Movers and Shakers in Pain Medicine

IPSIS: Formerly the Spine Intervention Society
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Aether2000

Aether2000

algosdoc
Verified Member
15+ Year Member
Joined
May 3, 2005
Messages
4,238
Reaction score
2,293
We are creating a list of bios for the movers and shakers in pain medicine. So far we have listed Lax, founders of SIS, Waldman, Racz, Raj, Bonica, Crue, Winnie, Melzack and Wall, Hassenbusch. What other luminaries should be added? http://www.painbytes.com/pdf/Giants.pdf
Members don't see this ad.
 
Wilbert Fordyce.
 
  • Like
Reactions: 1 user
Members don't see this ad :)
I think 4 of the 5 would qualify. Also considering JS Lundy, RW Boyle, WH Sweet, Yaksh, Shealy, DM Long, V Mooney, Menno Sluiiter, Janssen, Rauschning....
 
  • Like
Reactions: 1 user
Paul is a definite! Regardless of the controversy regarding opioids, is there support for some of the AAPM illuminati to be included for their contributions?
 
One of my all time favorites!

Menno Emanuël Sluijter, M.D, Ph.D.

clip_image002.gif
Menno was born 31 July 1932, in Haarlem, a city in the western Netherlands. He has the wealth of several lifetimes of experience in pain medicine, with a twinkle in his eye and whimsical wit that comes from profound self assurance and decades of practice experience. Menno grew up in an era that was a prelude to and including World War II, living in fear of the Nazis, and spending most of his time alone (since his older brothers were very fearful of the Nazis and hid from them a great deal of time). He credits this independent thought to his later development of pain techniques. After the war, Menno worked very hard at University since his parents sacrificed greatly to pay for his and his brother’s college education. The family motto was work. His brother became a general practitioner and Menno followed afterwards.

Sluijter obtained his MD at the University of Amsterdam in 1957. During medical school he worked part time as a ship’s doctor, traveling to different countries. In Rotterdam, he was worked as a “vacationing resident”, the youngest position, and therefore was relegated to giving the anesthetics. Menno was offered a surgery residency in Rotterdam, but instead chose an anesthesiology residency in Amsterdam As a ship’s doctor, he learned English from an English diplomat because sometimes he would be on the ship for weeks without anything to do because of workers strikes preventing them from coming on shore. He received his PhD at the same institution in in Amsterdam in 1963 with the dissertation The treatment of carbon monoxide poisoning by administration of oxygen at high atmospheric pressure. Dr. Sluijter attended a hyperbaric oxygen conference in Ireland in 1963 where he met Harry Beecher, and was asked to spend a year with him at the Massachusetts General Hospital 1963-64. Harry Beecher did a lot of pain practice during that time and was doing some work with Ron Melzack at the time. Shortly thereafter he entered an appointment as an assistant professor of experimental anesthesiology in Amsterdam, running computer models on the distribution of halothane. Menno was asked by general practitioners in the community to speak to them about chronic pain. He was not trained specifically in pain medicine since the specialty did not exist, but heard of treatments and attempted to incorporate them in his practice by 1969, including bezitramide. By 1970 he began to receive referrals from general practitioners for chronic pain, and had as one his first referrals a 60 year old lady with coccydynia that he attempted to treat with this medicine but caused intractable vomiting without any improvement in pain during her 2 week hospitalization. He then sought out the teachings of John Bonica in a book format. He opened a consulting practice for pain shortly thereafter in a hospital outside of Amsterdam, but the medical staff were opposed to it because they believed treating pain would be bad for the reputation of the hospital (since pain, like fever was thought to be a symptom). Because there was no one to train him, he began attending pain conferences, the first being in Florence in 1975. By then he had developed a technique of administering epidural steroids with a 23 ga needle and this was presented at the conference. At that conference he met an American neurosurgeon [most likely Dr. H Blume] doing “Occipital denervation” with approximately 60 lesions being made in the ligaments of the splenius capitus, cervicus and other areas of the occiput with a radiofrequency machine. Dr. Sluijter met Eric Cosman at that conference (worked for Radionics) and bought a RF machine at that conference. He tried the “Occipital denervation” technique but because the needles were a very large diameter (12 ga.), he found it to be tantamount to torture, and abandoned the occipital technique. The RF machine came with an instruction booklet (possibly by Kline) that was very useful, identifying multiple uses of the RF generator, however the needle size made it difficult to perform procedures. Menno continued to travel and learn. He visited Mark Mehta in Norwich, England in 1977 who was doing percutaneous cordomies for cancer.

