Wednesday, March 5, 2014

How Did We Get Here? A Past Society President On the Opioid Crisis


How Did We Get Here?
A Past Society President On the Opioid Crisis

To the Editor:

As a pain physician with experience treating chronic pain patients over the past 30 years—initially as medical director of the Boston Pain Center, subsequently the Presbyterian Hospital Pain Center and currently Carolina Pain Associates—I need to share my thoughts on the current health care crisis as it affects patients who have acute and chronic pain.
Across the country but especially in the South, with Broward County in Florida one of the earliest areas to be in crisis, pain patients are increasingly unable to get their pain medication prescriptions filled. This is especially true for controlled substances and most problematic when those substances are opioid analgesics.
To Read More, Please go to:

Topic: CMS Rules PILD Will Only Be Covered In Clinical Trials


CMS Rules PILD Will Only Be Covered In Clinical Trials

The Centers for Medicare & Medicaid
Services (CMS) has spoken: Its Jan. 9 Coverage with Evidence Development (CED)
decision for percutaneous image-guided lumbar decompression (PILD) for lumbar
spinal stenosis (LSS) means that for the foreseeable future, PILD will only be
covered in the context of research studies.
The decision stipulates that new, robustly
designed, randomized controlled trials must address whether PILD significantly
improves function and/or quality of life and reduces pain compared with other
treatments, and also whether it positively affects the overall management and
clinical design making for patients with LSS.
“We recognize that LSS is a real and
important source of pain and functional limitation for patients, and that the
development of effective minimally invasive procedures could have a potential
place in the treatment armamentarium,” an individual who asked to be identified
as a CMS official told Pain Medicine News. 


Topic: Medication Overuse Headaches



Medication Overuse Headaches

What is a medication overuse
headache?

There are many types
of headache, such as tension headaches and migraines. One cause of headaches is too much headache
medicine. This is called
a medication overuse headache,
also known as an analgesic rebound
headache.

Some kinds of headache
medicine can cause
headache if you take them too often.
If you use these medicines
for headache relief more than two times a week,
your headaches may start to occur
more
often, last longer, and become more painful.
Your usual headache
medicines may no longer
work as well. The headache
may now be a
medication overuse
headache the result of too much
headache medicine.

How do you know if you have medication overuse
headaches?



Headache Working With Your Doctor to Avoid the Emergency Room


Headache
Working With Your Doctor to Avoid the Emergency Room

Know your headache care team
Everyone with frequent headaches should have a headache care team. The members of that team include:
• You.
• Your primary care doctor. If you do not have a primary care doctor, it is important that you get one. This doctor is the first person to call when you have any kind of health problem.
• Some patients also work with a headache care specialist. You may need this kind of help if your headaches do not respond to standard treatment.
Tell your doctor about the problem
If you have frequent headaches and have trouble dealing with the pain, you should make an appointment with your doctor just to discuss your headaches. If you use the visit for other issues, you may not have the time you need to talk about your headaches. Be prepared to give details about your headaches. Your doctor will also want to know what other health problems you may have and any medicines you are taking.


Tuesday, March 4, 2014

Acupuncture and acupressure for neuropathic pain: An ancient alternative

Acupuncture and acupressure for neuropathic pain: An ancient alternative

Written by: Rita Reznikova
Published: January 26, 2010
Reviewed by: Kevin Zacharoff, MD, December 2009
Neuropathic pain is a kind of chronic pain that usually results from damage to or malfunction of the nervous system. This makes it different from the usual type of pain that is a direct result of injury. Successful treatment for neuropathic pain can be difficult; often, the approach is with a combination of medications, physical and psychological methods, and complementary and alternative practices. This article will focus on acupuncture and acupressure.

What you need to know

Acupuncture and acupressure are ancient Chinese medical treatments.
  • These techniques may complement (be used with) other medical treatments for neuropathic pain.
  • Researchers believe that acupuncture and acupressure work on “pressure points” throughout the body, in order to improve the flow of energy.


Topic: Seas Yield Clues on Nerve Regeneration After Spinal Cord Injury

Seas Yield Clues on Nerve Regeneration After Spinal Cord Injury

When it comes to shedding light on the possibility of nerve regeneration following spinal cord injury, it appears that the worm may have turned finally—or, more exactly, the sea lamprey.
Researchers at the University of Missouri (MU), in Columbia, after musing about certain fish that can reconnect nerves after injury and return to full mobility, have learned a great deal from the ability of the eel-like sea lamprey to recover from such
traumas that they feel may be applicable to humans. They hope their discovery
of how the sea lamprey regenerates nerve function may lead ultimately to methods
for similar restoration in humans with spinal cord injuries. 
 “There is a lot of attention to why, following a spinal cord injury, neurons regenerate in lower vertebrates, such as the sea 
lamprey, and why they don’t in higher vertebrates, such as humans,” said Andrew McClellan, professor of biological sciences in the College of Arts and Science
and director of the UM Spinal Cord Injury Research Program.  To Read More, Please go to: http://www.chronicintractablepainandyou.net/apps/forums/topics/show/12696220-seas-yield-clues-on-nerve-regeneration-after-spinal-cord-injury

