Blog

  • Opioids Addiction and Chronic Pain

    Nearly every day there is another story in the news about the tragedy of addiction in America. Much of the focus on this deadly disease is on opioids. Addiction and overdose results in tens of thousands of deaths annually in the United States....

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  • Drug Soup and Doctoritis

    The current opioid crisis requires pain specialists to use caution and navigate carefully when prescribing pain medications.   Along with opioids we are often faced with another medication problem that we are seeing more frequently.     I’ve taken...

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  • IV Hydromorphone

    In 1979 during my psychiatry rotation in medical school I was sent to the Methadone clinic in Kansas City. I still remember talking about drug addiction with the clients.   One comment stuck with me.  A guy trying to stay clean told me "If God made...

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  • Stress

    Nearly everyone I see in the clinic talks about stress.    Certainly the challenges of facing serious illness and dealing with chronic pain  can generate tremendous fear and anguish.  This stress has no socioeconomic borders.   Winning the...

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  • The unplanned journey

    When I set up this website a couple of years ago I envisioned that I might be blogging with some regularity, not daily, but at least more often than once a year!   I’m going to give it a go again with a post here and there and I hope my partners...

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  • Treating Chronic Pain

    Chronic pain is a challenging condition that is estimated to affect 15 -20% of the adult population of the United States.    One of the most critical questions about any specific treatment for chronic pain is, “does it work?”   The answer to...

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  • Opioids and Chronic Pain Shifting Sands

    This letter went out to Physicians at St. Joseph Medical Center August 27, 2014.   It's a little long for a "blog" but here it is: Opioids and Chronic Pain: Shifting Sand The FDA has reclassified Hydrocodone from a Schedule III opioid to Schedule...

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  • Remembering

    I just had a remarkable conversation with one of the most stoic dying gentlemen I've ever met.  He has been calmly going about making plans for his remaining days both in regards to his physical life and stuff, as well as saying goodbye to the people...

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  • Resources for Seriously Ill patients and their families

    One of the hardest things we will all likely face is the challenge of dealing with the medical system at the end of life. It has become complicated in every way. The care is complex, the decisions are overwhelming and agonizing. There are usually multiple...

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  • Challenges in prescribing

    The treatment of pain with medication is one of the most challenging tasks our physicians must perform. It requires knowledge of pharmacology, experience, patience and courage! Courage, because medicines routinely cause side effects, have toxicities,...

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