Using a Pole needle to locate the nerve of interest (insulated all except the very tip), Dr. Sluijter created an active longer tip by using a scalpel to remove insulation at the end of this needle at the Lutheran Deaconess Hospital in Amsterdam. Subsequently Radionics developed the SMK RF system with much smaller needle diameters: 20 and 22 ga., making it possible to reach structures in the neck, DRG, and others for application of RF energy. The SMK stands for Sljijter-Metha cannula and created an explosion of RF due to the simplicity of the system, the ability to inject local anesthetic without a separate needle (unlike the prior TIC and TEW cannulas), and were available with different active tip lengths and curvatures. Sluijter taught other physicians the advantages of using the system for longer term pain control compared to a local anesthetic injection. By the 1980s, experience with RF taught him what did and did not work, and unlike other physicians using RF, Menno did not see a placebo effect. It either worked or did not work. He was in a private practice setting and stated he did not have time to do studies. At that time, the Universities in Holland were forming multidisciplinary groups for the treatment of pain but Menno effectively was a pure interventional clinic. The physicians using each of these approaches criticized the other approach but there was no clear evidence once was superior over another. In the early 1980s Menno was doing cordotomies, trigeminal ganglion treatments, as well as medial branch RF, sympathetic nerve and DRG RF. He had a steady stream of other doctors coming from around the world to visit him at his practice and learn. The two camps were finally united when Co Greep, a surgeon at the new university at Maastricht believed there needed to be a unification of the two divergent approaches. He was instrumental in appointing Dr. Sluijter as Professor of Invasive Treatment of Pain at the University of Maastrict where he remained from 1989-1998, where he worked with Maarten van Kleef who became his close friend and colleague. This collaboration resulted in several publications. But Dr. Sluijter kept his private practice in Amsterdam, doing 25 procedures a day, and having most days 1-4 visiting physicians from North and South America, Australia and Europe. Because of his age (65) Sluijter could no longer be paid for doing medical work in Holland (insurance companies stopped paying physicians at age 65 in Holland at that time). Therefore, he moved to Switzerland. From 1998 to the mid 2000s he was a Consultant at the Pain Unit, Swiss Paraplegic Center, Nottwil, Switzerland. He is involved in research related to chronic pain. He is also affiliated with the Jan van Goyen Clinic in Amsterdam. He has helped to work on shifting how physicians deal with long term pain from 'pain management', to 'pain treatment.' Sluijter is credited with the development of pulsed radiofrequency treatment. Since the late 1990s, he uses almost exclusively pulsed RF.


Menno had worked with Eric Cosman, Ph.D., an engineer at Radionics since at least 1977 in the development and use of their radiofrequency generators. Following a meeting with a Soviet-block scientist, Dr. Sluijter and Mr. Rittman, and engineer were fascinated by the magnetic field idea of neurological disruption, since Menno was convinced heat was not the only element causing pain relief (he noted performing lesions distal to a disc herniation frequently provided relief of disc herniation pain, an effect that cannot be attributed to direct nerve destruction by heat). Subsequently, it was discovered the magnetic field strength was negligible and only the electric field was responsible for producing biologic effects in pain reduction, outside that of the known radiofrequency heating effects. Thus the theory was tested by manually shutting down the electric field, but the results in clinical testing was not effective. Dr. Sluijter then suggested a stream of pulses. Thus was born pulsed radiofrequency- a method of providing very short pulses of energy lasting only milliseconds, and time for thermal relaxation (the temperature would drop below that which would destroy nerves). Radionics built the first pulsed RF unit in 1995 by engineers Raymond Fredericks and Jack Thomasian, then the unit was transported to Dr. Sluijter for clinical evaluation that began in 1996 with positive results. Tissue temperatures are kept on the average, below those that would cause neural injury or destruction. He has used PRF extensively since that time, and the science surrounding C-Fos expression using distal nerve RF has been explored in scientific experiments.


Dr. Sluijter has received numerous awards and honors in his lifetime, including the Knight in the Order of the Dutch Lion and Noordenbos award. He has written several books on radiofrequency techniques and has 40 published articles, the latest being the Treatment of Joint Pain with Intra-articular Pulsed Radiofrequency published in 2013.
 
  • Like
Reactions: 2 users
saw Sluijter talk at an ASRA conference in 03 or 04 in Phoenix......he is a no brainer to be in.
 
John D. Loeser, M.D.
John D. Loeser is one of the deans of pain medicine, with a long history of involvement in the field, with many contributions that helped shape the specialty. He received his B.A. from Harvard University, his M.D. at the New York Medical School (NYU) in 1961, a surgical internship at UCSF, and completed his 5 year neurosurgical residency at the University of Washington. He served as a surgeon in the military, and was an Assistant Professor at the University of California, Irvine. Dr. Loeser is recognized as an expert in the surgical treatment of pain and multidisciplinary pain management. He was the Director of the Multidisciplinary Pain Center from 1982-1997. The University of Washington granted Drs. Loeser and Fordyce an independent yet multidisciplinary hospital ward for inpatient and outpatient pain management in 1983. The resulting Multidisciplinary Pain Center (MPC) implemented the biopsychosocial model of pain management that displaced the traditional biomedical model in the 1970s in Washington State [and Dr. Loeser believed nationally].

