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Meet the New President

At the recent FAPM Annual Meeting at the Hyatt Regency Grand Cypress Hotel in Orlando, Tse Chung Lee, MD, was elected President for the next two years. Dr. Lee currently practices as an Interventional Pain Management Physician in Daytona Beach, Florida. Lee1

Dr. Lee earned his medical degree at the Medical College of Ohio in the city of Toledo. He completed an internship at St. Vincent’s Medical Center, Columbia University in Bridgeport, Connecticut. He then completed his residency at the New York University, Rusk Institute in New York City. This was followed by a Fellowship in EMG Musculoskeletal/Spine/and Ultrasound in Napa, California. 

Active in the Florida Academy of Pain Medicine for the past few years, he is a member of the Florida Medical Association’s CME Committee and of the American Academy of Physical Medicine and Rehabilitation. His hospital affiliations are with the Advent Health Hospitals in Daytona, Palm Coast and Deland. 

Dr. Lee has several articles in publication on such topics as: Effects of Elastin Damage on the Mechanics of the Aortic Valve in the Journal of Biomechanics, the Journal of Heart Valve Disease, and the American Journal of Physiology. 

FAPM is pleased to have Dr. Lee serve as President as he leads this Academy to new and dynamic accomplishments over the next two years.

Survey Results 2019 Conference

2019 Conference Awards


Special Guest FMA President Dr. Ronald Giffler, M.D., J.D.addresses FAPM Annual Meeting Luncheon Attendees


Incoming President Tse Lee, MD presents Stanley R. Dennison, Jr., MD, MBA with a plaque thanking him for his term as FAPM President.

Ray-Lee AwardAlbert Ray, MD, presenting Carol Davis, , DPT, EdD, MS, FAPTA with the 2019" Felix Linetsky, MD Educational Award"at the Annual Meeting luncheon. 


Ken Botwin, MD received the FAPM Distinguished Service Award.

Upcoming Scientific Meeting
October 16-18, 2020
   Hyatt Regency Grand Cypress Hotel in Orlando

2019 Brochure

2019 Program

Don't miss out on these great programs while earning as many as
twenty CME  credits. Here are some highlights:
*    FMA President Ronald Giffler, MD will present an update of FMA activities during the annual FAPM luncheon on Saturday, October 19th.
*    Nationally recognized Keynote Speaker Dr. Rubin Pillay will address the conference on the timely topic of  "Future Technology in the Business of Health Care".
*    Two great pre-conference workshops on Friday, October 18th
     "Ultrasound Guided Regenerative Injection Therapy" and "Where is the Future of Pain Care?"
*     Opening presentation on Saturday, October 19th will cover the topic, "Newer Minimally Invasive Interventional Spinal Techniques" by Abraham Rivera, MD
*     On Sunday, October 20th, Dr. Joshua Lenchus will cover the new state mandatory two hour course on
      "Prescribing Controlled Substances (Opioids)"

Florida Academy of Pain Medicine
2366 Sunset Point Road
Clearwater, FL  33765

Time to Make Plans to Attend
the FAPM Annual Scientific Meeting

Many recent changes have affected the practice of pain medicine. This conference is designed to promote a better understanding of the pathophysiology of acute and chronic pain, enhance knowledge regarding various chronic pain conditions, and provide review of state-of-the-art interventional and non-interventional techniques in diagnosis and management of chronic pain, cancer pain and headache. Educational formats will include a "hands on" workshop, lectures power point presentations and plenty of Q&A time for audience participation and learning.  

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Bayfront Medical Center and Florida Academy of Pain Medicine. Bayfront Medical Center is accredited by the FMA to provide CME for physicians.

 Image result for hyatt regency grand cypress

Specialized Ultrasound Training at 2019 FAPM Conference 
   Stanley Dennison, Jr., MD, MBAThe Florida Academy of Pain Medicine is offering new specialized training in the "Ultrasound Pre-Conference Workshop" on Friday, October 18th at the Hyatt Regency Grand Cypress Hotel in Orlando. In this workshop attendees will receive Hands-On Ultrasound Guidance Training on these regions: Glenohumeral and Acromioclavicular joints, subacromial bursa, knee joint (menisci, patellar & quadriceps tendons), femoroacetabular joint, greater trochanter (gluteus medius & minimus tendons) SIJ (if specimen permits). Observe cervical medial branch blocs, Z joint and costotransverse  joint injections and much more. Learn how to integrate ultrasound into your practice. 

Ultrasounds are imaging tools. The answer to "what is general ultrasound imaging?" is essentially that an ultrasound is a type of scan that creates a  picture of the body's interior. When we start looking at ultrasounds more closely, we see an ultrasound is somewhat unique among imaging tools. Instead of using potentially dangerous radiation, it uses basic sound waves. A sonographer operates an ultrasound imaging machine. Once the sonographer uses the ultrasound to create an image of the patient, a specialist may be needed to interpret the images. In some cases, a doctor may inject a contrast dye to make the image clearer. However, the average ultrasound is a rough outline of all the organs in the body. This workshop will offer eight (8) CME credits, certificate of specialized training and opportunities for hands-on learning experience. 



