Welcome to Pain Unfiltered, where we go in depth into the interventional pain and spine world with some of the top key opinion leaders and executives in the space. We are your hosts, Dr. Patrick Buchanan and Dr. Timothy Deer for this ASPN podcast.
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APPs: Collaboration and Role in Interventional Spine
Season 2 · Episode 8
Monday, October 7, 2024 • Duration 32:18
In this episode we discussed the roles advanced practice providers (APPs) play in the interventional pain practice. Our guests, Ashley Comer, Casey Grillo, and Morteza Rabii talked about how to approach minimally invasive procedures in their practice. They also discussed how to partner with industry.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications.
Ashley is a Board Certified Nurse Practitioner, who is certified by the American Academy of Nurse Practitioners. Born and raised in Charleston, West Virginia, Ashley attended West Virginia State University Community and Technical College where she obtained her Associate’s Degree in Nursing. Continuing her education, she went on to receive her Bachelor of Science in Nursing from West Virginia University.
Casey is a Nurse Practitioner at The Spine & Pain Institute of NY and has recently transitioned into the role of Lead Advanced Practice provider for the practice. She collaborates with her physicians, managing and educating patients of all ages with chronic pain. Casey received her Bachelor’s degree in Nursing from Seton Hall University and a Master’s degree in Science of Nursing from Wagner College. She is currently a member of the Nurse Practitioner Association of NYS.
Morteza earned his Bachelor of Science in Nursing and Doctor of Nursing Practice as a Nurse Practitioner from the University of Kansas. In graduate school he focused on the importance of patient education on improving pain relief. Prior to joining Crimson Pain Management, Mort worked in orthopedics for nearly 10 years, gaining an understanding of chronic back and joint pain.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Saluda Medical: Saluda is the first to directly measure the spinal cord’s physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient’s neural signature.
Medtronic: Medtronic leads global healthcare technology, boldly attacking the most challenging problems. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 90,000+ people, and our technologies transform the lives of two people every second, every hour, every day.
Spinal Simplicity: Spinal Simplicity is a Healthcare Technology company dedicated to creating simple, innovative procedure solutions for our physician partners to help improve their patient’s pain and quality of life. We believe strongly in AO orthopedic principles of Early & Safe Mobilization, Bone Decortication, Joint Stability and Anatomy Restoration. Our brands include Minuteman, Liberty-SI, Patriot-SI and Hero-SI.
In this episode we discussed the current state of healthcare fraud. Our guest, Ronald Chapman, discussed federal cases involving pain management providers. He provided the DO’s and DONT’s for healthcare providers to be compliant within the current healthcare landscape.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications.
Mr. Chapman is a healthcare defense attorney and President of CCG Healthcare. He has secured multiple acquittals for pain management providers accused of healthcare fraud.
In this episode we discussed posterior interspinous fusion with Dr. Larry Khoo and Dr. Anuj Shah. We talked about patient selection, what to look for on imaging, and the safety profile of the Minuteman procedure. Dr. Khoo also discussed the biomechanics of interspinous fusion, including sagittal balance. We wrapped up the episode talking about how spine surgeons and pain physicians can work together to treat spinal stenosis.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications.
Dr. Khoo is a neurosurgeon who practices in Los Angeles, CA and Hawaii. Dr. Khoo is a resident member of the American Academy of Neurological Surgeons and the Congress of Neurological Surgeons, as well as a member of the AANS/CNS Joint Section on Spine & Peripheral Nerve Surgery and the North American Spine Society.
Getting Published
Season 1 · Episode 9
Monday, October 30, 2023 • Duration 28:07
In this episode we discussed what it takes to get published with Dr. David Lee. He talked about the steps you need to take to get your name on a paper. We also discussed the pros and cons of industry funded studies. We wrapped up the episode talking about the importance of publishing.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications.
Dr. Lee remains an active member in multiple medical organizations, holding leadership positions over the past few years. He continues to teach and present on a variety of pain-related topics on both regional and national levels. He reviews interventional spine and pain manuscripts for the journals of Regional Anesthesia & Pain Medicine, Pain Medicine and PM&R.
Marketing and Social Media in Medicine
Season 1 · Episode 8
Monday, October 16, 2023 • Duration 27:35
In this episode we discussed the role of marketing in a medical practice with the CEO and founder of Moxy, Christy Owenby. She talked about how much physicians should spend on marketing and how they can track their return on investment. She also shares the DO’s and DONT’s on using social media for marketing.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications.
