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Penn Medicine pain management study reveals patient confusion about opioid addiction

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Findings illustrate need for improved communication of opioid risks and pain management in emergency departments

PHILADELPHIA - Emergency department patients have misperceptions about opioid dependence and want more information about their pain management options, according to a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania. The study, published online in the Annals of Emergency Medicine, found that patients seen in the emergency department for acute pain expressed a desire for better communication from physicians about their pain management options, along with discussion of the risks of opioid dependence.

The study used semi-structured open-ended telephone interviews with 23 patients (mostly women, ages 18 to 65) discharged from the Hospital of the University of Pennsylvania after being seen in the emergency department during a four-month period in 2014, for pain related to broken bones in the arms or legs, kidney stones or musculoskeletal back injury. Although the patients discussed a variety of topics related to their experiences with communication around pain, the main themes of the interviews included opioid dependence and addiction, and patient-provider communication about pain management. The themes patients revealed around opioid dependence included:

2) worries about following prescribed dosing preventing the possibility of addiction,

3) relying on media and other individuals as a source of information about opioids, and

4) awareness of physicians' need to balance patients' pain management needs and safe opioid prescribing guidelines.

"It was interesting to find that patients believe that taking an opioid as prescribed prevents the possibility of addiction, but also that patients are learning about opioids from television and from friends and acquaintances -- not healthcare providers," said senior author Zachary F. Meisel, MD, MPH, MS, assistant professor and attending physician in the department of Emergency Medicine, who oversaw the study led by Robert J. Smith, BS, a medical student at Penn. "There's clearly a significant need for emergency departments to improve education around the risks of opioid misuse."

There were also several themes that emerged around patient-provider communication about pain management. Patients often reported that they desired engagement in decisions about the treatment plan, better communication about the cause of their pain, consideration of how the pain is affecting their life, and more empathy from providers, and they also felt that fragmentation in communication between providers was detrimental to their treatment.

"Patients realize that emergency departments are busy places, but that doesn't reduce their desire to have meaningful interactions with their care providers," said Meisel. "Patients want to be given information in a straight-forward way and then listened to, so that they leave feeling like they know what was causing their pain, what their pain management options were, and that their treatment preferences were heard."

The researchers are now using the data from this study to develop short video narratives of patient stories related to pain in the emergency department, which will then be tested as an intervention to improve patient understanding of their pain management options and the risks associated with opioid misuse.

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Penn Medicine pain management study reveals patient confusion about opioid addiction

South African Sports Medicine Leader Serves as AMSSM International Visiting Fellow

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Newswise Hollywood, Fla. As part of the 2015 AMSSM Traveling Fellowship program, the President of the South African Sports Medicine Association Jon Patricios, MBBCh, FFSEM, is serving as this years International Visiting Fellow.

Dr. Patricios will be presenting two lectures during this weeks 24th AMSSM Annual Meeting in Hollywood, Fla., followed by visits to sports medicine clinics and facilities in Greensboro, N.C., Atlanta, Ga., and Greenville, S.C.

The purpose of the AMSSM Traveling Fellowship program is to encourage academic interchange, shared research and exploration of common clinical interests among sports medicine leaders throughout the world. The experience includes the opportunity to view live patient encounters, tour sports medicine facilities, share cases and spend time with regional experts in sports medicine.

The second phase of the 2015 Fellowship will be a return visit to South Africa from three U.S. Traveling Fellows. The Traveling Fellowship tour culminates with participation in the SASMA Annual Meeting Oct. 19-22, 2015.

I view the AMSSM Travel Fellowship as a wonderful opportunity to "lecture, learn and live". To lecture" at what I regard as the foremost clinical sports medicine meeting in the world, to learn from a knowledgeable cohort of colleagues and to live a bit of the American lifestyle, said Dr. Patricios. I am looking forward to presenting and sharing cases and experiences, interacting with friends and colleagues and making new acquaintances. Equally, I look forward to hosting the AMSSM fellows in South Africa later this year and thank AMSSM and their sponsors for their commitment to continuing sport medicine education.

Dr. Patricios will present lectures during the AMSSM meeting on Diagnostic Algorithm for Groin Pain and Rugby Rules! Return to Play the South African Way.

Dr. Patricios is a sports physician at the Centre for Sports Medicine and Orthopaedics and Director of the Morningside Sports Medicine Unit in Johannesburg, South Africa. Dr. Patricios has been a team physician to school, club, provincial and international sports teams in rugby, cricket, soccer, athletics and basketball. He is a member of the Cricket South Africa and SA Rugby medical committees and the Rockies Comrades Marathon Panel of experts. He is Chief Medical Officer for the MTN Qhubeka Cycling team and the Kaizer Chiefs Football Club, Founder and Director of Sports Concussion South Africa and serves on tribunals for the South African Institute for Drug Free Sport.

This program was made possible by the generous support the AMSSM Foundation received from DJO Global. AMSSM wishes to thank DJO Global for its educational support of this exchange of ideas and knowledge by world leaders in sports medicine.

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South African Sports Medicine Leader Serves as AMSSM International Visiting Fellow

What one of the anti-vaccination movements least favorite doctors discovered about Jesus

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By Rachel Marie Stone April 13 at 9:46 AM

(Bigstock)

Dr. Paul Offit was pretty sure that religion was harmful to children.

But while writing his newest book on medicine, the co-inventor of a rotavirus vaccine was surprised by Jesus.

Offit says he always had moderate respect for religion but started to doubt when, as a young attending physician, he saw five children die within 10 days during an outbreak of measles in Philadelphia in 1991. At the center of the epidemic were children who were unvaccinated in accordance with their parents radical brand of Christian belief.