Stanley R. Dennison, Jr., MD, MBA

FAPM President

Where is the Future of Pain Care?

The Florida Academy of Pain Medicine is offering a pre-conference program on Friday, October 18th at the Hyatt Regency Grand Cypress Hotel in Orlando. This course offers 8 CME credits and each participant receives a certificate acknowledging this special training.

This course is designed to investigate the future of where we are heading with pain care, and much of that emphasis is on getting at the root causes of the pain. Medical literature supports integrative multidisciplinary pain care as having the best LONG-TERM outcomes.

We invite you to come and learn from evidence-based understandings how to access a person in pain from the root cause approach and to design a treatment plan in accordance with that assessment.

This year’s faculty are all internationally recognized teachers, and they will cover the following topics: 

1.       Integrative Health overview: includes medical, surgical, medication, nutrition, activity and sleep,    spirituality, social support, self-care, mind-body therapies, and complementary/alternative approaches.

2.       How the nitro-redox system can offer lasting change to control inflammation, the source of medical illnesses.

3.       Healthy Nutrition is key to controlling inflammation and chronic pain problems.

4.       Appropriate supplements can assist in restoring and maintaining a state of health.

5.       Fascial treatment through manual therapies can change both physical and mental states.

6.       Photodynamic Regenerative Injection and Shockwave therapies can offer more permanent solutions to physical aspects of musculoskeletal disorders.

7.       Intravenous Photodynamic therapies can control Lyme, fibromyalgia, chronic fatigue and other viral and bacterial mediated illnesses and inflammations.

8.       Mind-body techniques that offer self-care to people in pain.

9.       How Spirituality plays an important role in pain and health.

10.     How you can implement these integrative treatments into your practice now.

11.     Where does Addiction fit in?

12.     Medical cannabis, anyone?


Faculty will include Steve Wheeler, MD; Carol Davis, DPT, EdD; Salaheldin Halasa, MD; Michael Weber, MD; Michele Weiner, DO; Bert Ray, MD; Jennifer Miele, MS; Rhonwyn Ullmann, MS.



The Florida Academy of Pain Medicine is proud to present our 20th Annual Scientific Meeting on October 18-20, 2019
at the beautiful Hyatt Regency Grand Cypress Hotel in Orlando, FL. Our conference committee, headed by co-chairs Chung Lee, MD and Felix Linetsky, MD have developed an educational program that is innovative, current and relevant to today's health care issues.
Our goal is to provide educational opportunities for our attendees that will enhance their effectiveness as health care professionals and improve patient outcomes.
FAPM is committed to providing topics that can affect your practice and patients. Our program attempts to provide the most up-to-date scientific information that can enhance the quality of care for your patients.
Follow up each week on our website at as we present more details on what you can expect at this years new & revitalized conference.
We look forward to your participation in this year's program.
Stanley R. Dennison, Jr., MD, MBA

Conference Plans Taking Shape

The Florida Academy of Pain Medicine will host the annual Scientific Meeting on October 18-20, 2019, at the Hyatt Grand Cypress Hotel in Orlando. The change from a summer conference to October provides greater opportunities for a more in-depth program that offers new CME credit & networking sessions.

Pre-conference workshops will be held on Friday, October 18th and will include “Cadaver Torso for Interventional Processes” “Regenerative Injection Therapy with Ultrasound Guided Interventional Procedures” and “What is the Future of Pain Care Using Multidisciplinary Approaches to Integrative Pain Management?”

By attending one of these pre-conference workshops, physicians will be granted a discounted registration fee for the conference.

So, mark your calendars now so you can take advantage of these programs and events.

2019 Sponsor/Exhibitor Registration

From the President

Dear FAPM Members and Associates:

The Florida Academy of Pain Medicine Board of Trustees met recently to make plans for this fiscal year. Included on the agenda was location for this year's annual conference, dates for the conference, membership recruitment and benefits, FMA programs, communications, and conference program and speakers.

Now as we move forward with these plans, we need the support of everyone practicing pain medicine in Florida. We may be small in numbers, but we have maintained a strong voice within the FMA and other medical associations. Please take time to check our website for updates and take note of the e-mails sent to each member with important information.

While paying your annual dues is important to our programs, it is also important for you to attend our annual conference that provides funds for two-thirds of our budget.

While still in the planning stages this year's event will take place on October 18-20, 2019, at the Hyatt Regency Grand Cypress Hotel in Orlando. The pre-conference workshops will include two Cadaver Sessions, Regenerative Injection Therapy, Ultrasound Guided Interventional Procedures and sessions on "What is the future of pain care?" These hands-on sessions offer eight CME credits on Friday, October 18th .

Then for the annual meeting lecture series, the program includes, "Cognitive Behavioral Therapy", Medical Cannabis Usage for Treatment, Amniotic Fluid versus Umbilical Cord Blood, New Frontiers in Regenerative Medicine and much more. These sessions will be offered on October 19-20, 2019 and offer twelve CME credits.

