" The Voice Of Interventional Pain Management "

celebrating our 10th anniversary

May 15, 2013


  1. ASIPP Announces the Passing of Pain Physician Editor in Chief, Dr. Howard S. Smith
  2. Dr. Oz Show Backlash Continues: Members of ASIPP Send Letters in Response
  3. 2013 ASIPP Spinal Interventional Techniques Guidelines Accepted by National Guidelines Clearinghouse
  4. ASIPP 15th Annual Meeting Booth Space Sold Out!
  5. Health Spending Slower, Docs May Deserve Credit
  6. Falling Deficit Alters Debate
  7. FDA Allows Opana Generics
  8. More Alternatives Emerging for SGR Replacement

deathASIPP Announces the Passing of Pain Physician Editor in Chief, Dr. Howard S. Smith


 It is with great sadness we announce that Dr. Howard S. Smith has passed away. He died Wednesday May 8, 2013 at the Albany Medical Center, Albany, NY.


Dr. Howard Steven Smith of Delmar, NY is survived by his wife, Joan Buckley Smith. He was the father to four children, Alyssa Rachel, Joshua Michael, Benjamin Ryan, and Eric Jason Smith. He is also survived by a brother, Robert Smith; and stepmother, Priscilla Smith. He was preceded in death by his parents, Arlene and Nathan Smith.


Services were May 10 at Congregation Beth Emeth, Albany, N.Y. on Friday, May 10. Interment was at Beth Emeth Cemetery in Loudonville.


Dr. Smith was born Aug. 1, 1956 in San Francisco. He received a BS degree in both mathematics and biology from the State University of New York. He attended graduate school at New York Uniiversity and then continued on to medical school at the Chicago Medical School. Following his receiving a Doctor of Medicine degree in 1984, Dr. Smith completed his postgraduate residency at the Albany Medical Center followed by the University of Cincinnati Medical Center and Columbia Presbyterian Medical Center.


Dr. Smith was the Medical Director of Palliative Medicine, Professor of Anesthesiology, Professor of Internal Medicine, and Professor of Physical Medicine and Rehabilitation at Albany Medical College. He was certified in Addiction Medicine, Palliative Medicine, Pain Medicine, Anethesiology, Nuclear Medicine and Internal Medicine.


He held medical licenses in New York, Massachusetts and Pennsylvania. He was a member of more than a dozen professional organizations and held appointments on the ABPM credentials committee and membership committees.


Dr. Smith was an active member of the American Society of Interventional Pain Physicians. He served as Editor-in-Chief of Pain Physician journal from 2008 until present. While he was Editor in Chief of Pain Physician, the journal published updates of the Interventional Spine Techniques guidelines in 2009 and a complete special issue publication of the guidelines that was released this month.


In addition to Pain Physician, Dr. Smith was editor in chief of the Journal of Pain Research, and the Report on Interventional Pain Management. He was on the board several other journals. He was an active review for Spine journal, the End-of-Life Care Consensus Panel and the American Pain Society. He was also expert reviewer for 15 journals; and an associate editor of 5 journals. He was also  an invited lecturer, traveling to Belgium, China, Korea, Canada and Germany.


Dr. Smith was the author of more than 220 articles, 6 books and 119 book chapters.


A memorial donation of $10,000 was sent on behalf of ASIPP to Dr. Smith's Children's Educational Fund. If you would like to send a donation, the address is below. Contributions from businesses are tax deductible.


Smith Children's Educational Fund

New York 529

39 Grantwood Road

Delmar, NY 12054


ozDr. Oz Show Backlash Continues: Members of ASIPP Send Letters in Response


Last week, the Dr. Oz show aired a show covering epidural injections. 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 physicians:

· Are not adequately educating the patients about the risks and benefits

· Are telling patients that steroids are approved for FDA use when they are not

· Are often motivated by financial gain

· Are inadequately trained

· That Epidural steroid injections are high risk and not efficacious


In response to this show, we would like to provide you with the response letters written by Dr. Laxmaiah Mancikanti and  Dr. David Koth as well as a blog entry by Dr. Standiford Helm.


Kloth Letter: http://www.asipp.org/documents/KlothNYTLetteronDr.OzShow.pdf


Manchikanti Letter: http://www.asipp.org/documents/HirschandManchikantiRebutal.pdf


The Helm Center for Pain Management Blog: http://www.thehelmcenter.com/blog/


Additionally, 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 station.



