ASIPP® Pod

A Discussion on Tolerance, Dependency, and PTSD with Joseph Cabaret, MD and Kenneth Carle, MD

It is a pleasure to have Dr. Joe Cabaret return to the podcast because it’s not every day you get to hear from someone who is triple boarded in anesthesia, pain, and addiction. The practice of pain medicine always has its difficulties—sometimes those difficulties involve simultaneously balancing pain, tolerance, and dependency. When you’re really trained and qualified to make the distinction between these three things, you’re better at balancing all of them. Dr. Cabaret not only understands pain, but he really understands addiction, so his approach to dealing with complex pain problems is especially effective. We also discuss central pain and its processing because, like it or not, most pain is processed through the central nervous system. That’s why we use so many different classes of medication—the Buprenorphines, Gabapentinoids, Pregabalins, and the like—we want to work in the central nervous system to help reduce the opioid load. Finally, we share some thoughts on the 2023 ASIPP (American Society of Interventional Pain Physicians) Annual Meeting.

We’re also welcoming a new guest to the podcast, Dr. Kenneth Carle, from Baltimore, Maryland. Dr. Carle is a practitioner of Interventional Pain Medicine who brings up a several interesting talking points about the strategies we can use to help patients with PTSD.

We hope you enjoy this episode.

IPM: Where we are now and what our future holds

Today’s podcast brings together four important leaders in the field of interventional pain medicine, and the future growth of American Society of Interventional Pain Physicians (ASIPP).

 

ASIPP, Immediate Past President Harold Cordner MD and President Amol Soin MD welcome Michael Lubrano and Kunji Patel for an interactive discussion on the future of  IPM: Where we are now and what our future holds. Certainly we are at an exciting time, and who would have seen it coming? Ten years ago would we have talked about therapeutic cannabis? How about regenerative medicine as a major opportunity to afford relief to our patients, certification, a first and leading textbook “Essentials of Regenerative Medicine”, the opportunities to demonstrate skills in person, online, and via TeleTesting. Our meetings have been virtual, then hybrid, and now we look forward to meeting again in person for fellowship, and the excitement of interpersonal meeting and greeting.

 

 

COVID-19 has touched us all. As one of the greatest tennis players of all time once said that he won by finding advantage in adversity. The leadership at the American Society of Interventional Pain Physicians has stepped up with guidelines, and best practices for our challenging times. Looking forward to our younger physicians, we find emergence of the enthusiasm and specialty development that is such a dynamic component of our organization. We continue to look forward to leadership from the youthful injection of talent and the enthusiasm that is embraced by the ASIPP and our specialty. This is what keeps us as a leadership community as we look forward for the necessary but often underestimated epidemic of pain control, while we also address the opioid crisis and COVID head-on. We are truly one of the few specialists that have three crises that are managed and processed to design successful solutions by innovation, our younger participants, membership, and the promise that each individual brings with their unique talent.

 

 

The American Society of Interventional Pain Physicians welcomes our new generation, and I hope this podcast gives just a hint of how much enthusiasm we have ahead of us. We hope you enjoyed this podcast!

 

Incoming ASIPP President, Amol Soin, MD, Talks ASIPP, COVID, and much, much more.

Today we're going to talk about the upcoming annual meeting, the current state of COVID-19, precautions, as well as its current and future impact on our practice. Along those lines, we'll also talk about the future of the American Society of Interventional Pain Physicians, and how we weathered that miserable year we'll call 2020. A good segway to the PPP loan, also discussed. COVID started a year ago, the 26th of January, and good riddance. We hope you all get your vaccination soon.

Today we will also have the opportunity to talk about the new E and M documentation guidelines, and the changes that are coming, Tele-health is here to stay, and the advantages of belonging to our organization, Dr. Soin chats how membership helps our field.

Finally, as we welcome our new president,we pause to thank Dr. Harold Cordner for his excellent leadership during these tough months and appreciate his guidance during this pandemic - adaptable ASIPP at its best. We tribute the miraculous job that Melinda and Karen added in 2020 with remote learning. It took a team - thanks to all involved. A look forward to this next year, our optimistic leadership, and strength to the specialty. Enjoy the podcast....

