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Tulsa pain management : Ep-7 Part 1

Ep-7-OK PAIN AND WELLNESS – DR. CHAN – 6-5-17 (1).mp3

Good morning my name is Dr. Leslie Chan and I’m going to do a podcast today on Tulsa pain management. I am currently working for Oklahoma pain and wellness center and I have here with me this morning. Martin who is my lead medical assistant say Hi Teresa. Hi guys. So I’m going to talk a little bit about myself and what we do at Oklahoma. Pain and wellness center we are the premiere Pain Management Center in Tulsa. I join the clinic a little over a short while. A little less than a year ago. And I’m happy to say that I am really pleased with what I do here. So to start off with I’m going to use myself. My name is Dr. Leslie chan. I did my medical education in Singapore. And then I came to the U.S. I did my anesthesia residency at Union University of California in San Francisco and followed that up with a pain management fellowship. So what I do here is I do mainly in dimensional Tulsa pain management which includes doing actions implantation or spinal cord stimulator mention of pain pump and I also do some medication management which includes the opioids which aren’t narcotic medication as well as a non narcotic. So I happen into the field of medicine because my mom is a nurse and my brother is a doctor so he kind of ran the family. I got into any seizure because I like Critical Care Medicine. I also like doing procedures using my hands I’m pretty good at it.

And you know with Tulsa pain management because of the procedures that we do I kind of naturally seek into that field. So. So we’re going to talk about what we do at Oklahoma teen and wellness center. So we do procedures so these include injections. So we do neck injections thoracic injections as well lumbar which is a low back. We also do nerve ablation for a certain type of pain. We implant spinal stimulator which is basically a device that controls pain by stimulating the spinal cord and also do a little bit of pain pump management. So I’m going to have Teresa talk about as you know what we do when we come when a patient comes through injection and I’ll can chip in and help answer. To clarify if I need to go ahead Teresa.

OK. Dr. Chan injections when you do injections on a patient the patient expect that this is going to hurt.

It is going to hurt a little bit. But we do numb up the skin and the deep tissues before we place the needle in there. So he’s a very tiny little it’s almost the diameter of a hair line. And if the patient needs to he also offer intravenous sedation sedation to make it more comfortable for the patient no sedation does not involve putting the patient out. A lot of patients want to be put out but we don’t really need to do that because the procedure is typically very short. It’s not that painful that you need to be completely put out. And we want our patients we will get off go home shortly after infancy. We don’t want to be knocked out and drowsy for the rest of the day. So yeah we do give some sedation to patients will be comfortable will not be asleep will be able to breathe on their own and maintain their breathing and and call the airway. And then when it’s time for him to go home they go home with minimal hangover effect. So they do work but there are ways we can we have a method we have to medicate the pain.

OK. And how long can I expect to be at work if I have the injection. How long would I need to take off work.

Typically we tell a patient to take off work for the rest of it. Because when you get sedation or it is a nerve block you might be drowsy for the rest of a day or you might have some residual numbness in your legs. These are expected. And in some most of time is temporary. So we don’t want our patients going out to make any major decisions to be driving a car or operate any heavy machinery shortly after the sedation or after they have a nerve block it just don’t want to have this accident. So typically I would say just take the rest of the day off. I mean the next day you should be fine to go back to whatever activities you are involved in.

OK. And when I read about the Tulsa pain management injections you do one of the injections you do or said injection can you tell me a little bit about that.

So I said injections are set joints are going to suffer offset joints joints that run from the base or from from the neck all the way down to the lower back joints the form the articulation between one but Keeva over the other. What they do is they allow mobility. So we can like turn our head bent forward backwards twist our spine because these joints allow mobility. So when we do you know when patients have to set injections the pain is typically in the back like in the midline and it hurts usually to extend your men backwards or twist. So once we get diagnosis we have the patient come in for that injection so we inject steroids and the numbing medication around the joint. So the idea is to block off the nerve supply the joint and and hopefully that will treat the patient’s pain. So typically we expect the effect from the second to last between a couple hours to two to a few months depending. But typically we expect to last for at least for a couple of hours. And if Jackson does give patients significant pain relief we do find is what 50 percent then. But if it doesn’t last as long as a couple hours a couple of weeks we have to come back for the second procedure which is the nerve ablation.