Christy Owenby is the CEO and founder of Moxy. Moxy is a marketing healthcare and communications firm with a strategic and deep understanding of the complex and ever-changing world of healthcare.
In this episode we discussed how Dr. Ajay Antony and Dr. John Stevenson collaborated together and used the MILD procedure to treat their patients. They talked about the common challenges when introducing the MILD procedure or other minimally invasive surgical procedures to spine surgeons. They gave advice on how to establish a similar partnership between the pain physician and spine surgeon.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications.
Dr. Antony is a double board-certified anesthesiologist and interventional pain physician. He specializes in minimally invasive options to relieve pain and improve function.
The Business of Medicine
Season 1 · Episode 6
Monday, September 18, 2023 • Duration 31:47
In this episode we discussed how Justin Harvey came to specialize with pain physicians and why he partnered with ASPN. He talked about the different factors when choosing a practice and what to look for in an employment contract. Justin discussed several ways for physicians to build wealth and take advantage of taxes.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Dawood Sayed is a Professor in the Department of Anesthesiology, Pain and Perioperative Medicine at The University of Kansas Medical Center and a Board-certified Anesthesiologist at The University of Kansas Health System.
Justin Harvey is a financial advisor and founder of APM Wealth. He specializes in helping pain physicians make smart financial decisions. He also hosts a podcast called APMSucces.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Professional Development and the Poster to Podium Program
Season 1 · Episode 5
Monday, September 4, 2023 • Duration 29:33
In this episode we discussed how to improve your brand as a physician and get involved with ASPN. Our guest, Dr. Melissa Murphy, shared her journey coming out of fellowship to now being one of the key opinion leaders in the pain medicine field. She shared her experience with the ASPN poster to podium program. Dr. Murphy, Dr. Deer, and Dr. Buchanan gave their advice on how to get involved with ASPN and enhance your brand.
Takeaways from the episode:
Dr. Murphy shared her experience with ASPN and the poster to podium program
Dr. Murphy, Dr. Deer, and Dr. Buchanan shared their advice on professional development.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications.
In this episode we discussed the various stimulation therapy options for low back pain. Our guest, Dr Rob Heros, shared his treatment algorithm for low back pain. He discussed the current data on different stimulation studies treating low back pain. He shared his experience with consulting for various medical device companies and the opportunities to be a research investigator in these studies. Dr. Heroes’ patient shared his experience with low back pain and his treatment with Reactiv8.
Takeaways from the episode:
Dr. Heros shares his algorithm for low back pain and discusses the current data for stimulation to treat low back pain.
Dr. Heros and Dr. Sayed discuss how they balance consulting and research with patient care
Dr. Heros’ patient shares his experience with Reactiv8 therapy.
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Dawood Sayed is a Professor in the Department of Anesthesiology, Pain and Perioperative Medicine at The University of Kansas Medical Center and a Board-certified Anesthesiologist at The University of Kansas Health System.
The Key Ingredients to Commercializing a Medical Device Company
Season 1 · Episode 3
Monday, August 7, 2023 • Duration 27:02
In this episode we announced our first sponsorship for Season 1, Mainstay Medical, and gave our thoughts on their therapy, Reactiv8. We discussed how Painteq president, Michael Enxing, got into the medical device industry and specifically the interventional pain space. He shared his advice to individuals that are just starting in the medical device industry. He discussed why he and his companies choose to partner with ASPN. He gave a few pearls of wisdom on how to partner with industry. He shared the key ingredients on how to commercialize a medical device company. Finally, he discussed where he thinks Painteq and the interventional pain space are headed.
Takeaways from the episode:
Mainstay Medical is the first sponsor for Season 1
Michael Enxing shares his advice for newcomers in the medical device industry and for physician looking to partner with industry
We discuss where we think Painteq and the interventional pain space is headed
Host, Patrick Buchanan, MD:
Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy.
Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Saluda Medical: Saluda is the first to directly measure the spinal cord’s physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient’s neural signature.
Medtronic: Medtronic leads global healthcare technology, boldly attacking the most challenging problems. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 90,000+ people, and our technologies transform the lives of two people every second, every hour, every day.
Spinal Simplicity: Spinal Simplicity is a Healthcare Technology company dedicated to creating simple, innovative procedure solutions for our physician partners to help improve their patient’s pain and quality of life. We believe strongly in AO orthopedic principles of Early & Safe Mobilization, Bone Decortication, Joint Stability and Anatomy Restoration. Our brands include Minuteman, Liberty-SI, Patriot-SI and Hero-SI.