I hope you will plan now to join us for these exciting programs. Together we can make this a great year for FAPM members and associates.


Stanley R. Dennison, MD


P.O. Box 13489 St. Petersburg, FL 33733 727.581.4319 www.fapmmed.net


Requirement for license renewal deadline for Controlled Substance Prescribing Course



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A person wearing a suit and tie smiling at the cameraSpecial message from FMA President, Corey L. Howard, M.D.

Dear Colleagues, I challenge each of you to talk to four physicians and let them know the importance of your FMA, what it means to you and what it could mean to them:

·       Let them know that your FMA is dedicated to making Florida a great place to practice medicine by helping to get rid of regulations and other barriers that come between you and your patients.

·       Let them know that your FMA is working to improve the economic viability of all types of medical practices in Florida.

·       Let them know that your FMA is dedicated to promoting public policies that reinforce your role as THE leader of the healthcare team and preserve your ability to be independent advocates for your patients.


·       Let them know that to be that powerful voice of change, we need to come together as physicians, as leaders, as moms and dads, as teachers and as people so that we can all deliver the highest quality healthcare found anywhere in the United States.

I need all of you to be the champions of the FMA and help us grow, help us become better, help us fight the fights worth fighting and, most of all, help us help you practice medicine.

Thank you.

Corey L. Howard, M.D.
President, Florida Medical Association


FAPM Tradition of Excellence Continues

The Florida Academy of Pain Medicine Annual Scientific Meeting & Alliance Medical Summit speaker line up continues a tradition of excellence. This year’s program features another impressive group of 16 nationally known pain leaders sharing the latest pain medicine therapies that includes the impact of opioids, marijuana, and other up-to-date topics in pain research and pain management. You won’t want to miss this chance for an in-person session with these multidisciplinary leaders!

The entire schedule

FAPM Conference & Alliance Medical Summit

Offering Cadaver Stations 

On Friday, July 27th, the Florida Academy of Pain Medicine & Alliance Interventional are offering a pre-conference 8 hour session with two cadaver stations. These stations will provide attendees opportunities for ultrasonography and US guided injections, shoulder, knee, hip costotransverse joints, SIJ and cervical, thoracic, lumbar median branch blocks. These sessions will allow two participants per cadaver simultaneously, then after one hour they will rotate with those who are scanning each other in another room.

The pre-conference program is offered at a reduced rate thanks to special grants and support from Medtronic and Alliance Interventional. Don’t miss this rare opportunity to improve your skills in these specialized treatment areas.

Also offered in the pre-conference program is a workshop on Basic Pain Evaluations & Non-Opioid Treatments. This workshop will present information on current trends in pain medicine to include appropriate ways to use opioids as well as substitute non-opioid treatments for those in pain. This program provides hands-on demonstrations that address the basic pain evaluation techniques along with state of the art uses of physical and historical workup, nutritional alterations and cognitive behavioral techniques that are effective in improving the quality of life for those in pain.

Interventional Pain Medicine Specialist Presenting at Conference

 Gennady Gekht, MD an Interventional Pain Medicine and Neurophysiology specialist will be making a presentation at the Florida Academy of Pain Medicine’s Annual Scientific Meeting being held July 27-29, 2018, at the Hyatt Regency Grand Cypress Hotel in Orlando, Florida. The topic of his presentation will be, “What Matters Now & What’s Next.”

Dr. Gekht is a graduate of the Emory University Medical College in Atlanta, Georgia. He is the Medical Director for the Coastal Orthopedics and Sports Medicine Center in Lakewood Ranch, Florida. This center is a world-class healthcare organization specializing in the care and treatment of the entire musculoskeletal system, including: orthopedics, sports medicine, and pain management. Their specialists also have advanced expertise in work-related injuries, participate in clinical research trials and offer a host of onsite services, including outpatient surgery, diagnostic imaging and physical therapy.”

 Dr Gekht is Board Certified by the American Board of Psychiatry and Neurology with specialty certification in pain medicine.

Gladstone McDowell, II, MD, presenting on
“Intrathecal Treatment Options for Pain Management"
Non-Opioid Options

The Florida Academy of Pain Medicine will hold their Annual Scientific Meeting and will highlight several nationally known speakers who are leaders in the field of pain medicine. One of them is Gladstone McDowell, II, MD, who will be presenting updates on “Intrathecal Treatment Options for Pain Management with a Focus on Non-Opioid Options”.

Dr. McDowell, II, is the Medical Director of Integrated Pain Solutions in Columbus, Ohio. He attended medical school at the University of Texas Health Science Center at San Antonio. He completed Residency in Anesthesiology at the University of Colorado in Denver. Dr. McDowell completed a Urologic Oncology Fellowship at the University of Texas, MD Anderson Cancer Center in Houston. He performed a Pain Management Fellowship in the Dept. of Anesthesiology at the Ohio State Pain Control Center.

