AnesthesiaWeb - Opioids Roundtable - Balancing Proper Opioid Use in the Light of Abuse and Diversion

Introduction: Opioid Abuse and Diversion [5:50]
Raymond Sinatra, MD

Introduction: Leaks in the Pipeline [2:21]
David E. Joranson, MSSW

Introduction: Legal and Ethical Aspects of Pain Management [2:09]
L. Jean Dunegan, MD, JD, FCLM

Introduction: Coordination as Key to Prescribing Freely [1:19]
Neil Jobalia, MD

Introduction: Safeguarding the Rights of Physicians and Patients [1:34]
Commander John Burke

Questions
	Question 1: What are some examples of balanced and unbalanced approaches to stemming the diversion and abuse of opioid drugs? [2:23]
	David E. Joranson, MSSW
	Question 2: Why do we want to have mandated pain management? [3:13]
	L. Jean Dunegan, MD, JD, FCLM
	Question 3: As an anesthesiologist, what steps do you take to make sure opioids are not diverted? [2:55]
	Neil Jobalia, MD
	Question 4: Drug diversion is nothing new. Is OxyContin just the latest drug that's getting a lot of media attention? [2:32]
	Commander John Burke
	Question 5: Is oxycodone more addictive than previously realized? [2:48]
	David E. Joranson, MSSW
	Question 6: Are the clinical benefits of oxycodone associated with its appeal to illicit users? [2:32]
	Neil Jobalia, MD
	Question 7: Would you expand on a physician's right to treat pain adequately? [3:22]
	L. Jean Dunegan, MD, JD, FCLM
	Question 8: The vast majority of people who divert drugs are not legitimate patients with pain, are they? Do the majority of drug diverters have a history of such activities? [3:02]
	Commander John Burke L. Jean Dunegan, MD, JD, FCLM Raymond Sinatra, MD
	Question 9: Do you think media sensationalism is going to help or harm patients? physicians? law enforcement efforts? [2:09]
	David E. Joranson, MSSW
	Question 10: In your practice, how do you determine which opioid to prescribe? [2:34]
	Neil Jobalia, MD
	Question 11: Is education key? [4:35]
	Commander John Burke Neil Jobalia, MD David E. Joranson, MSSW
AnesthesiaWeb Member Questions
	Question 12: : Is there a particular subset of patients which is more likely to abuse OxyContin? [3:15]
	Commander John Burke Raymond Sinatra, MD
	Question 13: Should physicians be mandated to take a course on the benefits and abuse potential of OxyContin in order to be allowed to prescribe it? [3:24]
	David E. Joranson, MSSW L. Jean Dunegan, MD, JD, FCLM
	Question 14: Do some patients have difficulty falling asleep due to OxyContin? Is this a narcotic receptor effect or other phenomenon? [1:19]
	Neil Jobalia, MD
	Question 15: How much OxyContin abuse is real? What is the actual incidence? [0:59]
	Commander John Burke
	Question 16; How can a pain specialist overcome patient resistances attributable to the overwhelming amount of negative information being given to the general public? [2:50]
	L. Jean Dunegan, MD, JD, FCLM
	Question 17: Is there a difference between OxyContin and other sustained release narcotic preparations in terms of abuse? [1:35]
	Neil Jobalia, MD L. Jean Dunegan, MD, JD, FCLM
	Question 18: Are the media somehow not aware that narcotics have been the drugs of choice since antiquity? [1:44]
	Commander John Burke Neil Jobalia, MD

Conclusion [0:48]
Raymond Sinatra, MD