Pain
- Breaking the pain contract: A better controlled-substance agreement for patients on chronic opioid therapy
Common limitations of current pain treatment “contracts,” and strategies to improve them.
- Gout and African Americans: Reducing disparities
African Americans are more likely to suffer from gout and are less likely to receive optimal treatment for it.
- The fifth vital sign: A complex story of politics and patient care
Times have changed, and the diffi culties and complexities of trying to help patients with ongoing pain have increased.
- Opioids for persistent pain in older adults
Legitimate need must be balanced against the risks, especially in older patients.
- Phrenic nerve paralysis induced by brachial plexus block
The patient developed shortness of breath 1 day after undergoing arthroscopic repair of a rotator cuff.
- Prescribing opioids in primary care: Safely starting, monitoring, and stopping
Prescription drug abuse has reached epidemic proportions. Some patients benefi t from opioids, but many suffer harm.