In the MPC, chronic pain was viewed as “a psychological and environmental disorder that is rarely amenable to biologically based ‘fixing’, especially by the time of referral”. He believed because pain could not be measured objectively, that we are relegated to treating pain behaviors instead of pain itself, since the VAS and other reported pain measurements are entirely self reported subjective measurements. The typical chronic pain patient treated at MPC came with diagnoses that did not explain their protracted pain, long beyond the usual time required for healing. According to Dr. Loeser, these patients were “like a billiard ball caroming off one cushion to another cushion, as each physician referred them to another physician. He believed finding a “cure” or reducing subjective pain is not as important as symptom relief and functional improvement. The MPC focused on reducing self-reported pain, improving psychological well-being and physical condition, and managing opioid use appropriately. The MPC required patients taking multiple opioids from different prescribers to relent that the medications were not solving the problem, as they all complained of pain and disability despite their heavy opioid use. A “pain cocktail” tapering strategy was used, and patients were informed they would be off opioids by the 21st day. However, in a 2014 American Pain Society lecture he admitted that none of these patients at the MPC were on the megadoses of opioids seen being used in 2014, and he has doubts the opioid strategy they used at the MPC would work for todays patients. Nonetheless he concludes “multidisciplinary pain clinics remain the best available treatment for appropriately selected pain patients and the lessons learned at the MPC could be translated into an individual practitioner’s methods of managing chronic pain patients”. He also noted in another lecture that the use of multidisciplinary pain clinics had peaked due to the high cost of rendering care in this model.

His career also focused upon pediatric neurosurgery. His research and teaching efforts have included the development of the human nervous system, neuropathic pain, low back pain and multidisciplinary pain management. His contributions to the field of pain medicine included laying the groundwork for pain fellowships, establishing the multidisciplinary approach to pain, and synthesis of taxonomy of pain. Dr. Loeser is connected with virtually all facets of the modern pain organizations and has spent much of his professional career at the University of Washington where he held professorships in both the Department of Neurosurgery and the Department of Anesthesiology, and served as director of their multidisciplinary pain clinic from 1982-1997 and since 2008 has been Professor Emeritus, yet is still very active in the pain world. In 2012 in an IASP Update, he discussed “Five Crises in Pain Management” that included (1) the lack of evidence for the outcomes of most of the things providers do for patients, (2) the inadequate education of primary care providers about pain and how to treat it, (3) the largely unknown value of opioid treatment for patients with chronic nonmalignant pain, (4) funding for the providers of pain management, and (5) access to multidisciplinary care.

A 2017 address by Dr. Loeser entitled “Illuminating the Path to Multidisciplinary Pain Management” for the APS distills his philosophies of pain medicine:
“Pain professionals face a real challenge of acquiring new knowledge and applying that to patient care. But we also have to make use of the knowledge that is already available today and organize that into effective patient care strategies. For chronic pain patients we need to recognize the increasing evidence that it is not due to a broken part that can be fixed, but is the result of central processing of information that is not only acquired through nociceptors, but also through afferent and environmental factors. We know that for example, anticipated consequences and past experiences can strongly influence the perpetuation of chronic pain. Chronic pain is a brain disease, and we can not only modify the disease by drugs or surgery, but also by psychological techniques and making use of environmental contingencies. Multidisciplinary pain management utilizes all these principles and thus far has been the best treatment for chronic pain patients that is available today. Chronic pain is a disease of the brain, and there are tools to manipulate the brain and reduce the amount of pain and suffering that a patient has, beyond and above injections and drugs. Cognitive and behavioral strategies have been proven to be effective in the management of chronic pain patients.”

Since 2007, the University of Washington has held an annual John D. Loeser Pain Conference. He continues to be active as a warrior in the world of chronic pain.
His publications include over 150 articles of original research, another 90 review articles, 128 book chapters, and is editor or author of eight books. His early 1970s publications were pediatric neurosurgical, but beginning in 1979 began a series of seminal pain management publications including Dorsal column and peripheral nerve stimulation for relief of cancer pain (1979), Role of neurosurgery in visceral and perineal pain (1979), Nonpharmacologic approaches to pain relief (1980), Low back pain (1980), Deafferentation and neuronal injury (1980), Brain stimulators for pain (1980), Orthopaedic aspects of the chronic pain syndrome (1980), Neural mechanisms in pain and analgesia (1981), Dorsal Rhizotomy (1982), Chronic pain (1983), Tic douloureaux (1984), Unlocking the secrets of pain. The treatment: a new era (1987), Disability, pain and suffering (1989), Selection of patients for neurosurgical procedures for relief of pain (1989), Inpatient pain treatment program (1989), Peripheral nerve disorders (1990), Pain after amputation: Phantom limb and stump pain (1990), Pain of neurologic origin in the hips and lower extremities (1990), Neurosurgical operations involving peripheral nerves (1990), Pain relief and analgesia (1990), Desirable characteristics for pain management facilities (1990), The role of pain clinics in managing chronic back pain (1991), Epidemiology of low back pain (1991), Neurological procedures for cancer pain (1992), The International Association for the Study of Pain: History and Philosophy (1995), Mitigating the Dangers of Pursuing Cure In: Pain Treatment at a Crossroads (1996), President’s Address to the 8th World Congress on Pain (1997), Basic Consideration of Pain: History of Pain Concepts and Therapies (2000), Generalized Pain Syndromes (2000), Regional Pains: Abdominal Pain Caused by Other Diseases (2000), Master the AMA Guides 5th Ed., A Medical and Legal Transition to the Guides to the Evaluation of Permanent Impairment (2002), Taxonomy and epidemiology of spinal cord injury pain (2002), The Role of the Multidisciplinary Pain Clinic (2002), Opiophobia and Opiophilia (2004), Multidisciplinary Pain Management (2004), Summary: From Biology to Narrative (2004), Surgical Pain Management (2005), Pain, Suffering and the Brain: A Narrative of Meanings (2005), Back Pain in the Workplace – the International Association for the Study of Pain’s Taskforce Report (2006), Pain as a Disease (2006), American Academy of Pain Management (Eds): Chronic Pain Management: Guidelines for Multidisciplinary Program Development (2007), Socioeconomic Factors in Pain and its Management (2009), A History of the Intersection of Business with Pain Medicine, in: The Devolution of the “Profession of Pain Medicine to the ‘Business’ of Pain Medicine” (2010), Taxonomy of Pain Systems, in: Comprehensive Pain Medicine and Interventional Pain Management Board Review (2011), Effects of Workers' Compensation Systems on Recovery from Disabling Injuries (2012), Radiofrequency gangliolysis of the trigeminal nerve for trigeminal neuralgia (2014), Pain Taxonomy (2015), Assessment of Chronic Pain: Domains, Methods, and Mechanisms (2016).
 
