By Dr. Anjana Kundu
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The podcast currently has 92 episodes available.
Have you ever had any of your patients say that they don't think physical therapy helps their pain? Or that the physical therapy made their pain worse?
It would certainly not surprise me, if you said yes. And in that case, this is definitely is the episode you want to listen to carefully. And if your answer to my question was no, this is an episode for you too, my friend. Because sooner or later you too will join this elite club with rest of us. However, this episode will give you the framework and tools to change that in your practice. Learn it from our guest who magically rehabilitates patients debilitated by pain .
Kathleen Lynch, DPT joins us to share how she motivates her patients to do physical therapy and be fully engaged with it. She also shares strategies and tools that can be used in assessing patients if they are in need of physical therapy. Kathleen’s goal is to discharge physiotherapist patients to self care by educating more healthcare professionals and patients.
Worry no more about patients who do not go to their physical therapy session, as you will learn so much from Kathleen that will make your patients fully engaged. Listen now!
Takeaways In This Episode:
Links
Clinicians Pain Evaluation Toolkit
Proactive Pain Solutions Physicians Academy
About the Guest Speaker:
Kathleen Lynch, DPT
Kathleen Lynch completed her Master's of Science in Physiotherapy in 2009 at the Dalhousie University and her Bachelors of Arts with Honors at McGill University in 2005. She's fluently bilingual both in French and English and has worked in a variety of pediatric environments including acute care, rehabilitation settings, school and home based settings. She's a physiotherapist at the Thames Valley Children's Center and Children's Hospital (TVCC) at London Health Science Centre
Kathleen is a doctor specialized in physical treatment of children to help reduce pain, restore mobility, rehabilitate an injury, or increase movement and overall function. As a physical therapist, Dr. Lynch can treat multiple conditions with exercises, ultrasound, electrical stimulation, joint mobilization, heat, ice, massage, laser or light therapy and more. Dr. Lynch will create a treatment plan based on the child's specific injury, disease or condition, and might target a specific body part or body system based on the individual.
She is also the pediatric lead in the Ontario chronic pain network as Operations Manager for the executive committee representing all the publicly funded chronic pain programs in Ontario, Canada.
Pedia Pain Focus Podcast is hosted by Dr. Anjana Kundu, it's the 1st podcast dedicated to pediatric pain, providing education and tools for all healthcare professionals dealing with children's pain issues. If you're a pediatric healthcare provider, this one's for YOU! The podcast brings you renowned experts from the field of pediatric pain, healthcare technology and business, policy makers, healthcare advocates and more to share their innovations, expertise, and experience in the field.
Pain and mental illnesses coexist, often more than any of other illnesses. Both of them have a profound effect on a child's child’s quality of life, individually. Now imagine the magnitude of impact when they co-exist.
In this episode, Dr. Anjana Kundu, with guest speaker Dr. Mirabelle Mattar, a child, and adolescent psychiatrist, discusses the intricate and dynamic relationship between pediatric pain and mental health, likely cause or affect and prognosis for a child with pain in the setting of mental health issues or vice-versa. They also discussed the factors which may predispose a child to a higher risk of chronic pain and mental problems, role of trauma, PTSD and other adverse events on pediatric pain.
Takeaways In This Episode:
Links
Mirabelle Mattar, MD
Clinicians’ Pain Evaluation Toolkit
Proactive Pain Solutions
About the Guest Speaker
Mirabelle Mattar, MD
Acute pain may be a protective and adaptive phenomenon, but chronic pain is nothing but damaging and a burden in every way possible and for all involved directly or indirectly. So how do we reduce or can we reduce burden?
Join me in this episode to learn the factors that contribute to chronicity of pain and whether we can prevent it.
Takeaways in This Episode
Links
Other Related and Helpful Episode to Listen to:
Episode #80. Stop treating pain like a symptom.
