Shows
Pedia Pain FocusIs Physical Therapy the panacea of chronic pain?Have you ever had any of your patients say that they don't think physical therapy helps their pain? Or that the physical therapy made their pain worse? It would certainly not surprise me, if you said yes. And in that case, this is definitely is the episode you want to listen to carefully. And if your answer to my question was no, this is an episode for you too, my friend. Because sooner or later you too will join this elite club with rest of us. However, this episode will give you the framework and tools to c...2023-01-1253 min
Pedia Pain Focus#91. Mental Health and Pediatric Pain; Chicken or the Egg?Pain and mental illnesses coexist, often more than any of other illnesses. Both of them have a profound effect on a child's child’s quality of life, individually. Now imagine the magnitude of impact when they co-exist. In this episode, Dr. Anjana Kundu, with guest speaker Dr. Mirabelle Mattar, a child, and adolescent psychiatrist, discusses the intricate and dynamic relationship between pediatric pain and mental health, likely cause or affect and prognosis for a child with pain in the setting of mental health issues or vice-versa. They also discussed the factors which may predispose a child...2023-01-0342 min
Pedia Pain FocusCan We Prevent Pain from Becoming Chronic?Acute pain may be a protective and adaptive phenomenon, but chronic pain is nothing but damaging and a burden in every way possible and for all involved directly or indirectly. So how do we reduce or can we reduce burden? Join me in this episode to learn the factors that contribute to chronicity of pain and whether we can prevent it. Takeaways in This Episode Complexities of pain and its impact for the individuals and the society What differentiates acute from chronic pain and why that is important Various factors co...2022-01-2052 min
The Hurt By The Female Pain DocsPediatric Pain: More than Just Pain ManagementIn this episode, Dr. P talks to Dr. Anjana Kundu about pediatric pain. Dr. Kundu is a quadruple board certified physician with certifications in anesthesiology, pain medicine, pediatric anesthesiology and integrative medicine! As a pioneer in the field of pediatric pain medicine, Dr. Kundu has many words of advice for parents. Dr. P and Dr. Kundu discuss how pediatric pain can be treated via different approaches including integrative medicine. They discuss how pediatric pain can take an emotional toll on the patient as well as family members, however there are many ways to acknowledge and treat the pain.2021-12-1343 minPedia Pain FocusThe Pain of Being a RedheadDid you know that redheads can tolerate more spicy foods than those with dark hair? This is supported by biology and genetics. Ask any anesthesiologist or a dentist and they'll tell you - often with a sigh, I might add - that taking care of redhead is can be challenging! The issue of pain perception, tolerance, response to pain and response to different classes of medications is a complicated and murky one when it comes to people with natural red hair. Join me in this episode to learn about the evidence we...2021-12-0432 min
Pedia Pain FocusPharmacovigilance to Evaluate Efficacy and Net Clinical Benefit in Pediatric Pain MedicinePediatric pain management is fraught with reasons that make it feel like we are operating blindfolded. Many treatments are used without clear indications or evidence specifically in this population. What if you had a way to study what you do in pediatric pain management, while you do it, would you embrace it? In this episode, Dr. Drake Ross, a specialty pediatrician at Starship Children’s Health in Auckland, New Zealand with training in pediatric pain and palliative care, shares with us the features, goals and outcomes of their Rapid pharmacovigilance program, a multi institutional collaborative clin...2021-11-1651 minPedia Pain FocusShifting the Paradigm in Pediatric Pain MedicineHow is it that when 1 in 3 school age children reports chronic or recurrent pain, yet we fail to ensure that there is adequate help available for these children? That our system ensure at least basic level of pain medicine training for healthcare professionals? These are a few of the questions we discuss in this episode, but more importantly we talk about how we CAN make a difference from wherever we are today, rather than waiting for someone else to invoke change and for something else to happen first. This episode is about increasing awareness, believing and investing in...2021-11-0746 minPedia Pain FocusEssential Elements of a Successful Patient EncounterTime pressure in today's healthcare visits is a reality. Increasingly there is more emphasis on value and efficiency in clinical care delivery. Meanwhile changing factors in healthcare delivery with shorter visit times, increasing amounts of required documentation for compliance, and the perceived quality and time spent with your patient and their family have added to the challenges that physicians and healthcare professionals face daily. Though it may not be possible to have the luxury of more time to conduct thorough clinical care encounters necessary for complex conditions like pain, but some elements, if incorporated in ou...2021-10-2947 minPedia Pain FocusPain Amongst Children with Autism Spectrum DisorderHow does one reconcile the facts that DSM diagnostic criteria for Autism Spectrum Disorder includes pain insensitivity and a high pain threshold, while these children report that their clothes feel like sand paper and their fingers while shampooing feel like sharp metal? Join me in this episode to look at where the truth lies, with emerging evidence that helps us better understand the relationship between pain and ASD, what if anything is different about pain among children with ASD, and how we should approach pain issues amongst these children! Takeaways in This Episode...2021-10-2042 min
Pedia Pain FocusPost Concussive Headache and Symptom Management in ChildrenIn this episode, Blake Windsor, MD a pediatrician with a subspecialty in training for pediatric pain medicine, and a board certified headache specialist discusses post concussive headaches and unique challenges it poses. Headache is the most common post traumatic or post concussive symptom. Even when a child is given the appropriate care, in many cases we find that they still experience post-concussive pain long after we expect them to recover. He points that often there is much confusion and debate around what people refer to as Post-Concussive Syndrome, when in reality there seem to be somewhat arbitrary l...2021-10-1356 min
Pedia Pain FocusReengineering Pediatric Perioperative Care for Optimal OutcomesThis conversation with Marjorie Gloff, MD and Renee Robinson, DNP, APRN makes me convinced that the expression "Preparation is half the battle won" must have been coined with the idea of perioperative medicine and perioperative surgical home (PSH) in mind! They are the co-directors of the Center for Perioperative Medicine and Medicine in the Department of Anesthesiology and Perioperative Medicine at the University of Rochester School of Medicine and Dentistry. In this episode, they share how to desilo the care of pediatric patients especially around the perioperative period, how an informal conversation triggered a grassroots level effort w...2021-10-0651 min