Last edited:
  • Like
Reactions: 1 users
Like NJPAIN I've had the pleasure of learning from Dr. Loeser. He will be in attendance at the pain conference in Ashland, OR this May.
I can't tell you how much fun it is when he, and Dr. Ballantyne, and Michael Von Korff, and and Andrew Kolodny, and Anna Lempke,
and David Tauben, and Mark Sullivan, and Cat Buist, and Kim Swanson, and now Dan Clauw, sit down for a chat in between lectures and
at dinner.
 
John Loeser is the most brilliant physician I have encountered in my career. He is a true academic with no hidden agenda. What you see is what you get. I have learned more from him than from anyone else. Now in his 80s he is STILL actively involved in our field and "fighting the good fight". Not everyone will agree with or like what he has to say but no one can say that he has anything in mind but the best interest of the patients and society as a whole.
 
  • Like
Reactions: 1 users
Members don't see this ad :)
Those appear to primarily be historical founding fathers of the field.

To me, movers and shakers implies current folks.
 
Last edited:
Perhaps the title of the series, Giants of Pain Medicine, is more appropriate than "Movers and Shakers". Good point!
 
Jay Govind. Way Yin. Tony Yeung.

Curtis Slipman. Kevin Pauza. (Despicable human beings, driven by greed, but still advanced the field significantly)
 
101N said:
Like NJPAIN I've had the pleasure of learning from Dr. Loeser. He will be in attendance at the pain conference in Ashland, OR this May.
I can't tell you how much fun it is when he, and Dr. Ballantyne, and Michael Von Korff, and and Andrew Kolodny, and Anna Lempke,
and David Tauben, and Mark Sullivan, and Cat Buist, and Kim Swanson, and now Dan Clauw, sit down for a chat in between lectures and
at dinner.
Click to expand...
Mere membership in the PROP hierarchy ought not qualify you as a mover and shaker.



Sent from my SAMSUNG-SM-G920A using SDN mobile
 
C. Norman Shealy, M.D., Ph.D.

Born in 1932 in South Carolina, by the time he had reached four years of age, C. Norman Shealy (Norm) had already decided he wanted to be a physician and by age sixteen, a neurosurgeon. He entered Duke University at age 16 and Duke Medical School at age 19. He spent his internship year in Internal Medicine at Duke, then did a year of general surgery at Banes Hospital, then completed a five year neurosurgical residency at Harvard and Massachusetts General Hospital. In 1961 he worked at the Australian National University with Sir John Eccles, a Nobel Laureate. During his time in Australia, he developed an interest in afferent nerves and motor neuron dissections, and had several publications around that time in traditional neurosurgical realms. Beginning in 1962 through 1965 he worked at Western Reserve Medical School performing research that led to the development of TENS (transcutaneous electrical therapy) and dorsal column stimulation. In 1966, he published a paper on the physiological evidence of the bilateral spinal projections of pain fibers in cats and monkeys. Also that year he published an article in JAMA “Dangers of spinal injections without proper diagnosis” and in Headache “The physiological substrate of pain”. In 1966 he became Chief of Neurosciences at Gundersen Clinic.


