How a Paradigm Case Manager Helped an Injured Worker Beat Chronic Pain – Part 3

Paradigm − September 19, 2017 − filed under Chronic Pain

Kathy Metcalfe, RN, CCM, CDMS, PSPM, has been a Paradigm Network Manager since 2011. In this four-part series, Kathy talks about her work with Butch Coffman. Butch Coffman’s story began when he slipped on the ice going to work one winter morning. Over the next 12 years, his condition worsened and he developed chronic pain.… Learn More

How a Paradigm Case Manager Helped an Injured Worker Beat Chronic Pain – Part 2

Paradigm − September 12, 2017 − filed under Chronic Pain

Kathy Metcalfe, RN, CCM, CDMS, PSPM, has been a Paradigm Network Manager since 2011. In this four-part series, Kathy talks about her work with Butch Coffman. Butch Coffman’s story began when he slipped on the ice going to work one winter morning. Over the next 12 years, his condition worsened and he developed chronic pain.… Learn More

How a Paradigm Case Manager Helped an Injured Worker Beat Chronic Pain – Part 1

Paradigm − September 5, 2017 − filed under Chronic Pain

Kathy Metcalfe, RN, CCM, CDMS, PSPM, has been a Paradigm Network Manager since 2011. In this four-part series, Kathy talks about her work with Butch Coffman. Butch Coffman’s story began when he slipped on the ice going to work one winter morning. Over the next 12 years, his condition worsened and he developed chronic pain.… Learn More

Opioid Detoxification: What to Expect

Paradigm − April 11, 2017 − filed under Chronic Pain

The possibility of addiction is a danger when opioids are incorporated into a long-term pain treatment plan. The result can be an urgent need for opioid detoxification. Dr. Steven Moskowitz, senior director of Paradigm Outcomes’ pain program, and Dr. Fernando Branco, medical director of Midwest Employers Casualty Company, recently shared some insights into which injured… Learn More

How a Paradigm Hero Beat Chronic Pain

Paradigm − November 8, 2016 − filed under Chronic Pain

Last month we introduced you to our latest Paradigm Hero, Butch Coffman. His story began when he slipped on the ice going to work one winter morning. Over the next 12 years, his condition worsened and he developed chronic pain. “It took everything I had away from me,” said Butch. Thankfully, he was eventually introduced to… Learn More

Paradigm Hero Butch Coffman

Paradigm − October 4, 2016 − filed under Chronic Pain

Ira “Butch” Coffman was a corrections officer on his way into work one winter morning in Michigan when he slipped on ice in the parking lot and fell, landing on his back. His left foot began to drag about one hour later, but his suffering had just begun. Twelve years after the accident, he continued… Learn More

Motivating Injured Workers to Change

Paradigm − September 13, 2016 − filed under Chronic Pain

Motivating a person to change can be a challenge, especially when working with an injured worker who has developed an identity based on having disabling chronic pain. With the CDC’s recently released opioid guidelines warning of the dangers of long term use, more physicians and other healthcare workers are pushing to wean patients off pain… Learn More

Heroin and Prescription Opioids

Paradigm − August 9, 2016 − filed under Chronic Pain

In February 2015, our own Dr. Steven Moskowitz posted a blog on “Heroin: The Other Opioid.” Since then, the problem of heroin has become even more entangled with prescription opioid misuse and the epidemic still rages. Let’s take a look at the current state of prescription opioid use and misuse in medical treatment, and how… Learn More

The History of Opioids in the US

Paradigm − July 5, 2016 − filed under Chronic Pain

Some media sources report on opioid use, overuse and addiction in the United States as a new issue – a modern problem that’s a result of pharmaceutical mismanagement in the 21st century. While this is certainly a key part of the issue, it’s important to remember that issues around opioid use, misuse and abuse… Learn More

Recently Approved Opioid Implant Comes with Big Risks

Paradigm − June 14, 2016 − filed under Chronic Pain

The Food and Drug Administration (FDA) recently approved the opioid Probuphine for the treatment of opioid dependence and opioid use disorder. The implanted buprenorphine delivery formulation consists of four matchstick-sized rods implanted under the skin for time-released dosages lasting six months. It is not an approved pain treatment. Advocates for the drug buprenorphine like it… Learn More