Showing posts with label chronic pain. Show all posts
Showing posts with label chronic pain. Show all posts

Thursday, April 24, 2014

Chronic Abdominal Pain Can Indicate Adhesion Related Disorder

Does your abdomen generally hurt or have odd vague pains that are difficult to describe to your health care provider? Does it hurt after you eat, during a bowel movement or during sex? Have you been through imaging only to be told, “Nothing is wrong”? Consider adhesion related disorder (ARD).

Read article here 
http://www.empowher.com/reproductive-system/content/chronic-abdominal-pain-can-indicate-adhesion-related-disorder

Wednesday, April 16, 2014

Massachusetts cannot ban FDA-approved painkiller, judge rules

A federal judge on Tuesday blocked an effort by Massachusetts Gov. Deval L. Patrick to ban sales of a controversial new painkiller in the state, saying the governor’s move was preempted by federal law and could harm people who need the drug for pain relief.
In a five-page order, U.S. District Judge Rya W. Zobel sided with the drug’s California-based manufacturer, Zogenix, which had argued that Patrick had no right to bar a medication that the Food and Drug Administration has deemed safe and effective.

Thursday, April 10, 2014

Thierry Vancaillie, M.D. Australia

Thierry Vancaillie, M.D.
View Curriculum Vitae
Research, Presentations, Publications, Teaching experience and other information n complete text of Dr. Vancaillie's C.V.


Dr Alan Johns, M.D. USA Texas

Alan Johns, M.D.
3700 Rufe Snow Drive, Fort Worth, Texas 76180
(817) 284-1152
1250 8th Avenue, Suite 330, Ft Worth, Texas 76104
817-923-5559 
View Curriculum Vitae
Research, Presentations, Publications, Teaching experience, and other information in complete text of Dr. Johns' C.V.
Licensed to practice since 1974
Private Practice in Obstetrics and Gynecology since 1978
Place of birth and early education: Graham, Texas
College: University of Texas at Austin; Austin, Texas 1970, B.A.
Medical School: University of Texas Medical Branch at Galveston; 1974, M.D.
Internship: Rotating; John Peter Smith Hospital; Fort Worth, Texas; 1974-75.
Residency: Obstetrics and Gynecology; John Peter Smith Hospital; Fort Worth, Texas; 1975-78.
Certification:
  • Certified by The American Board of Obstetrics and Gynecology; Feb.5, 1981.
  • Certified in Laparascopy and Hysteroscopy by the Accreditation Council for Gynecologic Endoscopy 1996.
  • Clinical Associate Professor, Department of Obstetrics and Gynecology; University of Texas Southwestern Medical Center at Dallas.
  • Senior Attending, Department of Obstetrics and Gynecology, John Peter Smith Hospital; Fort Worth, Texas.
  • Vice Chief, Department of Obstetrics and Gynecology, Harris Hospital-Methodist; Fort Worth, Texas; 1984-88.
  • Chief, Department of Obstetrics and Gynecology, Harris Hospital-Methodist; Fort Worth, Texas; Feb., 1988-January, 1990.
  • Director, Gynecologic Laparoscopy Center, Harris Hospital - Fort Worth, Fort Worth, Texas; June 1990 - 2000.
  • Fellow - American College of Obstetrics and Gynecology
  • Fellow - American College of Surgeons
  • Member - Society of Reproductive Surgeons (Secretary-Treasurer, 1996, vice president, 1998, president, 2000)
  • American Society for Reproductive Medicine
  • Southern Gynecological and Obstetrical Society
  • Gynecologic Laser Society (Executive Committee Member-at-Large),1988-1990; Treasurer, 1990 - 1992; Vice President, 1992 - 1993.
  • American Association of Gynecologic Laparoscopists (Member-Editorial Publication, Education Committee); Trustee, 1992 - 1994, secretary-treasurer, 2001, vice president, 2002, president, 2003.
  • Editorial Board - Journal of Gynecologic Surgery; Michael S. Baggish, M.D., Editor-in-Chief.
  • Adhoc Reviewer - Fertility and Sterility, 1992 to present.
  • Editorial Board - Journal of American Association of Gynecologic Laparoscopists, 1994 - present, associate editor (video), 2003 - present
  • Adhoc Reviewer - American Journal of Obstetrics and Gynecology, 1993 to present.

