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Pain Management

CIPN: A Guide for Prevention & Management

Mar 23, 2015

Chemotherapy-induced peripheral neuropathy (CIPN) is a common treatment-related adverse effect that can significantly affect long-term quality of life and interfere with cancer treatments. The pain ca...

Appeals Court Strips Graduate of MD Degree

Feb 17, 2015

A three-judge panel of the US Court of Appeals for the Sixth Circuit reversed a federal district court decision and said that Case Western Reserve University could withhold an MD degree from a student...

“Doctor Shopping” After Orthopedic Trauma

Feb 09, 2015

Recent reports have shown that the negative consequences of narcotic use are increasing, and diversion of these drugs for non-medical use is growing, with Americans consuming about 80% of the global o...

Refining Neurosurgery Practices

Jan 23, 2015

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 ...

New Options for Treating Opioid Addiction

Jan 12, 2015

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�...

Taking a Proactive Approach to Diabetic Neuropathy

Dec 29, 2014

According to recent estimates, diabetic neuropathy accounts for about $50 billion in both direct and indirect costs associated with diabetes in the United States. “Diabetic neuropathy is one of the ...

Anesthesiology 2014: Trends in Postoperative Pain Severity

Oct 14, 2014

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 hos...

Managing Pain in Obese ED Patients

Oct 14, 2014

Weight-based dosing of opioids is a commonly used approach for managing patients who present to the ED with more severe pain. “Many patients who present to the ED with pain are obese or morbidly obe...

More & More Nurses

Oct 13, 2014

Growth in the nursing workforce between 2000 and 2008 to 2010 outpaced the growth of the United States population. ...

Who Broke The American Healthcare System?

Oct 01, 2014

Healthcare is a hot topic in the media these days. Yet, few people are satisfied with the way it is working. Many claim that the American healthcare system is broken. Patients are increasingly frustra...

What's the Point of Medical Licensing?

Sep 22, 2014

A surgeon emailed me the following:. OK, I know this is radical but consider my argument... Medical licensing protects no one and costs physicians hundreds to thousands of dollars each year. If...

Drug Wars in the Exam Room

Sep 16, 2014

As physicians, we have all been faced with patients inappropriately looking for prescriptions for controlled substances. Some are looking to abuse them and some to divert them for profit. It is often ...

Alcohol Abuse Among Physicians: Taking Control

Aug 25, 2014

Physicians, like many adults in the general public, enjoy drinking an alcoholic beverage in a socially-appropriate context when they are not taking call. But what happens when casual drinking becomes ...

Relieving Pain in Colorectal Surgery

Aug 22, 2014

Researchers have developed enhanced recovery pathways (ERP) to improve outcomes and reduce readmissions in colorectal surgery patients. “ERP protocols use a set of standardized pre- and postoperativ...

Getting Third Parties Out Of The Exam Room

Aug 12, 2014

Any physician, especially primary care physicians, can tell you that they are frequently forced to make a decision based on a third party’s opinion. Most often, this will be an insurance company den...

Optimizing Migraine Care

Jul 31, 2014

The American Headache Society (AHS) recently joined the Choosing Wisely initiative of the American Board of Internal Medicine in an effort to draw attention to tests and procedures that are associated...

New Evidence-Based Guidelines: 4 Signs of Concussion

Jul 22, 2014

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...

A Look at Opioid Use During Pregnancy

Jul 10, 2014

According to NIH data, prescriptions for opioids have increased dramatically in the general population, rising by more than 200 million between 1991 and 2009. In 2014, the American Society of Anesthes...

Trends In The Top Killers

Jun 24, 2014

The CDC recently released data on the most common causes of death in the United States in 2010. ...

Relieving Pain in Colorectal Surgery

May 06, 2014

Researchers have developed enhanced recovery pathways (ERP) to improve outcomes and reduce readmissions in colorectal surgery patients. “ERP protocols use a set of standardized pre- and postoperativ...

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