Episode #10. Disparities in pediatric pain
Episode #50. Stepping up pain care efforts for African American patients
Episode# 85. Pain amongst children with Autism Spectrum Disorder
Episodes #76 and #77. Impact of pediatric pain rehabilitation program Part 1 and 2.
Episode # 27. Interdisciplinary pain education is necessary to change the face of pediatric pain management.
Episode #60. Influence of sleep on peri-operative pain among children.
Episode #25. Role of epigenetics in chronic post surgical pain
Episode #89. The pain of being a Redhead
Proactive Pain Solutions
Did you know that redheads can tolerate more spicy foods than those with dark hair?
This is supported by biology and genetics.
Ask any anesthesiologist or a dentist and they'll tell you - often with a sigh, I might add - that taking care of redhead is can be challenging!
The issue of pain perception, tolerance, response to pain and response to different classes of medications is a complicated and murky one when it comes to people with natural red hair.
Join me in this episode to learn about the evidence we have for complexity of pain and its management in redheads, recent emerging evidence that explains why and more importantly how to effectively navigate this complexity, ensuring safe and effective care of these patients.
Takeaways in This Episode
Links
Proactive Pain Solutions
Other Helpful Episodes on Opioid Safety
Episode#30 . Ensuring Opioid Safety for Children and Teens with Rita Agarwal, MD
Episode# 29. Opioid Stewardship: Responsible Pediatric Pain Care! with Benjamin Lee, MD
Proactive Pain Solutions Physicians Academy
Clinicians Pain Evaluation Toolkit
Pediatric pain management is fraught with reasons that make it feel like we are operating blindfolded. Many treatments are used without clear indications or evidence specifically in this population. What if you had a way to study what you do in pediatric pain management, while you do it, would you embrace it?
In this episode, Dr. Drake Ross, a specialty pediatrician at Starship Children’s Health in Auckland, New Zealand with training in pediatric pain and palliative care, shares with us the features, goals and outcomes of their Rapid pharmacovigilance program, a multi institutional collaborative clinical research endeavor. This program provides real-time evaluation of net clinical benefit of what we do in our day to day clinical practice, while we do it!
Takeaways In This Episode
Links
Ross Drake, MB ChB, FRACP, FAChPM, FFPMANZCA
Rapid Program
Get involved with Rapid program
Alternate Contact
Attend the International Symposium on Pediatric Pain 2022
Clinicians’ Pain Evaluation Toolkit
Proactive Pain Solutions
About the Guest:
Ross Drake, MB ChB, FRACP, FAChPM, FFPMANZCA
Dr. Drake is a Pediatrician who specializes in Pain Medicine and Palliative Care for children having gained fellowships in Paediatrics, Palliative Medicine and Pain Medicine after he completed specialist training at Great Ormond Street Hospital in London and The Children’s Hospital at Westmead in Sydney.
Ross is Clinical Lead of the Paediatric Palliative Care and Complex Pain Services at Starship Children’s Hospital; both being the only specialist services of their type in New Zealand. Amongst his clinical duties he strives to improve the recognition and support of children/tamariki & young adults/rangitahi and their families/whānau requiring palliative care and the management of chronic pain. He remains very involved in developing a national approach to both disciplines and works to improve resourcing to enable equitable access and service delivery for all New Zealand children in need.
Dr Drake also regularly presents and teaches on various topics in children’s pain medicine and palliative care. More recently, he has been involved with establishing an international pharmacovigilance research collaborative (The RAPID Program) looking at the effectiveness and adverse effects of medications and other interventions commonly used in palliative care and pain management.
How is it that when 1 in 3 school age children reports chronic or recurrent pain, yet we fail to ensure that there is adequate help available for these children? That our system ensure at least basic level of pain medicine training for healthcare professionals?
These are a few of the questions we discuss in this episode, but more importantly we talk about how we CAN make a difference from wherever we are today, rather than waiting for someone else to invoke change and for something else to happen first. This episode is about increasing awareness, believing and investing in yourself. This is about taking charge and making the change rather than waiting for change to happen!