Dr Clark Gerhart Advanced Laproscopic Surgeon PA USA

Thank you Dr Gerhart - 12 years! You gave me a straight shot!
http://www.clarkgerhart.com

Mission Moment


By Laurie Teter
(This article was published by MDNews http://viewer.e-digitaledition.com/issue/37170/21)
Mission work captured the interest of Clark Gerhart, M.D., a long time ago. In fact, it played a large part in his decision to go into the medical profession. After years of training and setting up a practice, he was finally able to fulfill his early yearning for mission work. He provided disaster relief in New York City after 9/11, in New Orleans following Hurricane Katrina and in Haiti after the 2010 earthquake. In addition to his domestic work, Dr. Gerhart has traveled to India and China on short-term missions, and has been to West Africa four times in the last two and a half years.
Dr. Gerhart, a general surgeon at Surgical Specialists of Wyoming Valley, firmly believes medical missions are not as much about what you can accomplish in one week as about building relationships where you can continue to interact with people.
"There are tremendously qualified, skilled, intelligent people in these countries," says Dr. Gerhart. "The little bit we do as Westerners in a week is small compared to what we can accomplish if we support the people in these countries all year long. Just given the opportunity, resources and training, they can do great things in their countries. That's what I'd like to see happen."
The most profound impact mission work has had on Dr. Gerhart is his greater appreciation for what Americans have in the United States and what we take for granted - not just in the medical profession, but in life. In regard to medicine, Dr. Gerhart has learned how to manage patients in other countries without all the expensive resources available in the United States. He has also discovered that he can treat people successfully without reams of paperwork.
From his work overseas, Dr. Gerhart has realized that the idea of being on a mission is lifelong. To be successful, one has to embrace the culture, learn the language of the community and build relationships. This lesson has been a tremendous help in his practice at home.
"It's important to work within the culture rather than forcing your culture on someone." expresses Dr. Gerhart.
Within the medical community, support of missions can be demonstrated in a variety of ways. Group practices that are willing to let associates and employees take time-off; support of those who are traveling; and finding creative ways to save and reuse valuable medical equipment are all important to mission work. Equipment and devises are available; however, the storing and shipping of these resources is expensive.

Wednesday, April 09, 2014

Adhesion Barrier Not Helpful for Cesarean Delivery ~ Seprafilm

Laurie Barclay, MD
April 08, 2014
"Use of a commercially available carboxymethylcellulose adhesion barrier at primary cesarean delivery did not reduce time to delivery, total operative time, or complications during repeat cesareans, according to findings of a retrospective cohort study published in the May issue of Obstetrics & Gynecology.
"Adhesions that occur as a result of a prior cesarean delivery have been implicated as one cause of delayed delivery of the neonate during repeat cesarean deliveries," write Rodney K. Edwards, MD, associate professor, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Alabama Birmingham School of Medicine, and colleagues. "Seprafilm (sodium hyaluronate and carboxymethylcellulose absorbable adhesion barrier) is a commercially available product that is indicated for use in patients undergoing abdominal or pelvic laparotomy as an adjunct that is intended to reduce the incidence, extent, and severity of adhesion formation between the abdominal wall and the intraabdominal viscera.... However, data regarding use of this product for adhesion prevention at the time of caesarean delivery are limited to a single study of 52 patients."

New pain killer Zohydro making headlines

Zohydro to be Manufactured by Same Company That Makes Addiction Medicine

The newly approved pure hydrocodone product, Zohydro ER (extended release), will be made by the same company that manufactures Vivitrol, a drug used to treat patients addicted to opioids or alcohol, The New York Times reports.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Boston Globe ‎- 6 hours ago
A federal judge said Tuesday that she will probably strike 
down Governor Deval Patrick's emergency ban on the sale of Zohydro
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Super-Strong 'Zohydro' About To Hit The Street - HuffPost Live


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

  1. FDA-Approved Painkiller Zohydro Concerns Critics - WebMD

    Feb 27, 2014 - A new narcotic painkiller is due to come on the market in March, and critics want the FDA to reverse its approval of the drug, Zohydro ER.
  2. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3. From the manufacturer
    1. Zohydro ER (hydrocodone bitartrate) Extended-Release Capsules

      Zohydro™ ER is an opioid agonist, extended-release, oral formulation of hydrocodone bitartrate indicated for the management of pain severe enough to require ...