Pedia Pain FocusChronic Pediatric Pain in 2021: US Pain Foundation ReportChronic pain is often overlooked, and when it comes to children, it is even more so. The continued neglect of children's pain affects the ability to truly evaluate the extent of the problem and challenges these kids and their families face. The United States Pain Foundation, a pain advocacy organization, conducted a survey to assess how children with a pain diagnosis and their families experience chronic pain, what challenges and barriers they face and what they hope for in their pain care. In this episode, I’m joined by Nicole Hemmenway, the cu...2021-09-2952 minPedia Pain FocusHow to Choose the Right Pain Treatments?Treatment of pain is challenging to say the least. For one it is difficult to understand the complexity of the pain experience. This episode explains the components of nociception and the pain experience. It also examines the targets for pain control and thus provides comprehensive framework for choosing the right analgesic treatments! Takeaways in This Episode Components of Nociception How a noxious injury becomes a pain impulse The pain perception pathways Interpretation of pain Modulation of pain Peripheral and central targets for pain control How various pain treatments work and at what levels 3 Unique fe...2021-09-2239 minPedia Pain FocusStop Treating Pain Like a Symptom!Pain isn't simply a symptom of another disease or a result of another noxious or traumatic event. It's an independent entity in itself in majority of the situations. It's time we stopped approaching it with the Cartesian model framework. Join me in this episode to learn about how and when a pain can be considered a symptom and when it needs to be treated like any other independent chronic diagnosis, and why that is important. Takeaways in This Episode The reason(s) I am even talking about this The biggest misconception about p...2021-09-1834 min
Pedia Pain FocusPain Amongst Neonates, Infants and Young ChildrenThere's no better way to kick off September as the Pain Awareness Month than bringing you a conversation with Dr. Kanwaljeet S. Anand, whose research took the medical world by storm, even risking his license, as he sought out to answer the question of; what if we give children anesthesia and analgesia? I truly believe that he is the reason why my career as a pediatric pain and palliative care physician exists today and serves as an available path for many healthcare professionals. In this episode, Dr. Anand, a professor of Pediatrics, Anesthesiology, Perioperative, and Pai...2021-09-091h 07
Pedia Pain FocusRemodeling Pediatric Pain Management in the Emergency RoomsWhen the gold standard for pain assessment is verbal report, children's pain assessment and management requires specific knowledge and understanding. Children at these important stages of growth create key memories-- and the last thing we need is a whole generation of children that associate getting medical attention with pain. Globally, when children come in to the emergency room, pain is a component of their presentation 50 to 80% of the time. As medical practitioners, prioritizing the critical elements of a child’s illness should be the main concern-- but we also must ease their pain and suffering rela...2021-09-0155 min
Pedia Pain FocusImpact of Pediatric Pain Rehabilitation Program Part 2Chronic pain in children can be a really serious condition and many of them may have a long journey to get where they need to be! Says Julia Wager, PhD, an accomplished pediatric pain psychologist and head of research department, at the German Paediatric Pain Center, Children's and Adolescents' Hospital Datteln, Germany. Join me for part 2 of my conversation with Dr. Wager to learn about the short and long term outcomes of intensive interdisciplinary pain rehabilitation program for pediatric chronic pain. She discussed their short term and longitudinal data (8 yea...2021-08-2541 min
Pedia Pain FocusImpact of Pediatric Pain Rehabilitation Program Part 1In society and healthcare, people understand that kids with cancer do suffer pain, but people did not understand that children without an obvious somatic condition could suffer pain that really need treatment; says Julia Wager, PhD, an accomplished pediatric pain psychologist and head of research department, at the German Paediatric Pain Center, Children's and Adolescents' Hospital Datteln, Germany. Join me in conversation with Dr. Wager to hear about the necessity and impact of intensive interdisciplinary pain rehabilitation program for pediatric chronic pain. This is a 2 part episodeIn this episode we discuss the...2021-08-1847 minPedia Pain FocusRole of the Gut-Brain Axis in Pediatric PainResearch in the past decade has demonstrated a complex, bidirectional communication between the central nervous system and the enteric nervous system; the Gut-Brain Axis (GBA). This knowledge has provided much more clarity on many of the chronic pain conditions which previously had been mislabeled, misdiagnosed and mismanaged for sure, often being relegated to the category of "in their head", like the Irritable Bowel Syndrome, Functional Abdominal Pain and many more! More importantly, it allows us to identify the underlying etiopathophysiology for these condition as well as the targets for treatments. The con...2021-08-1136 min
Pedia Pain FocusAsset or Liability? What you Need to Know about Herbs for Pediatric Pain ManagementDr. Dhanu Sant, an integrative pediatrician and trained herbal and plant medicine specialist returns to discuss herbs for pain management to stress management, to their role as adaptogens and beyond. She discusses safe use of herbs for a variety of health conditions but specifically for pain management, along with misconceptions, caution and . She has dedicated her work to learning more about plant medicine and herbs to enhance the quality of care that she's providing for her pediatric patients. She says - I was using a lot of diet and lifestyle remedies, and this fel...2021-08-0453 min
Pedia Pain FocusNutrition, Supplements and Pediatric PainAsk Ashley Koff, RD, what she recommends as a healthy diet. Her answer? It’s always personal. When it comes to pediatric pain management, nutrition is both challenging and essential for our patients. And the idea of nutrition can be overwhelming, and contradictory, for healthcare professionals as well. My guest, an award winning expert dietician, is also a master at taking big, complex and overwhelming concepts and turning them into simple, bite sized pieces that are easy to understand and put into practice. Nutritional advice has become a fact sheet based afterthought of our m...2021-07-2449 minPedia Pain FocusReal vs. Fake: The Look of Pain!What does pain look like? In today’s episode, I discuss different ways in which our biases and experiences can often overshadow the experience of the patient, impact clinician-patient encounters and the importance of context in every situation. Is there a specific look to pain? Have you ever wondered if a patient is exaggerating their pain? It is common for chronic pain sufferers to hear comments like, “But you look so normal, you can’t be in that much pain.” These comments can be especially detrimental coming from a physician. I also discuss...2021-07-2038 min
Pedia Pain FocusAcupuncture Rocks for Managing Pediatric Pain and Beyond with Clara Cohen!Dr. Clara Cohen experienced the magic of acupuncture from a young age when she was able to recover from scoliosis related pain as a child. She initially worked as a personal trainer, but felt a strong desire to help her clients in an even more impactful way. That’s when she discovered acupuncture. Now a doctorate of Traditional Chinese Medicine and in practice for 18 years, she offers the introduction to acupuncture as something that doesn't cure or treat anything! Her abundant passion for natural medicine and harnessing the body's healing ability drive...2021-07-131h 06
Pedia Pain FocusSmoothing the Wrinkles of Pediatric Migraine and BotoxWe all know of Botox use to reduce signs of aging. Approved in 2010 to treat migraines in adults, it’s now also being explored (as an off-label treatment) for management of pediatric migraines. In this episode, Dr. Shalini Shah, MD, MBA, the Vice-Chair for the Department of Anesthesiology & Perioperative Care and Enterprise Director of Pain Services at UC Irvine Health, shares their clinical and reseach findings, as well as the indications, caution, nuances, and protocol for use of botox in pediatric migraine. Her work on the effectiveness of Botox in pediatric patients experiencing migraines has been...2021-07-0737 min
