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Why would an article with such an esoteric title be of interest, of importance and relevancy to more than just Pain Management health care workers. Shouldn’t such an article be of more importance and interest in a Professional Journal than it would be to the educated general populous. What is behind the idea of publishing it on the Internet, situated so that many more than just medical minds would come across it by happenstance.

A large percentage of the general population is thought to either listen to, watch, or read any of the many ways the News Media bombards us with what their financial backers’ opinions would have us know. Therefore we must assume that this same population should, by now, understand how the median age of death, in our country as in others, has been prolonged. We attribute this increasing life expectancy, over the previous few centuries, by all of the many scientific advances, by the formation of and stabilization of standardized-religion, and by the many laws of behavior, in-acted to prevent man’s destruction of his/her fellow man/woman.

For these and other reasons, the percentage of the population living over the age of 65 increases with every passing decade and century. At this point I hope that you can begin to better understand the importance of pain control in chronic non-cancer patients. Since the percentage of the population over 65 is getting larger with each passing decade, it is becoming more common place to know or to know of an individual requiring pain control for a chronic non-cancerous problem.

Breakthrough pain in cancer patients is associated with poor outcomes, a greater incidence of hospitalization, more difficult to treat pain syndromes, and, of course, the inevitable patient dissatisfaction with therapy. None of the previous characteristics are found, in general, amongst the non-cancerous patients.

Breakthrough pain in non-cancerous patients is known to be prevalent, severe, and it shares several characteristics with cancer patients, such as that it is typically rapid in onset and frequently encountered. Studies have shown that nearly three quarters of patients with non-cancer pain have significant episodes of breakthrough pain.

For the general population, is not important what the actual treatments are for pain control in chronic non-cancerous patients. What is important for everyone to understand is that a growing part of our general population will be suffering with chronic non-cancerous pain. We need to start to modify and/or drop, when appropriate, our misconceptions of individuals (young and old) that complain of chronic pain that proves to be non-cancerous in origin. We must study how individuals on narcotic therapy do when attempting to continue with accepted normal daily functions. Such functions would include work, play, and care-giving. I feel that we will be surprised how much of a normal life these individuals can live if given the chance.

Many doctors ask: Why is EMR so expensive? This question as it appears can seem simple in nature. While exploring this topic, you can find so many variations in the EMR products’ features and functions. In most cases, a large or majority of the total cost of an EMR is in the training and implementation services, not in the software.

But in many cases products will include more features than one needs or the manufacturer of the product is generally focused on larger sized groups making it more expensive for smaller ones. Additionally, as a practice, the question of technical proficiencies needs to be addressed. If a product is more technically advanced than the user, the user will not receive the full usage of the application. If the product is not being used to its full functionality, nobody wins. If this happens, the practice is not satisfied, and the vendor now has an unsatisfied end user. This is why matching up the practice with the right EMR is so critical. The opposite effect can be just as frustrating.

Cost is a fact in the investment of an EMR. An entry level EMR can cost as little as $3,000, and advanced level EMRs can cost over $100,000, even for a solo physician practice. The word “expense” should be replaced with the word “investment”. Once a practice has converted to the EMR, they can now look back and understand the difference in those two, very different words. When the EMR is running at full functionality, the practice becomes very efficient. No more hunting for paper charts. A single “click” of the mouse, and the patient’s entire record is in the hands of the appropriate user. Multiple users can access the same record simultaneously as well; allowing for greater productivity. The investment now begins to pay dividends.

Which is better? An integrated EMR system or a modular EMR? Having a portion of the practice automated can be a benefit, just as it can be a challenge to overcome. There are many EMR vendors that have a Practice Management application built into their system. Many of these products can be a total replacement of existing applications, usually a older medical billing software. Be advised that not all EMR vendors have the capability to integrate with an existing software product. This is all very important to identify prior to committing to an EMR vendor. Running separate systems simultaneously can bring much unneeded frustration if not appropriately integrated in the beginning as you will need to deal with two different companies for technical support.

The number of modules that can be integrated can vary significantly from vendor to vendor. Consideration of the charge for an HL7 (as explained earlier in this document) interface should also be taken into account. The interface between your existing system and your new EMR can often cost as much as $5000 making it often more financially viable to purchase an integrated system from the beginning.

Generic Drugs: Generic Online Pharmacies started making a big impact on the net since the mid to late 90′s. This has allowed the prescription drug buyer to save hundreds with the click of a mouse. Generics really slash the prices on prescription drugs and medications because they do not carry brand names but they are essentially the same drug. As the cost of prescription drugs and medications continue to soar, more and more Americans are choosing Generic Pharmacies to maintain their quality of life. Buying prescription drugs and medications through Generic Pharmacies is a true alternative to paying the high medication prices that a bricks and mortar pharmacy would charge.

What are Generic Drugs? A generic pharmaceutical drug is identical to a brand name drug in safety, strength and quality. Even though generics are identical to brand name drugs, they are typically sold at substantial discounts from the branded price.Typically, savings of at 50 to 70 per cent can be saved for the average consumer It has been estimated that generic drugs save consumers an estimated $8 to $10 billion a year at retail pharmacies. Even more when hospitals use generics.

Are Generic Drugs Safe? One of the most common concerns about purchasing Generic Drugs from online pharmacies is the safety of the drugs, and the safety of the patients ordering them.In most cases, generic drugs are considered safe due to the testing process used by the Food and Drug Administration and must meet or exceed all strict quality control standards, in compliance with WHO international guidelines.

If brand-name drugs and generic drugs have the same active ingredients, why do they look different? Trademark laws do not allow a generic drug to look like the brand-name drug. However, a generic drug must duplicate the active ingredient. Colors, flavors, and certain other inactive ingredients may be different.

Does every brand-name drug have a generic counterpart? No. Brand-name drugs are generally given patent protection for 20 years from the date of submission of the patent.

Are generic drugs as strong as brand-name drugs? Yes. FDA requires generic drugs to have the same quality as brand-name drugs.

Do generic drugs take longer to work in the body? No. Generic drugs are basically the same in quality, strength, purity as brand-name drugs.

More and more people every day are taking advantage of the savings that Generic Pharmacies offer. Purchasing your prescription drugs and medications from Generic Pharmacies or internet pharmacies has never been easier.