Dr. McDowell is the former Medical Director of Grant Pain Management Center and Director of Pain Services for Grant Medical Center, Ohio Health. He is on the board of the Texas Medical Institute of Technology, Community Emergency Health Initiative, and the Ohio Clinical Advisory Board of the National Multiple Sclerosis Association. Dr. McDowell has held faculty appointments at the National Patient Safety Congress meetings and National Institute for Healthcare Fraud. He has been the Primary Pain Consultant for Care leaders and TMIT. He recently taught at the FBI Health Care Fraud Managers Meeting and served on the International Polyanalgesic Consensus Panel.

He is certified as a Patient Safety Officer by the Institute for Healthcare Improvement and is a member of the American Academy of Pain Management, American Society of Regional Anesthesia, and North American Neuromodulation Society.

President’s Message

Dear Fellow Physicians:

I’m sure you are aware that FAPM is a small specialty within the scope of the FMA framework. Therefore, it is imperative for pain medicine physicians to support our annual conference and renew their membership annually. The FAPM Board and staff strive each year to keep our members informed of key issues that may affect the practice of medicine, and to present a conference that has topics that are current and relevant.

Therefore, as your FAPM President, I am asking each of you to continue to support our association by paying your annual dues and by attending our annual conference. Our success as an association depends largely on your support.

Our thanks to each of you for your continued support.


Stanley Dennison, Jr., MD, MBA


Offered at Annual Conference

The 18th Annual FAPM Scientific Meeting will offer “special certification certificates” for attendees at the 8-hour pre-conference courses offered on Friday, July 27th.

The first workshop will be on “Basic Pain Evaluation and Non-Opioid Treatments”. This hands-on workshop will address the basic evaluation of someone in pain and demonstrate the most state-of-the-art uses of physical and historical workup, physiological understandings, laboratory testing, manual therapies, nutritional alterations, and cognitive-behavioral techniques that are effective and can be ordered by primary care practitioners, as well as specialists, to improve the quality of life and functional status of those in pain.

An additional workshop will be offered in Regenerative Injection Therapy and Ultrasound MSK workshop with ultrasound guided interventional procedures. This program will offer a correlation of physical findings and clinical anatomy with ultrasonography: shoulder, knee and hip. This includes demonstrations with chemical injectates under ultrasound guidance.

In a different track will be two cadaver stations addressing shoulder, knee, hip, joints and cervical thoracic, lumbar median branch blocks. This program will have 2 participants per cadaver simultaneously, then after 1 hour they rotate with those scanning each other in a separate area.

Also, offered this year is a Cadaver Workshop: Interventional Procedures with Fluoroscopy (SCS, DRG, RFA, Pump, mild).

Gain your certificate that shows your completion of these special programs.

The 18th Annual Scientific Meeting of the Florida Academy of Pain Medicine will be held on July 27-29, 2018, at the beautiful Hyatt Grand Cypress Hotel in Orlando.  This year’s pre-conference offers several new and interesting programs with a total of 20 CME credits available over the three days of the event. 

On Friday, July 27th, there are Pre-conference Programs offering hands-on experiences.  For the first time, FAPM is offering two cadaver stations for ultrasonography and US guided injections in the shoulder, knee, hip, joints and cervical, thoracic and lumbar blocks.  This session will be held in conjunction with Regenerative Injection Therapy and Ultrasound MSK Workshop with Guided Interventional Procedures.  

Also offered in the pre-conference program is a workshop on Basic Pain Evaluations and Non-Opioid Treatments.  This workshop will present information on current trends in pain medicine to include appropriate ways to use opioids as well as substitute non-opioid treatments for those in pain.  This program provides hands-on demonstrations that address the basic pain evaluation techniques along with state of the art uses of physical and historical workup, nutritional alterations and cognitive-behavioral techniques that are effective in improving the quality of life for those in pain. 

All the pre-conference programs offer eight CME credits, and participants will receive certificates for the attainment of these special skills. 

Special Events Highlight Conference

The 18th Annual FAPM Scientific Meeting on July 27-29, 2018 will offer some "special events" for all attendees. On Friday, July 27th, a "Social Hour" will be offered following the workshops at 5:00 p.m. This is a time for fellowship and networking over beverages and refreshments near the lecture hall.Special5

On Saturday, July 28th the annual luncheon will be held with great food, special awards and a featured speaker. At 5:30 p.m. there will be a reception in the exhibit hall with food and beverages as we take time to thank our exhibit sponsors. Spouses are welcome to attend these events as well.

Specifically for the spouses, there will be a cooking class with the hotel Chef and a discount at the spa. More info to come.

Also included each day will be breakfast and special coffee break options in the exhibit areas. All of these events are planned to make the conference more festive and enjoyable for all attendees.

