" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

October 18, 2012



  1. The Latest: Drug Recall Information for Meningitis Multi-State Outbreak
  2. Lawmakers Urge Probe, Hearings in Wake of Meningitis Outbreak
  3. Positive News on Positive News on the CRNA Saga
  4. Few Spots Remain to Attend November ASIPP meetings
  5. KSIPP To Hold Pill Mill Meeting
  6. New Prescription Abuse Laws Driving Pill Mills Out of Business, Investigations of Overprescribers Launched
  7. Healthcare Plays Small Role in Second Presidential Debate
  8. Exam Room Disclosure: Nonphysicians Must be Clearly ID'd, States Say
  9. Medicare IPAB: Rational or rationing?
  10. State Society News

  11. Physician Wanted  

The Latest: Drug Recall Information for Meningitis Multi-State Outbreak


Status: Ongoing Investigation

Facility Type: Outpatient Setting

Case Count: 247

States: 15

Deaths: 19


New information regarding the multi-state meningitis and septic arthritis outbreak is frequently updated by the CDC and the FDA.



 4.  CDC's guidance to patients has not changed as a result of this voluntary recall. Patients who feel ill and are concerned about whether they received a medication from NECC at one of the affected facilities should contact their physicians.

  •  Patients have had symptoms generally starting from 1 to 4 weeks after their injection. Not all patients who received the medicine will become sick. Symptoms that should prompt patients to seek medical care include: fever, new or worsening headache, neck stiffness, sensitivity to light, new weakness or numbness, increasing pain, redness or swelling of the injection site.  


CDC: http://www.cdc.gov/HAI/outbreaks/meningitis.html


probeLawmakers urge Probe, Hearings in Wake of Meningitis Outbreak


House Democrats are calling for a federal investigation and subsequent hearings

on a recent fungal meningitis outbreak that has caused 11 deaths in 10 states.

Reps. Henry Waxman (D-Calif.), Frank Pallone (D-N.J.) and Diana DeGette (DColo.),

the ranking members, respectively, on the Energy and Commerce

Committee, health subcommittee and oversight and investigations subcommittee,

sent a letter Tuesday (PDF)-in the middle of a seven-week-long congressional

recess-to Reps. Fred Upton (R-Mich.), Joe Pitts (R-Pa.) and Cliff Stearns (R-Fla.),

the chairmen of those panels, requesting an investigation into the outbreak

caused by a contaminated, injectable steroid made by Framingham, Mass.-based

New England Compounding Center, a pharmacy compounding facility.


Modern Healthcare

NursesPositive News on the CRNA Saga


We are pleased to bring you some positive news this week on the CRNA saga. Thanks to the concerted grassroots efforts by the ASIPP membership, we have received the support of two more senators on the CRNA IPM privileges issue. On Friday, Louisiana Senator, David Vitter and Oklahoma Senator Tom Coburn co-signed a letter to Controller General, Gene Dodaro, of the GAO asking them to asking them for a study to determine whether or not CRNAs are qualified to provide chronic pain management. See Vitter/Coburn Letter



This is the second such letter sent to the GAO. On September 21, Congressman Ed Whitfield sent a formal request to the GAO asking them to provide answers to a number of questions: Whitfield Letter to GAO



Yesterday we gained an additional supporter in the CRNA reimbursement battle. Missouri Congressman Wm. Lacy Clay sent a letter to CMS Acting Administrator and Chief Operating Officer, Marilyn Tavenner, expressing his concern for the CRNA chronic pain reimbursement provisions.



Additionally, last Thursday, 13 members of the House of Representatives sent a strong letter to Acting Administrator, Marilyn Tavenner, expressing their concern for the CMS proposed rule. Signing the letter were, Rep. Paul Broun R-GA), Rep. Bill Young (R-FL), Rep. David Schweikert (R-AZ), Mike Rogers (R-MI), Trent Franks (R-AZ), Vicky Hartzler (R-MO), Phil Gingrey (R-GA), Mark Amodei (R-NV), Andy Harris (R-MD), Adam Kinzinger (R-IL), Marsha Blackburn (R-TN), Blaine Luetkemeyer (R-MO), Sue Myrick R-NC).

