American Society of Interventional Pain Physicians |February 14, 2018
Register Now and Receive ' Stop Physician Burnout: What to Do When Working Harder Isn't Working '
by Dike Drummond, MD
STOP PHYSICIAN BURNOUT – What to do when working harder … isn’t working
The first step-by-step manual for any physician in any specialty to stop physician burnout, build a more ideal practice and a more balanced life.
This Book Give-away is sponsored by PREMIER MEDICAL BILLING SOLUTIONS .
Books will be distributed to all attendees at the meeting as long as supplies last.
Excludes sponsor and exhibitor registrations.


The American Society of Interventional Pain Physicians will hold its 20th Annual Meeting March 15-17, 2018 in Orlando, Florida at Marriott Orlando World Center.

  •   Multiple topics covering Interventional Pain Management
  • 70+ physician speakers discussing over 125 interventional pain management topics and conducting numerous panel discussions
  • 8 keynote speakers enlightening attendees
  • "Excellence in IPM: Education, Research, and Advocacy"
  • 100+ exhibitors showcasing new IPM products and services
  • A luxurious stay in the stylish rooms and many amenities of Marriott Orlando World Center

Thursday General Session:
Mesenchymal Stem Cells: Today, Tomorrow, and Future of Pain Management
Evidence Synthesis in IPM: Evolution of EBM or Death of Expertise and Truth

Friday General Session:
State of Health Care in the US: Past, Present, and Future
Health Care Advocacy: ASIPP Involvement with Grass Roots Advocacy Find everything you need for a successful stay.
Health Care Reform: A View from Washington

Multiple breakout sessions including: Abstract and Posters; Regenerative Medicine; Resident/Fellows; Compliance, Billing and Coding; and various sessions on interventional techniques
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.
Click HERE to order
2018 – Show ASIPP Support
With a new year comes challenges, but also new possibilities. 
As you must be aware, the American Society of Interventional Pain Physicians has long been at the forefront of the fight for the survival and practice of interventional pain physicians. So as we move into 2018, and continue to fight against challenges such as painful cuts to ASC reimbursement, Medicare Non-coverage policies, and continued payment cuts for interventional pain management procedures, we must look to you for help in realizing and taking advantage of the new possibilities. 
Our past advocacy efforts have reaped great benefits for interventional pain physicians, including the reversal of cuts for epidural injections, changes to the CMS MIPS ruling, and greater coverage for Percutaneous Image-guided Lumbar Decompression. 
But to continue our successful work, we must ask for the help of those who benefit most. 
If you haven't given the maximum $5000 to the ASIPP PAC in 2018, we urge you to give what you can. These donations must be made from personal funds. We will also recognize those who contributed to the PAC at the ASIPP Annual Meeting and we would like to see your names at the top of our list of supporters.
Additionally, we have new levels of sponsorship, allowing individual physicians, as well as physician corporations, to make tax deductible contributions to ASIPP from a corporation or an individual. 
Physician Corporation Sponsorship Levels: 
Supporter $5,000
Advocate $10,000
Promoter $15,000
Champion $25,000
Individual Physician Sponsorship Levels: 
Supporter $500
Advocate $1,000
Promoter $1,500
Champion $2,500 
Please become a sponsor at any level you would like and make a tax deductible contribution to support the organization and join the below list of those who have already become ASIPP Physician Sponsors.
If you contribute before February 15, your name will be displayed at the 2018 ASIPP Annual Meeting in Orlando in March. If you contribute after February 15, you will be recognized at the 2019 annual meeting.
Please show your support and contribute so we can continue our essential work. 
Former Aetna Medical Director Admits To Never Reviewing Medical Records Before Denying Care
Is this the exception or the rule?
In an eye-opening  exclusive  reported by CNN, it was revealed that former Aetna Medical Director, Dr. Jay Ken Iinuma, admitted under oath that  “he never looked at patients’ records when deciding whether to approve or deny care.”
This admission was made during a deposition in a lawsuit brought against Aetna by Gillen Washington, a 23 year old with common variable immune deficiency (CVID) who was denied coverage for an infusion of intravenous immunoglobulin (IVIG) four years ago.
California’s insurance commissioner, Dave Jones, is now looking into Aetna’s relevant protocols.
Amazon’s Latest Ambition: To Be a Major Hospital Supplier  Inc.  AMZN +1.84%  is pushing to turn its nascent medical-products business into a major supplier to U.S. hospitals and outpatient clinics that could compete with distributors of items ranging from gauze to hip implants.
Amazon has invited hospital executives to its  Seattle headquarters  on several occasions, most recently in late January, to sound out ideas for expanding its business-to-business marketplace, Amazon Business, into one where hospitals could shop to stock outpatient locations, operating suites and emergency rooms, according to hospital executives who attended the meetings.
Amazon Business already sells a limited selection of medical supplies, as well as industrial and office goods.
Access to this article may be limited.
How the VA Fueled the National Opioid Crisis and Is Killing Thousands of Veterans
Late one summer night in 2014, Kevin Keller broke into his best friend’s home. Keller was a U.S. Navy vet wracked with constant pain, and because his right arm had been crippled by a stroke, he had to use his left hand to scrawl a note of apology to his buddy: “Marty, Sorry I broke into your house and took your gun to end the pain! FU VA!!! Can’t take it anymore.” He then drove to his nearby Veterans Affairs outpatient clinic in Wytheville, Virginia, and pounded on the locked doors of the medical office, probably out of frustration or as a final protest, since the facility had been closed for hours. Keller then put the barrel of his friend’s 9 mm pistol to his head and shot himself .
Grieving friends told The Roanoke Times that Keller couldn’t handle how the VA was weaning him off painkillers. His doctors had told him cutting back would extend his life, but Marty Austin, whose gun Keller stole that night, told the paper, “He did not want a longer life if he was going to be miserable and couldn’t do anything because of the pain.”
Click HERE to view February issue of IPM Reports