Register today

Hyatt Regency
Grand Cypress Hotel

Orlando, FL

Hyatt Grand Cypress

20 Hours of CME Available



Florida Academy of Pain Medicine
2018 Annual Scientific Meeting

In conjunction with the

American Academy of Regenerative Orthopedic Medicine

& Alliance Interventional

Many recent changes have affected the practice of pain medicine. This conference is designed to promote a better understanding of the pathophysiology of acute and chronic pain, enhance knowledge regarding various chronic pain conditions, and provide review of state-of-the-art interventional and non-interventional techniques in diagnosis and management of chronic pain, cancer pain and headache. Educational formats will include a “hands-on” workshop, lectures, power point presentations, and plenty of Q&A time for audience participation and learning.


This activity has been planned and implemented in accordance with the Essential Areas & Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Bayfront Medical Center and Florida Academy of Pain Medicine. Bayfront Medical Center is accredited by the FMA to provide CME for physicians.

With 3 pre-conference workshops: 

Regenerative Injection Therapy & Ultrasound MSK Cadaver Workshop with Ultrasound Guided Interventional  Procedures 

Cadaver Workshop: Interventional Procedures with Fluoroscopy (SCS, DRG, RFA, Pump, mild) 

Basic Pain Evaluation & Non-Opioid Treatments


Host Hotel:     Hyatt Regency Grand Cypress Hotel

                                             1 Grand Cypress Blvd., Orlando, FL  32836

The Hyatt Regency Grand Cypress is a family-friendly, luxury resort where elegance and convenience come together. See for yourself with our scheduled shuttle service to area theme parks, outdoor gardens, twelve tennis courts and 45 holes of Jack Nicklaus Signature designed golf. Inside, you’ll find 815 guestrooms, award-winning restaurants and more than 65,000 sq. ft. of meeting, wedding and event space.

The luxurious guest rooms and suites are elegantly designed and indulgently appointed. Event space is provided for attendees to enjoy classic business settings with a unique air of contemporary sophistication.

In between business and meetings, leisure activities abound in the heart of Disney. Annual meeting Disney bargains posted on website at www.fampmed.net.

Perhaps, best of all, extraordinary dining can be savored at any one of the resorts restaurants and lounges, each heralded for their innovating preparation, delicious taste, and uncompromising focus on intuitive service.


Florida Academy of Pain Medicine Annual Scientific Meeting

American Academy of Regenerative Orthopedic Medicine & Alliance Interventional

Hyatt Regency Grand Cypress Hotel  Orlando, Florida


President's Message


The FAPM 18th Annual Scientific Meeting will be held on July 27-29, 2018, at the Hyatt Regency Grand Cypress Hotel in Orlando. Dr. Felix Linetsky has a great program planned that includes: regenerative injection therapy, update on proper use of opioids and marijuana, bone marrow derived stem cell injections, control of chronic visceral pain, ultrasound guided procedures, and much more. This three -day program offers 20 CME credits.

I hope you will mark your calendars now and plan to attend this enlightening event.


Stanley R. Dennison, MD

FAPM President

                     Disney Bargains - Annual Meeting 2018 - July 27-29



  • Dr. Albert Ray (left) with Kevin Kline (Medtronic representative)
  • Dr. Matt Hyzy giving a presentation at the annual meeting
  • Dr. Stan Dennison (FAPM newly elected President (left) with newly elected board member - Dr. Abraham Rivera (right)
  • Dr. Stan Dennison (right) (FAPM Incoming President) presents Dr. Vinny Malik (left) with a plaque thanking him for his service as President for the past two years
  • Dr. Steve Wheeler receiving the   Dr. Felix Linetsky  Excellence in Education Award
  • Executive Director Ken Webster with Shawn Foster (right)
  • FAPM President Dr. Vinny Malik (right) with FMA President - Dr. David Becker (left)
  • FMA President Dr. David Becker addresses the annual luncheon attendees
  • Hyatt Grand Cypress Orlando
  • Meeting Hall
  • New board member - Dr. Abraham Rivera
  • Disney Attractions Orlando
  • Dr. Stanley Dennison, new President of Florida Academy of Pain Medicine

FAPM President 

Stanley Dennison, MD

Dr. Stanley Dennison, Jr. is the newly elected President of the Florida Academy of Pain Medicine. He was elected at the 17th annual FAPM scientific meeting in OrlandoDennison.

Dr. Dennison graduated from the University Central Del Este, San Pedro De Macoris, Dominican Republic.

He is a Diplomate of the American Academy of Pain Management. He served his internship at Wayne State University in Detroit and completed his residency in Anesthesiology at the Medical College of Ohio Hospital in Toledo.

Dr. Dennison completed a Fellowship in Pain Management at the University of Kentucky in Lexington. He is a past Director at the Pain Clinic at Shands at the University of Florida, and a member of the American Society of Anesthesiologists, Hillsborough County Medical Association and Florida Academy of Pain Medicine.

He has 30 years’ experience in pain medicine and anesthesiology where he practices in Tampa.

His hospital affiliations include: Brandon Regional Hospital, St. Joseph’s Hospital, Town & Country Hospital and Memorial Hospital.

