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For patients with fibromyalgia, treatment should be individualized and include nonpharmacologic approaches, which are often more effective than drugs, according to an expert in the field. “There is no magic drug against fibromyalgia and, in my opinion, there will never be. Psychotherapists don’t work miracles, but psychotherapy can help and, in a few cases, turn […]
Read MorePublished in Pain Medicine (Oct 2014) Authors: Webster L et al OBJECTIVE To investigate effects of extended-release (ER) hydromorphone dosing time (morning, QAM; evening, QPM) on sleep physiology in patients with chronic low back pain. DESIGN Randomized, double-blind, placebo-controlled, crossover trial. SETTING Clinical research site. PATIENTS Fifteen patients with moderate-to-severe chronic low back pain requiring […]
Read MorePublished in Der Anaesthesist (Oct 2014) Authors: Zech N, et al Anesthetists have an impact on patients and healing processes not only through drugs, interventions and therapy but also significantly by their words and personality. A substantial part of observed side effects is caused by nocebo effects and negative suggestion, i.e. by the doctor and […]
Read MoreBundled billing: the combination of multiple entities’ fees into a single price. What could be wrong with that? A lot, depending on who is doing the bundling. And, in some cases, depending on why they’re doing it. History The concept of bundled billing came out of the hospital world: In order to market for a […]
Read MorePolicy efforts to address the risks of opioid prescribing should focus on office-based settings, as patients receive significantly more painkiller prescriptions for noncancer pain in ambulatory settings than in hospital emergency departments (EDs), according to an analysis of medical expenditures reported by Internal Medicine News. Specifically, the study found that one in 39 opioid prescriptions […]
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