" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

November 13, 2014



  1. ASIPP Annual Meeting, New Orleans: Practical Education for Future Survival
  2. AHRQ National Guidelines Clearinghouse Posts ASIPP Guidelines
  3. Volunteers for ASIPP opioid and IPM guidelines invited
  4. ASIPP Annual Meeting Call for Abstracts
  5. FDA Drug Safety Communication: Updated recommendations to decrease risk of spinal column bleeding and paralysis in patients on low molecular weight heparins
  6. CMS Reconsiders 'End-to-End' ICD-10 Testing
  7. Study: Problems with Surgical Robots Going Unreported to the FDA
  8. Obamacare: What defines success?
  9. Hope Is All Obamacare Has Left
  10. HealthCare.gov Enrollment Falls Far Short of Target
  11. Pro-Democratic super PACs outspend conservatives
  12. Fact check: If you like your health plan, you can keep it
  13. Scams sprout with rollout of Obamacare
  14. Prescription opioid availability and associated abuse
  15. Opinion: Why Many Physicians Are Reluctant To See Medicaid Patients
  16. State Society News
  17. Physician Wanted



annualASIPP Annual Meeting, New Orleans: Practical Education for Future Survival


   On behalf of the American Society of Interventional Pain Physicians' (ASIPP) Board of Directors, I am pleased to invite you to join us for the ASIPP 16th Annual Meeting on April 4-6, 2014 at the Hilton Riverside in the fun and exciting city of New Orleans. In addition to joining us for this exciting meeting, we also encourage you to come early and/or stay over and enjoy the fun, food, and festivities that New Orleans has to offer. 


This year's meeting is titled "IPM: Neither Luxury nor Experimental, but Effective and Necessary - Evidence-Based Advocacy." The ASIPP Board and Course Directors have been working hard to put together what we believe will be one of the most interesting, educational, and exciting meetings to date.


New this year we are offering a special ultrasound workshop session. This session will be held on Saturday, April 5, afternoon and is limited to 60 physicians so early registration is encouraged. Invited Session Chairman, Kenneth Candido, MD, will be joined by other renowned faculty to provide a hands-on experience in ultrasound guided non-spinal interventional techniques. 


  We are honored to have several exceptional speakers this year.

First we have invited Devi E. Nampiaparampil, MD, to provide the Manchikanti Distinguished lecture, to provide insight into interventional pain management and the media in the new era. She is more famously known as "Doctor Devi." Devi is an American physician whose research in developing strategies to prevent and treat chronic pain has been most helpful to the specialty of IPM. In addition to her practice of IPM, and she comments on medical issues for various platforms, and has appeared on CNN, CBS, The Dr. Oz Show, and General Hospital. It appears she is soon to become a major medical journalist.


 We are also honored to have former U.S. Assistant Secretary of Health and Human Services, Ben Sasse, PhD to provide a lecture on "Navigating Uncertainty in Health Care and Surviving as Individual Pain Physicians in the New Era."


Stephen Ward, MD of the United Kingdom has agreed to join us again this year to give us an update on NICE. Since we first met Dr. Ward at the 2011 Annual Meeting, he has been appointed to the position of specialist advisor to NICE for their Interventional Procedures Program. We are eager to hear his talk on "Health Care Across the Pond: Is NICE Still Not so Nice?"


Other General Session speakers include, from Harvard, Dr. Christopher Gilligan, Medical Director, Center for Pain Medicine, Massachusetts General Hospital; also from Boston, practice management expert, Debra Beaulieu, editor, FiercePracticeManagement; and New Orleans own, James H. Diaz, MD, MPH, an expert in the public health perspective.









ahrqAHRQ National Guidelines Clearinghouse Posts ASIPP Guidelines


Both the opioid and interventional pain management guidelines are now posted on the Agency for Healthcare Research and Quality (AHRQ) National Guidelines Clearinghouse.


American Society of Interventional Pain Physicians (ASIPP) guidelines for responsible opioid prescribing in chronic non-cancer pain: part 2 - guidance. 2006 (revised 2012 Jul). NGC:009284
American Society of Interventional Pain Physicians - Medical Specialty Society.





An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations. 2003 (revised 2013 Apr). NGC:009842
American Society of Interventional Pain Physicians - Medical Specialty Society



volunteerVolunteers for ASIPP opioid and IPM guidelines invited



  Believe it or not it's that time again - time to update the ASIPP guidelines. And this time around we are going to update the Opioid Guidelines at the same time. That does not mean you have to participate in both! You can choose either one or be a part of both.



Some of you have never been involved in guideline preparation or systematic reviews. Consequently, it could be a daunting task. It requires time, interest, and also expense during the onsite meeting. The number of participants selected will be limited based on your qualifications, experience, and enthusiasm.


