Category: Pain Management

The value of personal narratives in addiction treatment and integrated care

I was standing behind my trolley in our local supermarket when, in my wallet, I came across that drawing of a human heart. In the miniature pen-and-ink composition, the heart is suspended between two birds’ wings. At the bottom is a dateline: Opioid Vi…

Why staying ahead of your pain with opioids is the wrong advice

I often hear the mantra, “You must stay ahead of your pain, or else.” The president of the American Academy of Pain Medicine, states a common mistake people make, is waiting too long to take pain medication. By the time you’re in pain, you’re starting …

A patient’s opposition to the anti-opioid movement

I recently read an article — “California Doctors Alarmed As State Links Their Opioid Prescriptions to Deaths” — that infuriates and frightens me I’m furious that doctors are being persecuted for opioid prescriptions writte…

We need RVUs for obtaining a prior authorization

I haven’t counted how many times this happens every month, but I find it annoying. I send a prescription for a drug (sometimes not even expensive) to the pharmacy and soon after, I get a fax asking me (or my medical assistant) to go online and print a …

A paradigm shift in acute pain assessment and management

We have embarked upon a unique strategy to assess and manage pain. “Opioids Rarely Help Bodily Pain” is not a catchy phrase but a mnemonic related to educational learning which serves as the cornerstone of a new acute-pain management paradi…

How opioids can destroy the most beloved of personalities

“I feel like a caged animal” — My patient offered me this lens through which to view his life seeped in chronic pain. For him, pain dictated his entire sense of being — it was something that simply could not be distilled down to a single value on a 10-…

How opioids can destroy the most beloved of personalities

“I feel like a caged animal” — My patient offered me this lens through which to view his life seeped in chronic pain. For him, pain dictated his entire sense of being — it was something that simply could not be distilled down to a single value on a 10-…

How the war on opioids has harmed some patients

In a recent article for Pain Medicine News, “4 Steps Every Provider Must Take Before Prescribing an Opioid,” two lawyers detail the voluminous documentation doctors must collect and maintain to protect themselves against all these new anti-…

Your patients are counting on you

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. I recently attended a state medical society’s annual meeting where the agenda consisted of an awards program, several speakers and a keynote address.  The highlight …

The conflict between pharmacists and their corporate superiors

Pharmacists play an essential role in today’s ever-expanding health care system today. They check for drug interactions, watch for signs of opioid overprescribing and try to determine whether a drug for one condition prescribed by one doctor will negat…