If you want to survive today in primary-care medicine, you must have an extraordinarily low practice overhead.
When it comes to charting our outpatient medical records, I have certainly seen the full-spectrum over the last 25 years.
Calling a preoperative evaluation a "clearance," in fact, belittles the purpose of the assessment, and provides little in terms of meaningful information to the surgeon.
Over the course of my residency, challenging though it was at times, I was gradually transformed into a real doctor.
Much concern has been voiced regarding legislation allowing the substitution of biosimilars for branded drugs.
Opioid tolerance may be curbed by taking magnesium.
Healthcare reform, in its various permutations, has been a political hot potato since before 1993.
From day one, the residents welcomed me with respect and support.
Patient evaluations performed through teleconferencing may lack the accuracy of an in-person physical exam.
Though there is no law that says patients must be told that the medications they have been prescribed are for an off-label use, and the FDA does not regulate the practice of medicine, I feel it is important to provide at least a brief explanation to my patients.
Katherine A. Roberts, MD, FACE, ECNU, discusses her experience with opting out of Medicare and offers advice to those considering doing the same.
Careful selection of surgical candidates can have an impact on neurologic recovery and quality of life.
While the lidocaine patch is still pharmacologic, it offers a different method of pain relief for patients.
If we invest in providing addiction treatment that is evidence-based and fundamentally invested in the dignity of every person who needs that treatment, a lot more people are going to find themselves ready to seek it out.
An antiviral that targets all the Herpes family virus successfully treated a patient with CFS.
"To write the program off saying it is too complicated or not worth it may be short-sighted," Dr Shapiro concluded. "Almost anything that is incrementally beneficial to the practice financially becomes important in an era where there is pressure on declining reimbursement."
"As [a member] of the NIH Task Force on pain, I would say that one of the things that's important to show is that an interdisciplinary model and a multimodal approach are effective and cost-effective, as they certainly are expensive."
Promoting public-private partnerships to maximize resources, knowledge-sharing, and expediency in treatment development, as a way to attract emerging and established researchers.
There is a lot of opportunity to improve on what can be offered to patients.
Huma Sheikh, MD, discusses stand-out presentations from the 2016 American Headache Society meeting
Changing the stigma around and frequency of injury in football requires a collaborative, educational effort involving all stakeholders.
Interventional pain therapies continue to play an important role for patients with chronic pain.
Psychologists have much to offer medicine as a profession, and pain medicine in particular.
Does your pain clinic currently allow the use of cannabis in combination with opioid medication? If so, has a maximum THC threshold been identified? How have your patients responded to such treatment?
This case study highlights discrepancies between physical and radiologic findings and physical limitations in a patient with cervical and lumbar pain complaints.
The correlation between mental health and how well chronic pain is controlled has been well established, and this particular case appears to demonstrate this relationship quite well.
Dr Conidi discusses some of the major points addressed in the blockbuster film that could impact clinical practice.
Gratitude can help people to become more social and develop deeper and healthier relationships, which in turn can improve their emotional health.
Keeping opioid prescribing to 200 mg/d morphine equivalent or less may provide a measure of safety.
The 2015 ASRA guidelines categorize procedures depending on their risk: high risk, intermediate risk, and low risk.
A patient with debilitating chronic pain experiences an altered level of consciousness following a bout of the flu. Could his high-dose opioid regimen be to blame?
Medical practitioners should always treat patients with respect, no matter how stressed or annoyed they are.
The tendency to overprescribe opioids and undertreat pain will swing back and forth until generalists and pain specialists can come to a common understanding about controlled substances and opioids.
Low back pain is one of the most common pain syndromes. In fact, about 69% of adults in the United States will have low back pain at some point in their lifetime.
The FDA approval of a pediatric indication for Oxycontin creates a safer situation for terminally ill children.
Clearing a patient for surgery is a clinician's attempt to mitigate any side effects from occurring as a result of a surgical procedure
Two major symptoms of the function of TMJ problems are pain and dysfunction.
PAs and NPs often receive several job offers after graduation, but there is more to consider than just salary.
When forced to re-evaluate your career, forewarned is forearmed.
Videotaping becomes a problem when the intent is punitive.
Even though movement causing exacerbation of pain can happen with both somatic and visceral abdominal pain, asking patients to do a sit-up or a twister can identify trigger points in the rectus muscles and the obliques
Steven Croft, MD, lays down his reasons why ICD-10 will do more bad than good for physician and patient communities.
Finishing a fellowship means it's now time to find the right job. Not every practice model is the the perfect fit for everybody, so it's rather important for physicians to understand which structure will work best for them.
Many patients with back pain stop treatment due to dissatisfaction with treatment.
Postherpetic neuralgia is defined as pain persisting for more than three months after zoster's onset.
There are key factors to consider when determining the best treatment strategy for pain in patients with cancer.
It is important to review the most recent data available before performing some of these options to make sure these techniques are not out of date.
There are many ways to assess pain in patients.
Welwyn Ardsley and the Cosmic Ninjas are on a quest to help you ease your pediatric patients' fears of surgery.
Cocaine, heroin and marijuana are the most popular illegal drugs abused among seniors.
Clinical Pain Advisor Articles
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- Reasons Why the Affordable Care Act is Wrongly Blamed for Increased Premiums