See Letter


These new letters are in addition to the letter sent on September 24 by the 13 Members of the "doctors caucus" from the House of Representatives: Congressional Letter to CMS


 Again, thanks to all of the members who have been calling, writing, and working hard to get the Congressional support we need to stop this proposed rule from being enacted. We ask for your continued work on gaining the support of your Members of Congress through your calls and letters.


For more information on the CRNA issue please look at the following manuscript:


Proposed physician payment schedule for 2013: guarded prognosis for interventional pain management


ksippKSIPP To Hold Pill Mill Meeting


In response to the recent implementation of KY HB1, the Kentucky Society of Interventional Pain Physicians will hold a 1-day conference for physicians (primary care and specialists), nurses, and other medical personal on Saturday, November 10, 2012, in Paducah, KY.


This course is designed to learn more about KASPER, the Pill Mill Law, pain management facility, guidance on using controlled substances, adherence monitoring documentation, and various board regulations.


Participants in the Evolution of Responsible Prescribing should walk away with a better understanding of the fundamental concepts of managing controlled substance management in your practice, from pharmacology and the clinical uses to identification of abuse and addiction.


Educational Objectives:

  • Review anatomy, physiology, and psychology of chronic pain
  • Discuss pharmacology
  • Identify prescription monitoring programs
  • Identify substance abuse
  • Discuss board regulations, documentation, and guidelines


Click here for brochure



Click here to register



Make plans today to attend! We look forward to seeing you there.

millNew Prescription Abuse Laws Driving Pill Mills Out of Business, Investigations of Overprescribers Launched


Since the implementation this summer of House Bill 1 (HB1), the state's landmark prescription drug abuse bill, 10 pain management clinics have closed, prescriptions for some of the most-abused controlled substances are dropping, and a record number of investigations are under way into suspicious prescribing practices, Governor Steve Beshear announced today.


"We knew that this bill would have an immediate impact on thwarting the abuse and diversion of prescription drugs in our state, and the statistics over the last few months are already showing progress," said Gov. Beshear. "But we will not rest. Too many families and communities have been shattered by prescription drug abuse. We will not let up on these doctor shoppers and greed-driven practitioners who continue to supply these poisons to addicted Kentuckians."



debateHealthcare Plays Small Role in Second Presidential Debate


HEMPSTEAD, NY - Although none of the undecided voters asked either President Barack Obama or GOP nominee Mitt Romney about healthcare specifically, the debaters made brief mention of it in the second presidential debate Tuesday night.


The issue first arose, in fact, from a question about how the candidates would rectify the women's pay inequality problem.



Healthcare Finance News


IDExam Room Disclosure: Nonphysicians Must be Clearly ID'd, States Say


 In Utah, a billboard advertisement showed a nurse practitioner dressed in a white coat with a stethoscope. The caption read, "I make house calls," and the woman had the abbreviation "Dr." before her name.


In Mississippi, some physicians wanting to ensure appropriate follow-up care for discharged hospital patients have struggled to find those patients' primary care physicians. The people who patients said were their doctors were not listed in the state's physician directory because they were midlevel health professionals, not physicians.


Such examples demonstrate how patients can be confused about the credentials of health care professionals, say supporters of the American Medical Association's Truth in Advertising campaign. Since the campaign launched three years ago, 25 states have introduced legislation aimed at curtailing such confusion. Laws have been enacted in 12 of those states.



AMA news

ipabMedicare IPAB: Rational or rationing?


The Independent Payment Advisory Board is designed to control runaway Medicare costs without cutting benefits, but physicians warn of unintended effects of cutting patient access.


A crowd had turned out for a campaign stump speech by vice presidential nominee Rep. Paul Ryan (R, Wis.) in The Villages, Fla., in August. Ryan's 78-year-old mother, Medicare beneficiary Betty Douglas, stood by his side next to a podium emblazoned with a "Protect & Strengthen Medicare" sign.


Ryan spoke about how Medicare took care of his grandmother and is providing vital coverage for his mom, but he warned that the national entitlement program now is under attack and the Medicare guarantee no longer is a certainty. Then his well-practiced critique of President Obama's health system reform plans posed another ominous warning to the crowd: "He puts a board of 15 unelected, unaccountable bureaucrats in charge of Medicare who are required to cut Medicare in ways that will lead to denied care for current seniors."



AMA news






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American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394
E-mail asipp@asipp.org