Believing and investing in yourself is the best way to shift your thinking from a paradigm of excuses to one of solutions.
It's time to shift the paradigm in pediatric pain medicine and it all starts with awareness, knowledge and priority!
Join me in this episode as Dr. Asha Padmanabhan, MD FASA sits me down in the guest seat in this episode of my own podcast, and I share the state of pediatric pain medicine. We discuss the challenges, barriers and way forward to evoke change. It's not just a theoretical concept, but how I have lived and by example to evolve with and be the change.
Takeaways in This Episode
Links
Proactive Pain Solutions
Proactive Pain Solutions Academy
Clinicians' Pain Evaluation Toolkit
Asha Padmanabhan, MD FASA
Listen to these other helpful episodes -
Episode #61. Getting out of your own way to success with Dr. Asha Padmanabhan
Episode #1. Pediatric Pain: A team sport in need of transformation
Episode #2. Three areas every healthcare provider can influence to improve children's pain care
Time pressure in today's healthcare visits is a reality. Increasingly there is more emphasis on value and efficiency in clinical care delivery. Meanwhile changing factors in healthcare delivery with shorter visit times, increasing amounts of required documentation for compliance, and the perceived quality and time spent with your patient and their family have added to the challenges that physicians and healthcare professionals face daily.
Though it may not be possible to have the luxury of more time to conduct thorough clinical care encounters necessary for complex conditions like pain, but some elements, if incorporated in our daily clinical work can most definitely lead to safe, smooth, and efficient healthcare encounters with improved outcomes and increased satisfaction for both patients and healthcare professionals.
Join me in this episode to discover these essential elements which will help you shine in the quality of your encounters with your patients.
Takeaways in This Episode
Links
Other recommended and helpful episodes -
Episode #62. Metaphors for Better Pediatric Pain Management
Episode #40. Owning your role as a physician leader in today’s healthcare
Episode #82. Chronic Pediatric Pain in 2021: US Pain Foundation Report.
Episode #26. Manage Memory, Manage Pain! with Melanie Noel, PhD
Episode #37. What authenticity in healthcare looks like.
How does one reconcile the facts that DSM diagnostic criteria for Autism Spectrum Disorder includes pain insensitivity and a high pain threshold, while these children report that their clothes feel like sand paper and their fingers while shampooing feel like sharp metal?
Join me in this episode to look at where the truth lies, with emerging evidence that helps us better understand the relationship between pain and ASD, what if anything is different about pain among children with ASD, and how we should approach pain issues amongst these children!
Takeaways in This Episode
Links
Listen to other helpful and related podcast episodes -
Episode #84. Post-Concussive headache and Symptom Management in Children with Dr. Windsor
Episode #63. Integrative Pediatric Pain Management with Dr. Lonnie Zeltzer
Episode #81. How to Choose the Right Pain Treatments
Episode #72. Real vs. Fake: The Look of Pain
Episode #75. Role of Gut-Brain Axis in Pediatric Pain
Proactive Pain Solutions Physicians Academy
Clinicians Pain Evaluation Toolkit
Proactive Pain Solutions
In this episode, Blake Windsor, MD a pediatrician with a subspecialty in training for pediatric pain medicine, and a board certified headache specialist discusses post concussive headaches and unique challenges it poses. Headache is the most common post traumatic or post concussive symptom. Even when a child is given the appropriate care, in many cases we find that they still experience post-concussive pain long after we expect them to recover.
He points that often there is much confusion and debate around what people refer to as Post-Concussive Syndrome, when in reality there seem to be somewhat arbitrary lines surrounding the term. Dr. Windsor also believes that pediatric pain medicine should be as common as other specialties, because it makes the work of other specialties much more streamline and accessible to patients.
Listen in on this episode as Dr. Windsor walks us through the uniqueness of post-concussive headaches, various stages, risk factors, identification and treatment!