Friday, February 28, 2014

Arthritis and Ankylosing Spondylitis

Arthritis and Ankylosing Spondylitis

Ankylosing spondylitis is a type of arthritis that affects the spine. Ankylosing spondylitis symptoms include pain and stiffness from the neck down to the lower back. The spine's bones (vertebrae) may grow or fuse together, resulting in a rigid spine. These changes may be mild or severe, and may lead to a stooped-over posture. Early diagnosis and treatment helps control pain and stiffness and may reduce or prevent significant deformity.
What Are the Symptoms of Ankylosing Spondylitis?
To view more of this article, please go to: http://www.chronicintractablepainandyou.net/apps/forums/topics/show/12656584-arthritis-and-ankylosing-spondylitis

Tuesday, February 25, 2014

Topic: Prickly Painkiller An experimental plant extract may end intractable pain with a single injection

Topic: Prickly Painkiller An experimental plant extract may end intractable pain with a single injection


Although medicine has advanced far enough to treat basic headaches, strained muscles and the agony of having a cavity filled, inflammatory pain—the kind that results from osteoarthritis, bone cancer and back injuries—has proved to be a far more elusive target. Current remedies, including morphine and other opiates, flood all
the nerves of the body, causing dangerous side effects. More localized
remedies, such as steroid injections, wear off over time. Recently researchers
have begun working with a toxin found in a Moroccan cactuslike plant that may
be able to deliver permanent, local pain relief with a single injection. 
To Read More, Please go to: http://www.drpattysnewcipaywarondrugswebsite.net/apps/forums/topics/show/12631753-prickly-painkiller-an-experimental-plant-extract-may-end-intractable-pain-with-a-single-injection

Saturday, February 22, 2014

Dr Patty's Chronic-Intractable Pain And You (CIPAY) - Google+ - Living with Pain: PROP’s Misleading Petition July 30th,…

Dr Patty's Chronic-Intractable Pain And You (CIPAY) - Google+ - Living with Pain: PROP’s Misleading Petition July 30th,…



Living with Pain: PROP’s Misleading Petition

July 30th, 2012 by Mark Maginn, Columnist

Last week the Physicians for Responsible Opioid Prescribing, along with a group of doctors and public health officials, sent a petition to the Food and Drug Administration requesting changes in labeling for opioid analgesics.

For over a decade pharmaceutical companies that manufacture opioid analgesics have said that their products are safe and effective when taken under the supervision of a physician. The petition states that those claims are flawed at best and that the increase in prescriptions for these medicines has led to a corresponding rise in addiction, overdose and accidental death.

To Read More, Please go to:http://www.drpattysnewcipaywarondrugswebsite.net/apps/forums/topics/show/12601058-living-with-pain-prop-s-misleading-petition

Friday, February 21, 2014

Topic: Question: What is addiction, and how is it possible that I won’t become addicted if I take pain medication?

Topic: Question: What is addiction, and how is it possible that I won’t become addicted if I take pain medication?



Question: What is addiction, and how is it possible that I won’t become addicted if I take pain medication?

Addiction is a complex disease. It involves the body and the mind. Addiction is very misunderstood by those of us who work in medicine, as well as by our patients and our society at large. There are many myths and misconceptions about addiction, causing a great deal of fear and anxiety, some of which is warranted, but much of which is not.

Addiction is defined differently by many different medical, religious and social organizations. One of the key elements that we do know clearly defines addiction is that it is a biological, psychological and sociological phenomenon.

To Read More, Please go to: http://www.drpattysnewcipaywarondrugswebsite.net/apps/forums/topics/show/12592404-question-what-is-addiction-and-how-is-it-possible-that-i-won-t-become-addicted-if-i-take-pain-medication-


Topic: Who's At Risk for Narcotic Abuse?

Topic: Who's At Risk for Narcotic Abuse?

Who's At Risk for Narcotic Abuse?

Patients with chronic pain may be helped by strong pain relievers such as narcotics referred to as opioids. An opioid is a chemical substance that acts like morphine in the body. But these medications can be addictive, so there's some concern about misuse and abuse.
In this study, researchers from the University of Washington reviewed articles from 1966 to 2007. They were looking for ways to predict who might be at risk for opioid misuse and/or abuse. Having this information would help physicians prescribe opioids. The goal is to help doctors choose patients who can benefit from this drug who are not at-risk for addiction.....
To Read More, Please go to http://www.drpattysnewcipaywarondrugswebsite.net/apps/forums/topics/show/12592474-who-s-at-risk-for-narcotic-abuse-

Tuesday, February 18, 2014

Addiction and Chronic Pain

Addiction and Chronic Pain: Chronic pain, especially chronic pain unrelated to cancer, is notoriously under-treated. In 1999, the American Pain Society surveyed 805 people who had chronic pain about the adequacy of treatment they received from their physicians.1 More than 50% of the survey respondents had been in pain for more than five years, and more than 40% ......Please go to http://www.drpattysnewcipaywarondrugswebsite.net/apps/forums/topics/show/12567813-addiction-and-chronic-pain to view the rest.