Dr. Shah is a PGY-4 PMR resident in Detroit, Michigan. He has matched in a pain fellowship at Cornell.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Vertos Medical: The company behind the mild Procedure. Move beyond palliative therapies and address a major root cause of LSS, without leaving any implants behind.
Spinal Simplicity: Minuteman is an outpatient, minimally invasive, spine fusion therapy that decreases recovery time, and can alleviate pain for patients with chronic back and leg pain. Minuteman stabilizes and fixates the spine, addressing the core etiology. Get back to life with Minuteman!
APM Wealth: Justin Harvey is a financial advisor and founder of APM Wealth. He specializes in helping pain physicians make smart financial decisions. He also hosts a podcast called APMSucces.
Moxy Company: Moxy is a marketing healthcare and communications firm with a strategic and deep understanding of the complex and ever-changing world of healthcare.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Vertos Medical: The company behind the mild Procedure. Move beyond palliative therapies and address a major root cause of LSS, without leaving any implants behind.
Spinal Simplicity: Minuteman is an outpatient, minimally invasive, spine fusion therapy that decreases recovery time, and can alleviate pain for patients with chronic back and leg pain. Minuteman stabilizes and fixates the spine, addressing the core etiology. Get back to life with Minuteman!
APM Wealth: Justin Harvey is a financial advisor and founder of APM Wealth. He specializes in helping pain physicians make smart financial decisions. He also hosts a podcast called APMSucces.
Moxy Company: Moxy is a marketing healthcare and communications firm with a strategic and deep understanding of the complex and ever-changing world of healthcare.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Vertos Medical: The company behind the mild Procedure. Move beyond palliative therapies and address a major root cause of LSS, without leaving any implants behind.
Spinal Simplicity: Minuteman is an outpatient, minimally invasive, spine fusion therapy that decreases recovery time, and can alleviate pain for patients with chronic back and leg pain. Minuteman stabilizes and fixates the spine, addressing the core etiology. Get back to life with Minuteman!
APM Wealth: Justin Harvey is a financial advisor and founder of APM Wealth. He specializes in helping pain physicians make smart financial decisions. He also hosts a podcast called APMSucces.
Moxy Company: Moxy is a marketing healthcare and communications firm with a strategic and deep understanding of the complex and ever-changing world of healthcare.
Dr. Stevenson is a board-certified neurosurgeon who specializes in spine surgery. Dr. Stevenson became a neurosurgeon because of his love for neuroscience and the influence of his father.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Vertos Medical: The company behind the mild Procedure. Move beyond palliative therapies and address a major root cause of LSS, without leaving any implants behind.
Spinal Simplicity: Minuteman is an outpatient, minimally invasive, spine fusion therapy that decreases recovery time, and can alleviate pain for patients with chronic back and leg pain. Minuteman stabilizes and fixates the spine, addressing the core etiology. Get back to life with Minuteman!
APM Wealth: Justin Harvey is a financial advisor and founder of APM Wealth. He specializes in helping pain physicians make smart financial decisions. He also hosts a podcast called APMSucces.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Vertos Medical: The company behind the mild Procedure. Move beyond palliative therapies and address a major root cause of LSS, without leaving any implants behind.
Spinal Simplicity: Minuteman is an outpatient, minimally invasive, spine fusion therapy that decreases recovery time, and can alleviate pain for patients with chronic back and leg pain. Minuteman stabilizes and fixates the spine, addressing the core etiology. Get back to life with Minuteman!
Dr. Murphy is a fellowship-trained, double-board-certified interventional spine and pain specialist. She is dedicated to working with each patient individually to develop a personalized treatment plan to improve function and quality of life.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Vertos Medical: The company behind the mild Procedure. Move beyond palliative therapies and address a major root cause of LSS, without leaving any implants behind.
Dr. Heros is an interventional pain physician at Spinal Diagnostics in Oregon. He is board certified in Physical Medicine and Rehabilitation and has been practicing Pain Medicine for over 16 years. He has been involved in several landmark clinical research studies for stimulation to treat low back pain.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
Mainstay Medical: The Only FDA Approved Restorative Therapy for Chronic Mechanical Low Back Pain caused by Multifidus Dysfunction. Restore Control, Restore Function, Restore Stability, ReActiv8 Life.
Michael has been involved in the medical device industry for 3 decades. He has held several executive roles including the Global VP of Sales and Marketing for Nevro, CCO for Vertiflex, and CCO for Boston Scientific Neuromodulation Division. He has been a part of 4 acquisitions and mergers and 5 IPOs. He currently serves as the president of Painteq.
About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation.
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