One-Minute Clinician

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When a patient dies from an overdose, the prescriber has some potential liability. It could be a licensing board issue, a licensing board plus malpractice issue, or worse a criminal case. That really depends on the nature of that prescriber’s care. Authorities are looking for things like proper...

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A headache is just a symptom—head pain—and we make the distinction in the headache world between what we call primary headache disorders and secondary headache disorders. A secondary headache disorder is when there is something that’s causing that headache. The most common thing people think about...

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Some emerging trends in acute pain management are multimodal analgesia and trying to combine different medications or modalities to treat the cause of pain. We are in an opioid crisis, and opioids are a very strong pain medication and very necessary. But in patients who have acute inflammatory pain,...

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One of the most common complaints that people have with back pain is they feel stiff: “It feels stiff and achy,” “It hurts to move first thing in the morning and it’s hard to get out of bed.” What the literature is showing is that, for individuals who have high levels of perceived stiffness, when...

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A lot of people think that there is no difference between multidisciplinary care and interdisciplinary care or the teams that are multi- or interdisciplinary, and the terms really should not be interchangeable. They mean very different things. The thing they have in common is people from different...

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When you consider where we are with the pharmacotherapy of pain at this current time, I think we are still struggling in the sea of two competing public health crises. Certainly, we still have this enormous cohort of people who suffer with poorly controlled pain, yet, on the other hand, the opioid...

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Our Louis Armstrong therapists have worked closely alongside doctors and nurses. Of course, we have something to prove with music interventions, but you can’t really prove the efficacy of any medical intervention unless you’re alongside the medical team. Our team has had the advantage of working...

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There’s a number of treatment options that we tend to consider in patients who have central poststroke pain. The most efficacious treatment that we have is a simple medication and an old one: amitriptyline, a tricyclic antidepressant that’s been shown to be the most efficacious in patients with...

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What I have come to realize is that as we understand that patients are truly individuals, there are many things that the standard assessment processes are not going to capture – emotional states, emotional challenges, cultural challenges, cultural differences, different external pressures that they...

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Medical marijuana is probably about one-part science and nine-parts religion at this point. We want to see that balance shift toward science. Only then are physicians’ practices, prescribers’ practices, authorizers’ practices going to be able to shift toward evidence basis. We know that the evidence...

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