Dr. Dennison treats advanced pain care patients. He notes that, “over 80% of Americans suffer from back pain, and the majority of these people can gain relief without surgery. Whether the pain is in chronic form or more recent there are many medications, injections and therapies that can be used to treat back pain”.


From the President

As we enter the second quarter of our fiscal year, I cannot emphasize enough the importance of supporting the Florida Academy of Pain Medicine by paying your annual dues which are only $250 per year. Your dues payment helps our Academy support legislative issues that affect the practice of medicine in this state. This includes working with the Florida Medical Association on these key issues.

Furthermore, the FAPM provides an annual scientific meeting that offers an educational program designed to keep you up-to-date on the latest developments in pain medicine, along with “specialty certificates” that certify your specialized training in a variety of treatment techniques.

Our website and email messages provide regular updates, special alerts and blast emails to keep you current in news affecting the practice of pain medicine in Florida. On our website you can pay your dues and/or conference registration fees online.

The Florida Academy of Pain Medicine is a small society that depends heavily on our member’s support. I hope each of you will realize the service this Academy offers to its members, and will therefore support our efforts by paying your annual dues fee, and by attending our annual conference.

Vinod Malik, MD


Florida HealthHeadsUp

The DEA recently suspended McKesson Corporation’s sales of controlled substances from distribution in Florida. This suspension could impact your patients’ ability to fill their prescriptions and you may want to advise them about the potential implications. As a practitioner, you should be aware of the possibility of drug shortages and consider alternative treatment options when prescribing controlled substances. As always, use your best professional judgment when caring for your patients.

Please see the link to the news release below:

Opioid Denial
 My Own Harrowing Experience

American Council on Science and Health


Refer to: http://nypost.com/2016/12/19/how-the-feds-are-fueling-americas-opioid-disaster/  


Changes to DEA Renewal Process

Through a notice on its website, the Drug Enforcement Administration (DEA) recently announced significant changes to its registration renewal process. Effective January 1, 2017, the DEA is eliminating the informal grace period which the agency has previously allowed for registrants to renew their registrations. Only one renewal notice will be sent to each registrant’s “mail to” address approximately 65 days prior to the expiration date; no other reminders to renew the DEA registration will be provided. The notice also advises that online capability to renew a DEA registration after the expiration date will no longer be available, and that failure to file a renewal application by midnight EST of the expiration date will result in the “retirement” of the registrant’s DEA number. The original DEA registration will not be reinstated. In addition, paper renewal applications will not be accepted the day after the expiration date. If DEA has not received the paper renewal application by the day of the expiration date, mailed in renewal applications will be returned and the registrant will have to apply for a new DEA registration. 

The AMA has strongly expressed our concerns to DEA about this change in policy and the problems it could create for both patients and their physicians. In letters sent Friday, December 9 to DEA Acting Administrator Charles Rosenburg and Louis Milione (Assistant Administrator for Diversion Control), the AMA urged DEA to reverse the change to the renewal process. 

If you have any questions, feel free to contact Debra Cohn, Senior Washington Counsel, at debra.cohn@ama-assn.org or (202)789-7423.

From the President
Dear FAPM Members:

This year is closing fast, so I wanted to take a moment to wish everyone a very Happy Holiday Season and a prosperous New Year! Let's all strive to make 2017 the best year we can.

FARM is in the process of developing new and exciting programs for our members and associates. Our website continues to provide informative and timely information. Our Membership Committee is launching new programs for recruitment and retention. Our Legislative Committee has already submitted a resolution on pain issues and will be involved with FMA/RAC.

We are looking forward to another great conference on June 16-18, 2017, as we return to the Hyatt Regency Grand Cypress Hotel with exciting new programs. As we strive to stay on the cutting edge of medicine, this year's program will offer an in-depth study of nitro medicine along with continued updates on interventional pain issues, ultrasound techniques and new basic pain treatments. As we strive to keep pace with the many issues facing the practice of medicine today, I want to encourage each of you to become a member this year so we can continue to provide updated information and a good CME program. Our fiscal year is January 1 - December 31, so dues statements will go out in January. Please be looking for them and you can pay online, by credit card or check. My thanks for your continued support of this academy.

Vinod Malik, MD

Conference Pics


(Left) President Vinod Malik welcomes FMA President David Becker to the FAPM conference.


Presidents meet with conference sponsor.

(L-R) Michael Creamer, President of FSPM&R, Kevin Kline, Medtronic Regional Manager,and Vinod Malik, President of FAPM.

Conference Pics1

Check out more Conference photos on our Facebook page.

Discussing Migraine With Your Patients

MACRA rule expands exemptions and provides more flexibility for physicians

The Florida Academy of Pain Medicine has researched recent actions of the Centers for Medicare and Medicaid Services including the MACRA rules and MIPS program. See here, and here and registration here "Medicare Speaks 2016" which offers sessions in Tallahassee on November 2-3, 2016. FAPM will continue to keep our members updated on important issues affecting the practice of pain medicine.  