Pedia Pain FocusChanging the Culture of Pediatric Pain at Institutional LevelPediatric pain has been left on the back burner for decades now-- where many clinicians 30 years ago thought that infants did not feel pain. With the progress made, both in pain management and technology, it’s about time that we call institutions to shift the culture, so we can work towards making pain visible-- so we can provide comfort to children patients that they desire and deserve. In this episode, I’ve brought back Dr. Neil Schechter, to discuss his endeavor, ChildKind International. This passion project of his aims to have an open-access library to serve...2021-06-2955 minPedia Pain FocusAdvances in Management of Sickle Cell Diseasepain is the most common and devastating symptom of Sickle Cell Disease. Despite the slow and elusive developement of therapeutic intervention in Sickle cell disease that would halt the vasocclusive crisis and the related pain, last few decades have brought about good progress with successful hemopoetic stem cell transplant as well as several therapeutic agents targeting various aspect of teh pathophysiliogy of SCD. In this episode, I review the 4 major targets in the pathophysiology of SCD and approved therapeutic interventions and agents as well as those that are further along clinical trial with very promising r...2021-06-2431 min
The Leadership Rx for Women PhysiciansLimiting Beliefs and Leadership - Dr. Anjana Kundu interviews Dr. Asha PadmanabhanWhen my dear friend and fellow podcaster Dr. Anjana Kundu asked me to talk about Leadership and Limiting Beliefs we as women physicians have, I was excited and thankful for the privilege to be on the other end of the microphone.This episode takes us through challenges women physicians face, not from external factors, but from within ourselves and the beliefs we have and hold close to our heart. Listen in as we discuss why it is important to recognize that our internal beliefs could be holding us back from achieving our full potential and h...2021-06-1733 min
Pedia Pain FocusYoga in Pain Management: A Powerful Tool for Physical and Mental Well-being!Yoga is much more than just a physical exercise. It's an ancient mind and body based practice that involves self-paced physical movement, meditation, and breathing techniques. Practicing Yoga can change your and your patient's life in ways you never imagined! An array of incredible benefits from yoga have become evident in healthcare, professional sports and our day-to-day lives promoting physical and mental well being. But how does it actually work? How does one heal through yoga? When is it appropriate to do yoga if you/your patient has pain? Join me in...2021-06-1651 min
Pedia Pain FocusPriorities in Pediatric Pain ManagementMany factors contribute to children's pain being under estimated, under-recognized and inadequately treated. Kathryn Birnie, PhD shares her work identifying the top priorities essential for improvement in pediatric pain management. Join me in this episode as she shares her patient-oriented research which includes them in priority setting and recognizing the areas where we need to focus on. Her work is grounded in empowering the disempowered; the pediatric pain patients and their caregivers, working alongside and in concert with the clinicians, making the small and big shifts in doing so especially when there is a power d...2021-06-0856 min
Pedia Pain FocusCreativity in Pediatric Pain ManagementDid you know that he pediatric pain patients rate feeling of isolation as the absolute worst thing, even above their pain? Georgia Weston, MSW, endured years of isolation as a teen, suffering through her chronic pain alone, feeling not being believed. Now, she’s the Executive Director of Creative Healing for Youth in Pain (CHYP), a nonprofit that helps youths suffering from chronic pain by focusing on creative healing experiences. We discuss her firsthand experiences with her own pain, her work as the director of CHYP and the simple steps healthcare providers can take that will make a...2021-06-0244 min
Pedia Pain FocusPrevention and Management of Procedural and Needle Pain and Anxiety Amongst ChildrenEvery child inevitably would experience pain in the course of their life, but if not addresses appropriately, these experiences can have long-lasting and detrimental effects which carry into adulthood. What's even more remarkable is that healthcare experiences including what we do as part of healthcare as professionals is often a significant part of what causes pain and anxiety for children. Efforts to minimize distress, discomfort, pain and related anxiety should be a priority in healthcare. What can healthcare professionals do to prevent, minimize, and ease a child’s fear, anxiety and pain over the medical procedures that they n...2021-05-2455 min
Pedia Pain FocusIntegrative Pediatric Pain Management with Dr. Lonnie ZeltzerChronic pain is the result of dynamic interactions between psychological, biological, and social factors. In this episode, Dr. Lonnie Zeltzer, a veteran and pioneer of the best practices in pediatric pain medicine talks about the approaches you can take in assessing and treating complex chronic pediatric pain issues to ensure best outcomes! Dr. Zeltzer has shared her decades of experience, research and wisdom in this episode. It's like getting a masterclass in all you want to know about taking acre of a pediatric pain patient. There are many barriers when it come...2021-05-1758 minPedia Pain FocusMetaphors for Better Pediatric Pain ManagementMetaphors have long been used to explain complicated and unfamiliar subjects. Use of metaphors, especially in pain management lends itself naturally to improved understanding, patient empowerment, treatment engagement and ultimately better outcomes. In this episode, I review the concept of metaphors in pediatric pain management, along with giving you several metaphors to get you started right away, on the road to efficient and effective pediatric pain management. Takeaways in This Episode What are metaphors and why they matter Who are the metaphors relevant to and who all should use them Why...2021-05-1136 min
Pedia Pain FocusGetting Out of Your Own Way to SuccessHave you ever judged yourself even before letting anyone else even have a glimpse at your capabilities? Or talked yourself out of something that later you've felt you could've or should have done. You're not alone! As you'll hear Asha Padmanabhan, MD, FASA discuss how even the most accomplished professionals create labels and barriers for their own progress, often unwillingly and subconsciously. More importantly, though, she walks you through how to recognize when we do that and how to turn those upside down and shake them out to reveal whether they are a reality or an assumed identity. She ta...2021-05-0444 min
Pedia Pain FocusInfluence of Sleep on Peri-operative Pain Among ChildrenDr. Jennifer Rabbitts, MD a Board certified pediatric anesthesiologist and prolific pain researcher studies pain and health outcomes including the influence of sleep and other factors on pain outcomes in the short and long term. Sleep and pain have a bidirectional relationship, but it appears that sleep has the upper hand determining the sensitivity, intensity and duration of pain. Sleep as an important pillar of health, exerts its influence in many domains and many ways. In this episode she discusses her findings on the salient ways in which sleep influences pain and other health outcomes...2021-04-2744 min
Pedia Pain Focus#59. The Power and Perils of Social Media for Healthcare ProfessionalsToday most of us conduct major chunks of our lives digitally and social media has now become a major tool for people to consume news, health information and even create community and connections. For us as physicians and Healthcare Professionals, this tool can connect us with peers from around the world to share information, collaborate, and make an impact, but it can also make or break our professional credibility, with or without our participation. Join me in conversation with Dr. Jay-Sheree Allen, MD, a practicing Family Medicine Physician and learn the ins and outs of social media e...2021-04-2052 min
