Jan 23, 2012
These two doctors, an addiction medicine specialist and a pain specialist, role-play talking to patients on high doses of opioids to demonstrate best communication strategies to engage the patient in tapering opioid use. Dr. Corey Waller is an addiction medicine specialist and a medical director at Camden Coalition of Healthcare Providers. Dr. Andrea Rubinstein is director of pain medicine at Kaiser Permanente. They spoke at the CHCF-supported Opioid Safety Convening in Oakland, California, in September 2016.
The patient is 38-year-old, married white female with a history of a previous pelvic fracture from bicycle injury 8 months prior and now presents with abdominal pain, nausea, vomiting and agitation.
Puffy hand syndrome
When Opioids Make Pain Worse
March 3, 2018
…I began to notice a strange pattern. These hypersensitive patients often had a history of using opioids.
“… there are limitations to any biological system, and if you exceed them, then bad things will happen,” he says. “And one of those things may be opioid-induced hyperalgesia.”
America’s 8-Step Program for Opioid Addiction
By THE EDITORIAL BOARD
Sept. 30, 2017
Opioid addiction has developed such a powerful grip on Americans that some scientists have blamed it for lowering our life expectancy.
Drug overdoses, nearly two-thirds of them from prescription opioids, heroin and synthetic opioids, killed some 64,000 Americans last year, over 20 percent more than in 2015. That is also more than double the number in 2005, and nearly quadruple the number in 2000