Friday, January 31, 2014

When Cops Play Doctor: How the drug war punishes pain patients Please join our site to watch and comment on When Cops Play Doctor: How the drug war punishes pain patients http://www.drpattysnewcipaywarondrugswebsite.net/apps/videos/videos/show/18433787-when-cops-play-doctor-how-the-drug-war-punishes-pain-patients-

 When Cops Play Doctor: How the drug war punishes pain patients

Please join our site to watch and comment on  When Cops Play Doctor: How the drug war punishes pain patients http://www.drpattysnewcipaywarondrugswebsite.net/apps/videos/videos/show/18433787-when-cops-play-doctor-how-the-drug-war-punishes-pain-patients-

The steady stream of celebrity stories about prescription drug abuse makes Americans keenly aware of the dangers of overdosing on medications like OxyContin and Vicodin. And from President Obama's Drug Czar to California Attorney General Jerry Brown, politicians are calling for greater power to monitor doctor-patient relationships in order to fight the "epidemic" of prescription drug overdosing. But maybe the real epidemic is underdosing. Countless Americans suffer with severe chronic pain because doctors are afraid to treat them properly. Michael Jackson's death unleashed a flurry of media stories about all aspects of the pop star's life, including his alleged prescription drug abuse. On the same day countless millions watched Jackson's star-studded memorial service, reason.tv interviewed another musician. Seán Clarke-Redmond, a man who enjoyed an active live before the neurodegenerative disease ALS, often referred to as Lou Gerig's disease, rendered him nearly immobile?he can no longer even play the piano. The disease also left him in almost constant pain. Redmond is prescribed some medication, but not nearly enough to keep his pain under control. Dr. Frank Fisher says Redmond's case is an appallingly common one. "Chronic pain in America is an enormously under treated disease," says Fisher, a Harvard-trained physician. "It's a public health disaster." Pain specialists like Fisher and patients' groups like the Pain Relief Network battle law enforcement officials who are forever on the lookout for "pill mills" and patients who misuse pain medicine. Fisher notes that the same medications so often associated with celebrity addiction are the same medications that combat pain most effectively. Fisher has treated his patients with high doses of opioids-that is, until a swat team raided his clinic and threw him behind bars. "They were trying to give me 256 years to life," says Fisher who argues that fear of prosecution often prevents doctors from treating chronic pain patients effectively. What allows doctors' medical decisions to be overruled by police? "What we're dealing with is a mass insanity," says Fisher. "We call it the war on drugs." "When Cops Play Doctor" is written and produced by Ted Balaker and hosted by Nick Gillespie. Director of Photography is Alex Manning, Associate Producers are Hawk Jensen and Paul Detrick.

Friday, January 10, 2014

Groovy Movies: Chad Everett sings "Leave It To Love" U.S. TV 1976
Brings back such memories! Since my 51st birthday is approaching, I think about the little 13 year old Patty (now Dr. Patty) became such a pain in Chad's behind going up to their ranch in Chatsworth hoping to get a glimpse of Chad. As time went on, he got to know me by name and face.  My folks took us to Las Vegas on a Labor Day when the "Jerry Lewis Telethon" was on.  I collected door to door in our neighborhood and when I asked security to have him come out and give him the money, the security, let alone people in line to see the telethon heard and they probably thought "who is this kid"? When Chad came out to the Lobby where people were waiting, he hugs me and my mom and thanked me. I didn't know that when he was on the show that night, he mentioned my name on the air! Most people I knew never really truly believed that I knew him! It was a shock to them....LOL.Groovy Movies: Chad Everett sings "Leave It To Love" U.S. TV 1976

Thursday, December 19, 2013

Monday, December 9, 2013

Dr. Patty's New Chronic-Intractable Pain and You Sites, Inc. Advocacy Course

Dr. Patty's New Chronic-Intractable Pain and You Sites, Inc. Advocacy Course. This video and song go very well together! Those of you who are familiar with the song, it could be discussing an advocate. This song was danced to on our wedding day when I got up with 2 canes that were hidden to dance with my new husband. I am thankful for being able to do that!

▶ Dr. Patty's New Chronic-Intractable Pain and You Sites, Inc. End The War On Drugs Website - YouTube


Friday, December 6, 2013

The Story Of Dr. Patty's New Chronic-Intractable Pain and You Sites, Inc.

While still in the hospital, I wanted to picturily give you all an accounting of the old days of a group to the brand new redesigned website with full nonprofit 501(C)3 status that it is today!  Please watch and enjoy! 
Dr. Patty's New Chronic-Intractable Pain and You Sites, Inc. 
www.chronicintractablepainandyou.net www.chronicintractablepainandyou.org Under New Management