The year 1967 brought a publication with Mortimer (a graduate engineering student from Case Western Reserve) entitled “Electrical inhibition of pain: experimental evaluation” published in Anesthesia and Analgesia. 1967 The first human dorsal column stimulator (later termed spinal cord stimulator) was implanted in April 1967 by C. Norman Shealy, M.D. of the Gunderson Clinic in LaCross Wisconsin and designed by Mortimer after experimentation in a feline model. The first patient suffered thoracic chest wall and abdominal pain from wide spread metastatic cancer from a primary cancer of carcinoma of the lung. He had a single cathode electrode implanted "approximating the dorsal columns" by suturing the electrodes to the dura after laminectomy at T2-3 for exposure. The anode was intramuscular, both electrodes being made of Vitallium. The stimulator was external and connected to the implanted leads via hypodermic needles that were placed through the skin into the lead jacks. The stimulator was turned on only for an hour the first day, changing the frequency when the patient began to experience pain again. The second day the patient used the dorsal column stimulator for 10 out of 12 hours, again changing the frequency when he began to experience pain. The following day, the patient was too ill for stimulation and died that night. Later publications mistakenly purported the device was used for the last several months of the patient’s life, when in actuality was for only 11 hours over the last 3 days of the patient's life. The autopsy demonstrated the patient suffered from endocarditis with cerebral embolism that resulted in paraparesis and death. The first spinal cord stimulator could not be measured as a success given the short amount of time used in stimulation and the unrelated death of the patient with cancer, but it spurred further interest since there was a reduction in pain during the stimulation. But having to plug in to jacks that were being accessed with needles placed through the skin was not an optimal way to deliver power to a stimulation system. Mortimer knew this, and set out to improve his
system. Mortimer subsequently contacted an engineer, Norm Hagfors of Medtronic, where he had interviewed two years before for a job. Mortimer surmised the Medtronic radiofrequency (external) powered cardiac generator could be used to power a spinal cord stimulator. The second stimulator powered by the Medtronic cardiac generator modified Barostat, provided pain relief for four years from chronic pain. In the July/August 1967 edition of Anesthesia & Analgesia, Shealy published the results of his first human trials of dorsal column stimulation. The prestigious journal Neurosurgery rejected this paper, therefore Anesthesia & Analgesia, first published dorsal column stimulation. The following year 1968 he published an article entitled “Stimulation vs. ABLATION” in Headache and in Lancet published “Physiological standardization of analgesics and anesthetics”. By 1969 he published a paper entitled “Dorsal column electrohypalgesia” in Headache and in 1970 finally got his J. Neurosurgery publication “Dorsal column electroanalgesia”.


In 1971 he founded the Shealy Institute, the first comprehensive pain and stress management clinic in the US, providing cost effective care. It is a center designed to provide research and treatment of chronic pain and is purportedly the first comprehensive holistic clinic in the US for depression, migraine, fibromyalgia, and back pain treatments. He claims to have treated over 30,000 chronically ill patients there with a success rate of 85%. His interest in surgical implantation for dorsal column stimulation quickly diminished and by 1975 (apparently due to “complications”), he had abandoned spinal cord stimulation, instead focusing on TENS unit development. TENS or transcutaneous electrical nerve stimulation, was based the idea from Electrotreat, a DC powered device first patented in 1911, and used to treat a variety of maladies. In 1938, the year the FDA was formed, Electreat was the first device tackled by the FDA for fraudulent advertising. Eventually the FDA limited the claims to be for the use of pain. Shealy believed this device operated in the gigahertz range (although this was never proven) but subsequently led to the development of TENS. He published a paper in 1972 entitled “Transcutaneous electroanalgesia” in Surgery Forum. Following were several other publications on TENS. In 1974 he published an article on facet joints as a new approach to pain medicine and in 1976 Dr. Shealy published a paper on facet denervation in the management of back and sciatic pain that surveyed over 800 patients. He claims to be the discoverer of the technique of “facet rhizotomy” however RP Pawl published an article in 1974 on “facet rhizotomy”. Dr. Shealy continued publishing articles on facet denervation and dorsal column stimulation in the 1970s.


Norm earned a Ph. D in psychology in 1977 from Saybrook Institute, a Humanistic Psychology school [a largely correspondence institute started in 1971] and subsequently received a Doctor of Science degree from Ryodaraku Institute [an organization offering courses in acupuncture-we were unable to find any accreditation information for this “Doctor of Science” institute]. In 1978 he began moving away from the traditional approaches to pain, publishing articles in biofeedback and in 1979 articles on holistic medicine and the “Psychology of responsibility”. Thereafter, his publications have been primarily on holistic, psychological approaches to pain, energy healing, distance healing, etc. He is board certified in Neurosurgery.


Since the mid to late 1970s, Shealy has veered far from organized medicine, embracing “energy medicine”, Biogenics (a biofeedback system), and several alternative products such as Shealy “RelaxMate glasses”. The latter prompted a warning letter by the FDA September 16, 1998 for claims made that are prohibited under federal law, and that the device may pose a “significant risk”. One of his latest “discoveries” is RejuvaMatrix, designed to “rejuvenating telomeres”. He currently sells “Bliss Oils” that he claims is his latest discovery of “Sacraments of the Nemenhah Native American Church”. These essential oils that Shealy claims stimulate the “circuits” which enhance DHEA, oxytocin, calcitonin, and reduce free radicals. The most popular is “Air BLISS” that is claimed to provide “detached calmness and relief from both depression and anxiety” (obtained from the website myhealingroomscom/norman-shealy on Feb 11, 2017 Shealy also claims to have demonstrated transdermal application of magnesium is much more effective than oral supplementation. However, in spite of his divergence away from neurosurgery and traditional pain medicine, Dr Shealy has continued to do quality research on alternative healing methods, most recently in a 2009 publication that distance healing had no significant effect on the “Pain Rating Index”, and only a slight effect on the visual analog scales.


