Kentucky Doc Spring 2016 - Page 4

4 doc • Spring 2016 Kentucky Contents | Spring 2016 FROMTHEEDITOR Robert P. Granacher Jr., MD, MBA, Editor-in-Chief, Kentucky Doc Magazine Post Operative Analgesia Following Abdominal and Urologic Endoscopic Surgery by Thomas K. Slabaugh, Jr., MD 05 Recent Federal Guideline And Marketing Changes In Opioid Prescription Policy by Robert P. Granacher, Jr., MD, MBA 06 PROFILE IN COMPASSION Russell Eldridge and Compassionate Cancer Care by John A Patterson MD, MSPH, FAAFP 08 Opioids and the management of musculoskeletal conditions by Brent J. Morris, MD 12 The Elephant in the Room by Tuyen T. Tran, MD 14 COMMUNITY NEWS 16 Dying as Desired by Charles G. Ison, MD 18 FROM THE COVER A Paradigm Shift in Pain by Danesh Mazloomdoost, MD PHYSICIAN HEALTH & WELL-BEING Ensuring Medical Staff Well-Being by John A Patterson MD, MSPH, FAAFP Them’s fight’n words: Opioid abuse is now the largest iatrogenic epidemic in American history. Danesh Mazloomdoost MD, our featured LMS physician in this Spring Edition of KentuckyDoc magazine, has correctly guided us to a severe problem linked to the care of our patients with chronic pain. His article entices us with a panoply of evidence-based management techniques available now for chronic pain and he gives the promise of future scientific breakthroughs for non-opioid pain control. Moreover, we are shown the skill set of a highly trained board certified pain physician. Dr. Slabaugh, our current LMS president, provides a lucid introduction to the available techniques for acute pain control following endoscopic abdominal and urologic procedures. His article demonstrates options that may limit the need for prolonged opioid use while reducing the patient’s time in hospital. Brent Morris, MD, an orthopedic surgeon and expert in shoulder-elbow surgical treatment, guides us in the opioid management challenges in treating musculoskeletal conditions. Back to the opioid abuse problem. Dr. Granacher summarizes last month’s publication of the new CDC guidelines for prescribing opioids for chronic pain. He also outlines the FDA’s: A Proactive Response to Prescription Opioid Abuse. Part of FDA policy change due to opioid abuse is to address immediately the lack of non-opioid alternatives for chronic pain control. Leaving governmental policy issues aside, Tuyen Tran, MD asks us to look at “the elephant in the room.” Dr.Tran, an internist and addiction medicine specialist, contrasts the opioid abuse crisis with the myths against using medicatio