Sunday, March 16, 2014

Transvaginal endoscopy and small ovarian endometriomas: unravelling the missing link?

 2014;11:3-7. Epub 2013 Oct 17.

Abstract

The incidence of endometriosis in the infertile female is estimated to be between 20 and 50 %. Although the causal relationship between endometriosis and infertility has not been proven, it is generally accepted that the disease impairs reproductive outcome. Indirect imaging techniques and transvaginal laparoscopy now offer the possibility of an early stage diagnosis. Although it remains debated whether the disease is progressive, treatment in an early stage is recommendable as it carries less risk for ovarian damage, hence premature ovarian failure. Under water, inspection with the technique of transvaginal hydrolaparoscopy (THL) accurately shows the invagination of the ovarian cortex as minimal superficial lesions but with the presence of well-differentiated endometrial like tissue at the base, the lateral walls and especially the inner edges of the small endometrioma. An inflammatory environment is responsible for the formation of connecting adhesions with the broad ligament and lateral wall with invasion of endometrial-like tissue and formation of adenomyotic lesions. In around 50 % of the small endometriomas, adhesiolysis is necessary at the site of invagination with opening of the cyst, to free the chocolate content and hereby recognize the underlying endometrioma. The detailed inspection of these early-stage endometriotic lesions at THL reunites the hypothesis of Sampson with the observation of Hughesdon.

KEYWORDS:

Endometrioma, Endoscopy, Hydroflotation, Ovarian endometriosis, Pathogenesis, Surgery, Transvaginal hydrolaparoscopy
PMID:
 
24611037
 
[PubMed]
http://www.ncbi.nlm.nih.gov/pubmed/24611037

Wednesday, March 12, 2014

Adhesion Related Disorder ~ A Harrowing account of an emergency c section

February 15, 2014

Scar tissue from surgeries threatens woman's life

MORGANTOWN, Ind.
"The doctor who completed the surgery later described to Jones what he found.
"He'd never seen anything like it. My anatomy was all screwed up. The scar tissue was so bad that he couldn't get in my uterus," Jones said.
Jaxson wasn't breathing when surgeons removed him from his mothers' womb. He was resuscitated and rushed to neonatal intensive care.
At the same time, Jones had been injured in the fight to get her son out of her body. Two ropes of scar tissue wrapped around her bladder squeezed and tore the organ in two.
A nine-hour surgery was required to keep her alive.
"When the doctor came out, I rushed up and wanted to thank the man who had saved my daughter's life," Holt said. "He said, 'Thanks needs to be given somewhere else. There was a higher power and angels in that room. In any other circumstances, she and Jaxson wouldn't have made it."
Jones survived and has recovered somewhat. But she has reached the point where her adhesions will likely end her life unless the scar tissue is cleaned out.
Doctors have told her using conventional treatment, it would take surgeons days to clean out and remove all of the scar tissue that is causing her problems.
Even if that were a realistic option, the current methods would create more scar tissue. Her adhesions would come back as bad, if not worse, than before.
"Everything is being torn and twisted and strangled. Doctors have told us she's basically a ticking time bomb," Holt said. "Her bladder is being strangled, and her colon is being strangled."
But for the first time in years, Jones has hope. She has found a doctor who has developed a revolutionary method that would remove the adhesions without bringing them back.
Dr. Constantine Frantzides, with the Chicago Institute of Minimally Invasive Surgery, would create a tiny incision under the ribs. Layer by layer, he could take the scar tissue out."
- See more at: http://www.goshennews.com/statenews/x1708326995/Scar-tissue-from-surgeries-threatens-womans-life#sthash.sXOYFtGI.dpuf

Video: Browns Mills victim of Adhesion Related Disorder

Adhesion Related Disorder Awareness - what it feels like.
Posted: Sunday, March 9, 2014 1:27 pm Ashley Killeen talks about her painful battle with adhesions -- scar tissue that forms after surgery. Video by Steven Hart.