Here is a link to the text version of the Dr. Oz story on Pain Drs and Epidural Injection



 Guidelines ASIPP Spinal Interventional Techniques Guidelines Accepted by National Guidelines Clearinghouse


 ASIPP's Spinal Interventional Techniques have been accepted for inclusion in the National Guideline Clearinghouse™ (NGC).


  • NGC-9842 (updates NGC-7428): An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations.


     This is the sixth update of the guidelines, first printed in 1999


     This special issue print version of the guidelines is now available for order


    The Guidelines issue contains the following:

    •  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 Systematic Reviews
    • Over 90,000 words, 2400 references, 50 Tables,  20 Figures, and 300 Formatted Pages

    Click here to Order Your Copy!


    An additional $20 for US and a minimum of $50 plus costs based on country will be added to the cost on any orders.


  • annualASIPP 15th Annual Meeting Booth Space Sold Out!


     Make plans now to attend the 15th annual ASIPP Meeting June 8-11, 2013. The meeting promises to not only be infomration, but also feature a room packed full of vendors that are related specifically to the speciality of Interventional Pain Management.


    The room block ends this Friday, so there are just a couple of days 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.


    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 information 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 Brochure


    spendingHealth Spending Slower, Docs May Deserve Credit


    Changes in healthcare provider practices -- and not just the Great Recession -- might deserve credit for the dramatic slowdown in health spending in recent years, health economists said.

    About 55% of the slowdown in healthcare spending since 2003 can't be attributed either to declines in private insurance from the recession that started in 2008, or to changes in Medicare payments in the last decade, David Cutler, PhD, and Nikhil Sahni, MBA, MPA, both of Harvard University, found.


    Therefore, the recent slowdown in health spending instead may come from one of three factors: fewer new drugs and imaging services, increased patient cost sharing, or greater provider efficiency, they wrote in the May issue of Health Affairs.


    MedPage Today


    fallingFalling Deficit Alters Debate


    Rising government revenue from tax collections and bailout paybacks are shrinking the federal deficit faster than expected, delaying the point when the government will reach the so-called debt ceiling and altering the budget debate in Washington.


    The improving financial picture got brighter Thursday when mortgage-finance giant Fannie Mae FNMA +15.83%-which received a big dose of taxpayer aid during the financial crisis-said it would pay the U.S. government $59.4 billion in dividends at the end of June. That sum, as well as $7 billion and possibly more from fellow mortgage-finance firm Freddie Mac, FMCC +13.04%will flow straight into the federal coffers.


    At the same time, steadily if historically slow economic growth and changes in tax laws that raised rates in January have pushed other government revenue up. The Congressional Budget Office now calculates the federal deficit through the first seven months of the fiscal year that began in October is $231 billion less than the deficit was at this time a year ago, thanks in part to an estimated 16% increase in tax revenue.


    Wall Street journal


    fdaFDA Allows Opana Generics


    The original formulation of extended-release oxymorphone (Opana ER) that lacked abuse-resistant mechanisms was not pulled from the market for safety reasons, and therefore generics based on that recipe are permissible, the FDA said.


    In a response to a citizen's petition from Opana drugmaker Endo Pharmaceuticals, the FDA denied the company's requests to block generic formulations of its drug from reaching the market.


    Endo pulled its original version of Opana from the market in March 2012, after reformulating it with abuse-deterrent technology -- much the way long-acting oxycodone (OxyContin) was reformulated in 2010.


    MedPage Today


    sgrMore Alternatives Emerging for SGR Replacement


    WASHINGTON -- Now that more alternatives to the Medicare program's much-maligned sustainable growth rate (SGR) physician reimbursement system have emerged, the impetus for replacing the SGR is growing, lawmakers and others here agreed Tuesday.


    Congress has shown greater desire this year to scrap the SGR formula that determines doctor pay, with much of the credit for that renewed interest being given to a greatly reduced price tag. But it has only been recently that the medical community has developed some structure to hold down costs if the SGR failed in that area.


    "For years and years and years, I've told physician groups to come up with a solution, come up with a solution. If you don't like it, come up with an alternative. Never have," Sen. Max Baucus (D-Mont.), chair of the powerful Senate Finance Committee, said at a committee hearing on doctor payments under Medicare. "But now we're getting to the point where the various groups are starting to realize we have to some time."



    MedPage Today






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    American Society of Interventional Pain Physicians ®
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    E-mail asipp@asipp.org