I am attending in a conference in USA. todays' topics were mostly about evidence based medicine in pain medicine and the appropriate evidence. the new idea was the fact that RCTs (Randomised Control Trials) are not the only and the best evidence and we need to see if the interventions that we provide, would make people more active, more functional and could reduce the medication usage. As well the outcome studies are very important regarding the decisions for continue an intervention or not.
for Complex Regional Pain Syndrome, even though there is not enough evidence yet, selective nerve root stimulators are very promising.
I have seen over 100 people with OTN technology. Just one word can tell you about this technology: AMAZING. I sit behind my computer, remotely and safely connect to our EMR- Electronic Medical Record program in one monitor, and connect to different cities in Ontario in another monitor. At the end of one each hour, I move to another city, sometimes over 500 km away from each other and see the next patient. I saw a patient from Windsor at 0900 and another one from Sudbury at 1000. Then again at 1100 saw someone in Chatham. It is unbelievable. My speciality is one of the very unique one and people would travel long distances to talk to someone in my area of work, and now, they go to an office in their home town and would see me by OTN.
In January we celebrated out first year and many doctors who had never believed we could survive if we follow the rules and do not overcharge the patients, as almost all the other pain clinics in Ontario do, smiled and express their desire to join us. Already 5 new doctor added to our group, 3 of them are the big names in the Chronic Pain Programs in the Universities of Canada. I am so proud of our clinic.
Fortunately some of new doctors would like to work on Saturdays. I work one Saturday a month and together; we are able to provide services, in 3 Saturdays of the month.
Dr. Ramin Safakish, anesthesiologist and pain interventionist, is a full time pain interventionist in Allevio Pain Management.