Missouri PDMP Bill – Are we almost there yet?

According to the National Safety Council, Missouri’s legislature is again mired in debate over implementation of a proposed prescription drug monitoring program (PDMP). As a past Missouri native, this reluctance to implement a PDMP is distressing. PDMPs are databases designed to track prescribing and dispensing of controlled prescription drugs. [...]

2020-06-18T13:19:00-05:00February 14th, 2017|

Where is Case Management Going in 2017?

I have read multiple blogging prognosticators discussing their predictions for workers' compensation in 2017.  Some funny, some serious.  Just ask my husband, I always have to either have the last word or at least make sure my opinion is also included in any discussion.  So here goes with my [...]

2019-09-03T16:36:58-05:00January 13th, 2017|

Doctor’s Prescribing Habits linked to Drug Company Gifts

This study backs up ongoing concerns voiced regarding the practice of pharmaceutical reps providing gifts to physicians.  http://www.medscape.com/viewarticle/863304?nlid=105107_2981&src=wnl_dne_160517_mscpedit&uac=249582HK&impID=1099469&faf=1  Another very in-depth article on this http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811591/ How does this relate to the Opioid Epidemic?  Take a look at this article that details Purdue Pharma and their role in marketing Valium and Oxyconting: http://theweek.com/articles/541564/how-american-opiate-epidemic-started-by-pharmaceutical-company

2019-09-03T16:52:20-05:00May 17th, 2016|


TALKING TO PATIENTS ABOUT SENSITIVE TOPICS As the opioid epidemic and its aftermath continues to run its course, the federal government is beginning to take notice and more importantly, action.  At the National Prescription Drug Abuse and Heroin Summit last week in Atlanta a  surprise visitor, President Obama attended [...]

2016-04-06T08:45:12-05:00April 6th, 2016|

Does Nonmedical Abuse of Opioids Lead to Heroin Abuse?

  I have been doing some research for an upcoming presentation and for a research paper for an organization I recently joined.  Everything I have been reading lately points to concerns that decreased opioid prescribing will lead to an increase in heroin abuse.  I have shared this information in numerous talks [...]

2020-06-18T13:16:24-05:00February 17th, 2016|

New Direction – Part 3 Drum Roll Please: The medication with the Lowest NNT for acute pain?

I believe if we took a poll of doctors, nurses, claims professionals, employers, and injured workers most would state their belief that opioids are stronger than other pain medications (NSAIDs or acetaminophen). Several organizations have reviewed the comparative effectiveness of oral pain medications.  In part 2 of this series, I [...]

2019-09-03T17:11:24-05:00January 19th, 2016|
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