Friday, February 20, 2015

Pain Practioners

Pain practitioners are pulled in many directions.

-First our obligation  is to care for our patients TO THE BEST OF OUR ABLITY, give them a medically sound and scientific  treatment. Unfortunately pain is closely linked to emotions. Plus a significant amount of medications for pain relief also stimulate our pleasure, gratification and addictive centers. This generates a secondary effect on the patients using opioid pain medications. Their pleasure/addictive centers get stimulated by the opioids creating a craving for more. This makes the situation difficult because patients are blurred into using more and more opioids, in the name of  still having PAIN.  It has only been recently that we have been able to clearly understand this conflict unfortunately at the expense of having created many iatrogenic (medical) addicts.

-Then, we are monitored by the DEA (drug enforcement administration) with rules and regulations that we prescribers HAVE to follow.  An important group of our available pain medications (opioids) are not only very powerful in diminishing pain but also very addictive and craved by users, so needles to say very lucrative in the black market. This creates a tense environment between prescribers and their pain patients.

-Also insurance companies are directly targeting pain practices. They are cutting re-imbursement for needed procedures, visits, tests and refusing to pay for a lot of the safer medications that we consider more effective and appropriate.

 Multiple “masters” to try and please. No winners, just losers creating a lot of tension between us (doctors) and our patients. The gap between us has gotten wider, and full of roadblocks and  conflict generating demands.
Post By: Cesar A. Euribe, M.D.

Thursday, February 19, 2015

Pain Doctors Reputation, By Cesar A. Euribe, MD


In the practice of Pain Management we encounter multiple roadblocks.

Our patients come from a variety of backgrounds and most suffer with difficult situations and chronic pain.

Pain providers also come from many different backgrounds and styles of practice. Over the last few years there has been an influx of so called pain management specialists who joined the field with NO formal training, experience or understanding of the core of the pain management discipline.  Unfortunately some of the self proclaimed specialists were only equiped with their pens, prescription pads and a DEA license.

Pain practitioners are pulled in many directions.  I will talk more about this soon.

Cesar A. Euribe, MD