One-Minute Clinician

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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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The International Association for the Study of Pain defines pain as being both a noxious sensory and emotional experience, so psychology is actually integral to the experience of pain, but we don’t often treat it that way. I advocate for greater appreciation of the psychosocial dimensions of the...

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The important characteristics of fibromyalgia are that this is a multifactorial pain disorder with very few physical findings. The old criteria for fibromyalgia included tender points, which was a physical finding. Fibromyalgia has become a disorder of self-report compared to a disorder associated...

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The population is aging, and osteoarthritis (OA) tends to affect older adults more, so understandably its rates are going up. The increase in obesity is another reason for the increase in rates of OA: it’s becoming a major public health issue. There’s a lot of research to understand the...

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Myers: Part of our role is to help dealing with the insurance companies, getting certain treatments or services approved. We’re the go between dealing with the insurance company, finding out from the doctor what they want to do with the patient as far as their treatment plan, and then we deal with...

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Despite what the media and regulatory agencies and politicians say about there being an opioid epidemic, it’s not a single entity as most people would want to believe. It makes it seem as if a single action is going to solve it when in actuality it’s more than one thing, and that requires different...

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In the primary care setting, one of the most common reasons for somebody to visit a physician or a health practitioner will be low back pain. It’s also very common to have neck pain, to have shoulder pain, knee pain, ankle pain, etc.  Unfortunately, medical education has lagged quite a bit in terms...

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The use of cannabis is big business in the United States and internationally, so we’re dealing a lot with  cannabis in terms of both medicinal and recreational applications. What does that mean?  I really think that clinicians now need to be encouraged to educate themselves about what is known and...

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What I generally hear people say when we go in and introduce ourselves and say we’re part of the palliative care team is “But I’m not dying.” That’s the big confusion. Palliative gets mistaken for hospice. We try to define what it truly is: symptom management and conversation and support for anybody...

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There are a lot of different causes of pelvic pain, and there’s never just one cause of pelvic pain. Many times there is more than one or two, three, or four causes in someone who presents with pelvic pain. And it expands all organ systems. It goes from vascular, urological, gynecological,...

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