May 8, 2013
Be Prepared for
Dr. Oz Show Backlash
Yesterday, the Dr. Oz show
aired a show covering epidural injections. Dr. Paul Lynch, a very good
interventional pain physician from Arizona presented the pro side and Dr. Jan
Friedly, the con view.
This show turned out to be
an investigative report intended to harm interventional pain management. As a
result, ASIPP wanted to give its members a heads-up to questions that might come
to as a result of this show.
A few of the points that
were made in an "Undercover Investigative Report" on the show is that
· Are not
adequately educating the patients about the risks and
· Are telling
patients that steroids are approved for FDA use when they are not
· Are often
motivated by financial gain
Epidural steroid injections are high risk and not efficacious
These types of statements
do lead to confusion with patients. Please arm yourselves with the proper
responses. We have attached Dr. Lynch's response to the show, a text version of
the story on Dr. Oz and a link to the online episode.
Facts for Physicians to Address
Dr Oz Pain Clinic Investigative Report Questions
Dr. Manchikanti had the
opportunity to address the misinformation that was provided on the Dr. Oz show
during a "Liveline" medical segment today for our local (Paducah) television
Here is a link to the
online Dr. Oz story on Pain Drs and Epidural Injection
a text version of their story
Here is the Dr. Lynch's
So, What Are You
Waiting For? Register for 15th Annual ASIPP Meeting Today!
There just a little bit over a week left to take advantage
of the room block and early registration discounts available when you register
to attend this year's exciting annual meeting in Arlington, VA June 8-11.
For the past several weeks,
ASIPP has tantalized you with tidbits of items on the agenda for this year's
The ASI PP 15th Annual
Meeting titled "IPM: Strategies to Prevent Falling Over the Cliff," is geared to
help both you and your staff prepare for all the changes coming with the
Affordable Care Act (ObamaCare). The strategies and informaiton you will gather
at this meeting will be unparalleled.
So, take advantage of this
opportunity to Arm Yourself for the Future!
Click HERE to register
Click HERE to view
Insightful Articles in May 2 issue
The May 2 issue of New
England Journal of Medicine features articles of interest to IPM
Discrimination at the
Doctors dedicate themselves
to helping others. But how selective can they be in deciding whom to help?
Recent years have seen some highly publicized examples of doctors who reject
patients not because of time constraints or limited expertise but on far more
questionable grounds, including the patient's sexual orientation, parents'
unwillingness to vaccinate (in surveys, as many as 30% of pediatricians say they
have asked families to leave their practice for this reason), and most recently,
the patient's weight. N Engl J Med 2013;
368:1668-1670May 2, 2013DOI:
Surgery versus Physical
Therapy for a Meniscal Tear and Osteoarthritis
partial meniscectomy for symptomatic patients with a meniscal tear and knee
osteoarthritis results in better functional outcomes than nonoperative therapy
N Engl J Med 2013;
368:1675-1684May 2, 2013DOI:
Distributions of Industry
Payments to Massachusetts Physicians
Poor Prognosis for
John Halamka, who co-heads
a federal committee on data standards, said technology to make only part of a
patient file visible isn't widely available.
The sharing of Americans'
health information is set to explode in coming years, with millions of patients'
medical records converted to electronic form and analyzed by health-care
providers, insurers, regulators and researchers.
People with short, wide
hands and square-shaped wrists may be more prone to carpal tunnel syndrome, a
painful condition of the hands and wrists that often develops in workers who
perform repetitive hand motions, says a study in Archives of Physical Medicine
and Rehabilitation. Carpal tunnel syndrome, or CTS, affects three times as many
women as men and is caused by pressure on the median nerve that runs through the
wrist into the hand. Symptoms include numbness, tingling and sudden, shooting
pain up the arm.
Researchers in Greece
compared hand and wrist characteristics in 50 people with CTS and 50 people
without CTS. Each group included 40 women and 10 men about 50 years of age who
were employed in a variety of occupations. Gardening and knitting were frequent
hobbies. The subjects' hands, wrists and palms were measured. The size of the
carpal-tunnel passageway, through which the median nerve passes, was determined
with ultrasound tests. Nerve-impulse speed was assessed in the more severely
affected hand in CTS patients and the dominant hand in controls.
Cap on Physician-Dispensed Drugs for Workers' Compensation
After years of struggling
to rein in the cost of physician-dispensed drugs, Florida workers' compensation
insurers finally reached a compromise with physicians and drug companies that is
projected to reduce costs by some $20 million.
lawmakers today approved the compromise (SB662) that for the first time will
place a cap on what physicians can charge for
prescription drugs they provide to injured workers.