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

Click HERE to submit
Examining the Crisis of Physician Suicides: Then and Now
Dr John Gerald (Gerry) FitzGerald was one of those admirable-bordering-on-irritating overachievers. He turned up at medical school in 1899 — just 16 years old — and completed multiple internships at an age when less precocious boys were still learning how to shave.
By all accounts, Dr FitzGerald dazzled during his residency. Not content with merely being a big fish in Johns Hopkins' big pond, he soon returned to his native Ontario with the audacious goal of revolutionizing public health in Canada. He came close. A misleadingly short list highlights some of his professional triumphs: manufacturing Canada's first rabies vaccine; establishing a laboratory that produced diphtheria, smallpox, and typhoid vaccines for the Allied forces in World War I; and laying the groundwork for what would become Canada's health insurance program. I can't even begin to try and count the number of lives Dr FitzGerald is responsible for saving.
As he neared his 56th birthday, Dr FitzGerald began complaining of intractable insomnia, migraine headaches, and a bleeding ulcer — each caused by decades of pathological overwork. A few months later, he swallowed a handful of pentobarbital in an attempt to take his own life. 1
January/February 2018 Journal Now Posted

January/February 2018 Issue Features
Health Policy Review
  • Buprenorphine Formulations
Systematic Reviews
  • Lumbar Spinal Stenosis
  • Middle Cervical Sympathetic Ganglion
  • Postherpetic Neuralgia Therapies
Randomized Trials
  • Pulsed Radiofrequency Improves Neuropathic Pain in Chronic Constriction Injury
  • Ultrasound-Guided Genicular Nerve Block for Knee Osteoarthritis
  • Reducing Radiation Exposure in Lumbar Transforaminal Epidural Steroid
  • Cerebral Blood Flow and Heart Rate Variability in Chronic Fatigue Syndrome
  • Intradiscal Ozone-Oxygen Injection in Patients with Low Back Pain

