Pain Pod
One of the most common definitions of pain describes pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” When we are exposed to something that causes pain, if able, we quickly or reflexively withdraw. The sensory feeling of pain is called nociception. Our Host: Mark Garofoli, PharmD Clinical Assistant Professor WVU School of Pharmacy (Department of Clinical Pharmacy) WV School of Pharmacy curriculum education in areas of expertise such as pain management, substance-use disorder, medication therapy management, managed care, geriatric care, management, leadership, and experiential learning.
One of the most common definitions of pain describes pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.” When we are exposed to something that causes pain, if able, we quickly or reflexively withdraw. The sensory feeling of pain is called nociception. Our Host: Mark Garofoli, PharmD Clinical Assistant Professor WVU School of Pharmacy (Department of Clinical Pharmacy) WV School of Pharmacy curriculum education in areas of expertise such as pain management, substance-use disorder, medication therapy management, managed care, geriatric care, management, leadership, and experiential learning.
Episodes

Wednesday Jan 29, 2025
Pain Pearls: Part 1 | Pain Pod
Wednesday Jan 29, 2025
Wednesday Jan 29, 2025
Clinical Pearls, Pain Pod edition: Pain Pearls Part 1 (of many)!A cornucopia of pain conundrums and potential solutions and/or tools to help mitigate. All here, nicely packaged, randomly, in one episode of the Pain Pod! One of many more to come, in a miniseries titled: “Pain Pearls”, only here on the Pain Pod!Come one, come all, to the Pain Pod!!!P.S. Want to contribute or hear about a pain pearl of your own? Message Pain Guy on www.painguy.us to directly reach Mark and have your voice heard!Pain Guy• www.painguy.usDVPRS (Pain Scale)• https://www.va.gov/PAINMANAGEMENT/docs/DVPRS_2slides_and_references.pdf Opioid Risk Screenings• www.opioidrisk.com 2022 CDC Opioid Guideline Update• Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep 2022;71(No. RR-3):1–95.Buprenorphine Induction Resources• Kampman K and Jarvis M. American Society of Addiction Medicine (ASAM) National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use. J Addict Med. Sep-Oct 2015;9(5):358-67.• Ahmed, S. Bhivandkar S, et. al. Microinduction of Buprenorphine/Naloxone: A Review of the Literature. The American Journal on Addictions, 30: 305–315, 2021.• Privia A. Randhawa, Rupinder Brar and Seonaid Nolan. Buprenorphine–naloxone “microdosing”: an alternative induction approach for the treatment of opioid use disorder in the wake of North America’s increasingly potent illicit drug market CMAJ January 20, 2020 192 (3) E73.MOUD Minimum Durations Study• Michael L. Dennis, Mark A. Foss, and Christy K. Scott. An Eight-Year Perspective on the Relationship Between the Duration of Abstinence and Other Aspects of Recovery. Evaluation Review 2007 31:6, 585-612

Wednesday Dec 04, 2024
Thug Drugs: GABA, GABA, GABA | Pain Pod
Wednesday Dec 04, 2024
Wednesday Dec 04, 2024
GABBA, GABBA, GABBA!!! It’s time to enter the matrix with Pain Guy, the matric of the neural synaptic cleft, that’s where it’s at for this episode of the Pain Pod folks! We’ll chat through all types of gabapentinoids including roofies, benzos, and of course gabapentin amongst others. So get out of your seat and jump around before the Gabba receptor sits you down!You’re not going to want to miss this one!Come one, come all, to the Pain Pod!!!Pain Guy• www.painguy.us

Monday Oct 14, 2024
Monday Oct 14, 2024
Topical medications are utilized around the globe at appreciatively higher rates than in our country, so what’s the barriers? “Knowledge” is a great place to start, so join us on this episode of the Pain Pod to go deeper (pun completely intended) into topical pain medications, and in this sequel episode we’ll build upon the OTC topical pain medications discussed in the last episode by diving into the Rx’s!Come one, come all, to the Pain Pod!!!Pain Guy• www.painguy.us

Wednesday Aug 28, 2024
Oh Yeah! Topical Pain Medications! | Pain Pod
Wednesday Aug 28, 2024
Wednesday Aug 28, 2024
Topical medications are utilized around the globe at appreciatively higher rates than in our country, so what’s the barriers? “Knowledge” is a great place to start, so join us on this episode of the Pain Pod to go deeper (pun completely intended) into topical pain medications!Come one, come all, to the Pain Pod!!!Pain Guy• www.painguy.us

Tuesday Jul 16, 2024
Flags, Fires, & Airports: A Chat with Ron Chapman, Legal Expert | Pain Pod
Tuesday Jul 16, 2024
Tuesday Jul 16, 2024
Is every red flag Red a fire or smoke? Controlled substance red flags alert a clinician to needed further conversation, but is every red flag (smoke) investigated for the fire? This episode of the Pain Pod continues the conversation on controlled substance red flags, corresponding legal responsibility, and the opioid crisis, yet with the expertise of a very well-known legal expert, Ron Chapman.You’re not going to want to miss this chat!Come one, come all, to the Pain Pod!!!Pain Guy• www.painguy.usPain Guy’s Practical Pain Management “Controlled Substance Concerns” Article• Garofoli MP, “Prescribing and Dispensing Controlled Substances: When to Pump the Brakes”. Practical Pain Management. 2022; 22(6).• https://www.practicalpainmanagement.com/issue202206/prescribing-and-dispensing-controlled-substances-when-to-pump-the-brakes Drug Topics Chain Pharmacies Red Flags Article• https://www.drugtopics.com/view/national-pharmacy-chain-opioid-settlements-poised-to-affect-independent-pharmacies Chapman Law Group https://www.chapmanlawgroup.com/

Wednesday May 29, 2024
Trauma, Pain, & Addiction | Pain Pod
Wednesday May 29, 2024
Wednesday May 29, 2024
Remember Pain Guy’s TEDx talk “Mise en Scene: Pain, Addiction, and YOU”? It was all about the cinematic experience, right? Well on this episode of the Pain Pod, we welcome Helen Sairany, an author and pharmacist known all across our globe (yes, internationally!) for her countless efforts to educate and help folks improve and save lives in respect to trauma. Helen digs into the roots of pain, addiction, trauma, and childhood experiences like no other!Pain Guy knows many people that just couldn’t put her books down. So now it’s time to hear directly from her on the Pain Pod!Come one, come all, to the Pain Pod!!!

