding of options for treating his pain. Th...
Source: Caroline's Breast Cancer Blog - January 5, 2017 Category: Cancer & Oncology Tags: chronic conditions pain management uncertainty with doctors Source Type: blogs

Project ECHO: Enthusiasm Overtakes Evidence
Project ECHO (Extension for Community Healthcare Outcomes) is a popular model for improving patient outcomes through provider education, which has grown rapidly since its initial success in the treatment of Hepatitis C. Recently, the U.S. Senate passed the ECHO Act, calling for the Secretary of Health and Human Services to examine the model and implicitly to spread it through existing programming. Unfortunately, the evidence of the benefits of ECHO appear to be far more limited than is generally understood and we are in substantial danger of making public policy decisions without adequate clinical results, much less cost-e...
Source: Health Affairs Blog - January 3, 2017 Category: Health Management Authors: Christopher Langston Tags: Featured Health Professionals hepatitis C Physicians Primary Care Project ECHO Source Type: blogs

Doctor Search
Dana Farber Cancer Institute just releasedthis list of what to look for in an oncologist. I just think that they are things we should look for in all doctors.I have ditched doctors who didn ' t have all these:Communication - why have a doctor who doesn ' t talk to you.Specific expertise - I wouldn ' t want a dermatologist to treat my rheumatoid arthritis but I would want them to remove funky looking moles. I would also want my oncologist to specialize in breast cancer.Willingness to collaborate - this is exactly why I am getting a new pain management doctor: he won ' t let his patients talk to someone else and then go back...
Source: Caroline's Breast Cancer Blog - December 22, 2016 Category: Cancer & Oncology Tags: being a patient doctors Source Type: blogs

We need to speed up our acceptance of the opioid guidelines
A couple of years ago, I inherited a patient who was on both a patch for the powerful painkiller fentanyl and a high dose of oxycodone four times daily — and she didn’t have cancer. I had 15 minutes with that patient to get her medical history, review her medications, assess her current complaints, and decide whether or not to continue her opioid prescriptions. I had no paper records and a very poor electronic medical record system. I lacked a lot of the information I needed in order to prescribe such a high opioid dose. However, if I refused to continue the opioid prescriptions, I would force the patient into with...
Source: Kevin, M.D. - Medical Weblog - December 17, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/kathryn-takayoshi" rel="tag" > Kathryn Takayoshi, NP-C < /a > Tags: Meds Pain management Source Type: blogs

Making The Change
Okay, I am going to do it. I have been pondering changing my pain management doctor and I have decided today (I am finally going to remember to) make the call. While I personally like my old pain management doctor and think he is a decent guy, I question the care I have been receiving.I don ' t necessarily think it has been bad care. But I really want a new set of eyes on my pain management treatment. I want a new doctor to look at what I have and what hurts and then I want a new set of recommendations.After nearly seven years with the same pain management doctor, I feel he just adds more and more meds and doesn ' t necess...
Source: Caroline's Breast Cancer Blog - December 14, 2016 Category: Cancer & Oncology Tags: being a patient over treatment pain management uncertainty with doctors Source Type: blogs

Trial By Error, Continued: The New FITNET Trial for Kids
This reportorial conflict-of-interest was not disclosed in the BBC story itself. (In fact, the Countess of Mar, a member of the House of Lords and a longtime advocate for ME/CFS patients, has filed a formal complaint with the BBC to protest its biased reporting on FITNET-NHS. In her complaint, she noted that “the BBC coverage was so hyperbolic and it afforded the FITNET trial so much publicity that it was clearly organised as a counter-punch to the anti-PACE evidence which is now gaining world-wide attention.”) As a treatment for chronic fatigue syndrome, cognitive behavior therapy is grounded in an unproven hypothesis...
Source: virology blog - November 22, 2016 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information CFS chronic fatigue syndrome FITNET-NHS Magenta study myalgic encephalomyocarditis PACE trial Source Type: blogs

Yes I Do Have Back Pain In The Middle of My Back
Yesterday I went back to my pain management nurse practitioner yesterday. I felt like it was pulling teeth to get her to admit that there might be an additional source of pain in the thoracic area if my spine (that ' s the middle part - lumbar is the lower part, cervical is the upper part including your neck).She saw my x-rays which my rheumatologist pointed out to me as showing possible sources of pain. She didn ' t think they could be causing that much pain. She did push on my back to see if it hurt (how thoughtful of her). She nearly pushed me across the room as she pressed on my spine. Yes it hurt. A lot.Finally she ag...
Source: Caroline's Breast Cancer Blog - November 17, 2016 Category: Cancer & Oncology Tags: back pain doctors MRI Source Type: blogs