This year we will not only be updating the previous guidelines, but we will be making some changes and consolidating multiple systematic reviews.


All these will be discussed in detail and preparation of guidelines will be provided in a one day meeting. The information on preparation of guidelines and systematic reviews will be provided in a one-day meeting and subsequently in writing, online, or telephone meetings. The changes  that need to be made will be discussed in the initial guideline meeting.


If you are interested, the first meeting will be held on January 31 in Phoenix, AZ in conjunction with a cadaver workshop. It is mandatory, if you are a United State resident, that you attend this meeting, and after that you have to attend at least at a minimum, 50% of all online/telephone conference meetings.


If you are selected, we will provide reimbursement for the room for onsite meetings.


Please submit your interest in participation, along with your subjects of interest, to Holly Long at hlong@asipp.org, by December 2, 2013.

abstractASIPP Annual Meeting Call for Abstracts


Abstract submission is now open to  enter your abstract proposal into the American Society of Interventional Pain Physicians abstract and poster presentation at the 16th Annual Meeting set for April 4-6, 2014 in New Orleans, Louisiana.


The top 20 abstracts will be published in Pain Physician journal. The top 20 will be selected for Poster presentation during the annual meeting on April 5. The top 5 will be presenting their abstracts during the regular session of all members on Saturday. That evening at the Presidential Awards Banquet, the top three abstract presenters will receive cash prizes.


A final abstract submission deadline is at 5pm Monday, February 17, 2014. Those selected will be notified by March 4, 2014 and will receive free registration to the annual meeting.


Click HERE or a complete set of rules  


Click HERE to submit your abstract.

FDAFDA Drug Safety Communication: Updated recommendations to decrease risk of spinal column bleeding and paralysis in patients on low molecular weight heparins


The U.S. Food and Drug Administration (FDA) is recommending that health care professionals carefully consider the timing of spinal catheter placement and removal in patients taking anticoagulant drugs, such as enoxaparin, and delay dosing of anticoagulant medications for some time interval after catheter removal to decrease the risk of spinal column bleeding and subsequent paralysis after spinal injections, including epidural procedures and lumbar punctures. These new timing recommendations, which can decrease the risk of epidural or spinal hematoma, will be added to the labels of anticoagulant drugs known as low molecular weight heparins, including Lovenox and generic enoxaparin products and similar products.


Health care professionals and institutions involved in performing spinal/epidural anesthesia or spinal punctures should determine, as part of a preprocedure checklist, whether a patient is receiving anticoagulants and identify the appropriate timing of enoxaparin dosing in relation to catheter placement or removal.




cmsCMS Reconsiders 'End-to-End' ICD-10 Testing


 WASHINGTON -- The Centers for Medicare and Medicaid Services (CMS) may be open to conducting ICD-10 end-to-end testing with physician offices after recent blunders with its Healthcare.gov site, according to a stakeholder who attended a recent meeting with the agency on the topic.


CMS had previously said it wouldn't do such testing for the new bill-coding system, saying it was confident its current testing was sufficient.


MedPage Today

studyStudy: Problems with Surgical Robots Going Unreported to the FDA


   A new study shows that some problems and even deaths caused by surgical robots were not accurately reported (or in some cases, not reported at all) to the U.S. Food and Drug Administration (FDA).

According to PBS, the study looked at the da Vinci Robotic Surgical System specifically, which is made by Intuitive Surgical. It's designed to perform complex surgeries with a minimally invasive approach while being controlled by a surgeon from a console. Medical professionals say the system provides smaller incisions, shorter hospital stays and less pain post-operation.


Daily Tech

whatObamacare: What defines success?


Democrats have a general idea of what it would take to put the Obamacare rollout back on track. Fix the damn website, they say, and most of the other problems will take care of themselves.


But will they? The problem is that neither the administration or the House and Senate yoked to it can describe a threshold for when the public will view the health law as on the way to recovery.



hopeHope Is All Obamacare Has Left


I wrote on Friday that we know things are bad inside the White House because it's stopped bashing health insurers. The administration's favorite campaign punching bag is now its most valuable ally in fixing the disastrous launch of President Barack Obama's signature policy initiative.


Yesterday brought confirmation from Juliet Eilperin and Amy Goldstein of the Washington Post: The administration badly needs the insurers' help, because there's growing concern that the exchanges simply will not be ready by the Nov. 30 deadline it set.


That's a big problem. A lot of people with private health insurance are losing their policies. This was supposed to be not so bad because they could go onto the exchanges. Only now, there are no functioning exchanges. If the exchanges aren't working by December, those people will be in a pickle. Premiums are rising substantially in many markets. For people with incomes below 400 percent of the poverty line, subsidies were supposed to partly offset that price increase. But only policies purchased on the exchanges are eligible for subsidies.



targetHealthCare.gov Enrollment Falls Far Short of Target


Fewer than 50,000 people had successfully navigated the troubled federal health-care website and enrolled in private insurance plans as of last week, two people familiar with the matter said, citing internal government data.