Dave Shultz, MD On Continous Infusion Pumps

David Schultz MD is well known to our community. A leader in pain medicine for 20 years, his career has been punctuated by a strong educational commitment to ASIPP, a willingness to share valuable information with the pain community, and a giving spirit that has been an important guidepost for upcoming pain management practitioners. From all walks of life, physicians and patients alike have benefited from Dr. Schultz's knowledge, his forward-thinking, and his desire to contribute.

This podcast was a lot of fun. An interesting and contemporary subject that doesn't receive the attention it is due. Continuous infusion pumps to the central nervous system have been around for a number of years, and are an excellent source of relief, particularly those that have exhausted mainstream therapies. Infusion therapies are a viable addition to any practice, and to the benefit of many.

The hesitation to add infusion therapy is a perception that this technology is left for very large practices or institutions. Dr. Schultz helps us walk through those question marks with his processes explained in this exciting interview. His philosophy and practice procedures allow this therapy to be offered to those suffering from intractable pain,ASIPP, in an outpatient and nurturing setting.

Please join us with this podcast. As you will hear, Dr. Schultz is clearly a leader in his technology; Enjoy.

Dr Cordner On Treating Patients During COVID-19

Harold Cordner, MD joins us today to discuss the mechanics of new-era practice management. Dr. Cordner has just been sworn in as President of ASIPP, and is actively practicing in Vero Beach, Florida. Dr. Cordner gives us perspective on the need to continue to treat our patients based on necessity, and the obligation to relieve suffering in those that present to us on a daily basis. There is a balance, and Dr. Cordner helps us navigate the difficulties of making the right decisions for the right reasons on the right patient.

 

I think you'll enjoy this podcast. Dr. Cordner has years of experience, and that's very clear in this interview. He is confident, a leader in our field, and adds inspirational wisdom to our challenges that we see before us. The “New Norm” changes everyday, but the thoughtful and responsible practice of medicine is stalwart. Take a listen.

Dr. Amol Soin And The Business Side Of COVID-19

Our guest today is Amol Soin M.D., a physician that is well known to our members, and an individual who is an expert financier. He is the developer of many important businesses, that not only have been monetized, but brought to the public domain. So this makes him an obvious choice to help us understand the financial obstacles and forward thinking problems that we have experienced with this COVID-19 virus pandemic. His insight and understanding of our current struggles, is punctuated by his knowledge of stimulus monies and packages that are available to us.

 

Today we'll explore options available, the potential for availability, and our direction forward that our members will agree, is invaluable. Let's face it, we talked about the “New Norm” and how our practices are experiencing unique and never before seen actionable occurrences, and Dr. Soin brings to light that we still can look forward to a better time. We are reminded of the usefulness of our mission, caring care for those suffering from pain, and its infirmities. I hope you enjoy this podcast, as Dr. Soin is a knowledgeable and forthright individual that is on track to be our organization's future President. Thank you Dr. Soin……

Dr. Kevin Pho of KevinMD.com reveals terrific insight and ideas on the “New Norm” after the COVID-19

Today's podcast is interesting as well as informative, with a very special guest. Dr Kevin Pho, a physician whom you may recognize as KevinMD.com, is sounding off about the “New Norm”. With the Covid-19 pandemic impact, and our current practice struggles, Dr. Pho reveals terrific insight and ideas on the idiosyncrasies of our current practice challenges. We discuss forward thoughts to our new professional world, and the rapidly changing way we approach our patients. Unfortunately, ASIPP rescheduled Dr. Pho as our keynote speaker at the canceled April  annual meeting, however, we look forward to seeing him at our annual meeting in September.

Dr. Pho is a physician entrepreneur, a social media expert, and has millions of page views monthly at KevinMD.com. Healthcare workers, and providers from all specialties, contribute value to his site, and ultimately to you, the reader. Remarkably, Dr. Pho not only has time to review blogger submissions, which are in the hundreds, but continues to practice internal medicine in New Hampshire. I hope you enjoy this podcast as much as I learned from our discussion. Come say hi to Dr. Pho at the annual meeting. He is approachable, and a terrific mentor for those that want to better understand social media, and the broad perspective of our new world. We’ll see you September in Dallas, and above all, stay safe.

