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Editor-In-Chief, Chester “Trip” Buckenmaier III, MD, COL (ret.), MC, USA

The Two most Frightening Words in Washington: “Bipartisan Consensus”

“The two most frightening words in Washington are ‘bipartisan consensus.’ Bipartisan consensus is when my doctor and my lawyer agree with my wife that I need help.” —P.J. O’Rourke

I have been struggling with the idea of consensus-building for some time in my machinations within the Defense Health Agency to mold effective pain management policy for military beneficiaries. P.J. O’Rourke, one of my favorite modern authors and satirists, cuts to the heart of the issue with brevity and humor. I can easily identify with the feeling that O’Rourke’s comment on consensus evokes in my efforts to move forward on any front within pain medicine by forging agreement among military medical leaders.

As I have noted many times in this column, decisions for medical change are far easier to achieve during a hot war, when the necessity for action is made clear through the clarifying lens of servicemembers’ blood, injury and suffering.

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Biofeedback Can Help Headache Pain

PORTLAND, OR - Biofeedback can be a helpful treatment for headache pain, as well as possibly other conditions such as urinary and fecal incontinence. The technique also might aid in stroke recovery, according to a literature review by a team at the VA Portland, OR,...

Early Pain Experience with TKA Affects Longer Term Results

BIRMINGHAM – What is the pain experience after total knee arthroplasty and how does it affect outcome six to 12 months later? That is the question raised in an article in JAMA Network Open.  The Birmingham, AL, VAMC and University of Alabama at Birmingham researchers...

Iron Deficiency Linked to Higher CKD Mortality

SALT LAKE CITY—Is abnormal iron balance associated with increased mortality in predialysis patients with chronic kidney disease? A study in Kidney International suggested that the answer is not clear, because parameters have not been well characterized. To remedy...

The Two most Frightening Words in Washington: “Bipartisan Consensus”

“The two most frightening words in Washington are ‘bipartisan consensus.’ Bipartisan consensus is when my doctor and my lawyer agree with my wife that I need help.” —P.J. O’Rourke

I have been struggling with the idea of consensus-building for some time in my machinations within the Defense Health Agency to mold effective pain management policy for military beneficiaries. P.J. O’Rourke, one of my favorite modern authors and satirists, cuts to the heart of the issue with brevity and humor. I can easily identify with the feeling that O’Rourke’s comment on consensus evokes in my efforts to move forward on any front within pain medicine by forging agreement among military medical leaders.

As I have noted many times in this column, decisions for medical change are far easier to achieve during a hot war, when the necessity for action is made clear through the clarifying lens of servicemembers’ blood, injury and suffering.

read more