He has published over 320 articles and 25 books, and holds 10 patents in the treatment of pain. He was the founding president of the American Holistic Medicine Association in 1978, the founder and CEO of the National Institute of Holistic Medicine, President of the Holos Energy Medicine Education, “Professor Emeritus of Energy Medicine” Holos University Graduate Seminary and he has been at the forefront of alternative health care for more than 30 years. [Holos University as of 2017 is an organization located in Missouri that is not accredited by any major university accrediting organization but is accredited by the “New Thought Accreditation Commission” and offers “graduate” and doctoral degrees specializing in energy healing, holistic health and theology as a largely email and webinar based university with a few core courses require a “1-3 day residency program”.] He is a believer in the use of “Energy Medicine”, “Medical Intuition” and “Holistic Healing”. Shealy was founder of the Ambrose and Olga Worrall Institute for Spiritual Healing, founder of Holos Institutes of Health, founded the American Board for Scientific Medical Intuition, Founded the Holos University Graduate Seminary. He was “Holistic Person of the Year” in 1985 and won the “Stress Award” in 1997 from the American Institute of Stress. He claims to have acted as a consultant to leaders in “every specialty” including the personal physicians of Presidents Kennedy and Eisenhower. He is a member of the Practical Pain Management Editorial Board


Interestingly, Dr. Shealy firmly believes he is the reincarnation of John Elliotson, a physician of the early 19th century, and inventor of the discredited fad called phrenology (reading the impressions on the bones of the skull). Elliotson was also an advocate of mesmerism that was subsequently found to be fake. Dr. Shealy discovered his reincarnation while sitting in a lecture at the Neuroelectric society meeting in Jan 1972 when John Elliotson was mentioned in a lecture and he had a revelation that he had lived a past life as John Elliotson. Subsequently he believed he had this confirmed numerous times by “intuitives”.
 
Last edited:
Of course the same can be said of SIS, ASRA, AAPM...
 
ampaphb said:
Mere membership in the PROP hierarchy ought not qualify you as a mover and shaker.



Sent from my SAMSUNG-SM-G920A using SDN mobile
Click to expand...

Being a mere Suboxone pimp makes one an "innovator" these days among the liberal class
 
  • Like
Reactions: 2 users
101N said:
Like NJPAIN I've had the pleasure of learning from Dr. Loeser. He will be in attendance at the pain conference in Ashland, OR this May.
I can't tell you how much fun it is when he, and Dr. Ballantyne, and Michael Von Korff, and and Andrew Kolodny, and Anna Lempke,
and David Tauben, and Mark Sullivan, and Cat Buist, and Kim Swanson, and now Dan Clauw, sit down for a chat in between lectures and
at dinner.
Click to expand...


Not one of those people are an "innovator" in that they haven't created or invented anything except possibly Loesner.

Just being someone who says "here's Suboxone treatment that I will charge you cash to get" isn't exactly "innovation" in science.

Or if you are Claw, making a FAKE diagnosis (fibromyalgia) that has zero objective imaging, lab work, etc that can prove its existence and offer them Lyrica (while taking money as a consultant for Pfizer), Cymbalta and THC isn't exactly some "ground breaking" scientist.
 
Mike is a fantastic educator, and has done some outstanding research. He is one of my favorite people in the pain world.
 
Tony Yaksh, Ph.D.

clip_image002.gif
Tony Yaksh is not a medical doctor, but few others have had more influence on the basic and clinical science behind analgesia and pain. He is the worldwide recognized expert in this area of science. For many years, his primary focus was on spinal opioids, that subsequently created a significant clinical use of opioids in epidural injections and infusions and also intrathecal opioids (in implanted infusion pumps). His subsequent studies provided a basis for understanding the pharmacology of the spinal gating of pain information. He is an expert on issues related to spinal drug kinetics and the evaluation of the safety of spinally delivered agents. His laboratory has been preeminent in studying the safety of spinal agents and mechanisms of their toxicity, a unique academic endeavor that has established essential criteria for spinal drug development.He comes from an extraordinary academic pedigree beginning with William Osler at Johns Hopkins/McGill and William Stewart Halsted at Johns Hopkins. These giants medicine trained Harvey Cushing from Yale who trained John Fulton from Yale, who trained Patrick Wall of UCL (co-discoverer of the gate theory) who trained Tony Yaksh.

