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Uncategorized Published - 8 January, 2015    By - Dr Clemens
Anesthesia considerations in stiff person syndrome.

A 34 year old morbidly obese stiff person syndrome (SPS) patient was scheduled for a permanent catheter placement. SPS is a rare neurologic condition with a suspected autoimmune etiology. SPS most common manifestations are progressive, including severe muscle rigidity or stiffness affecting the spine and lower extremities more than other muscle groups. SPS have superimposed […]

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Uncategorized Published - 8 January, 2015    By - Dr Clemens
Transdermal buprenorphine controls central neuropathic pain.

A 53-year-old male with peripheral sensorimotor neuropathy suffered an intracerebral hemorrhage resulting in right hemiparesis and hemisensory loss. Three months later, he developed constant and burning pain within the entire right side of his body. He was diagnosed with central pain syndrome and treated with antiepileptics and tricyclic antidepressants. Minimal analgesia was achieved, which was […]

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Uncategorized Published - 8 January, 2015    By - Dr Clemens
Urine Drug Testing

UDT is Essential to Medical Care Pain physicians are at the forefront of providing diverse patient populations with quality medical care that improves lives. Chronic pain is one of the leading reasons why patients visit their doctor—who understands that uncontrolled chronic pain causes unnecessary suffering and can lead to depression. While treatment of chronic pain […]

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Uncategorized Published - 8 January, 2015    By - Dr Clemens
CMS Notifies Practices of their Non-Participation in PQRS 2013

In recent weeks, the Centers for Medicare & Medicaid Services (CMS) sent correspondence to a number of members, practitioners and billing companies detailing how the PQRS payment adjustment may affect their covered professional services in 2015. CMS sent these letters to Eligible Professional(s) (or their billing companies and departments) noting of their non-participation in the […]

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Uncategorized Published - 7 January, 2015    By - Dr Clemens
Calcitonin for phantom limb pain in a pregnant woman.

The use of calcitonin to relieve severe, treatment-refractory phantom limb pain (PLP) is reported. After an above-knee leg amputation, a 29-year-old pregnant woman (at eight weeks gestation) reported severe PLP (consistent scores of 9 or 10 on a 10-point pain severity scale). The pain persisted for more than two weeks and was not relieved by […]

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