American Society of Interventional Pain Physicians | July 4th, 2018
(Above: June Meeting venue, Loews Sapphire Falls Resort )
ASIPP® June Meetings In Orlando Are A Success

ASIPP® is proud to report that the courses held June 29-30 in Orlando, Florida at the Loews Sapphire Falls Resort at Universal Orlando™ to be a success for attendees. The courses included:
  1. Interventional Techniques
  2. Neuromodulation
  3. Regenerative Medicine Review Course in Musculoskeletal and Lumbar Spine Disorders
  4. Lumbar Endoscopic Spinal Decompression
  5. Ultrasound
These unique courses meet the continuing needs of interventionalists, based on needs assessment over years and are cutting edge educational programs. They entailed 1 day of lectures at the Loews Sapphire Falls Resort and 1 day of hands-on cadaver workshop at the University of Central Florida School of Medicine.
(Above: Kent B. Remley, MD demonstrates the ultrasound procedure)
Legislation Reversing Payment Cuts
Moves Forward in Congress 

HR 5804, the Post-Surgical Injections as an Opioid Alternative Act, introduced by Rep. John Shimkus and Rep. Raja Krishnamoorthi was included in the House Opioid package that passed the House of Representatives by a vote of 396 to 14.
The legislation will now go to the Senate for consideration.
This legislation reverses CMS payment cuts to 6 interventional pain management techniques taking ASCs back to 2016 levels (cuts were 16%-25%).
The important players in the Senate are as follows:
Orrin G. Hatch
Ranking Member 
Ron Wyden
Chuck Grassley (R-IA)
Mike Crapo (R-ID)
Pat Roberts (R-KS)
Michael B. Enzi (R - WY)
John Cornyn (R - TX)
John Thune (R - SD)
Richard Burr (R - NC)
Johnny Isakson (R - GA)
Rob Portman (R - OH)
Patrick J. Toomey (R - PA)
Dean Heller (R - NV)
Tim Scott (R - SC)
Bill Cassidy (R - LA)
Debbie Stabenow (D - MI)
Maria Cantwell (D - WA)
Bill Nelson (D - FL)
Robert Menendez (D - NJ)
Thomas R. Carper (D - DE)
Benjamin L. Cardin (D - MD)
Sherrod Brown (D - OH)
Michael F. Bennet (D - CO)
Robert P. Casey, Jr. (D - PA)
Mark R. Warner (D - VA)
Claire McCaskill (D - MO)
Sheldon Whitehouse (D - RI)
As you all know, to achieve these things it requires significant amounts of funding. The PAC money and SIPMS budget are exhausted. Please contribute as much as you can to SIPMS and ASIPP PAC so that we can continue working on all our behalves.
To pique your curiosity, we are including a link to a portion of H.R. 5804 from the Energy and Commerce Committee.
You can also watch the Energy and Commerce Committee debating the bill if you click on the link below and fast forward to 4:55:30 in the video. 
Kellyanne Conway leading an ‘opioids cabinet,’ as she assumes more active policy role

WASHINGTON — Kellyanne Conway, counselor to President Trump, has been leading weekly meetings at the White House with officials across a dozen federal departments to develop a plan to respond to the opioid crisis and to implement recommendations from a presidentially appointed commission, she and other officials told STAT.

The “opioids cabinet,” as the group is known, is intended to help streamline efforts across the government and includes staffers from the Department of Health and Human Services and the Office of National Drug Control Policy, among other executive branch offices.

In an interview with STAT, Conway said she and other administration officials have also been urging Congress to appropriate additional funding for addiction treatment and prevention programs. She pushed back on the notion that the White House is not allocating sufficient resources to combat the opioid epidemic, citing ongoing conversations with budget director Mick Mulvaney.

Judge Strikes Down Kentucky’s Medicaid Work Rules

WASHINGTON — A federal judge on Friday blocked Kentucky’s closely watched plan to require many Medicaid recipients to work, volunteer or train for a job as a condition of coverage.
The state had been poised to start carrying out the new rules next week and to phase them in fully by the end of this year.

Judge James E. Boasberg of Federal District Court for the District of Columbia, an Obama appointee, ruled that the Trump administration’s approval of the plan had been “arbitrary and capricious” because it had not adequately considered whether the plan would “help the state furnish medical assistance to its citizens, a central objective of Medicaid.”

The ruling in the Kentucky case is the first on this issue, but it will almost certainly not be the last; the question may wind up before a more conservative Supreme Court with two Trump appointees. Three other states have already gotten permission from the Trump administration to impose work requirements, and seven more have asked for clearance to do so.

Crashing cars into walls, breaking hands with hammers: How the White House is warning against opioids

WASHINGTON — One commercial ends with a young woman unbuckling her seat belt, flooring her gas pedal, and ramming her car into a dumpster. Another shows a young man opening his garage door, sifting through a toolbox, and forcefully slamming a hammer down on his left hand.

Both are part of a new White House campaign aimed at educating adults ages 18 to 24 about the perils of opioid misuse and illustrating the lengths to which some go to obtain prescriptions for the highly addictive painkillers. The effort, White House adviser Kellyanne Conway told reporters on Thursday, will use four “hyper-realistic” narratives based on real events from young adults around the country.
While the circumstances in each ad vary, all four aim for a visceral reaction — to scare viewers away from opioid use given the associated dangers.

Interventional Pain Management Reports is an Open Access online journal, a peer-reviews journal dedicated to the publication of case reports, brief commentaries and reviews and letters to the editor. It is a peer-reviewed journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. 

Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician . Interventional Pain Management Reports Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.  

The benefits of publishing in an open access journal that has a corresponding
print edition journal are:  
  • Your article will have the potential to obtain more citations.
  • Your article will be peer-reviewed and published faster than other journals.
  • Your article can be read by a potentially much larger audience compared with traditional subscription-only journals.  
  • Open Access journals are FREE to view, download and to print.

