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Uncategorized Published - 9 January, 2015    By - Dr Clemens
Updates on Smoking and Low Back Pain

This review article highlights current knowledge on the association between low back pain and smoking, with an emphasis on the role of nicotine. By Bilal F. Shanti, MD and Ihsan F. Shanti, MD, PhD An estimated 1 in 5 adults in the United States uses tobacco products every day or some days. This equates to […]

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Uncategorized Published - 9 January, 2015    By - Dr Clemens
Epidural Steroid Injections May Delay Surgery, But Only Minimally

Epidural injections of steroids may have only a small effect in preventing or delaying the need for spinal surgery for low back pain when compared to other treatments, according to a review and meta-analysis of several randomized controlled trials (RCT). The results were mixed: Injections reduced the need for surgery in some patients, but this […]

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Uncategorized Published - 9 January, 2015    By - Dr Clemens
HIPAA Rules

A patient whom I’d been treating with opioids for chronic back pain the family claimed they tried to call me to tell me about my patient’s drug addiction but that I’d refused to talk with them. The fact is, I did decline to take the phone call, and it was because the patient hadn’t given […]

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Uncategorized Published - 8 January, 2015    By - Dr Clemens
Who’s Better at Telling Operating Time?

Orthopedic surgeons are best, and anesthetists worst, at predicting operating theater time, according to orthopedic surgeons from New Zealand. “Our hypothesis going in was that the anesthetic time would be longer than they expected, as surgeons have become very good at predicting the time they require in recent times, potentially as a results of the […]

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Uncategorized Published - 8 January, 2015    By - Dr Clemens
Perioperative Management of Diabetic Patients

New Controversies Published in Br J Anaesth. 2014;113(6):906-909 Authors: P. Aldam, N. Levy, G. M. Hall Introduction The prevalence of diabetes mellitus (DM) is increasing rapidly. In 2011, it was estimated that 366 million people worldwide had DM with a projected increase to 522 million by 2030. Diabetes is one of the most common non-communicable […]

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