Pedia Pain FocusERAS-Enhanced Recovery (but not just)After Surgery to Enhance the Entire Patient Care ExperienceThe highest goal in healthcare is to provide high-quality care, safe and effective care for our patients that facilitates the best possible outcomes be it after their surgery or any other part of their healthcare journey. Pain and its management is one of the top determinants of quality of care, speed of recovery and the patient/families satisfaction. Join me in this episode with Dr. Elizabeth Ross. MD as we talk about how ERAS (enhanced recovery after surgery) pathways have not just revolutionized the peri-oprative care of patients, but their pain and entire healthcare experience thro...2021-04-1346 min
Pedia Pain FocusCoaching for Healthcare Professionals: Fad or Necessity?Sink or swim or trial and error may be acceptable strategies in some situations, but they are hardly applicable when considering a much needed radical transformation in culture of health and wellness. Instead what we need to adopt is what many other fields have clearly relied upon for going from good to great; Coaching! Somehow coaching has been conspicuously missing from a field that is high stakes, high stress and also high yield. Physicians, and clinicians for that matter, are left to figure out everything all on their own once they finish their clinical training. In...2021-04-0743 min
Pedia Pain FocusMaking Pediatric Pain Visible, Matter, Understood and Better!Frequent does not mean trivial and simple does not mean easy! Says Dr. Chris Eccleston, PhD, director Center for Pain and Research at the University of Bath. A primary goal of medicine is to relieve pain and suffering. Sadly though, this is poorly achieved, especially when it comes to pediatric patients, despite ample evidence for the detrimental longitudinal effects of poorly managed pain in kids. Children’s pain should also be prioritized, yet why is is so hard to do that? How then do we make pediatric pain matter, visible, understood and better? In this epi...2021-03-2945 min
The Leadership Rx for Women PhysiciansFrom a tiny rural village in India to a successful physician leader and businesswoman - with Dr. Anjana Kundu-wbusiness“A leader is someone who dares to believe and not just believe, be able to have a vision and go there before anyone else has, even though it may involve risk”From a tiny village in rural India where most girls did not study past 5th grade, to building a successful career in Anesthesiology, a thriving business on the side and a podcast that has listeners in 28 countries, my guest Dr. Anjana Kundu, has come a very long way.Mother to a teenager, a runner, cyclist, foodie, gardening and yoga enthusiast who also...2021-03-2542 min
Pedia Pain FocusUnderstanding Pediatric Neuropathic PainNeuropathic pain, especially in children can be extremely challenging to recognize and treat. Dr. Alyssa Lebel MD, a dually trained pediatric neurologist and pain physician, provides a step by step explanation of neuropathic pain across the pediatric age groups and provides practical tools for how healthcare professionals can recognize and treat it effectively. Takeaways in This Episode Dr. Lebel's personal connection to and her journey into becoming a pediatric neurologist and pain physician The unique features of pediatric nervous system and neurocognitive development Features distinguishing pediatric neuropathic pain from that among the adults W...2021-03-2353 minPedia Pain FocusSchooling Kids During the COVID-19 Pandemic.COVID-19 led to closure of nearly all schools in the United States, affecting more than 55 million students. Efforts to continue children's education have been highly variable, ranging from remote learning, hybrid and modified in-person instructions. Return to school safely for children and staff is being implemented, again variably. Along with the safety concerns, there are significant concerns about the disruption to the learning process, mental health, nutrition and even safety. I'm in conversation with Dr Anita Gupta, DO, PharmD examining the challenges, risks and considerations in ensuring safe return to school of children nationwide. 2021-03-1643 minPedia Pain FocusAre You Making the Most of Your "Golden Half-Hour" With Your Pediatric Pain Patients?Dr. Neil Schechter, MD, shares what the patients and families report as the most important and helpful elements during their pain care visit and what they desire from clinicians. Additionally, he shares the practical tips to engage patients and families and how to effectively provide feedback during a pain evaluation even for the most complex patients. Takeaways in This Episode Dr. Neil Schechter's journey from developmental pediatrics to pediatric pain management. What parents of children with chronic pain report as the most important and helpful elements in their pain care visits Why t...2021-03-1058 minPedia Pain FocusManaging Pain in Pediatric Rare DiseasesRare diseases are...well rare, but pain and suffering associated with them is not! It requires early recognition or even preempting the pain inoder to prevent development of chronic an drefractory pain. In commemoration of the International Rare Diseases Day, I bring you an episode focused on promptly identifying and managing the pain associated with pediatric rare diseases and the challenges associated with that. Takeaways in This Episode Why we should talk about rare diseases. What makes a disease rare and what is an orphan disease Which rare diseases are commonly encountered a...2021-03-0332 min
Post-Call: Frontline Health Stories16. COVID-19 and Kids: Frontlines in OhioDr. Anjana Kundu is a pediatric anesthesiologist on the frontlines in Ohio managing patients with COVID-19. She has been an advocate in creating, growing and leading pediatric pain management and palliative care programs and has played key roles in founding and leading national organizations, including the Society for Pediatric Pain Medicine. Guests: Dr. Anjana Kundu, Pediatric Anesthesiologist, based in Ohio Host: Dr. Anita Gupta, https://anitagupta.com/aboutConnect on Twitter @DocAnitaGupta, YouTube, Spotify, Apple Podcasts Official Hashtag: #PostCallWebsite: https://www.thepostcall.com2021-03-0216 minPedia Pain FocusDigital Interventions for Self Management of Pediatric PainSince the COVID-19 pandemic, use of digital technology in healthcare has become commonplace, but Dr. Tonya Palermo, PhD has spent more than 2 decades researching and developing digital interventions for management of children's pain. In this episode she discusses the origin and development of her free app for self management of pediatric pain, WebMAP, its components, who its applicable for and how healthcare professionals can use it in their clinical practice to empower and equip their patients and families with self management strategies. Takeaways in This Episode How serendipity got Dr. Palermo on th...2021-02-2450 minPedia Pain FocusStepping Up Pain Care Efforts for the African American PatientsUp to 50 percent of medical professionals, like the lay people, believe there are biological differences between the Caucasian and African-American patients' bodies when it comes to pain perception. How much of that is truth and how much is myths and misconceptions is debunked in this episode. I also explore the factors contributing to the well documented disparities in assessment and management of pain amongst the African-American and black populations. More importantly, I recommend solutions at the individual and broader systems level to improve the pain care for these patients. Takeaways in This Episode2021-02-1643 min
The Comfort Ability PodcastPedia Pain Focus: Putting Pain Care Skills in Your Patients and Families' Hands (Ep 49 with Dr. Rachael Coakley)Dr. Anjana Kundu | 2/10/2021
Treatment interventions based in psychology form the mainstay of pain management, particularly for children's pain. Yet, these may not receive the due priority and/or many not be easily accessible for patients and families. Use of psychological based treatments for pain may inadvertently create stigma around the nature of the child's pain diagnosis, for patients, families and even the healthcare professionals who may not be familiar with pain management. The end result being, inadequate pain care, mistrust, and frustration for all involved.
