A Neuropsychiatric Overview of Traumatic Brain Injury (Part 3)

Paradigm − May 5, 2011 − filed under Acquired Brain Injury

Enjoy Dr. Cope’s last piece on traumatic brain injuries.  Please be sure to read part 1 and part 2 if you missed them.  – Dr. Holt As recovery from a TBI progresses, more specific, non-psychopharmacologic measures to deal with the confusion and agitation are appropriate.  These measures are best applied in a formal rehabilitation setting… Learn More

A Neuropsychiatric Overview of Traumatic Brain Injury (Part 2)

Paradigm − April 29, 2011 − filed under Acquired Brain Injury

We are happy to share the second post in a series of three from our founder and Senior Medical Officer, Dr. Nathan Cope.  Be sure to read part 1 if you missed it.  – Dr. Holt In my post last week, I discussed the general neuropsychiatric overview of TBI as well as the approach to… Learn More

A Neuropsychiatric Overview of Traumatic Brain Injury (Part 1)

Paradigm − April 20, 2011 − filed under Acquired Brain Injury

We have an esteemed guest joining us at Outlook on Outcomes for the next few weeks.  Dr. Nathan Cope is Paradigm’s Founder and Senior Medical Officer and he’ll be sharing his expertise in the field of traumatic brain injury.  Specifically for this series, we’ll discuss TBI and neuropsychiatry.  – Dr. Holt It is unfortunate that… Learn More

Treating Iatrogenic Addiction to Narcotics (Part 2)

Paradigm − March 30, 2011 − filed under Medical Expertise

Joining us at Outlook on Outcomes for the second consecutive week is Dr. Steven Moskowitz, a physical medicine and rehabilitation specialist.  See his previous entry for more on this very important topic. – Dr. Holt Last week we looked at the unique chronic pain patient profile and concluded that clinicians must recognize pain as a… Learn More

Treating Iatrogenic Addiction to Narcotics (Part 1)

Paradigm − March 23, 2011 − filed under Medical Expertise

Joining us at Outlook on Outcomes this week and next is Dr. Steven Moskowitz, a physical medicine and rehabilitation specialist.  As our first guest blogger, Dr. Moskowitz will cover a very important topic in our healthcare system and particularly in workers’ compensation.  Thanks for sharing your expertise!  – Dr. Holt Dr. Holt asked me to… Learn More

Traumatic Brain Injury Occurs More Frequently Than You Think

Paradigm − February 26, 2011 − filed under Acquired Brain Injury

Traumatic brain injury (TBI) has been at the forefront of the news the past couple of weeks, specifically as it has related to the shooting of Congresswoman Gabrielle Giffords.  Highly visible TBIs such as Congresswoman Giffords capture headlines, but millions more occur behind the scenes. Consider that in the U.S. each year there are 5… Learn More

Rapid Response Teams Bridge Safety Gaps in Hospitals

Paradigm − February 21, 2011 − filed under Complex Case Management

We are now midway through July, which is notoriously considered the most dangerous month to be a patient in a teaching hospital.  In July, the interns and residents advance leaving less experienced house staff responsible for patient care.  A three-fold challenge occurs this month with care provided by less clinically experienced house staff, a resulting… Learn More

Pharmaceutical Influence and Workers’ Compensation

Paradigm − January 30, 2011 − filed under Complex Case Management

As we look at the rising health care costs, we see providers, carriers, patients and others seeking solutions.  On some occasions these groups can be working at cross purposes.  We know in workers’ compensation, the rules for carriers and injured workers vary from state to state.  We also know that drug costs make up an… Learn More

The Rehabilitation Process

Paradigm − January 23, 2011 − filed under Complex Case Management, Medical Expertise

As we have discussed, after significant and catastrophic injury, it is important to choose the path that will achieve the best recovery. The continuum of care that comprises the rehabilitation process is another key to successful outcomes. Step 1: Acute Care Needs The first step is stabilizing the acute injury, and it is critical to… Learn More

Beware Marketing Strategies Masquerading as Evidence Based Medicine

Paradigm − January 21, 2011 − filed under Complex Case Management, Medical Expertise

In order to achieve the best outcomes for patients, it is important to leverage the perspective of experts.  This expertise comes from clinical experience, research experience, as well as training and education.  But, what happens when expertise is influenced by incredible amounts of money, and when carefully selected data is mistaken for evidence?  On October… Learn More