Contents tagged with Janet Hurley
By Janet L. Hurley, MD
Earlier this year, I had the privilege of representing Texas family physicians at a conference sponsored by Superior Health Plan called “Changing the Paradigm in the Treatment of Chronic Pain and Substance Use Disorder in Texas.” As a middle-aged primary care physician who grew up in the era of “pain is the fifth vital sign,” I was frustrated by some comments made by legislators and health care policymakers, many of whom are not primary care physicians and have no idea what it is like trying to apply new pain guidelines to patients who are suffering. It is time to empower primary care physicians with the tools needed to manage these patients humanely and safely.
The patients we worry the most about, who have had childhood traumas and diffuse pain syndromes, often take combination drugs like benzodiazepines and opiates, and are some of the hardest to treat. We are told by new CDC guidelines that we should try to minimize treatment with these drugs, yet these patients often have intense psychosocial needs that our medical communities are not equipped to address. Experiments done in other areas where physicians made a firm stance against ongoing prescribing have sometimes led to higher overdose deaths from illicit drug use.more
By Janet Hurley, MD
Changes in health care have been fast and furious in the last several years. The advent of MACRA created the need to prepare for MIPS and APMs, and more robustly report on quality and cost. There is an ongoing desire for interoperability and EMR modifications requiring more “clicks” than we would like. Many physicians have added new types of team members to their practices, such as social workers, nurse navigators, or care coordinators to reach out to patients in new creative ways.
Some of this has been good for patients, and some of it possibly not. Some days it feels like physicians are chewing a big fat wad of gum, and feeling choked.more
An excerpt from the inaugural speech of the new TAFP President
By Janet Hurley, MD
Greetings friends, colleagues, staff, and family members. It is my honor to stand before you as our next TAFP President. As I watched Dr. Elliott receive this medallion last year, I thought of all of the leaders in the past who have worn this medallion before us. I am honored to receive the responsibility today, acknowledging that this medallion has been around the necks of many giants along the way before me.
My first TAFP meeting was in the summer of 1997, ironically also here in Galveston. I was a student, wandering lost around the conference hotel. I was impressed to feel so welcomed by the TAFP staff and physician leaders, like Dr. David Schneider, who was among my first Academy mentors.more