Podcasts by SCOPE of Pain: Safe
Helpful discussions of challenges commonly faced by health care clinicians when prescribing opioids. Hosted by Dr. Daniel P. Alford, MD, MPH, Director of the Safe and Competent Opioid Prescribing Education program (SCOPE of Pain) at Boston University's Chobanian
Further podcasts by Dr. Daniel Alford, MD, MPH
Podcast on the topic Wissenschaft
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Ep #018: I Don't Want Addicted Patients in Our Practice from 2020-03-03T14:10
How do you educate your medical director about the importance and benefits of offering medications, such as buprenorphine for the treatment of patients with opioid use disorder?
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Ep #017: Opioids are Not Effective for Treating Chronic Pain from 2020-03-03T14:10
Your medical director states all patients on chronic opioid therapy should be tapered, as there's no evidence opioids are effective for chronic pain. What is the actual efficacy of opioids for chro...
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Ep #016: My Wife Overdosed on Her Fentanyl Patch! from 2020-03-03T14:10
How will you manage a patient's chronic pain and likely opioid use disorder after her opioid overdose?
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Ep #015: I Need Opioids for My Sprained Ankle from 2020-03-03T14:10
A patient with a twisted ankle requests a prescription for oxycodone. How will you respond to his request for opioids for his acute pain?
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Ep #014: Will Post-Surgery Opioids Make Me Addicted? from 2020-03-03T14:10
A patient is afraid receiving postoperative opioid analgesics will result in opioid addiction. How will you educate this patient about the risks and benefits of opioids for managing her postoperati...
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Ep #013: The CDC Guideline Requires All Patients to be Tapered from 2020-03-03T14:10
Your medical director states that over the next six months, all patients on opioids must be decreased below 90 morphine milligram equivalents as per the mandate of the CDC guideline. What does the ...
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Ep #012: The Anonymous Call–Your Patient Is Selling His Opioids from 2018-11-15T15:33:43
You get an anonymous phone call stating your patient, who you've been treating with chronic opioids for chronic pain for the past six months, is selling his opioids. How will you respond to this co...
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Ep #011: The Patient Overly-Focused on Opioid Therapy from 2018-10-19T09:33:44
A patient treated with long-term high-dose opioids for chronic pain insists on having her opioid dose increased to improve her pain management and refuses to consider adding other non-opioid medica...
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Ep #010: The Unsanctioned Opioid Dose Escalation from 2018-10-03T09:17:54
Your patient, who you've been treating with chronic opioids for chronic painful diabetic neuropathy for the past 11 months calls the on-call service asking for an early refill. She states her pain ...
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Ep #009: I Will Report Your for Patient Abandonment from 2018-08-24T10:16:35
When discussing tapering a patient's opioids due to lack of benefit and apparent harm, she continues to request a higher opioid dose. She states her pain is so severe she's unable to get out of bed...
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Ep #008: The New Patient on High-Dose Opioids from 2018-08-10T09:12:11
A new patient has been treated with high-dose opioids, extended-release morphine, (100 mg twice per day) for chronic back pain after multiple failed surgeries. His previous primary care physician r...
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Ep #007: Your Staff is Treating Me Like a Drug Addict from 2018-06-29T09:34:01
Your long-term patient who is stable on chronic low-dose opioids for chronic pain complains he feels the front desk and lab staff treat him like a heroin addict. How do you address this patient's c...
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Ep #006: Can You Give Me an Opioid Refill Until I Find a New Doctor? from 2018-06-15T09:19:53
When discussing tapering your patient's opioid due to lack of benefit, functional decline and apparent harm (she fell asleep while smoking), she angrily states, "I thought you trusted me. I thought...
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Ep #005: I'm Using Cannabis to Treat My Pain from 2018-06-01T09:50:56
Your patient, who has been stable on chronic low-dose opioids for chronic pain, discloses he started buying cannabis from his friend to treat his pain and help him sleep. What changes will you make...
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Ep #004: The Unexpected Urine Test–Negative for the Prescribed Opioid from 2018-05-18T09:25:45
Your patient, who has been stable on chronic, low-dose opioids for chronic pain for the past three years with excellent pain and functional improvements, has an unexpected urine drug test, which is...
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Ep #003: The Unexpected Urine Test–Positive for Cocaine from 2018-05-07T09:21:24
Your patient on chronic opioids for post-traumatic chronic knee pain for the past two years has achieved very good pain relief and excellent functional benefits, including working full time. At yes...
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Ep #002: You Treat Me Like a Drug Addict from 2018-04-23T09:18:07
When discussing the need for routine urine drug testing with your patient who is on chronic opioids for chronic back pain, she becomes visibly upset and asks, "Why are you treating me like a drug a...
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Introduction: Welcome to "SCOPE of Pain" from 2018-04-04T11:20
Dr. Daniel Alford–Professor of Medicine and course director for Boston University School of Medicine's SCOPE of Pain safer opioid prescribing program–shares more than 20 years' experience as a gene...
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Introduction: Welcome to "SCOPE of Pain" from 2018-04-04T11:20
Dr. Daniel Alford–Professor of Medicine and course director for Boston University Chobanian&Avedisian School of Medicine's SCOPE of Pain safer opioid prescribing program–shares more than 20 years' ...
Listen
Introduction: Welcome to "SCOPE of Pain" from 2018-04-04T11:20
Dr. Daniel Alford–Professor of Medicine and course director for Boston University School of Medicine's SCOPE of Pain safer opioid prescribing program–shares more than 20 years' experience as a gene...
Listen