Monday Apr 22, 2024
National Opioid Settlement: Beyond the $45 BILLION | Pain Pod
Monday Apr 22, 2024
Monday Apr 22, 2024
FORTY-FIVE BILLION DOLLARS (approximately of course) and an appreciable number of concrete efforts and responsibilities, that’s the National Opioid Settlement!On this episode of the Pain Pod, we discuss the details of the National Opioid Settlement in respect to financials, controlled substance programs, and specifically the “red flags” stated within. We’re American (although, there are Pain Pod international listeners!), and this affects literally everyone in our communities, families, friends, and professions, so let’s take a moment to review the in’s and out’s of the $45B and much, much more.Come one, come all, to the Pain Pod!!!National Opioid Settlement• www.nationalopioidsettlement.comPain Guy• www.painguy.us• National Opioid Settlement Link on Pain Guy Website: https://painguy.us/resources Pain Guy’s Practical Pain Management “Controlled Substance Concerns” Article• Garofoli MP, “Prescribing and Dispensing Controlled Substances: When to Pump the Brakes”. Practical Pain Management. 2022; 22(6).• https://www.practicalpainmanagement.com/issue202206/prescribing-and-dispensing-controlled-substances-when-to-pump-the-brakes

Wednesday Feb 28, 2024
Cannabis & Chronic Pain: A Chat with Dr. Ken Finn | Pain Pod
Wednesday Feb 28, 2024
Wednesday Feb 28, 2024
On the last episode of the Pain Pod, we succinctly reviewed all things Cannabis and Cannabinoids including the history, botany, regulations, pharmacology, and clinical utilizations of Cannabis, THC, and CBD. Now it’s time to go one giant leap forward in the realm of pain management, with THE international expert Dr. Kenneth Finn!You’re not going to want to miss this one!Come one, come all, to the Pain Pod!!!Pain Guy• www.painguy.usCannabis in Medicine: An Evidence-Based Approach (2020)• https://link.springer.com/book/10.1007/978-3-030-45968-02021 International Association for the Study of Pain Task Force• https://journals.lww.com/pain/fulltext/2021/07001/international_association_for_the_study_of_pain.1.aspxCBD for Pain: Ineffective, Expensive, and with Potential Harms (Journal of Pain, October 2023)• https://www.jpain.org/article/S1526-5900(23)00582-5/fulltext

Thursday Jan 11, 2024
Thug Drugs: Cannabis | Pain Pod
Thursday Jan 11, 2024
Thursday Jan 11, 2024
Let’s clear the smoke on Cannabis, all things Cannabis and Cannabinoids. Time for a higher education! On this episode of the Pain Pod, Mark “Pain Guy” Garofoli will cover the history, botancy, regulations, pharmacology, and clinical utilizations of Cannabis, THC, and CBD. You’re not going to want to miss this one!Come one, come all, to the Pain Pod!!!Pain Guy• www.painguy.usCannabis History• Russo EB. History of cannabis and its preparations in saga, science, and sobriquet. Chem Biodivers. 2007 Aug;4(8):1614-48.Cannabis Taxes• https://learnaboutsam.org/wp-content/uploads/2019/01/15Jan2019-v3-Revenues-vs-Reality-1.pdf Consumer Reports Shopping for CBD Recommendations• https://www.consumerreports.org/cbd/cannabis-and-cbd-guide/www.consumerreports.org/marijuana/hot-to-shop-for-cbd/ 2020 AHA Cannabis/Cannabinoid Clinical Utilization Review• Robert L. Page. Circulation. Medical Marijuana, Recreational Cannabis, and Cardiovascular Health: A Scientific Statement from the American Heart Association, Volume: 142, Issue: 10, Pages: e131-e152Mark "Pain Guy" Garofoli, PharmD, MBA, BCGP, CPE, CTTS

Tuesday Nov 14, 2023
DEA Red Flags: Part 2, A Chat on Ruan vs U.S. | Pain Pod
Tuesday Nov 14, 2023
Tuesday Nov 14, 2023
Red Light, Green Light, GO! On this follow-up episode of the Pain Pod, we discuss the infamous DEA Red Flags with Dr. Jay K Joshi, a doctor who has been in front of our U.S. Supreme Court to discuss this genre.
You’re not going to want to miss this chat!
Come one, come all, to the Pain Pod!!!
Pain Guy
painguy.us
Pain Guy’s Practical Pain Management “Controlled Substance Concerns” Article
Garofoli MP, “Prescribing and Dispensing Controlled Substances: When to Pump the Brakes”. Practical Pain Management. 2022; 22(6).
https://www.practicalpainmanagement.com/issue202206/prescribing-and-dispensing-controlled-substances-when-to-pump-the-brakes
Drug Topics Chain Pharmacies Red Flags Article
https://www.drugtopics.com/view/national-pharmacy-chain-opioid-settlements-poised-to-affect-independent-pharmacies
Daily Remedy (Dr. Jay K Joshi)
https://www.daily-remedy.com/author/admin/
Ruan vs United States
https://www.supremecourt.gov/opinions/21pdf/20-1410_1an2.pdf

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