Due To Ambien Skyrocket
The number of people taking
Ambien (zolpidem) and ending up in hospital emergency departments increased by
nearly 220% between 2005 and 2010, from 6,111 to 19,487 visits, says a news
report issued by SAMHSA (Substance Abuse and Mental Health Services
SAMHSA added that 74% of all emergency
department visits involving adverse reactions to Ambien were made by people aged
at least 45 years.
According to public records, 4,916,328 Americans made
drug-related visits to emergency departments in 2010.
Issue of 2013
ASIPP Spinal Interventional Techniques Guidelines Available
This is your exclusive opportunity to own your own print
copy of the Spinal Interventional Techniques Guidelines
The Guidelines contain the
- An Update of
Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic
Spinal Pain. Part I: Introduction and General Considerations
- An Update of Comprehensive
Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain:
Part II: Guidance and Recommendations
- And Abstracts of 10
- Over 90,000 words, 2400
references, 50 Tables, 20 Figures, and 300 Formatted Pages
Click here to Order Your
An additional $20 for US
and a minimum of $50 plus costs based on country will be added to the cost on
any orders placed after Monday, April 29 at 8 a.m.
Case Study Links
'Pot' to Pituitary Damage
Chronic, daily pot smoking over 15 years may be draining on pituitary hormones,
and may explain the "pot-head" image popularized in movies and TV, according to
a case report presented here.
A hormonal evaluation of a
patient with symptoms of loss of libido, fatigue, and dyspnea showed luteinizing
hormone concentration of 0.2 mIU/mL, follicle-stimulating hormone concentrations
of 1.8 mIU/mL, and testosterone concentrations of 22 ng/dL, according to Richard
Pinsker of Jamaica Hospital Medical Center in Queens, N.Y., and
The patient also showed
deficiencies in thyroxine and cortisol production, Pinsker said during an oral
presentation at the meeting of the American Association of Clinical
On 'Coverage With Evidence Development'
Medicare is poised to
revise its "coverage with evidence development" (CED) policy, which has
important implications for beneficiaries' access to new medical technology as
well as manufacturers' reimbursement for their products.
For years, Medicare has
employed CED, under which the program provides conditional coverage for new
technology while it collects additional evidence on the technology's
effectiveness. The concept has great intuitive appeal in that it promises to
provide access to promising technology for which the evidence base may be
immature. As Medicare officials and other experts have argued, by linking coverage of
new technologies to requirements that patients participate in registries or
clinical trials, CED can help identify the circumstances in which patients are
most likely to benefit and potentially accelerate access to
Gang of Eight
Plots Path to Senate Supermajority
negotiators are targeting as many as two dozen Republicans for a show-of-force
majority - which they believe may be the only way a reform bill will have the
momentum to force the House to act.
Reform proponents are
looking for votes far beyond the usual moderate suspects to senators in
conservative bastions such as Utah, Georgia and Wyoming. The senators landed on
the list because they're retiring, representing agricultural states, anxious to
get the issue behind the party, important to persuading skittish House
Republicans or all of the above
Pay no tax, live
abroad... and get a UK pension
Steve Webb, the pensions
minister, said that those receiving British pensions overseas include many
foreign citizens who have "never set foot in Britain at all".
The pensions can be worth
£3,500 a year for the entire length of a person's retirement, and are costing
taxpayers £410 million a year - a rise of more than a third over the past
Mr Webb revealed the
figures ahead of this week's Queen's Speech, which will include a proposed law
that will stop new claims for such pensions.
Rand Paul, Marco
Rubio Face 2016 Bind
Sens. Rand Paul and Marco
Rubio are facing a big obstacle if they seek the White House in 2016 - and it's
not each other.
State laws could force the
two GOP senators into a difficult choice: run for president or run for
reelection to the Senate that same year. Because in their home states of
Kentucky and Florida, neither Republican can be on the ballot for both offices
at the same time.
Drugs Dangerous in Pregnancy
Pregnant women should not
use valproate sodium and related drugs to prevent migraine because of the
potential for lower IQ scores in children exposed in the womb, the FDA
applies to valproate sodium (Depacon), divalproex sodium (Depakote, Depakote CP,
and Depakote ER), valproic acid (Depakene and Stavzor), and all generic
Each of the drug's labels
will be changed to reflect a change in the pregnancy category for migraine use
from D (the possible benefits might outweigh the potential risks) to X (the
risks clearly outweigh any potential benefits).
Copyright © 2008
American Society of Interventional Pain Physicians ®
81 Lakeview Drive, Paducah, KY 42001
Phone 270.554.9412, Fax 270.554.5394