Mastodon 2019 ~ Pallimed

Monday, November 18, 2019

Mandated Queries of the Florida Prescription Drug Monitoring Program: A Three-Month Experience from a Cancer Center-Based Outpatient Palliative Medicine Clinic

by Chad Kollas (@ChadDKollas) Background and Introduction On July 2, 2018, Florida implemented a new law requiring all licensed physicians to query the state’s prescription drug monitoring program (PDMP), known as the Electronic Florida Online Reporting of Controlled Substances Evaluation (E-FORSCE), before prescribing controlled medications,...

Monday, November 18, 2019 by Pallimed Editor ·

Friday, November 1, 2019

Community Living for Hospice Patients: Don't "Put" People in Nursing Homes

by Lizzy Miles (@LizzyMiles_MSW) No one should ever be “put” in a nursing home. You might agree with this statement because you don’t like nursing homes, but that is not what I’m saying. The word “put” is offensive when you are describing a person, unless you are talking about putting a 3 year old in the time out corner because he colored...

Friday, November 1, 2019 by Lizzy Miles ·

Sunday, October 6, 2019

Part 6 - Why Is Cancer Pain So Special?

by Drew Rosielle (@drosielle) A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions. This is the 5th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also: Part 1 – Introduction, General Disclaimers, Hand-Wringing, and...

Sunday, October 6, 2019 by Drew Rosielle MD ·

Part 5 - Why Do We Lump the Non-Cancer Pain Syndromes Together?

by Drew Rosielle (@drosielle) A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions. This is the 5th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also: Part 1 – Introduction, General Disclaimers, Hand-Wringing,...

by Drew Rosielle MD ·

Saturday, October 5, 2019

Part 4 - Everything We Were Taught About High Doses Was Wrong, and the Same Hand-Crafted Graph

by Drew Rosielle (@drosielle) A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions. This is the 4th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also: Part 1 – Introduction, General Disclaimers, Hand-Wringing, and...

Saturday, October 5, 2019 by Drew Rosielle MD ·

Friday, October 4, 2019

Part 3 - Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Another Hand-Crafted Graph

by Drew Rosielle (@drosielle) A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions. This is the 3rd post in a series about opioid, with a focus on how my thinking about opioids has changed over the years. See also: Part 1 – Introduction, General Disclaimers, Hand-Wringing, and...

Friday, October 4, 2019 by Drew Rosielle MD ·

Thursday, October 3, 2019

Part 2 - We Were Wrong 20 Years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid Doses

by Drew Rosielle (@drosielle) This is the second in a series of several posts about many aspects of my current thinking about opioids. The first post is here: Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph. Over-prescribing fueled the current drug overdose epidemic, and many of us who thought we...

Thursday, October 3, 2019 by Drew Rosielle MD ·

A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.

by Drew Rosielle (@drosielle) Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph. This is the first in a series of several posts about many aspects of my current thinking about opioids, with a focus on how my thinking about opioids has changed over the years. Opioids, opioids, opioids. The working title...

by Drew Rosielle MD ·

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