Amy Allen Case MD, FAAHPM

@AmyAcase

Chair Palliative Roswell Park researcher, mom of 5 girls, wife of novelist/poet❤️indie & jazz 🎶, Indian food, seek yin to my yang ☯️

East Aurora, NY
Vrijeme pridruživanja: veljača 2013.

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  1. 2. velj

    What do you recommend for course and question bank for MOC for boards?

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  2. 18. sij
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  4. We are studying palliative inoperable MBO! Our RR of 68 pts- “triple therapy” group of octreotide + reglan + dexamethasone had statistically sig, 9 x more likely deobstrucrion with no GI perf. Publication pending.

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  5. for Chronic Neuropathic Pain in Adults-Cochrane review-Cannabis achieved 50% or greater pain relief vs placebo; limited data on safety & adverse effects

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  6. for Intractable Chronic Pain: 2015 RR in 2015 of 51 Patients. Pain was reduced or abolished in 2/3 of patients; ketamine was effective for patients taking opioids & resulted in few adverse effects.

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  7. Rectal Enema of Bupivacaine in Cancer Patients With Tenesmus Pain -Administration of 100 mg bupivacaine as a rectal enema is safe and provides effective analgesia

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  8. Ketamine for Cancer Pain Review of Evidence: 4 RCTs of ketamine for opioid refractory cancer pain. None showed clinically relevant benefit in relieving pain or reducing opioid consumption.

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  10. Hospitalists were randomized half to receive EHR alerts for goals of care conversations, as well as communication coaching- improved readmission rate and reduced inpatient deaths

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  11. Characteristics of Physicians Who Prescribe Opioids for Chronic Pain- Most physicians had high levels of dissatisfaction. Physicians reported high awareness of opioid misuse & were concerned about inadequate prior training in pain management.

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    Courageous leadership is a practice. We have great free downloads and resources on our Dare to Lead hub. Stay brave, awkward, and kind.

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  13. I listen to people’s stories for a living.

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  14. Do you screen for testosterone deficiency in patients on long term opioids due to cancer pain, and how often?

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    3. svi 2019.

    Methadone as first line opioid for cancer pain results in lower dose and less need for opioid rotation

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    29. tra 2019.

    200 advanced cancer pts were referred to outpatient supp care a median of 10.3 months before death: 72% perceived that referral occurred "just in time," 21% "late" and 7% "early."83% found the referral useful, and 88% would recommend it to other patients

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    Time’s always moving on; nothing can stop it. We can’t change the past, but we can still learn from it. And we can shape the future, creating a more peaceful era, by adopting a realistic approach, recognising that the more compassionate you are, the more you’ll find inner peace.

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  19. RCT of ACP patient education videos for surgical oncology care-no change in ACP outcomes/communication. Evidence exists that robust palliative care programs affect outcomes; education alone has consistently fallen short.

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    10. tra 2019.

    What’s mean to YOU?? ... My April for !

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