Dr. Rachael Coakley, PhD. of the Boston Children's Hospital shares the role of...2021-02-121h 02Pedia Pain FocusPutting Pain Care Skills in Your Patients and Families' HandsTreatment interventions based in psychology form the mainstay of pain management, particularly for children's pain. Yet, these may not receive the due priority and/or many not be easily accessible for patients and families. Use of psychological based treatments for pain may inadvertently create stigma around the nature of the child's pain diagnosis, for patients, families and even the healthcare professionals who may not be familiar with pain management. The end result being, inadequate pain care, mistrust, and frustration for all involved. Dr. Rachael Coakley, PhD. of the Boston Children's Hospital shares the role of, challenges to a...2021-02-101h 02Pedia Pain FocusMaking Best Pain Care Everywhere Achievable.Appropriate and timely pain care, especially for children, is a necessity and every clinician's responsibility. Yet our training system fails to provide the clinicians with those necessary skills and tools. In this episode, Dr Tracy Harrison, MD from the Mayo Clinic, discusses the importance, knowhow of necessary skills and leaves you with practical skills you can put into practice right away! Takeaways in This Episode Dr. Harrison's interest and work in pediatric pain medicine Reasons for the discrepancy in pediatric pain care across institutions and geographical locations Implications and impact for pain care discrepancy...2021-02-0143 minPedia Pain FocusReliving or Relieving Children's Pain? Your Everyday Work Influences Pain Policies!For most clinicians thinking about policy conjures up images of legislative or regulatory work that goes on "over there", but the truth is that our daily work is the very foundation of the policies. How we conduct the business of our daily work drives the quality, safety, evidence and ultimately the policy and guidelines for appropriate pediatric pain care. Dr. Fiona Campbell, MD, FRCA, the co-chair of the Canadian Pain Task Force, shared her experience and advice around policy work to improve pediatric pain care. Takeaways in This Episode How Dr Fiona...2021-01-2745 minPedia Pain FocusWhy This is the Right Time to Hone Your Pediatric Pain Care Skills!Appropriate pain management is a key driver for both the patient's and healthcare professional's satisfaction. With the recent healthcare crisis and changes to how outcomes and patient satisfaction is evaluated, pain care skills have become paramount. Pediatric pain management impacts every healthcare professional's practice and IS everyone's responsibility. Yet pain care skills and pain education is sparse and inconsistent. In this episode we discuss the scope of pediatric pain issues, why it is important to address them and why and how each healthcare professional plays a key role in children's pain management and t...2021-01-2041 minPedia Pain FocusCommon Mistakes Healthcare Professionals Make Regarding Pediatric PainUndertreatment of children's pain is pervasive despite scientific advances, and national guidelines. Some of that is a result of common mistakes healthcare professional are making, often unknowingly. This episode explores the 5 of the most common and what I call the most nefarious but easy to address mistakes when dealing with pediatric pain management. Takeaways in This Episode A common challenge faced by most healthcare professionals A conceptual fallacy around pain How even acute presentation of pain may not simply be a symptom of another disease or cause and how that i...2021-01-1237 minPedia Pain FocusResounding Success in 2021: Set Sound Goals That Lead You to Inevitable Success!Most people start the new year with new resolutions, but 80% of them fail by February. That's not to say that one shouldn't cross the threshold into the next year with some goals and intentions. On the contrary, that is exactly what one must do. However, like intenstions, goals too fail if not considered carefully. In this episode, we provide a sound framework to help you not just set meaningful and effective goals, but also strategies to ensur ethat you knock them out of the park over the next 12 months. Takeaways in This...2021-01-0456 minPedia Pain FocusBest of 2020What an incredible year 2020 has been. We've seen the lowest of lows, "once in a life time" experiences and hardships. Yet there have been glimmers of positivity and progress all along and it seems to be concluding with the triumph of science and hope over a pandemic that had brought the world to its knees. Despite the challenges of this year, we have had amazing pediatric pain experts sharing their expertise here and it's been an incredible pleasure to compile some of the highlights from some of our most popular and episodes! Takeaways i...2020-12-2956 minPedia Pain FocusThere Are No Difficult Patients!With 15% of all healthcare encounters classified as "challenging", it is likely that you will or have already experienced one. It's easy to pin that on a "difficult" patient or family. Listen to find out why there's no such thing as "difficult" patients or families. Takeaways in This Episode Dr. Groves' classification for"Hateful" patients Why there are no difficult patients Contributing factors to challenging or difficult patient-clinician encounters Why root cause analysis is necessary to have a smooth patient care visit and positive outcomes Clinicians role in the challenging patient encounters How to effectively ma...2020-12-2248 minPedia Pain FocusManaging Disagreement and Misalignment of Opinions in Pediatric Pain CareDifferences in opinions can be real roadblocks in our patient's progress and reasons for Misalignment in pediatric pain care are manifold and multilayered. To address them effectively, we must be tactful, because opinions are often closely tied/rooted in with people’s emotions rather than objective information or knowledge. In this episode of Pedia Pain Focus, we explore what situations may lead to a difference of opinion between, patients/families and healthcare professionals or even between different HCPs involved in a patient's care, and how to address those situations. Take...2020-12-1637 minPedia Pain FocusOwning Your Role as a Physician Leader in Today's HealthcareAs influential citizens in society marked by our extensive medical education, we as pediatric pain physicians need to astutely assess the landscape of healthcare in the 21st century situation and adapt as professionals to embrace our true role and improve our service to our patients, institutions and the society. We can do this by first acknowledging the situation and taking it as it is-- The changing expectations from HCPs with evolving definition of efficiency and efficacy with evolution of technology, and of how we relate or communicate with each other. We must integrate and adapt to...2020-12-0750 minPedia Pain FocusLearning Health Systems to Improve Pediatric Pain OutcomesThe pandemic has forced the healthcare industry to leverage its resources in order to better adapt and combat the new challenges it has brought. This also inspired us in healthcare to take a closer look at how we can utilize the available technology more effectively and efficiently. In this episode, Dr. Rashmi Bhandari, PhD, a pediatric pain psychologist at Stanford University, shares the instrumental role of learning health systems for improved outcomes when treating children's pain. Dr. Bhandari believes that decisions about appropriate treatments are dependent on accurate data. She’ll talk...2020-12-0145 minPedia Pain FocusWhy Pediatric Pain Education is Failing and How to Fix it!Pediatric pain education and training is very limited and there are several barriers contributing to this failure, but there is one fatal flaw that has been long overlooked. In this episode Dr Anjana Kundu, MD, ABIHM, FAAP discusses the current state of pediatric pain medicine, specifically as it related to training, including one fatal flaw and how that can be addressed. Takeaways in this episode The multidimensional impact of pediatric pain. Current state of pediatric pain. Current state of training in pain medicine, especially in pediatric pain medicine. Barriers to training in p...2020-11-2341 minPedia Pain FocusWhat Authenticity in Healthcare Looks like!Authenticity is highly valued: On the whole, we don’t like or trust people