Click view full article pdfs available only online at: 
FDA Wants to Work with Providers on Opioid Issue
WASHINGTON -- The FDA would like to work with physicians to find a way to curb the opioid epidemic while still allowing patients who need opioids to have access to them, FDA Commissioner Scott Gottlieb, MD, said here Tuesday.
"There aren't a lot of alternatives for the treatment of chronic pain; for certain conditions, opioids are the only things that do work. For metastatic cancer pain [or] sickle cell disease, patients often become dependent on opioids and [require] higher and higher doses," Gottlieb said at a briefing sponsored by the Alliance for a Stronger FDA and the Pew Charitable Trusts.
Updated Guidelines for Interventional Pain Procedures in Patients on Antiplatelet, Anticoagulant Treatment
New recommendations regarding practices for patients receiving antiplatelet and anticoagulant therapy before and after interventional spine and pain procedures were formulated by the American Society of Regional Anesthesia and Pain Medicine (ASRA), in an update to the 2015 guidelines published in  Regional Anesthesia and Pain Medicine .
On the basis of the availability of new antithrombotic medications and the publication of recent studies evaluating  bleeding risks associated with specific interventional spine and pain procedures, the ASRA conducted extensive database searches in an effort to update related guidelines.
DOJ News
Detroit Doctor Sentenced to Six Years in Prison for Role in $10.4 Million Health Care Fraud Scheme
A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.
Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, U.S. Attorney Matthew Schneider of the Eastern District of Michigan, Acting Special Agent in Charge Timothy Waters of the FBI’s Detroit Division and Special Agent in Charge Lamont Pugh III of the U.S. Department of Health and Human Services Office of Inspector General’s (HHS-OIG) Chicago Regional Office made the announcement.
Mahmoud Rahim, M.D., 65, of West Bloomfield, Michigan, was sentenced by U.S. District Judge Nancy G. Edmonds of the Eastern District of Micihgan. Judge Edmonds also ordered the defendant to forfeit $1,679,505. The restitution amount will be determined at a later hearing.
After a one-week trial in September 2017, Rahim was convicted of one count of conspiracy to commit health care fraud and wire fraud, one count of wire fraud, one count of conspiracy to receive health care kickbacks and two counts of receiving healthcare kickbacks. According to the evidence presented at trial, Rahim accepted kickbacks from his co-conspirators in exchange for referring Medicare patients for electromyogram tests (EMGs), some of which were unnecessary, and physical therapy performed by unlicensed individuals. Rahim disguised these payments as “rent” and set up a shell company to hide this illegal scheme.

New York Doctor Sentenced to 13 Years in Prison for Multi-Million Dollar Health Care Fraud
A New York surgeon who practiced at hospitals in Brooklyn and Long Island was sentenced today to 156 months in prison for his role in a scheme that involved the submission of millions of dollars in false and fraudulent claims to Medicare.
Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, U.S. Attorney Richard P. Donoghue of the Eastern District of New York, Assistant Director in Charge William F. Sweeney Jr. of the FBI’s New York Field Office and Special Agent in Charge Scott Lampert of the U.S. Department of Health and Human Services Office of Inspector General’s (HHS-OIG) Office of Investigations made the announcement.
Syed Imran Ahmed M.D., 51, of Glen Head, New York, was sentenced by U.S. District Judge Dora L. Irizarry of the Eastern District of New York, who also ordered Ahmed to pay $7,266,008.95 in restitution, to forfeit $7,266,008.95, and to pay a $20,000 fine. Ahmed was convicted in July 2016 after an 11-day trial of one count of health care fraud, three counts of making false statements related to health care matters and two counts of money laundering.

State Society News 
April 18-22, 2018
GSIPP 2018 Annual Meeting
Georgia Society of Interventional Pain Physicians
Thursday, April 18, 2018 - Sunday, April 22, 2018
The Ritz Carlton Reynolds, Lake Oconee

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

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