primary care

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A new surgical approach may offer better outcomes for patients with hallux rigidus, or arthritis of the toe, according to Andrew Elliott, MD, orthopedic surgeon at Hospital for Special Surgery, New York. Commenting on the condition, Dr. Elliott said “…hallux rigidus (is) one of the most frequent...

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Emergency room clinicians at the Jacobs School of Medicine, University of Buffalo, are working to deploy an innovative approach to delivering medication-assisted treatment for patients with opioid use disorder. The Buffalo Medication Assisted Treatment & Emergency Referrals (MATTERS) program was...

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There are a lot of theories about CRPS. There are theories about glial cell involvement, or dysfunction of the autonomic nervous system. To my mind, there is a hormonal component because 80 percent of my patients are women. There’s a genetic component because I have seen 18 families where more than...

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Failed back surgery syndrome is a problem that affects about 20 to 40 percent of patients who have had back surgery. There are many reasons for this and a lot of it has to do with the peri-operative and pre-operative work up of those patients. For example, studies show that 60% of the time they did...

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Practitioners end up at risk in drug testing because they lack knowledge of the policies that payors put out on medical necessity. They also can get into a lot of trouble if they don’t understand the mechanics of the clinical laboratory regarding presumptive testing and definitive testing. It’s...

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Practitioners have been outspoken in describing how they feel a lack of confidence in their own abilities to use opioids, in who to use them, and how to use them. If you couple that with their lack of knowledge about the alternatives to opioids, you really have a situation that is bound to fail...

| Podcast

Effective clinical interviewing and pain assessment are critical to the appropriate diagnosis and management of pain. In this presentation, the clinician attendee learns how to apply principles of effective communication and also ascertain how to evaluate available assessment tools. (Recorded at...

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I definitely would agree that methadone needs to be respected. I think the other thing, though, is there is such a negative stigma about it that a lot of practitioners have kind of thrown their hands up saying, ‘I don’t understand this, we’re not going to do it.’ What we learn about are always the...

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I would start off by saying that methadone definitely doesn’t have a sense of humor. I think as a practitioner, you have to not only understand the literature for methadone but also the limitations of what we know of methadone. It can be very unforgiving, and so really having a respect for those...

| Podcast

Complex medication decisions are an integral part of treating patients with pain and palliative care. Pharmacists have a unique perspective on using these medications creatively and effectively. This session will flirt with tips and tricks on using medications appropriately for patients with chronic...

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