Takeaways In This Episode
Links
R. Blake Windsor, MD
Connect with Dr. Windsor
Other Helpful Podcast Episodes
Episode #80. Stop treating Pain Like a Symptom!
Post-Concussion Symptom Scale
Clinicians’ Pain Evaluation Toolkit
Proactive Pain Solutions
About the Guest
Dr. R. Blake Windsor, M.D.
He is the Chief of Primas Health Pediatric Pain Medicine in the Upstate. He is a pediatrician with subspecialty training in pediatric pain medicine and is both a board-certified headache specialist and medical acupuncturist in South Carolina. He attended the University of Georgia followed by Mercer University School of Medicine where he subsequently worked in a combined post-graduate training program between Harvard Medical School and Boston University School of Medicine.
In 2018, he joined Prisma Health University of South Carolina School of Medicine in Greenville to launch the Carolinas' first comprehensive pediatric pain and headache program. It is the first comprehensive program of its kind in the Carolinas, and he leads a multidisciplinary group of pain specialists from medicine, nursing, psychology, and physical therapy. The team uses a multidisciplinary and holistic approach to complex medical diagnoses and symptoms, resulting in a comprehensive treatment plan that meets children and their families where they are and helps them break the cycle of pain.
This conversation with Marjorie Gloff, MD and Renee Robinson, DNP, APRN makes me convinced that the expression "Preparation is half the battle won" must have been coined with the idea of perioperative medicine and perioperative surgical home (PSH) in mind!
They are the co-directors of the Center for Perioperative Medicine and Medicine in the Department of Anesthesiology and Perioperative Medicine at the University of Rochester School of Medicine and Dentistry. In this episode, they share how to desilo the care of pediatric patients especially around the perioperative period, how an informal conversation triggered a grassroots level effort which subsequently resulted in a well-organized multidisciplinary team that provides comprehensive, coordinated and team based care for children in need of surgical procedures, developed a comprehensive screening tool or the PSH.
They also share the steps involved in the development of periop medicine and PSH programs that employs a biopsychosocial model to optimize systems and individualized best practices in the care of a complex child with multiple and/or complex needs.
Takeaways In This Episode
Links
Other Related Episode(s) -
Episode 58. ERAS - Enhanced Recovery (but not just)After Surgery
Clinicians’ Pain Evaluation Toolkit Proactive Pain Solutions
Proactive Pain Solutions Physicians Academy
About the Guests
Marjorie S. Gloff, M.D.
Dr Gloff is an anesthesiologist currently practicing at the University of Rochester in Rochester, New York. Bearing a passion for pediatric perioperative medicine, she is the Director of the Center for Perioperative Medicine and the Associate Chair of Perioperative Medicine in the Department of Anesthesiology and Perioperative Medicine at the University of Rochester. She is also the Associate Chief Medical Officer for Patient Safety and Loss Prevention at the same university. In 2004, She graduated with a Bachelor of Science in Cell and Developmental Biology at the University of Rochester and accomplished her Medical Degree in Medicine and Dentistry in 2008. She received her internship in anesthesiology at the University of Rochester Medical Center from 2008-2009 and went on to finish her residency at the same medical center from 2009-2012.
Renee Lynn Robinson, DNP, APRN
She has obtained a Doctorate of Nursing and is an advanced practice Registered Nurse with a specialty in family health currently practicing at the University of Rochester in, Rochester New York. She is the Associate Director of the Center for Perioperative Medicine. She is the recipient of awards such as the Medical Center Board Excellence Award APP in 2019 from URMC and the Quality Recognition: Perioperative Services COVID Management in 2021.
She graduated from the University of Rochester School of Nursing in 1996 and became a licensed nurse practitioner in 2001. In 2020, she received her Doctorate in Nursing Practice.
She and Dr. Gloff share the same passion for pediatric perioperative medicine and for the past six years, the duo has been spearheading a new program dedicated to improving and optimizing the process of pediatric care.
The podcast currently has 92 episodes available.