States Aren ’t Enough: Here’s Why the DEA Should Change Marijuana’s Schedule I Classification
More than half the states in the nation and Washington DC have legalized medical marijuana. While people managing pain or living with extremely painful forms of cancer in those states are grateful, some researchers and addiction treatment providers are arguing that just changing the drug’s status at a state level doesn’t go far enough. Here’s why we have to move marijuana out of the Drug Enforcement Agency’s (DEA) Schedule I category and how that move could improve millions of Americans’ lives. The DEA’s tiered drug schedule originated in the Controlled Substances Act of 1970 and created guidelines by which the...
Source: Cliffside Malibu - November 16, 2016 Category: Addiction Authors: Richard Taite Tags: Richard Taite Source Type: blogs

My Body Needs A Pep Talk
I saw my rheumatologist yesterday and she was impressed with how much is going on with me medically these days and none of it was related to rheumatoid. LOL.Actually, its not very funny. She looked at my x-rays and explained a bunch of stuff to me. Basically each vertebrae in my back has issues around its edges and the bone spur in my neck is pressing on the nerves which cause problems in my neck and shoulder, exactly as I am feeling. She was also concerned with the osteoporosis in my spine.However, this all sucks.My body is not doing its share. It needs a pep talk to regroup. No more ailments. Especially ailments that usu...
Source: Caroline's Breast Cancer Blog - November 11, 2016 Category: Cancer & Oncology Tags: ailments complaints injuries pain Source Type: blogs

Pain Management
There is a lot of information on pain management. I even have a pain management doctor. But what constitutes pain management? I have several prescriptions for pain management - patches, pills, etc. I go to the gym and exercise to help control my pain. I do regular stretching and exercises for pain management.As you can see, pain management is not just about medication and injections. I want more than that. But I am not sure my doctor understands that. If I go to my pain management doctor and tell him my pain is acting up, he always tells me the same things:Don ' t sit around, get up and move.Here ' s more medication.He nev...
Source: Caroline's Breast Cancer Blog - November 9, 2016 Category: Cancer & Oncology Tags: medical tests MRI over treatment uncertainty with doctors Source Type: blogs

CMS Issues Final Rule on CY 2017 Physician Fee Schedule
Conclusion The CY 2017 PFS final rule is the latest showing of the Administration-wide strategy to create a health care system that results in better care, smarter spending, and a healthier population.       Related StoriesOpen Payments Having an Adverse Effect on Physician-Rep RelationshipsCMS Bundled Payments for Care Improvement Evaluation ReleasedCMS Releases MA and Part D Landscape Information for 2017 
Source: Policy and Medicine - November 2, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Applying Human Centered Design to IV Infusions: Interview with Dr. Beth Kolko, CEO of Shift Labs
With the aspiration to address healthcare gaps around globe by applying human centered design to medical technologies, Shift Labs, a 2015 Y Combinator company, is first tackling the infusion market with DripAssist. Formerly known as Drip Clip, as rep...
Source: Medgadget - November 2, 2016 Category: Medical Equipment Authors: Michael Batista Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Exclusive Pediatrics Source Type: blogs

Cleveland Clinic ' s Top Ten Medical Innovations for 2017; Focus on FHIR
The Cleveland Clinic lists its choices on a yearly basis for the top ten medical innovations. It recently posted its 2017 list (see:Cleveland Clinic names top 10 medical innovations 2017):The microbiome. The microbiome is made up of trillions of helpful bacteria that make a home inside the human gut – to prevent, treat and diagnose disease.Diabetes drugs that reduce heart disease and death....Novo Nordisk ’s liraglutide, sold as Victoza, and Eli Lilly’s empagliflozin, sold as Jardiance, have shown promise in reducing these heart-related complications (see:Novo Slumps as Study on Victoza ’s Heart Impact Disappoints)...
Source: Lab Soft News - October 31, 2016 Category: Laboratory Medicine Authors: Bruce Friedman Tags: EHR Electronic Health Record (EHR) Healthcare Business Healthcare Delivery Healthcare Information Technology Hospital Executive Management Standards Source Type: blogs