A professor of pediatrics and vaccinology at the University of Pennsylvania, Offit has been branded as Dr. Proffit by anti-vaccination activists. In previous books, he has defended vaccinations, challenged the now widely discredited autism-vaccine link and sharply criticized the alternative medicine industry. When he published Autisms False Prophets in 2008, he didnt go on book tour because had received death threats.

[How the U.S. went from eliminating measles to a measles outbreak at Disneyland]

Having seen children die because of their parents religiously-motivated neglect including the use of religious exemptions to vaccination, Offit began to read and to appreciate new atheist writings, including books by Sam Harris and Christopher Hitchens. As he began writing his new book, Bad Faith: How Religious Belief Undermines Modern Medicine, he assumed that he would arrive at similar conclusions: that religion was too often the culprit in preventable deaths, and that it was best left behind.

Bad Faith is full of stories of needless deaths: the children of Jehovahs Witnesses dying for lack of a blood transfusion, the children of Christian Science believers dying for lack of antibiotic treatment and the infants of ultra-Orthodox Jews dying or suffering brain damage after being infected with herpes from unsanitary ritual circumcision.

Most states allow religious exemptions to vaccines and permit parents to claim a religious defense if their child dies from a treatable disease.

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What one of the anti-vaccination movements least favorite doctors discovered about Jesus

Sports Medicine Physicians of AMSSM to Restore Recreational Area For Boys and Girls Club Carver Ranches Unit

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Newswise HOLLYWOOD, Fla. More than 40 sports medicine physicians of the American Medical Society for Sports Medicine (AMSSM) will be volunteering to revitalize an outdoor recreational area for the local Boys and Girls Club this Tuesday, April 14, 2015. The humanitarian service project takes place a day prior to the 2015 AMSSM Annual Meeting and is the second time a day of service has been incorporated into the beginning of the organizations annual conference.

With guidance from HandsOn Broward County and the Broward County Recreational Development Commission, AMSSM chose to work with the Boys and Girls Clubs Carver Ranches Unit. The Boys and Girls Clubs offer a place where children can feel safe and get away from the multitude of pressures and temptations while having fun and building companionship. More often than not after a child becomes a member, their life is positively changed forever.

AMSSM members will work alongside HandsOn Broward representatives to give the Boys and Girls Clubs outdoor basketball courts a long overdue facelift; complete with resurfacing and constructed weather resistant benches for players to properly rest. Member volunteers will also work on restoring the existing butterfly garden and tap into their creative side while working on an outdoor mural.

HandsOn Broward is excited to have the opportunity to inspire, equip and mobilize the AMSSM volunteers in our Broward County community during their time in town, said Darrill Gaschler, Director of Corporate Pojects for HandsOn Broward. The impacts they create will be transformational and will create an even more welcoming and engaging environment for the members of the Carver Ranches Club to grow and explore.

This project is funded with contributions to the AMSSM Foundation, a 501(c)3 nonprofit educational foundation dedicated to the support and recognition of excellence in sports medicine education, research and scientific activities, while promoting opportunities for humanitarian outreach. As the fundraising arm of AMSSM, the Foundation accepts contributions, sponsorship support and grants from individuals and corporate supporters to fund programs, research, education and initiatives developed by AMSSM. To learn more or to donate to the project, visit http://www.amssmfoundation.org.

Margot Putukian, MD, a team physician with Princeton University and president of the AMSSM Foundation, said, We wanted to provide an opportunity for our members to get their hands dirty in a project that provides a tangible, needed resource while building meaningful relationships amongst our members.

About the AMSSM: AMSSM is a multi-disciplinary organization of 2,700+ sports medicine physicians dedicated to education, research, advocacy and the care of athletes of all ages. The majority of AMSSM members are primary care physicians with fellowship training and added qualification in sports medicine who then combine their practice of sports medicine with their primary specialty. AMSSM includes members who specialize solely in non-surgical sports medicine and serve as team physicians at the youth level, NCAA, NFL, MLB, NBA, WNBA, MLS and NHL, as well as with Olympic teams. By nature of their training and experience, sports medicine physicians are ideally suited to provide comprehensive medical care for athletes, sports teams or active individuals who are simply looking to maintain a healthy lifestyle. http://www.amssm.org

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Sports Medicine Physicians of AMSSM to Restore Recreational Area For Boys and Girls Club Carver Ranches Unit

FOX Sports Keck Medicine of USC Report: Treating Rotator Cuff Injuries – Video

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FOX Sports Keck Medicine of USC Report: Treating Rotator Cuff Injuries
Keck Medicine of USC shoulder specialist Dr. George F. Rick Hatch III discusses injuries to the shoulder #39;s rotator cuff. For more info, visit ortho.keckmedicine.org or call (800)-USC-CARE.

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FOX Sports Keck Medicine of USC Report: Treating Rotator Cuff Injuries - Video

BuildingNY: Jan T. Vilcek, MD: NYU School of Medicine & The Vilcek Foundation – Video

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BuildingNY: Jan T. Vilcek, MD: NYU School of Medicine The Vilcek Foundation
Dr. Jan T. Vilcek joined the NYU School of Medicine in 1965, defecting with his wife to the US from communist Czechoslovakia. His research was instrumental in the development of an anti-inflammator.

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BuildingNY: Jan T. Vilcek, MD: NYU School of Medicine & The Vilcek Foundation - Video

FROMBall – Medicine Ball – Instructional Performance Training – By Reactsport.com – Video

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FROMBall - Medicine Ball - Instructional Performance Training - By Reactsport.com
Get your FROMBalls now at: http://www.reactsport.com/brands/fromball.html FROMBall - Full Range Of Motion - Medicine Ball - Instructional Performance Training FROMBall Medicine Balls - Full...

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FROMBall - Medicine Ball - Instructional Performance Training - By Reactsport.com - Video


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