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Johns Hopkins - Blaustein Pain Treatment Center
Cleveland Clinic
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Johns Hopkins - Blaustein Pain Treatment Center Outpatient program: Johns Hopkins Outpatient Center 601 N. Caroline Street, #3062 Baltimore, MD 21287 (410-955-7246)
website: www.hopkinsmedicine.org/pain
Contact : Paul Christo, MDInpatient program: Johns Hopkins Hospital 600 N. Wolf St. Baltimore, MD 21287 (410-955-8069)
website: www.hopkinsmedicine.org/psychiatry
Contact: Michael Clark, MD, Mary Cooper This is one of the nation’s top pain management programs, founded in 1974. It is a leader due to its interdisciplinary approach and capabilities, and the fact that its physicians perform research of new pain treatment techniques as well as evaluate and treat patients. Its goal is to provide individualized treatment for persons with a wide range of pain syndromes. The Meyer 6 Inpatient Treatment Center is located within the hospital, which is JCAHO accredited. The inpatient program, a multidisciplinary and completely voluntary one, treats about 120 people per year, at an average cost of $15,000 and an average stay of 15 days. The outpatient unit handles a far greater caseload. The Multidisciplinary Pain Center offers specialists in:
Neurosurgery Oncology Physchiatry/ Behavioral Medicine Physical Medicine and Rehabilitation Orthopaedics Special Interest Areas of the Blaustein Pain Treatment Center include: Reflex Sympathetic Dystrophy Pelvic Pain Neuropathic Pain (nerve injury, spinal cord injury, postherpetic neuraglia) Headaches Cancer Pain There are 10 separate doctors associated with the program, and each is estimated to see 10 patients per day, a combination of new and existing clients. Marketdata estimates that Johns Hopkins treats at least 1,500 patients per year (patient visits). Treatment techniques that may be used include: medication, surgery, spinal cord stimulators, biofeedback relaxation techniques, psychological therapy, TENS, physical therapy, and diagnostic and therapeutic nerve blocks. Patients are evaluated and treated on an outpatient basis, and at times if they need assistance in developing pain management techniques are referred to the Inpatient Pain Treatment Center. The outpatient diagnostic assessments may vary; local residents will be seen with an initial evaluating physician who may arrange for other tests and consultations. Patients who belong to an HMO must be referred by their primary care provider. Patients covered under workers’ compensation must send written authorization (letters may be sent by Johns Hopkins to the workers’ comp carriers, requesting authorization, if needed). The cost of an initial evaluation is $250, and follow-up visits range from $65-250. A typical patient uses the clinic for a few months, although some do continue for years, while some return to their primary care physician. Johns Hopkins has six major departments: Division of Dentistry and Oral and Maxillo facial Surgery Dept. of Neurology Dept. of Neurosurgery Dept. of Psychiatry Dept. of Rehabilitative Medicine Clinical services include: Outpatient Pain Treatment Clinic This clinic provides evaluation and treatment of outpatients with an emphasis on comprehensive consultation for psychiatric comorbidity of chronic pain syndromes. It is part of the Blaustein Pain Treatment Center which includes the participation of the departments of Neurosurgery, Neurology, Physical Medicine and Rehabilitation, Orthopedic Surgery, and Gyn/OB. Day/Partial Hospitalization This program provides a comprehensive pain treatment plan for the reduction of intractable chronic pain and its accompanying emotional and medical complications. Services include: full evaluation by a multidisciplinary group, reduction of pain to the greatest degree, evaluation of medications, treatment of the psychological distress which may often accompany intractable pain, and increased physical function and the learning of alternative pain control methods. Hours of operation are from 8:30 a.m. to 4:00 p.m., Monday through Friday. Inpatient Pain Treatment Inpatient Unit This program also provides a comprehensive pain treatment plan for the reduction of intractable chronic pain, management of disabling behavior, and their accompanying emotional and medical complications, in an eight bed inpatient setting. Treatment includes full evaluation and review of pain history by a multidisciplinary team including psychiatrist, psychologist, occupational and physical therapists and nurse practitioner; reduction of pain to the greatest degree possible, evaluation of medications, and treatment of the psychological distress which may often accompany intractable pain, including depression, anxiety, diminished self-esteem, and isolation. Step down to the Partial Hospitalization Program is available. Features of the program include a coordinated multi-departmental consultation and a controlled setting for complex pharmacological management, intensive OT/PT, development of active coping skills, and detoxification. Common reasons for admission include: Disability from chronic pain or other physical symptoms, failing outpatient treatment, addiction/abuse/dependence, depression or other psychiatric complications, persons needing a structured rehabilitation program to improve functional capacity, persons requiring a higher level of care with more intensive treatment.
Cleveland Clinic
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