The MACRA Final Rule:
Eight Things Physicians Need to Know

OCTOBER, 2016 

The Florida Academy of Pain Medicine’s Annual Scientific Meeting this year provided attendees with excellent national and international speakers, three distinct pre-conference workshops, great social events, and a first class hotel venue. We thank all of those who attended this conference, and we hope you will plan to join us again next year. 

I want to remind any members who have not paid their 2016 dues that our fiscal year ends on December 31, 2016, so please send your check in or pay online with your credit card. Within the scope of the Florida Medical Association, the FAPM is one of the smaller specialty affiliates. Dues collection provides only 25% of our budget, yet we maintain an office and staff to serve our members. However, without our members financial support we could not meet our budget needs nor could we provide the services for our members or present our annual conference. I ask every pain medicine physician in Florida to become a member of the society that best represents your interests and that is the Florida Academy of Pain Medicine! 

Our Education Committee is already in the planning stages for our annual scientific meeting to be held on June 16-18, 2017, at the Hyatt Regency Grand Cypress Hotel where we can best meet the interests of our members, exhibitors and sponsors as we did for several previous years. Mark the dates on your calendar and plan to join your pain medicine colleagues at this beautiful hotel in the heart of Disney World. Bring your family members so they can enjoy all of the amenities of this hotel as well as the many attractions in the Orlando area. 

If we can be of any service to you as a member, please do not hesitate to call our office at 727-581-4319. 


Vinny Malik, MD, President 

A.M. Trescot (Ed.) Peripheral Nerve Entrapments Clinical Diagnosis and Management
▶ This book features over 50 videos of examination and injection techniques, at least 2 per nerve ▶ Contains "Pain Problems Index" to navigate by symptom  ▶ Includes anatomy, injection technique, and complications for each nerve
Featured as a single volume, this is a comprehensive guide to possible nerve entrapment syndromes and their management. Each chapter covers a single nerve, or group of closely related nerves, and goes over the clinical presentation, anatomy, physical exam, differential diagnosis, contributing factors, injection techniques, neurolytic/surgical techniques, treatments of perpetuating factors, and complications. 
(Read More)


Turn the Tide:
The Fight to End the Opioid Crisis


 Pre-Conference Workshops Provide Special Certification Recognition

Attendees registering for the Florida Academy of Pain Medicine pre-conference workshops will receive a certificate depicting their special training received in these programs. Specialist certificates will be presented for Musculoskeletal Ultrasound and International Pain Therapies, Interdisciplinary Approaches to Pain Medicine, and Physical Medicine and Rehabilitation Treatments and Therapies. (Complete Program)

The "Musculoskeletal Ultrasound and Interventional Pain Therapies" will include ultrasonography of the shoulder, knee and hips as a correlation of physical findings and clinical anatomy. The Interventional Spine Procedures will teach the use of innovative techniques such as facet joint injections, nerve blocks, neuroaugumentation, spinal fusion and implantable drug delivery systems.

The "Interdisciplinary Approach to Pain Medicine Workshop" features nationally known speakers on pain medicine issues on such topics as: pain, stress, mood, cognitive and memory holographic pain treatments, low level inflammation and fascia stimulation and sensitization, opioid crisis concerns, medical laser applications and much more.

The third workshop deals with PM&R treatments and therapies. Featured topics include updates on subacute rehabilitation, medical marijuana update, intrathecal therapies, treatment and management of spinal stenosis, and multimodal approaches to the treatment of low back pain.

Each workshop offers 8 CME hours.


FAPM Offers Three Great
Pre-Conference Workshops

The “Musculoskeletal Ultrasound and Interventional Pain Therapies” will include ultrasonography of the shoulder, knee and hips as a correlation of physical findings and clinical anatomy. The Interventional Spinal Procedures will teach the use of innovative techniques such as facet joint injections, nerve blocks, neuroaugmentation, spinal fusion and implantable drug delivery systems. 

The “Interdisciplinary Approach to Pain Medicine Workshop” features nationally known speakers on pain medicine issues on such topics as: pain, stress, mood, cognitive and memory holographic pain treatments, low level inflammation and fascia stimulation and sensitization, opioid crisis concerns, medical laser applications and much more. 

The third workshop deals with PM&R treatments and therapies. Featured topics include updates on subacute rehabilitation, medical marijuana update, intrathecal therapies, treatment and management of spinal stenosis, and multimodal approaches to the treatment of low back pain. 

The complete program for these workshops can be found on the FAPM website where you can also register online. Don’t miss out on the latest treatments in these special workshops.

President's Message
May 2016

AAPM MeetingAAPM's 33rd Annual Meeting
March 16-19, 2017 (Preconference Sessions: March 15-16, 2017)
Loews Sapphire Falls Resort
Orlando, Florida

FAPM Board Reviews
CDC Guidelines for
Prescribing Opioids for Chronic Pain 

The FAPM Executive Board met recently to discuss the CDC Guidelines for Prescribing Opioids for Chronic Pain. It was noted that the original draft by CDC was not altered, in spite of over 4,000 testimonies from societies, corporations and individuals.