Dr. Yaksh obtained his B.S. degree from Georgia Institute of Technology (1966) and his M.S. from University of Georgia (1968). In 1968 he published his first scientific paper. In 1971 he received the Ph.D. degree from Purdue University, and continued publishing six more scientific articles during that time. He served in the U.S. Army, (Biomedical Laboratory, Edgewood Arsenal in Maryland from 1971-73). He was a research scientist in the School of Pharmacy, University of Wisconsin (1973-76) where he began research into the effectiveness of morphine on the primate brain. He was an Associate Research Scientist in the Anatomy Department at University College London (1976-77). He worked at the Mayo Clinic, Rochester, MN, (1977 to 1988), reaching rank of Professor in Pharmacology and Neurosurgery. Dr. Yaksh joined UCSD in 1988 as Professor and Vice Chairman for Research in the Department of Anesthesiology and Professor of Pharmacology and became distinguished professor in the School of Medicine in 2007. The focus of Dr. Yaksh’s research has been in the area of the physiology and pharmacology pain processing. He has published over 800 papers. He has been a mentor to more than 100 post-graduate fellows and has been funded consistently by the NIH since 1977.

He has twice been a Javitz award recipient. He has received several honors and awards, including: John J. Bonica Lecture -American Society of Regional Anesthesia, Boston, 1989; FWL Kerr award-American Pain Society (1991); American Society of Anesthesiology Award for Excellence in Research (1995); Joris De Castro Memorial Award-Belgian Society of Anaesthesia and Reanimation (1998) John Liebeskind Award for Pain Research-American Academy of Pain Management, 1999; Torsten Gordh Award-Swedish Society of Medicine/Swedish Society for Anesthesia and Intensive Care (2000); Rovenstine Award-NY Society of Anesthesiologists (2001); Seldon Memorial Award-IARS (2007); German Promotion Award for Pain Research(2007); the John J. Bonica Award–IASP (2008); and was presented with the North American Neuromodulation Lifetime Achievement Award in 2015.
 
  • Like
Reactions: 1 users
Wilbert Fordyce, Ph. D. (1923-2009)
Dr. Fordyce completed his bachelors, masters, and doctoral degrees in psychology at the University of Washington in 1948, 1951, and 1953. Subsequently after spending his first six years employed at the Seattle VA Hospital, his professional career was primarily spent at the University of Washington from 1959 onward. He became an assistant professor in 1959, a full professor in 1970, and professor emeritus in 1993. A colleague of Dr. Bonica and instrumental in the development of the multidisciplinary pain clinic, Dr. Fordyce was also key to the development of the behavioral model of chronic pain. This contrasted with the disease model of chronic pain that had been prevalent prior to the early 1980s, that viewed chronic pain symptoms are a result of some process lying within the person. Once the underlying problem was identified through diagnostics, then action was taken to correct the problem. However there may not always be an identifiable cause, thereby thrusting the diagnosis into the realm of “central pain”. Typically the disease model (still used today by interventional pain physicians) seeks a “nociceptor” or pain source and affects it through injections, neuroablation, or neuromodulation. Causes that are not central pain or nociceptive pain are termed psychogenic, psychosomatic, hysteria, hypochondriasis, etc. On the other hand, the behavioral model perceives patient pain only as an alternative in behavior. If there is no visible or audible indications from the patient they are suffering, then there is no pain problem. The behavioral model of pain examines what influences the behaviors dividing people into respondents and operatives. Respondents have autonomically mediated responses to pain- as a reflex. Operants are elicited by a stimulus of pain, but operants have the important characteristic of learning or conditioning effects via reinforcement. Operants are called such because they operate on or influence the environment by leading to or causing reinforcing or aversive (avoidance). Reinforcement leads to increase in the frequency of occurrence. In the behavioral model, nociception (or tissue damage leading to pain) may not be present but the pain behaviors may occur due to positive reinforcement of behaviors. Pain behaviors lead to the consequence of avoiding aversive effects (e.g. avoiding exercise or activity that causes the person to splint, reduce range of motion, become stiff, motor and ligament tightening). Prior experience may also reinforce behavioral avoidance of functionality or activities that may be helpful for long term pain reduction. Fordyce stated a pain problem that exists for more than a few days or weeks can be seen as being vulnerable to conditioning effects. Evaluation of the pain problem and determining the factors influencing the persistence of the pain behavior is inadequate unless there is assessment of both intra-individual factors and individual-environmental contingency arrangements. Pain assessment therefore should always include a behavioral analysis. Ironically attention from family members and the health care team attending to the patient’s pain may actually reinforce the pain behavior. Fordyce demonstrated in the early 1970s operant learning methods could be used to increase activity and reduce medication for people with chronic pain being treated on an inpatient admission.
In the multidisciplinary pain clinic of Bonica/Fordyce, Dr. Fordyce developed approaches to dealing with chronic pain that were unheard-of at the time. He encouraged chronic-pain patients to become active again and to cut back on the amount of pain medication used.