The figure is a fraction of the Obama administration's target of 500,000 enrollees for October. The early tally for the HealthCare.gov site, which launched Oct. 1, worries health insurers that are counting on higher enrollment to make their plans profitable.


Technology problems and design flaws have blocked many users from completing insurance applications or even creating accounts to use the site, which serves consumers in the 36 states where the federal government oversees the new health-insurance exchanges.



prodemPro-Democratic super PACs outspend conservatives


WASHINGTON - President Obama and many congressional Democrats repeatedly have condemned the flood of outside money in elections, but liberal activists and Democratic-aligned groups have adopted the strategy in a slew of recent contests.


Liberal super PACs have spent $10.8 million on federal races this year -twice as much as conservative super PACs, according to the Center for Responsive Politics' tally of independent spending in federal races. Much of the money has flowed to a handful of elections to fill congressional vacancies. Liberal money also makes up 70% of the election-related federal spending by "dark money" groups - politically active non-profits that don't have to disclose the sources of their money, the center found.



USA Today

factFact check: If you like your health plan, you can keep it


The Line: If you like your health insurance plan, you can keep it.

The Party: Democratic


For years, President Obama promised millions of Americans with health insurance that "if you like your health care plan, you can keep your health care plan" under his health care overhaul. He wasn't the only one, either.

Back in 2009, several top congressional Democrats echoed the president's assurances that those who were happy with their plans would be able to keep them.



USA Today

scamScams sprout with rollout of Obamacare


CINCINNATI -- Ohio resident James Dick already had deleted an inbox's worth of bogus e-mails about the Affordable Care Act when his telephone rang.


On the other end: a convincing-sounding man claiming to be from the national Medicare office. He told Dick that he was ready to send him a new Medicare card but first needed to verify the 69-year-old's identity -- by asking for his bank account number.


"I said, 'No, I don't think so,' " Dick told The Cincinnati Enquirer. The man insisted that he couldn't verify Dick's identity without the number and kept pressing for it until Dick hung up.



USA Today

opioidPrescription opioid availability and associated abuse


Researchers at Indiana University-Purdue University Indianapolis say one way to gauge the extent of prescription opioid pain reliever abuse in any Indiana county is to count the number of health care providers, particularly dentists and pharmacists.


In a study of opioid use and abuse, the researchers said they found that access to health care increases the availability of prescription opioids, which, in turn, is associated with higher rates of opioid abuse and associated consequences.


The study concludes the structure of local health care systems at the county level is a major determinant of community-level access to opioids.


Medical News Today

opinionOpinion: Why Many Physicians Are Reluctant To See Medicaid Patients


In an earlier post, I presented some data on which kind of physicians in the United States are most and least likely to see new patients who receive Medicaid, the state/federal program to pay healthcare costs for low income people. Now a recent study lays out some reasons why many physicians are so reluctant to see such patients.


Not surprisingly, it starts with low reimbursement rates. Medicaid pays about 61% of what Medicare pays, nationally, for outpatient physician services. The payment rate varies from state to state, of course. But if 61% is average, you can imagine how terrible the situation is in some locations. Physicians interviewed in the study explained that they felt it was their duty to see some amount of Medicaid patients in their practice. They recognized the moral need to provide care for this population. But they did not want to commit career suicide - they did not want good deeds to bankrupt their clinical practices.



State Society News


WISIPP Plans January Meeting


The Wisconsin chapter of the American Socieity of Interventional Pain Physicians will be Friday, January 24th, 2014, at Andrew's Bar & Restaurant in Delafield.  More details and registration information will be available shortly.


NY/NJ Societies of Interventional Pain Physicians Schedule Symposium


Following the great success of the 2012 program, this program again will be a joint effort between the New York and New Jersey Societies of Interventional Pain Physicians. The curriculum is presented by Course Directors: Sudhir Diwan, MD and Peter Staats, MD.


Speakers will be Sanjay Bakshi, MD, Sudhir Diwan, MD, and Peter Staats, MD.


Click here to register for the NYNJSIPP Pain Symposium.


Click HERE for more information.




* Please send in your State Society meeting news to:
 Holly Long at hlong@asipp.org


Registration is now open for the Pain Medicine Symposium, 2013, which is set for Thursday, November 7, 2013-Sunday, November 10, 2013 at the Hyatt Regency, Jersey City.

adsPhysicians Wanted


If you are interested in advertising on the Physicians Wanted page, please contact Holly Long for pricing information
Phone (270) 554-9412 ext. 230
Fax: (270) 554-5394



Click HERE to view Classified Physicians Wanted Ads listed on the ASIPP website.





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