who come across as phony and false. With major emphasis on patient and family centered care, Healthcare Professionals are asked to be "more relatable, approachable and more authentic", but is that really consistent with the definition of being authentic? Authenticity in healthcare has qualifiers and in this episode I dissect the anatomy of authenticity, examine what those qualifiers are and how you can differentiate effective from ineffective authenticity. Takeaways in This Episode Definition of authe...2020-11-1739 minPedia Pain FocusKids Are Not Small Adults: Need for Pediatric Pain CareHistorically children’s pain has been poorly understood and treated, replete with misconceptions that though improving, still persist. Children deserve to be tended to with proper treatment and care. In order for them to grow healthy, responsible and happy citizens of the world, they need to be in an environment that fosters growth, learning and protects them from unnecessary suffering and illness. Children are not small adults. In this episode, I’m joined with Dr. Finley, a pediatric anesthesiologist and pain physician, to discuss what’s unique about pediatric pain and why we can’t just treat children...2020-11-0945 minPedia Pain FocusManaging Pain in Children and Youth with Addiction and Substance Use Disorder Overdose related deaths have continually increased in the United States over the past 2 decades. Substance abuse and mental health disorders are the NUMBER ONE contributor to adverse health effects among young people. Though it is so prevalent its impact on children is rarely mentioned. The added complexities of pain management in the setting of substance abuse and addiction, require a clear understanding of the issue, due diligence and coordination of care. In this episode, we discuss substance abuse among youths, its prevention, treatment options, resources for clinicians, and management of pain in the setting of s...2020-11-021h 00Pedia Pain FocusWhy Investing in Pediatric Pain Management is the Cost-efficient Answer to a Public Health Crisis!“In 2030, there will be 21 million children who will be turning 18, and approximately half a million of those will have chronic disabling pain that will last, oftentimes throughout the majority of their adulthood.” This statement is quite alarming, and also shows how important it is to improve pediatric pain care services NOW or risk the future. We not only discuss this issue, but Dr. McClain also gives us a peek on how a HCP can leverage the needs and resources within their hospitals to continually work with the patients and its workforce to establish superior and fiscally responsible services. Wh...2020-10-2643 minPedia Pain FocusCritical Role of Primary Care in Pediatric Pain ManagementWhen a child with pain does not get timely or appropriate treatment, it makes pain more refractory to treat and often makes the patients and their families feel hopeless, underserved, or mistrusted by the healthcare system. Pediatricians as the first point of contact (and defense) for all healthcare, with trusted and longitudinal relationships with their patients and their families play a critical role in the success of treatment outcomes, and keeping them engaged and hopeful as they go through their treatment. As a pediatric pain specialist, I often see patients after pat...2020-10-1953 minPedia Pain FocusWhat's Unique About Managing Pediatric Pain During a Pandemic for Patients, Parents and Healthcare ProfessionalsIn these trying times, it is not uncommon to observe more emotional distresses, anxiety, depression, and grief from the inability to go out and engage with people. Given that, how can working with children around their pain be further improved? Not only in helping them in dealing with their physiological pain but also their psychological needs and distress? Sam Huestis PhD is a Pediatric Pain Psychologist specializing in chronic pediatric pain management, Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Biofeedback, Family Therapy, Group Therapy, and clinical research, in pediatrics. She is a Clinical Ass...2020-10-121h 04Pedia Pain FocusSpinal Analgesia for Babies: What's All That Fuss About?Dr Whitaker is a pediatric anesthesiologist at the University of Vermont Children’s Hospital and an Assistant Professor of Anesthesiology, Neurological Sciences, & Pediatrics at The University of Vermont College of Medicine. His clinical interests lie in the anesthetic care of neonates and in spinal anesthesia for neonates, infants, and children. His research is focused on developing optimal anesthesia care for neonates and infants and his current research interests include developing novel ways to monitor pediatric regional anesthesia. Today he shares how he got started with this practice, the groundwork established by his mentors, and the recent findings and...2020-10-0657 minPedia Pain FocusEnsuring Opioid Safety for Children and TeensWe may think we really know the pain we or our patients have, but the pain experience is complex and its treatment can be just as complex, not to mention risky. Understand and relieve children’s pain effectively and safely in today’s episode as we speak with Dr. Rita Agarwal, a Pediatric Anesthesiologist with an expertise with pediatric acute pain management, regional anesthesia, ambulatory anesthesia and opioid safety. She shares her in-depth knowledge about pain, the right treatment options and specifically how to navigate treatment when opioids medications are used. She stresses on how and...2020-09-2958 minPedia Pain FocusOpioid Stewardship: Responsible Pediatric Pain Care!With 5 million middle & high school teens in US reporting misuse/abuse of opioids, it is imperative to understand and address the contributing factors. In conversation with Dr. Benjamin Lee MD, MPH, we examine appropriate, effective, pain management, balanced with appropriate risk mitigation when it comes to pediatric pain. Dr. Lee is a board-certified pediatric anesthesiologist, pediatric pain and palliative care physician. He’s the Division Chief of Pain Medicine at Texas Children’s Hospital and Associate Professor of Anesthesiology at Baylor College of Medicine. A strong advocate for children's responsible pediatric pain management, he has done extensive work...2020-09-2151 minPedia Pain FocusThe Early Years in a Pediatric Pain Physician's LifeTraining in 3 different countries' medical systems and practicing across international borders, Dr. Deepa Kattail has a unique perspective on pediatric pain care and healthcare practices overall. She's a pediatric anesthesiologist, pain physician, fellowship director, assistant professor at McMaster University in Ontario, Canada and chairs the Communications Committee in the Society for Pediatric Pain Medicine (SPPM). Her unique experiences in various healthcare settings and her experiences and insights are a great resources for any clinician, but especially a pediatric pain professional. Takeaways in This Episode Unique aspects of training programs and healthcare practices in India, United States...2020-09-091h 01Pedia Pain FocusInterdisciplinary Pain Education is Necessary to Change the Face of Pediatric Pain ManagementIn this episode, Dr Rachel Zoffness, PhD discusses the role of scientifically supported, non-stigmatizing and interdisciplinary education in advancing the quality of pediatric pain medicine, for HCPs and patients. Dr. Zoffness is a health and pain psychologist on faculty at UCSF School of Medicine, runs educational program for the trainees at UCSF and a pain workshop for HCPs. She’s is the author of the Chronic Pain & Illness Workbook for Teens and has a successful clinical practice in pediatric pain medicine. She's a self proclaimed "nerd" with a passion for science and education, who wanted to live at...2020-08-2457 minPedia Pain FocusManage Memory, Manage Pain!Join me in this episode as we uncover the influence of memory and language in children's pain management with Dr. Melanie Noel, PhD! Dr. Melanie Noel is an Assistant Professor of Clinical Psychology at the University of Calgary, a Full Member of the Alberta Children's Hospital Research Institute (Behaviour and the Developing Brain Theme), and an Associate Member of the Mathison Centre for Mental Health Research and Education. Her expertise is in the area of children’s memories of pain and co-occurring mental health issues and pediatric