November 13, 2014
- ASIPP Annual Meeting, New Orleans:
Practical Education for Future Survival
- AHRQ National Guidelines Clearinghouse
Posts ASIPP Guidelines
- Volunteers for ASIPP opioid and
IPM guidelines invited
- ASIPP Annual Meeting Call for
- FDA Drug Safety Communication: Updated
recommendations to decrease risk of spinal column bleeding and paralysis in
patients on low molecular weight heparins
- CMS Reconsiders 'End-to-End' ICD-10
- Study: Problems with Surgical Robots
Going Unreported to the FDA
- Obamacare: What defines
- Hope Is All Obamacare Has
- HealthCare.gov Enrollment Falls
Far Short of Target
- Pro-Democratic super PACs outspend
- Fact check: If you like your health
plan, you can keep it
- Scams sprout with rollout of
- Prescription opioid availability and
- Opinion: Why Many Physicians Are
Reluctant To See Medicaid Patients
- State Society News
- Physician Wanted
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
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
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
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
American Society of Interventional Pain Physicians (ASIPP)
guidelines for responsible opioid prescribing in chronic non-cancer pain: part 2
- guidance. 2006 (revised 2012 Jul).
American Society of Interventional Pain Physicians - Medical
update of comprehensive evidence-based guidelines for interventional techniques
in chronic spinal pain. Part II: guidance and
recommendations. 2003 (revised 2013 Apr).
American Society of Interventional Pain Physicians - Medical
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
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 firstname.lastname@example.org, by December 2,
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
Click HERE or a complete set of
Click HERE to submit your
|FDA 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
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.
Reconsiders 'End-to-End' ICD-10 Testing
-- 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
CMS had previously said it
wouldn't do such testing for the new bill-coding system, saying it was confident its current testing was
Study: 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
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
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
Hope 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.
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
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
Fact check: If you
like your health plan, you can keep it
Line: If you like your health insurance plan, you can keep
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.
Scams sprout with
rollout of Obamacare
-- 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
"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
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
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.
Opinion: 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
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
Societies of Interventional Pain Physicians Schedule
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
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
* Please send in your
State Society meeting news to:
Holly Long at email@example.com
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
If you are
interested in advertising on the Physicians Wanted page, please contact Holly Long for pricing information
554-9412 ext. 230
Fax: (270) 554-5394
Click HERE to view Classified
Physicians Wanted Ads listed on the ASIPP website.
Copyright © 2009
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394