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Chronic Pain program ideas needed

This is a discussion on Chronic Pain program ideas needed within the Pain Management forums, part of the General Spine Discussion Forums category; Hi all, I have been a CP patient for 13 years, and a member of the SPS board for awhile ...

  1. #1
    klh
    klh is offline
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    Question Mark Chronic Pain program ideas needed

    Hi all,

    I have been a CP patient for 13 years, and a member of the SPS board for awhile now. I am hopefully scheduled for an ADR in February now.

    I work at a local community health center with 6 locations serving the under-insured and needy.

    As many of you know yourselves, getting adequate chronic pain care is difficult, costly, and often a big run-around. So imagine what it is like for those who can't afford it, have no insurance, or lost theirs with their job, etc ...

    Our community health center has been trying to start a chronic pain program to help the doctors care for CP patients they see. The docs are all primary care, and can't refer out since most private Pain docs won't see/take uninsured or indigent. So I am trying to find ways to fund a program for us, either through grants, or convince our CEO it is worth having someone dedicated to serving the CP population out of operating funds.

    Long story short, I am hoping for ideas anyone can think of on how to fund a CP program as part of Care Management, that I can take to my CEO and suggest. Cost, how to manage CP patients, goals, measurements that the programs works and can be measured, etc ...

    With $$$ so tight, funding is the toughest obstacle. Our pilot program uses the CP questionnaire, we mandate drug testing, and we check the NC Narcotic database. But I don't think we do enough for counseling and support. But that too takes money.

    If you have any good ideas, post, PM me, anything so CP patients with little funds or insurance can get the help they deserve.

    Ken
    • 1997 Injured back at work, diagnosed as bulging disc at L5-S1
    • Years of PT and different non-opioids
    • 04/2003 Herniated disc
    • Many epidural injections, facet injection, SI injection, no success
    • 10/2003 Nucleoplasty L5-S1 (failed)
    • Tried different opioids; now on oxycodone
    • 2005 Moved from NJ to NC
    • 2008 Volunteer at local community health center (love it!).
    • Hurt back again, found great ADR doc in NC, accepted into Freedom Disc clinical trial
    • Will have ADR end of Jan 2011

  2. #2
    Moderator KBear's Avatar
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    Default Re: Chronic Pain program ideas needed

    Ken that sounds awesome. I'll be thinking on this and let you know if I have any great ideas.
    31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

  3. #3
    Founder / Administrator Justin's Avatar
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    Default Re: Chronic Pain program ideas needed

    Hey Ken,

    I sent you a PM.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  4. #4
    klh
    klh is offline
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    Default Re: Chronic Pain program ideas needed

    Justin -

    I sent you one back

    Quote Originally Posted by Justin View Post
    Hey Ken,

    I sent you a PM.
    • 1997 Injured back at work, diagnosed as bulging disc at L5-S1
    • Years of PT and different non-opioids
    • 04/2003 Herniated disc
    • Many epidural injections, facet injection, SI injection, no success
    • 10/2003 Nucleoplasty L5-S1 (failed)
    • Tried different opioids; now on oxycodone
    • 2005 Moved from NJ to NC
    • 2008 Volunteer at local community health center (love it!).
    • Hurt back again, found great ADR doc in NC, accepted into Freedom Disc clinical trial
    • Will have ADR end of Jan 2011

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