Andrea Trescot, MD takes on the subject of Controlled Substance Management

Enter the Grand Dame of pain in our universe. Andrea Trescot, MD. She is fast becoming a Titan in our field. Dr. Trescot has begun her ascent, and there's no stopping her. Andrea and I have been friends for years, and her potential was recognized as unlimited years ago.  When you get a chance to talk to her(she's eminently approachable) have her talk to you about the time she worked at Walter Reed when Reagan came in after he was shot. She was one of the docs that took care of him. Sooooo, how about now. Take it fast forward to the pain management world and her renowned position in the World Institute of Pain and Pain School International, which she founded. Dr. Trescot travels the world educating physicians to fill the void where pain care is early in development, undoubtedly impacting thousands of patients. She comes home, and speaks at the ASIPP® Annual Meeting, where this was recorded. It has been my honor and privilege to be her friend, and I will consider her a mentor forever. She had this little project, we'll call it a hobby, that resulted in 900 pages of peripheral nerve knowledge put to words - "friends don't let friends write books". This work will be referenced for the next century.

In this podcast the versatile Dr. Trescot takes on the subject of controlled substance management. The opioid crisis as it really is. You think, "Will this ever end? Are we it? Did we do it?"  This is a perspective you need to hear. Think about it, we are doing the best we can for our patients with what we have, and the tools laid before us. Her lecture today is a fantastic explanation of how the "world according to me if you choose to ignore the facts" doesn't exist. She lays it out. It's very clear, and I believe that her understanding and intellectual expansiveness has taken us to a more comfortable position with controlled substances. Sound interesting? Take a listen. 

Oh, and by the way, some of the sound may be horrible on my end, this is another podcast in the car.

ASIPP® Pod August 2019 - Distinguished Pain Leaders Prunskis, Prunskis, and Helm Discuss Issues That Face IPM

In this podcast, we have three distinguished leaders in the field of pain medicine. John V. Prunskis, MD, FIPP and Terri Dallas-Prunskis, MD, both pain docs, are on ASIPP®Pod for the first time. Highly experienced, they have been figures in the Chicago area for years. I have known them as skilled colleagues, skied with them, and always have had a great time being around them. Standiford Helm II, MD, MBA, received the ASIPP®Lifetime Achievement Award this year, and I consider this the top of the professional ladder. I am honored to know him, and the other Lifetime Achievement Award winner, Andrea Trescot, MD. Andrea is a true leader in our specialty, and a most deserving recipient.

I have matured through my career with them all, watched the specialty grow- because of their contributions, our patients have benefited. This was a fun interview to sit down and talk CDC guidelines, the opioid crisis, amongst a number of contemporary issues that face us all. The practice of pain medicine, regenerative care, and where this specialty is headed was opined. This is a robust career choice. As Terry Kath (Chicago lead guitar) once said "Let's keep this party going!" Tanglewood 1970, YouTube.

Hope you enjoy this, and yes, I feel privileged to have shared time with them. And it's never enough time, never frequent enough, but let's take this podcast and enjoy it over and over.

Miles Day of Texas Tech Discusses Multiple Pain Management Topics

Miles Day, MD, DABA, FIPP, DABIPP, Treweek/ Racz Endowed Professor in Pain Research, Pain Management Fellowship Program Director, Department of Anesthesiology, Texas Tech University Health Sciences Center discusses pain management with Hans Hansen, Interventional Pain physician and the ASIPP Podcast producer. Dr. Day is internationally known throughout the pain community by face and name. He is the Program Director of the Pain Management Fellowship Program at one of the leading institutes for training and developing pain management as we know it. Dr. Day takes us through an interesting discussion about what it takes to be competent to sit for the Board Exam. Only 300 passed the test last year and can enter the world of pain management and be able to help those that suffer the most with painful conditions. It's an evolving field and keeping residents abreast of safe and effective techniques is daunting. Dr. Day also discusses where the pain management field is headed. Join us on this journey with Dr. Day and his perspective from one of the premiere pain management institutes in the world.