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An excerpt from the next book you may or may not like
This is from a primer that I am including in my second book to train new providers on how to manage controlled medication patients. ...
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Sep 219 min read
They added a long acting that did nothing....
Question submitted to DrMikeSays.com : I am currently on Oxycodone 7.5-325 x4 and they just added Oxycontin ER 10MG X2 but I have see...
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Aug 283 min read
More progress on book 2: No one is coming, you are ENOUGH
Here is a small except from the ongoing work in the second book. These are the kinds of things I aim to teach new providers. Pick your...
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Aug 172 min read
Why do you prefer PRN over scheduled dosing?
What is the question/concern?: As CCP of 20 years I find if I get behind the pain I have a tougher time bringing the pain to a...
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Aug 94 min read


Did Mounjaro cause my miscarriage?
I was pregnant probably about 9 weeks ago… Tuesday I took my shot, Saturday I miscarried… do you think that was possibly the reason?...
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Dec 9, 20243 min read
I'm in pain and no one will listen (clinical questions)
A friend writes: "I’m struggling really bad with pain. And nobody will write me anything stronger than Tylenol #4. So I don’t know what...
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Nov 21, 20242 min read


Come back SOON!! An excerpt from Dr Mike's 2nd Book - entitled "NO ONE IS COMING... You are enough" - for brand new providers.
I’m sure you have had it grilled into you that you never prescribe an antibiotic without a visit. I can tell you that in day to...
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Nov 19, 20242 min read
Drug Seeking Behavior and other abusive stigmas
I get tired. Today one of my most adherent chronic pain patients told me today two things that pissed me off. 1) She was told by a...
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Sep 30, 20242 min read


Who's helping who?
One of the things I have really been enjoying even more than seeing the book go out the door to people who need it are the 1:1 coaching...
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Sep 17, 20242 min read


All the latest news - things you really want to be part of
First of all, thank you for all of you following the content. As we continue to grow, expect it to get more robust. Make sure you...
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Sep 2, 20242 min read


Can you have a mild substance use disorder (no)
So, I had another 1:1 conversation today, and the topic came up that the previous provider placed in the patient's chart that "may have a...
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Aug 28, 20242 min read


Something is already wrong if you are afraid
I had a 1:1 coaching call yesterday, and obviously I can't tell you most of it because of privacy, but there are a few key things that...
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Aug 26, 20242 min read


The worst phrase in health care
If I was to ask you what the scariest words were in health care, many of you would reply "cancer", or "Lou Gehrig's Disease", or possibly...
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Aug 24, 20242 min read


Do I have a right to be upset by being called an Addict?
Dear Dr Mike: So I have I.C. of the bladder, fibromyalgia, arthritis, osteoarthritis, 4 pinched nerves in my neck, dis function SI...
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Aug 19, 20241 min read


Dear Dr Mike: Can I move to your coverage area
Good morning Dr. Mike. I have a personal question. 1st off I just want to say TY so much for your content. My doctor suddenly past away....
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Aug 19, 20242 min read


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Aug 18, 20240 min read


What a kitten will teach you about the preciousness of life
Many of you know that I just recently had a calamity with my calico kitten, Sissy, named after a daughter of a close friend of mine who...
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Aug 17, 20242 min read


The difference between "sumdin" and "nuffin"
I want to talk a bit about these two classic southern words today that make all the difference in a lot of medical plans of care. For...
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Aug 14, 20242 min read


All the things you have never asked me about Kratom
Whenever I talk to myself, I get a of people who will ask, "why you are talking to yourself? Are you trying to have an intelligent...
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Aug 13, 20243 min read


How does primary care and pain management improve?
#DrMikeSays #Pain #ChronicPain With so many forces marginalizing the patients that need care the most. How can lasting improvement to...
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Aug 10, 20242 min read

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