chronic pain. She has published conceptual psychological models of...2020-08-1054 minPedia Pain FocusRole of Epigenetics in Chronic Post-Surgical PainSome children recover quickly from surgery while others may develop long lasting pain and disability. Research shows there are many factors that may play a role in how a child recovers from surgery, genetic or heritable factors being among those. Besides the gene structure, the response of these genes to other environmental and psychosocial factors may play a big role in the generation and propagation of pain. My guest's research examines what those factors are and how they may be affecting the behavior of the genes responsible for her patients' pain experiences. Find out what she discovered. ...2020-07-2755 minPedia Pain FocusCaring for Ehlers-Danlos Syndrome - Part 2The clinical presentation of EDS is quite varied, widespread and complex. Patients often have a widespread pain presentation or these are your "pain everywhere" patients. This is even more challenging when it comes to pediatric patients. In this part 2 of Caring for EDS, I speak with Dr Pradeep Chopra, a renowned expert in this condition, and explore the assessment and management techniques, the cautions, and how to improve the outcomes. Takeaways in This Episode Clinical picture of EDS patients and what a typical patient may look like. The unique aspect of growing pains in children with E...2020-07-1445 minPedia Pain FocusCaring for Ehlers-Danlos SyndromeThe clinical presentation of EDS is as varied, widespread and as complex. They may often present as pain "everywhere". This is even more challenging when it comes to pediatric patients. In this 2 part series on EDS, I speak with a renowned pain physician expert in this condition and explore the clinical features, assessment, diagnostic and therapeutic dilemmas and how to address them. Takeaways in This Episode What makes this condition and these patient so complex. Reasons these patients may respond differently than other pain patients even with similar pain symptoms and similar medications and w...2020-07-0747 minPedia Pain FocusMelatonin: Potion of the Goddess or Just a Hype?Melatonin use for sleep issues is widespread among all ages despite a lack of recommendation for insomnia by the expert guidelines. Increased stress levels and disrupted routines in the current environment, has many more people turning to melatonin for respite with sleep problems. This episode explores what melatonin is or is not, when and how it should be taken and what caution, if any, is needed wit its use, especially as it relates to children. Also discussed are the controversies around its use for certain indications, its quality, regulatory issues and how one can ensure getting the r...2020-06-2231 minPedia Pain FocusHow to Counsel Your Patients on Off-Label Medication UseDoctors and other professionals with prescriptive authority can prescribe any medications they deem appropriate for the treatment of their patient's condition, but the liability risk may be weighing on their minds, in the event of adverse outcomes related to use of off label medications. Meanwhile, a vast majority of medications used for pediatric pain have not specifically been labeled for use for that particular indication, age group or dosage. This episode explores the implications of off-label medication use and how to appropriately counsel your patients when using off label medications. Takeaways in This Episode: What constitutes of...2020-06-0237 minPedia Pain FocusYou may be perpetuating your patients pain instead of treating it!Guest, Ms. Laura Wieck of BodyMind Coaching shares some mind shifts and practical skills to engage, empower and build trust amongst your patients and families to enhance their pain management and wellness. Takeaways in This Episode Impact of your words and how you talk to your patients and the resultant neurocognitive changes in your patients' brain. What is the "opposite pain scale" and how you can use it for your patients. How you could unconsciously be perpetuating pain instead of treating it. What chronic stress might be signaling and how to use it to o...2020-05-1855 minPedia Pain FocusAdapting to virtual pain care during COVID-19 pandemic and beyondNothing accelerates growth more rapidly than adversity and necessity. The coronavirus pandemic has proved to be a catalyst for rapid adoption of virtual visits in healthcare, bringing some challenges with this rapid change. So we take a look at these issues and explore some strategies for HCPs to adapt to the virtual pain care visits and support their patients during the pandemic and beyond. Takeaways in This Episode Impact of COVID-19 pandemic on pediatric pain care and elective procedures. Leveraging technology to promote self management for your pediatric pain patients. Telemedicine for virtual clinic visits. Selecting...2020-05-0538 minPedia Pain FocusStorytelling in Pediatric Pain Medicine Part 2Narrative Medicine or art of storytelling in healthcare is a unique but essential skill in improving healthcare outcomes. Continuing my conversation with Ms. Beth Turner about the transformative power of storytelling in pediatric pain care. Takeaways in This Episode Particular words and phrases, directives relevant to storytelling/narrative medicine in pediatric pain. Guiding a patient to be a hero in their own story. Empowering and giving hope even when the exact diagnosis or treatment may be unclear. "Closing the gap" when patient and HCP narratives do not align. Role of trauma in pain management. Role of b...2020-04-2031 minPedia Pain FocusCultivating Resilience in Times of Stress and TraumaThis episode uncovers the unique factors which predispose healthcare professionals to an increased risk for trauma and stress during COVID-19 pandemic, early signs of stress & trauma and provides a framework and a toolkit for effectively managing this stress and cultivating resilience. Takeaways in This Episode Reasons why healthcare professionals are at increased risk of trauma and stress during COVID-19 pandemic. The subtle (or not so subtle) signs of trauma and stress. Ways to effectively and proactively manage trauma and stress and foster resilience. Why it is important to manage stress and trauma. A resilience & self-care toolkit, a...2020-04-1334 minPedia Pain FocusStorytelling in Pediatric Pain MedicineStorytelling is a powerful tool in healthcare especially for pain management and children with their such imaginations are perfect partners for this. This is a healthcare professionals' personal guide to incorporating the art of storytelling in caring of their patients, their teams, loved ones and themselves! Takeaways in This Episode: Impact of Storytelling in our lives and in our practice. Storytelling as a way of being, a relationship to ourselves and to those we influence or interact with. Incorporating the narrative medicine/storytelling elements in your practice without additional burden. 2020-04-0644 minPedia Pain FocusQuality Improvement in Healthcare SimplifiedUnderstanding and proper utilization of QI in healthcare is essential for improved efficiency, safety, patient outcomes and ultimately satisfaction in a clinician's practice, but it can seem like a monumental task. Dr. Thomas Taghon demystifies the concepts of QI and shares how each of us can make it a routine part of our clinical care, that actually works FOR you! Takeaways In This Episode: The 6 dimensions of QI and what elements have particularly higher relevance in pain care How you can standardize care where evidence base does not exist What considerations...2019-04-2448 minPedia Pain FocusBecome a more accomplished clinician through volunteerismBenefits of volunteerism for personal and professional growth are irrefutable. However for a busy clinician finding time and/or resources to create sustainable models of volunteer activities, can be challenging. Dr. Aseem Shukla discusses the challenges, opportunities, unique factors and considerations that led to the success of an international volunteer surgical collaborative, now serving as a prototype globally. Takeaways in This Episode: The unique advantage of health care professionals when it comes to volunteering Factors contributing to the success of volunteer medical work: considerations for organic and local environmental factors, and logistics. ...2019-04-101h 01Pedia Pain Focus"There's an app for that": Pediatric pain and m-healthThere's no doubt that mobile health and apps have revolutionized how we live our lives, from our day to day activities, to conducting business, travel and even our health and fitness. Dr. Jennifer Stinson from Hospital for Sick Kids, Toronto, creator of the Pain Squad app talks about how m-health can positively impact pediatric pain care, sharing her own experience developing, researching and using this and other relevant apps with children affected by pain. If you enjoyed this episode and it inspired you in some way, I'd love to hear about it and know your biggest takeaway, or...2018-12-1841 min