So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Short Perspectives

Essentials of Interventional Techniques in Managing Chronic Pain Available for Order!
  • Comprehensive textbook of interventional techniques in managing chronic pain
  • Covers spinal interventional techniques, peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections and implantables
  • Step-by-step guidance backed up by the latest evidence

This comprehensive review covers the full and latest array of interventional techniques for managing chronic pain. Chapters are grouped by specific treatment modalities that include spinal interventional techniques, nonspinal and peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections, and implantables. Practical step-by-step and evidence-based guidance is given to each approach in order to improve the clinician's understanding. Innovative and timely, Essentials of Interventional Techniques in Managing Chronic Pain is a critical resource for anesthesiologists, neurologists, and rehabilitation and pain physicians.

Different type of help

Thirteen months ago, Michael S.’s days consisted of very little beyond getting out of bed to get high – smoking heroin and methamphetamine.

Michael’s story is an increasingly common one in a country where addiction to prescription painkillers, such as OxyContin and Vicodin, has hit epidemic levels.

In 2016, 63,632 people died from a drug overdose in the United States – 42,249 were opioid related, the Centers for Disease Control and Prevention reported. Of the opioid-related deaths, the CDC found that 40 percent involved prescription painkillers.

In 2017, the U.S. Department of Health and Human Services declared a public health emergency and outlined five major priorities in addressing the opioid problem, including improved access to treatment and recovery services; providing support pain and addiction research; advancing better practices for pain management; and working toward a better understanding of the epidemic by improving public health surveillance.

NP/PA Role in Policy Development Results In
Better Pain Care, Experts Say

By understanding the challenges of patient access to care and appropriate pain management, nurse practitioners (NPs) and physician assistants (PAs) ultimately can help steer improvements in pain care, according to experts in the fields.

Barriers to Chronic Pain Treatment Shared with FDA –
Part One

The results of a robust survey authored by Terri Lewis, Ph.D. and promoted by the National Pain Report have been shared with the U.S. Food and Drug Administration in advance of the July 9 th public meeting for Patient-Focused Drug Development on Chronic Pain.

“We received a significant response from not just chronic pain patients, but from doctors and caregivers,” Dr. Lewis noted. “It showed that many people are hurting and are being left out of the conversation. This is the message the FDA needs to hear.”

Nearly 1700 people responded and all 50 states had significant participation. 80% of the respondents were women and most were in the 40-to-65-year-old age category.

“What was notable was there was an average of five comorbidities from people who had been ill for twelve years,” she said. “There are 25,000 lines of comment data where people could tell their own stories.”

We are going to cover Dr. Lewis’ submission in two stories.

Pain Physician
May/June 2018 Issue Features

Systematic Reviews
  • Role of Unilateral Balloon Kyphoplasty for OVCSF
Comprehensive Review
  • Patters, Changes, and Trends in Prescription Opioid Dispensing in Canada
  • Stem Cells for the Treatment of Knee Osteoarthritis
Randomized Trials
  • Effect of Different Volumes on Pain Relief in Patients Receiving Fluoroscopic Guided Interlaminar Lumbar Epidural Steroid Injections
  • Noninferiority Trial Comparing Upper and Lower One-Third Joint Approaches for SI Join Injections
  • Efficacy and Safety of Bone-filling Mesh Container and Simple Percutaneous Balloon Kyphoplasty

White House releases extensive plan to reorganize HHS:
9 things to know

The White House has released its 132-page plan to restructure several federal agencies and impose work requirements on government assistance programs.

The plan is the result of a March 2017 executive order that asked the Office of Management and Budget to explore ways of making the government "lean, accountable and more efficient," according to NPR. Officials said it includes 34 examples of consolidation, according to CNN.

Here are nine things to know about the Office of Management and Budget plan released June 21:

1. Officials proposed moving noncommodity nutrition assistance programs — including the SNAP food stamps program — from the Department of Agriculture Food and Nutrition Service to HHS, which it would rename the Department of Health and Public Welfare.  

2. A Council on Public Assistance would oversee those programs, and the council would be able to impose uniform work requirements for program participants, which Democrats strongly oppose, according to The Hill .

"Democrats and Republicans in Congress have rejected President [Donald] Trump's proposals to drastically gut investments in education, healthcare and workers — and he should expect the same result for this latest attempt to make government work worse for the people it serves," Sen. Patty Murray, D-Wash., said.

3. Under the proposal, three HHS research divisions — the Agency for Healthcare Research and Quality, the National Institute for Occupational Safety and Health, and the National Institute on Disability, Independent Living and Rehabilitation Research — would be rolled under the National Institutes of Health, according to the American Hospital Association.

State Society News 
July 19-22, 2018
FSIPP 2018 Annual Meeting, Conference, and Trade Show
Florida Society of Interventional Pain Physicians
One South County Road, Palm Beach, FL 33480
Click Here for more information

July 14, 2018
WVSIPP launches Regional Conference Series, WV PainCare
The West Virginia Society of Interventional Pain Physicians has created an educational series titled WV PainCare.
Huntington, WV - July 14, 2018
Lewisburg/Beckley, WV - October 20, 2018
Morgantown, WV - December 1, 2018
Click HERE for more information

Aug 17-19, 2018
Ohio and Kentucky SIPP Meeting
Click HERE for more information

July 12-14, 2019
GSIPP 2019 - 15th Annual Meeting & Pain Summit
The Cloister Hotel at Sea Island
Sea Island, GA
For more information, contact Karrie Kirwan at or Tara Morrison at or 770-613-0932.

Send in your state society meeting news to Holly Long,
ASIPP | Pain Physician Journal | Phone | Fax | Email