Category: Pain Management

How do we manage pain in the era of the opioid crisis?

“6 in 10 Kids Got Opioids After Tonsil Surgery, Study Says.” So screams the headline from The Daily Beast. “In the midst of the opioid crisis, doctors sent many kids home with oxycodone and hydrocodone,” it goes on to say. Another example o…

A patient predicted her tragic future

I’d been told in my hospital sign-out that Melanie was transgender, but I stumbled on the first day and referred to her as “he” in front of my medical team. “She!” she said immediately. “Oh, man,” I thought to …

Does marijuana really relieve pain? Here’s what anesthesiologists say.

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Marijuana is made from the dried flowers of the cannabis plant. Made of more than 500 chemicals, including over 100 compounds called cannabinoids, the primary active…

Settlements in the opioid cases need these non-negotiable conditions

The judgment in the Oklahoma trial against Johnson & Johnson for their role in the opioid crisis is a good start to what deserves to be an ongoing pursuit of justice for the victims, their families, and the states. Any financial settlement is only …

5 things I wish I had known earlier about chronic pain

I’ve been living with chronic pain for more than a decade. It began in 2009 with nerve damage after emergency groin surgery. Four years later, I fell and hit my head. That fall led to a constant headache, a whistling sound in my ear, back and hip pain,…

Doctors can change opioid prescribing habits. Incrementally.

When they started practicing medicine, most surgeons say, there was little or no information about just how many pain pills patients needed after specific procedures. As a result, patients often were sent home with the equivalent of handfuls of powerfu…

People who take opioids are the AIDS patients of today

Stigma towards health conditions interferes with access to compassionate care. Both social stigmas from friends and family and medical stigma from professionals are issues. Perhaps the worst recent example of medical stigma is how people with HIV/AIDS …

Why aren’t you treating opioid addiction?

Our community had one of “those” providers — a midlevel who was the local pain person. If you had pain, go to her. She would write you for anything you could want and more. It’s unclear if she was unscrupulous or just inept. But last year, the DEA fina…

If your child is ever prescribed an opioid, read this post first

What if I told you that your adolescent child could contract a disease that can never be cured, but only maintained? That it would be a lifelong struggle that could change their personality, compromise their potential and values, destroy their relation…

Seeing the effects of the opioid crisis play out live

Recently, I was at a health care facility in a semi-urban region, less than 100 miles from a major metro. It had a whiff of industry from good times that have long drifted by. I tried to locate a Starbucks. Google Maps spotted one and took me towards t…