Pain Management Partners
Summer Newsletter 2016
Lee Porter, NP, CNS,  joins PMP

 
Pain Management Partners welcomes Lee Porter to the practice. Lee is both an adult nurse practitioner (NP) and clinical nurse specialist (CNS) in psychiatry and mental health with expertise in the care of patients with chronic pain, stress-related medical problems, substance misuse disorders and anxiety, and cognitive and attention disorders. He holds national board certifications (ANCC) in both of his specialties. He has more than 25 years of clinical experience in primary care, psychiatry, neurology and mental health.

A graduate of Franklin and Marshall College (BA in social science), he received a BSN from Johns Hopkins University and a MSN from the George Washington University collaborative nurse practitioner program at George Mason University. He has completed training for post master's clinical nurse specialist certification in psychiatric and mental health nursing at the University of Virginia, where he completed a post-graduate internship in psycho-pharmacology. He also holds BCIA certification in general biofeedback and in EEG neurofeedback.

Most recently from 2006-2015, Lee worked as a private clinical care provider at his practice Allied Psycophysiology in Wilmington, N.C., which focused on the care of patients with chronic pain conditions, stress-related medical disorders, brain injury and anxiety spectrum disorders. He also consulted in clinical and legal case management, health policy and administration, and provided continuing education and professional mentoring.

Lee and his wife, Liz, are moving to Eugene from Wrightsville Beach, N.C., where they lived since 2000. He and his wife of over 30 years have a son who is a recent college graduate.
 
For information go to: www.oregonpainmanagement.com.
 


New Federal Guidelines
 For Opiod Prescribing:
Does This Affect You?

By James R. Morris, M.D.
There is quite a bit in the news lately about changes to Federal guidelines for opiate prescribing. Just as new information can lead to new medications and new therapies, it can lead to a change in the therapies and medications we already have. In this case it has led the CDC (Centers for Disease Control) to make several recommendations for chronic pain treatment and opioid use.
  
Perhaps the most reported part of those recommendations is that for chronic pain, opiate prescriptions should be written for a Morphine equivalent of 50mg per day or less. If you take opiates, at your next appointment you are welcome to ask how your prescriptions compare to CDC recommendations. If your medication needs to be adjusted, you and your practitioner can make a plan for how best to do this.
  
The CDC has also strengthened its recommendation to avoid taking opiates and Benzodiazepines on the same day. When it's unavoidable, close monitoring should be used. There are many benzodiazepines, such as temazepam (Restoril), diazepam (Valium), lorazepam (Ativan), alprazolam (Xanax) and others.
  
Most of the CDC recommendations are already things you likely do regularly, such as regular urine testing, education and discussion, setting goals for pain treatment and improved function, using non-opiate medications, exercise and counseling.
  
We look forward to seeing you at your next appointment! If you would like to read more, here are some links:
  


  

Learn The 28 Day Rx Fill
Twenty-eight day prescription medication refills can be hard for patients who are used to the previous 30 day fills. Twenty-eight day fills allow us to avoid weekends. Many pharmacies aren't open weekends. Our office is also not open weekends. Therefore, if there is a problem with a fill on a weekend, it's much more difficult for patients to get the issue addressed. With the 28 day cycle you will always fill on the same day of the week. So, if you fill this month on a Wednesday, you will fill next month on a Wednesday.
  
Here is a graphic to help explain:
    
  
Example: In February, let's say you fill on Monday, the 1st. There are three weeks in between, and the next fill is marked on Monday, the 29th.
  
July to Aug is a little more complex, but works the same. A fill on Thursday, July 14, followed by three more Thursdays in between, then fills on Thursday, Aug. 11.
  
If you have questions on your prescription refills, call Pain Management Partners at 541-344-8469. 



Watercolors on display
Watercolor still life paintings by Demetra Kalam of Eugene are on exhibit in the Willamette Medical Center Community Room through Aug. 12. 
 
"My paintings contain my own passion for life. I think art is all about passion," Demetra says.

She has been a New Zone Artists Collective member for seven years. She works primarily in watercolor, painting landscapes, seascapes and  still life, as well as the human figure. She is an award-winning artist whose images appear on book and CD covers. Demetra is a member of the Watercolor Society of Oregon.
 
Willamette Medical Center, located at 2401 River Road, displays many local fiber artists and visiting artists throughout the year. For viewings, contact Jonni at JGratton@wpainmanage.com.
 



Jonni Gratton, Program Director
Pain Management Partners, LLC 
2401 River Road, Suite 101
Eugene, OR 97404
541-344-8469