Back to reality when it comes to pain treatment

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[Read the ultimate guide]( on extending the value of your organization’s EHR. --------------------------------------------------------------- KevinMD Plus: Oct 6, 2022 [Back to reality when it comes to pain treatment]( Back in the 1980s, I had a longtime patient, age about 30, that came to my office for severe back pain. She previously had some mild back pain and had no orthopedic evaluation. Otherwise, she was in good health without any other health issues. She could barely walk upright, so I sent her to the [...] [All I ever wanted to be was a nurse]( I am a nurse. I am tired and defeated. Thursday, I went to work at 7 a.m. after the strike, only to want to leave as soon as I walked into the hospital. We were short-staffed … again. I made an “aware” which is a hospital forum where anyone can report unsafe staffing, hospital conditions, [...] [Insurance companies deny medical care. And that’s wrong. [PODCAST]]( “Securing prior authorizations is a daily ordeal for most doctors’ offices. Doctors report that, on average, they must get insurance company approvals 41 times every week. Of the authorization requests that are denied, fully 73% ultimately get reversed and approved, but the delays cause [...] [Coaching or mentorship: What is the solution for physicians?]( Over the years, I have mentored a lot of trainees. After discovering coaching and seeing my career transform after I started working with a coach, I have become a coach myself. I definitely use coaching techniques with my mentees, but the relationship I have with them is different from the one I have with my [...] [The journey is to find the gift in the challenge]( An excerpt from The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture. Ours is a culture wholly averse to death and even aging; think of how many products are geared toward erasing or “reversing” the signs of oncoming infirmity, the physical reminders of life’s finitude. Here, then, is another sense in which [...] [Your anesthesiologist cares for you [PODCAST]]( “It’s one of the hard things about anesthesiology. A window opens, you work like all get out, doing all sorts of things while the breeze blows in, then it’s shut again. Sometimes, you see your patient once more; sometimes, if things go awry, you [...] [The impact of a lack of diagnosis reaches far and wide]( Getting a medical diagnosis can actually be a huge relief. I know it may seem counter-intuitive. Saying “I have cancer,” “I have Parkinson’s,” or “I have depression” definitely doesn’t belong in the same realm as being relieved. Or maybe it does. When was the last time you saw a GoFundMe for “gradually progressive neurologic symptoms [...] [Are antibiotics too much of a good thing?]( Since the development of antibiotics in the 1940s, patients presenting with an infection could be expected to respond quickly to a prescribed course of antibiotics by their physician. While the antibiotic prescription model has helped countless lives, this paradigm has degraded over time due to the emergence of antimicrobial resistance (AMR). The net impact is [...] [Premature babies grow up. It’s time to pay attention. [PODCAST]]( “Premature babies (a.k.a. preemies) and their families are increasingly becoming a powerful voice in society. Life in and after the neonatal intensive care unit (NICU) is like being dropped off a cliff. I support the preemie community from pregnancy to NICU to home and [...] [Where are we going with monkeypox?]( Monkeypox has been in the news since May 2022. Barely recovering from the anxieties of COVID-19, the natural question in our mind is how is this all going to play out? We might not have accurate predictions yet, but almost six months into the outbreak, we have more information that we can rely on. The [...] [Hearing loss is a significant public health problem]( Hearing loss can be a real pain in the rear. Aside from its annoyance on friends and loved ones, it can pose a significant health problem. For instance, there is growing evidence linking hearing loss and dementia. Yes, impaired hearing can lead to dementia, which is an impairment of cognition. Cognition is the mental process [...] [The reality of being a physician and a son at the same time]( On February 25th, 2022, my father was placed on oxygen a week after I had surgery for a torn Achilles. He was facing his first idiopathic pulmonary fibrosis (IPF) flare. I knew this day would come; it was only a matter of time. I’ve seen and cared for patients who have faced IPF, but it [...] [Managing migraine in women: How doctors can help women get back to living their lives]( While everyone has dealt with a headache at some time in their life, migraine is more than “just a headache.” This I can say from my own experience is true. As a headache specialist with a foundation in family medicine for 22 years, I know firsthand how the [...] [Public health requires collective courage [PODCAST]]( “To create a healthier, more just, and more equitable world, we must confront the truth, and that requires an act of collective courage. Perhaps there needs to be a whole new consciousness that abandons ideas of reforms and instead labors a social transformation toward [...] --------------------------------------------------------------- If a friend sent you this email and you want to subscribe, go to [KevinMD](. --------------------------------------------------------------- 345 Hudson Street New York NY 10014 USA [Unsubscribe]( | [Change Subscriber Options](