Pedia Pain FocusMaster Your Sickle Cell Pain Care SkillsNothing sums up the challenges of sickle cell pain better than what our guest, Dr. Zempsky, quotes in the interview, "like having a thousand heart attacks". Anyone who's been involved in taking care of a sickle cell patient in pain, knows that this expression can easily describe the experience of patients and healthcare providers alike! Todays episode is focused on understanding the nature of pain in sickle cell disease, simplifying and improving the care of these patients, resulting in better outcomes. Takeaways in This Episode: The most common types of pain presentations in Sickle cell patients and...2018-10-3046 minPedia Pain FocusSkyrocket Your Productivity and Satisfaction ScoresIn this episode, our guest Peter Shankman, an entrepreneur and major influencer, shares his expertise, tips and hacks on skyrocketing your productivity “getting hours back in your day”, customer satisfaction, and using the power of being neuroatypical to your advantage. Takeaways In This Episode: How growth within our company highlighted the relevance of this topic even more The elements of Strategic Listening, why it is relevant in medicine, how we tend to listen wrong, and how we can change that What “Hippie-Dippie” sounding concept makes all the difference in the qual...2018-10-0845 minPedia Pain FocusDisparities in Pediatric Pain CareThis episode delves into various factors that contribute to disparities in pediatric pain medicine. Discover: Differences in pain care practices between developed and developing countries Differences in pain experiences of racial minority patients Factors contributing to disparities in pediatric pain System level drivers of differences in pain experiences Why asking parents to advocate for their children's pain may not be an effective approach to better pain care (Hint: It has much to do with assumptions, instead we need to ask better questions) What their research findings reveal...2018-08-2742 minPedia Pain FocusEthics in the Era of Opioid Epidemic and Marijuana LegalizationThe obvious benefits of a strong, healthy partnership with patients and families in pediatric pain care are undeniable. But, in a time when a clinician may be held responsible for everything, criminal negligence, or child abuse related to undertreatment of pain or contributing to prescription drug abuse because they treated their patients' pain with medication, a better understanding of the fine and murky line of a clinician's ethical obligations becomes essential. Dr Douglas Diekema sheds light on the ethical concepts and guidelines for clinicians to effectively navigate these issues providing best possible care for their pediatric patients. Tak...2018-06-2545 minPedia Pain FocusWhat Pain Patients Want More Than Any Scripts or TestsIf you have ever found yourself wondering about the gap between what you said and what your patient or families heard, you would not want to miss this episode, with great insights from Ms. Pamela Block, a mother to a child chronic pain and CEO of a community for patients and families with a rare complex condition. She shares her own contrasting experiences with complex medical care for her daughter, including pain and leaving us with terrific little tweaks that will augment our quality of clinical care and outcomes. Takeaways From This Episode What made her j...2018-06-0444 minPedia Pain FocusCreating Successful Outcomes for Even Refractory DiagnosesThis episode is all about creating winning strategies in healthcare and pain management when faced with rare, refractory and poorly understood diagnoses, that may not have any great treatment options. Story shared by the parents of my then 4 y/o patient with a rare and extremely painful condition, Erythromelalgia, highlights some of the elements that returned normalcy into their child's life despite this life long condition. Takeaways in This Episode How parents' early insights help with prompt and accurate diagnosis How to proceed when little is known about a disease What pa...2018-05-1547 minPedia Pain FocusMaking the Digital Tethers Your StrengthWe continue our series on technological innovations designed to enhance the way we provide clinical care, deliver and receive information and education to and from our patients and families, leading to increased engagement, compliance and ownership by them. Today we talk to Rachel Trobman, Founder and CEO of OUCHIE an online platform for tracking and effectively managing chronic pain using multimodal treatments. Takeaways From This Episode How a FREE online platform is used for tracking pain, mood, function etc., how it’s used for education, pain management and creation of community for chronic pain patients. H...2018-05-0143 minPedia Pain FocusSafety with Controlled Substance PrescriptionsThis brief bonus episode is packed with tips for safe prescribing, storage and disposal of opioids, and other controlled substances with misuse potential. DEA National Prescription Take Back Day CDC Guidelines for prescribing Opioids FDA Information on Opioids2018-04-2816 minPedia Pain FocusKeeping up with today:The Media, Clinicians and Pediatric Pain CareIn this episode Dr. Christine Chambers a prolific researcher, clinician, and academician, delves into the issues healthcare providers face with Social Media and online information, how they can effectively use SM for knowledge translation, and effective clinical partnerships. Takeaways in This Episode: How a 2.5 minute video revolutionized the way Knowledge sharing and translation occurs in medicine What 3 factors led to development of this revolutionary work and how this paves the way for future knowledge sharing with patients and families Unanticipated challenges in putting her ideas into practice and how she found an effective solution to create...2018-04-1741 minPedia Pain FocusImproving Access to Pediatric Pain Care via TelemedicineLimited access to pain care, especially in remote and rural areas, is no surprise and when it comes to pediatric pain care, it’s even more sporadic. My today’s guest, Ardith Doorenbos, MSN, PhD, shares her extensive work using Telemedicine for education, research and clinical care. Also included is your FREE Guide to Setting up Telemedicine Services. Takeaways from this episode What made her invested in Telemedicine What are some of the expected and unexpected outcomes (cherry on top) and efficiencies of Telemedicine delivered pain care (Hint: it’s way more than just solving the access...2018-04-0240 minPedia Pain Focus3 areas every healthcare provider can influence to improve children's pain careWith millions of children facing surgery related pain and another 40% of children dealing with chronic pain, learn what 3 pillars determine the quality of their pain care, what factors have major influence on these areas, and what considerations by healthcare providers, administrators and agencies can improve the future of pediatric pain care. Takeaways from this episode Major barriers to effective pain care of children’s pain Common myths and misconceptions about children’s pain IASP recommendations on wait times and how well we score on that benchmark for pediatric pain Contributing factors to the barriers to pediatric pain...2018-03-1439 min
Pedia Pain FocusPediatric Pain: A team sport in need of transformationThis inaugural episode of Pedia Pain Focus, discusses what fueled its creation, the core beliefs and philosophy driving enhanced pediatric pain care, the current status of pediatric pain medicine, need for transformative action, and as a healthcare provider who cares for any child faced with pain issues, why and how this podcast is going to aide provision of superior care of your patients.2018-02-2233 min