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The Curbsiders Internal Medicine Podcast

#14: Treat chronic pain in the eldery...Use more opioids?!

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.83.1K Ratings

🗓️ 26 September 2016

⏱️ 45 minutes

🧾️ Download transcript

Summary

Learn to treat non cancer pain in the elderly. Managing persistent pain in the elderly can be...painful. On this episode Matt and Paul interview Dr. Marissa Galicia-Castillo, a Professor of Geriatrics from Eastern Virginia Medical School board certified in Internal Medicine, Geriatrics, Hospice/Palliative Medicine. Are we being too stingy with opioid prescriptions? How do you assess and treat pain in patients with advanced dementia? We’ve got your answers.

Transcript

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0:00.0

Hello and welcome back to the Curb Siders Internal Medicine Podcast.

0:19.2

The podcast that uses expert interviews to bring you clinical pearls and practice changing

0:23.8

knowledge.

0:24.8

I'm Dr. Matthew Wato, here with my co-host, Dr. Paul Williams, hello Paul.

0:29.9

Hello, Matt.

0:31.9

Thank you for joining me again.

0:34.9

I want to thank you as always for having me.

0:37.8

And tonight we will be talking with Dr. Marisa Galicia Castillo, which I'll only say

0:47.4

once because it's a tough name for me to pronounce.

0:51.6

And we'll be talking with her about persistent pain syndromes, whether it's arthritis or

0:57.1

neuropathic pain.

0:59.1

Paul, I know you see a lot of this in your practice like I do.

1:02.3

Oh, yeah, Tom, I feel it's dominated most of my day.

1:06.7

And like me, you cure almost everybody, I imagine?

1:09.9

I've never had a patient come back with me after I see them the first time, so they all

1:14.6

do extraordinarily well, just with Tylenol, it's fairly astonishing.

1:17.8

I guess I've just been lucky.

1:19.9

That is totally believable to me.

1:23.0

I have no reason to question what you say.

1:26.9

Okay, I'm just here for moral support.

1:28.8

I don't expect to get a whole lot out of this.

1:30.8

So I hope you have some questions.

...

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