Saturday, March 08, 2014

Should women with chronic pelvic pain have adhesiolysis?

Pelvic adhesions are found in up to 50% of women with CPP during investigative surgeries and adhesiolysis is often performed as part of their management although the causal or casual association of adhesions, and the clinical benefit of adhesiolysis in the context of CPP is still unclear. Our aim was to test the hypothesis of whether laparoscopic adhesiolysis leads to significant pain relief and improvement in quality of life (QoL) in patients with chronic pelvic pain (CPP) and adhesions. 

Methods: This was a double-blinded RCT.

This study was conducted in 2 tertiary referral hospitals in United Kingdom over 4 years. Women with chronic pelvic pain (CPP) were randomized into having laparoscopic adhesiolysis or diagnostic laparoscopy.

Women were assessed at 0, 3 and 6 months for Visual analogue scale scores (VAS) and Quality of Life (QoL) measures (SF-12 and EHP-30). 

Results: A total of 92 participants were recruited; 50 qualified to be randomized, with 26 in the adhesiolysis and 24 in the control group. The results are expressed in median (interquartile ranges).

In women who underwent adhesiolysis, there was a significant improvement at 6 months in VAS scores (-17.5 (-36.0 - -5.0) compared to controls (-1.5 (-15.0 - 4.5; p = 0.048); SF-12 scores physical component score (25.0 (18.8 - 43.8)) compared to controls (6.3 (-6.3 - 18.8); p = 0.021), SF-12 emotional component score 32.5 (4.4 - 48.8) compared to controls -5 (-21.3 - 15.0); p <0 -5="" -="" .0074="" 15.0="" 32.5="" 48.8="" and="" being="" compared="" controls="" domain="" ehp-30="" emotional="" nbsp="" p="" span="" the="" to="" well="">

Conclusions: This study stopped before recruitment reached the statistically powered sample size due to difficulty with enrollment and lack of continued funding. In selected population of women presenting to the gynecological clinic with chronic pelvic pain, adhesiolysis in those who have adhesions may be of benefit in terms of improvement of pain and their quality of life.Trial registration number: ISRCTN 43852269 http://www.controlled-trials.com/isrctn/pf/43852269

Author: Ying C CheongIsobel ReadingSarah BaileyKhaled SadekWilliam LedgerTin C Li
Credits/Source: BMC Women's Health 2014, 14:36

http://7thspace.com/headlines/453858/should_women_with_chronic_pelvic_pain_have_adhesiolysis.html

Friday, December 20, 2013

Chronic Pain Patient, first visit with Pain Management Doctor ~ SIGNING UNFAIR PAIN CONTRACT



Dammed if you do and dammed if you don't!
SIGNING A DRUG CONTRACT ~ FROM PATIENT PERSPECTIVE ~ GIVING UP YOUR RIGHTS

  Chronic pain patients are required to sign contracts with their pain management physician. Many of the stipulations in these contracts remove the patient's rights to privacy of their medical information as well as removing the constitutional rights that require law enforcement to obtain a warrant (meaning need to show probable cause to get such a warrant) in order to get the medical record. These contracts also often contain false information regarding what is drug seeking behavior, physical dependence, and tolerance to pain medication. Also they rely upon presumptive testing that is widely known to be inaccurate in order to deny treatment. Basically these contracts are set up in such a way that every chronic pain patient will eventually violate some part of the contract and lose treatment. Depression is NOT drug seeking behavior, it is a common occurrence with ANY chronic illness, not just chronic pain.

To learn more, including information about the so-called studies that the DEA rely upon to call prescription drug abuse an "epidemic" when the numbrs don't support it. To learn more about chronic pain, contracts, and more:
http://www.dailykos.com/story/2011/04...
http://pain-topics.org/ for updates on studies http://updates.pain-topics.org/

To learn more about Richard Paey, an example of the unfair investigation procedures and prosecution on chronic pain patients see here:
http://www.november.org/thewall/cases...