He was a founding member of the International Association for the Study of Pain and the American Pain Society, which named an annual research award in his honor in 1995.
Wilbert “Bill” Fordyce was also a fellow of the American Psychological Association. He served on the IASP council from 1987 to 1993. Dr. Fordyce had over 90 publications of research articles to his credit beginning in 1956 with studies on the MMPI psychological test and his final publication was in 2001: Pain in cancer and non-cancer conditions: similarities and differences
 
  • Like
Reactions: 2 users
algosdoc said:
Wilbert Fordyce, Ph. D. (1923-2009)
Dr. Fordyce completed his bachelors, masters, and doctoral degrees in psychology at the University of Washington in 1948, 1951, and 1953. Subsequently after spending his first six years employed at the Seattle VA Hospital, his professional career was primarily spent at the University of Washington from 1959 onward. He became an assistant professor in 1959, a full professor in 1970, and professor emeritus in 1993. A colleague of Dr. Bonica and instrumental in the development of the multidisciplinary pain clinic, Dr. Fordyce was also key to the development of the behavioral model of chronic pain. This contrasted with the disease model of chronic pain that had been prevalent prior to the early 1980s, that viewed chronic pain symptoms are a result of some process lying within the person. Once the underlying problem was identified through diagnostics, then action was taken to correct the problem. However there may not always be an identifiable cause, thereby thrusting the diagnosis into the realm of “central pain”. Typically the disease model (still used today by interventional pain physicians) seeks a “nociceptor” or pain source and affects it through injections, neuroablation, or neuromodulation. Causes that are not central pain or nociceptive pain are termed psychogenic, psychosomatic, hysteria, hypochondriasis, etc. On the other hand, the behavioral model perceives patient pain only as an alternative in behavior. If there is no visible or audible indications from the patient they are suffering, then there is no pain problem. The behavioral model of pain examines what influences the behaviors dividing people into respondents and operatives. Respondents have autonomically mediated responses to pain- as a reflex. Operants are elicited by a stimulus of pain, but operants have the important characteristic of learning or conditioning effects via reinforcement. Operants are called such because they operate on or influence the environment by leading to or causing reinforcing or aversive (avoidance). Reinforcement leads to increase in the frequency of occurrence. In the behavioral model, nociception (or tissue damage leading to pain) may not be present but the pain behaviors may occur due to positive reinforcement of behaviors. Pain behaviors lead to the consequence of avoiding aversive effects (e.g. avoiding exercise or activity that causes the person to splint, reduce range of motion, become stiff, motor and ligament tightening). Prior experience may also reinforce behavioral avoidance of functionality or activities that may be helpful for long term pain reduction. Fordyce stated a pain problem that exists for more than a few days or weeks can be seen as being vulnerable to conditioning effects. Evaluation of the pain problem and determining the factors influencing the persistence of the pain behavior is inadequate unless there is assessment of both intra-individual factors and individual-environmental contingency arrangements. Pain assessment therefore should always include a behavioral analysis. Ironically attention from family members and the health care team attending to the patient’s pain may actually reinforce the pain behavior. Fordyce demonstrated in the early 1970s operant learning methods could be used to increase activity and reduce medication for people with chronic pain being treated on an inpatient admission.
In the multidisciplinary pain clinic of Bonica/Fordyce, Dr. Fordyce developed approaches to dealing with chronic pain that were unheard-of at the time. He encouraged chronic-pain patients to become active again and to cut back on the amount of pain medication used.

He was a founding member of the International Association for the Study of Pain and the American Pain Society, which named an annual research award in his honor in 1995.
Wilbert “Bill” Fordyce was also a fellow of the American Psychological Association. He served on the IASP council from 1987 to 1993. Dr. Fordyce had over 90 publications of research articles to his credit beginning in 1956 with studies on the MMPI psychological test and his final publication was in 2001: Pain in cancer and non-cancer conditions: similarities and differences
Click to expand...

From his online article from PMJ in 1984: "The evaluation of chronic pain requires an on-going, symbiotic, interactive relationship between medical science and behavioural science. In addition to appropriate medically-based diagnostic procedures, there should be a behavioural analysis of the patient and his/her pain problem. "

This analysis makes sense.
 
  • Like
Reactions: 1 user
Thanks for the delicious reference about Winnie- especially since it is by Candido, a legend himself.
 
algosdoc said:
Thanks for the delicious reference about Winnie- especially since it is by Candido, a legend himself.
Click to expand...

I took Winnie's little house of horrors board review course decades ago. He was quite impressive. I remember his talk about lumbar neurolytic blocks. He had performed a block on a young guy and immediately after the patient said that his pain was gone. HThe patient then asked when he would be able to move his legs again. Winnie reported that he felt like saying as soon as I can move my legs again, but fortunately the motor block was from the local injected and it resolved.
 
You must log in or register to reply here.
Next unread thread

Similar threads

B
National Spine and Pain
Replies
11
Views
2K
blockstar
B
lmsanscafe
Best and worst insurance companies for pain physicians
Replies
11
Views
929
DubVille
DubVille
No_Pain_No_Gain
Landmark Studies in Pain Management
Replies
17
Views
1K
Ducttape
D
S
Apply to pain fellowship in McGill university?
Replies
1
Views
361
Doctodd
D
epidural man
neurosurgeons doing pain medicine injections
2
Replies
94
Views
4K
deleted875186
D
Top