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Opioid-Induced Constipation in Cancer Patients

Patients with advanced cancer who experience opioid-induced constipation (OIC) often experience psychological distress and negative cognitions. Understanding the nature of this burden may improve how clinicians recognize and assess the problem and promote more intensive management strategies that address the distress OIC often produces.

“Doctor Shopping” After Orthopedic Trauma

Postoperative “doctor shopping” for narcotic providers appears to be common among orthopedic trauma patients. Surgeons are recommended to prescribe these potent drugs with great care and vigilance to minimize risks for abuse, dependence, and other adverse events.

Refining Neurosurgery Practices

The American Association of Neurological Surgeons and the Congress of Neurological Surgeons recently joined the American Board of Internal Medicine’s Choosing Wisely campaign with their own list of five practices to avoid in neurosurgery. “The purpose,” says Daniel K. Resnick, MD, “is to alert patients and physicians to common practices that may not be necessary or efficacious.”

The Recommendations

1) Do not administer steroids after severe traumatic brain injuries.…

New Options for Treating Opioid Addiction

The quest for improved outcomes in the treatment of opioid addiction is accelerating on several fronts. Buprenorphine is widely used for the treatment of opioid dependence. Studies have shown that it’s an effective means to reduce opioid cravings and help prevent withdrawal symptoms.…

Taking a Proactive Approach to Diabetic Neuropathy

Diabetic neuropathy is common among patients with diabetes, but making efforts to screen for the condition and providing patient education on what can be done to prevent it have the potential to improve quality of life and outcomes.

Anesthesiology 2014: Trends in Postoperative Pain Severity

The Particulars: Previous research found that postoperative pain management did not appear to improve from 1995 to 2002. Since that time, there has been greater attention on pain management in the hospital setting. These efforts have likely led to more encouraging outcomes, but data to confirm this assumption are lacking.…


Drug Wars in the Exam Room

"Though we should never deny appropriate medical treatment to a patient, this balancing act can be difficult, and we sometimes fail to differentiate between those in need from those selling a tale."

New Evidence-Based Guidelines: 4 Signs of Concussion

The first part of new evidence-based guidelines, published in the September 2014 issue of Neurosurgery, sought to identify which signs, symptoms, and neurologic and cognitive deficits have the highest and most consistent prevalence in samples of individuals sustaining a potentially concussive event.…

The Evolution of Medicine


Modern medicine has helped lead to a surge in average life expectancy, which was only about 36 in the late 1800s. With humans routinely living into their 100s, advances in medical science are to thank. Let’s take a journey through the history of medical advancements.…

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