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Seth Acton

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Everything posted by Seth Acton

  1. Welcome to the forums! I cannot say but you may want to try posting this in our Office Practices subforum, you may get more responses: http://pcss.invisionzone.com/forum/11-office-practices/?do=add
  2. Welcome to the forms and thanks for telling us about yourself!
  3. If you click on the person's name you'll be able to send a message which begins a private threads. That's what I'd recommend!
  4. Thank you very much for sharing your story Dr. Tino and welcome to the PCSS Discussion Forums!
  5. Welcome to the PCSS Discussion Forums!
  6. This question was submitted through pcssNOW.org: I work with post operative surgical patients such as orthopedics. Recently I have come across several patients on Butrans and belbuca for chronic pain. I have been reviewing research and would like more understanding about these medications regarding post operative pain control. The problem I am seeing is prior to surgery the perioperative team and anesthesia will have the patient discontinue their belbuca or transderma buprenorphine. When they do this the patient seems to require more opioids like hydromorphone for pain control. I have als
  7. Welcome to the PCSS Discussion Forums!
  8. Welcome to the Forums, Lina!
  9. Welcome to the PCSS Forums, Dr. Bienstock!
  10. This question was submitted through pcssNOW.org: I have a 25yo patient treated for abdominal pain with 150 mcg fentanyl patches q72hrs? The pain has improved but he can't wean off the patches. Do I transition him to suboxone and if so; how in terms of timing and dosing?
  11. Welcome to the PCSS Discussion forums!
  12. This question was submitted through pcssNOW.org: For a patient with severe COPD in chronic pain, i think suboxone or other buprenorphine would be safest, and if the Butrans patch is not affordable, is there another regimen that could be tried, even is off label but accepteable in the state of SC. Can that example of what i could use, what starting dose, and what I can titrate to be illustrated?
  13. This question was posted on pcssNOW.org: Frail elder female suddenly self-stopped chronic use (200 mg/day for 9 years) of tramadol x 3 weeks ago. How long will withdrawal symptoms last? Still experiencing soaking cold sweats 3-4x/day, difficulty sitting still, anxiety, difficulty sleeping, difficulty voiding. Any safe suggestions to treat the sweats? Clonidine and Lucemyra have been discussed but not good options for patient. Very remote area here. thank you.
  14. Welcome to the PCSS Discussion Forums!
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