However, the board recognizes the challenges involved with prescribing opioids for chronic pain, and the necessity for safety precautions and effectiveness when providing pain treatments.

Therefore, we support the efforts and concerns expressed by the American Academy of Pain Medicine in the following letter: (MORE)

Drug industry on edge for Obama action on prices
Peter Sullivan –The Hill
The pharmaceutical industry is anxiously awaiting a series of regulatory actions from the Obama administration aimed at combating high drug prices. 

Drug prices have been a major issue on the campaign trail, with Hillary ClintonBernie Sanders and Donald Trump pounding pharmaceutical companies.

Martin Shkreli, the ex-pharmaceutical company CEO who made headlines for hiking the price of a life-saving drug by 5,000 percent, also has put the issue of drug prices in the spotlight.

Spending on drugs in 2014 grew by a sharp 13 percent, the most in a decade. The spike was driven partly by new high-cost drugs for Hepatitis C, but it seemed to point to a larger issue.

A Kaiser Family Foundation poll in August found that 24 percent of the public had not filled a prescription in the past year because of cost. (More)

President’s Message:
February, 2016

VMalik,DO I am often asked the question, “What is the mission or purpose of the Florida Academy of Pain Medicine?” My answer is simple, We are a unique medical specialty society that represents physicians practicing in the field of pain medicine. As such, we are involved with education training, as provided at our annual conference, legislative issues affecting the practice of medicine in Florida, and research of medical issues confronting our members. (More)                         

FAPM  annual membership renewal notices have been mailed to our membership list. This year the renewal can be paid online. The renewal fiscal year is January 1-December 31, 2016.
Thanks to each of you for your continued support of the
Florida Academy of Pain Medicine.

    December 14, 2015 

Dear FAPM Members and Friends: 

Vinod Malik, DOAt this busy season of the year, I wanted to take a moment to wish everyone a Happy Holiday Season and a wonderful New Year. As we are all involved in the medical profession, may each of us enter the New Year with renewed confidence in our abilities to treat our patients with the best possible care. 

As we face the issues confronting our medical professions, be assured that your FAPM Board Members will continue to address your concerns and interests in dealing with legislative matters, practice management issues, and medical education programs. 

Our “Executive Committee” is planning an excellent program for the annual FAPM Scientific Meeting to be held on August 12-14, 2016, at the beautiful Waldorf Astoria Hotel in Orlando. I hope you all are planning to attend this event. 

Let us all be proud of the profession we serve and strive for excellence in all that we do for our profession, patients and community. 

Fraternally yours,

Vinod Malik, DO

FAPM President



THE CAPITAL: TALLAHASSEE, October 20, 2015 ...... The Legislature may have inadvertently made it harder for legitimate patients to get critical pain medications when it passed a 2011 law aimed at shutting down rogue clinics that branded the state as the “pill mill capital" of the country. But now, a powerful state senator said he intends to fix the problem. (Read More)


FL BdMedicineSealFL Bd Medicine

Pain Management Physicians If you are a physician practicing in a Pain Management Clinic and were registered based on the 6th qualification option in Rule 64B8-9.0131, F.A.C ., please keep in mind that as a part of your 40 hours of Continuing Medical Education (CME) required per biennium, you must complete 15 hours of live lecture format, Category I CME in pain management for every year you practice in pain management. These will need to be reported to CE Broker along with the rest of your CME credits in order for the Board to renew your license. Answers to many questions regarding license renewal can be found at the Board of Medicine's website at flboardofmedicine.gov 

CE Broker
Have you signed up for a CE Broker account?

License renewal is coming up for half of Florida's allopathic physicians in Jan, 2016 and for all of Florida's osteopathic physicians in March, 2016. This is the first year that the online renewal system will be linked to CE Broker, the Florida Department of Health 's online CME tracking system. If you haven't signed up for your CE Broker account and begun reporting, do so by visiting www.cebroker.com. There are three account options: free, professional and concierge. As an FMA member, you can get a discount on CE Broker's concierge service to take over the process of managing, tracking and reporting your CME. Simply send your certificates to CE Broker's trained staff members, and they will handle the rest.

Congratulations to
Dr. Felix Linetsky

Felix Linetsky, MDDr. Felix Linetsky, FAPM Board Member and nationally recognized medical education leader, has written a chapter in the Second Edition of Pain Medicine and Management – Just the Facts Textbook published by McGraw Hill. Chapter 71 – Regenerative Injection Therapy (aka – Prolotherapy was co-authored by Peter Peter Staats and Mark Wallace, MD. This book can be purchased from Amazon for the amount of $80.90.

FAPM Represented at Florida Board of Pharmacy's
Controlled Substances Meeting (see below) 

The Florida Board of Pharmacy’s Controlled Substances Standards Committee recently met at Delray Beach, Florida, to discuss issues regarding the availability of certain medications for patients. They have been receiving numerous complaints from patients and physicians across the state regarding this issue. 

Jeffrey Zipper, MD, the Immediate Past President of the Florida Academy of Pain Medicine, attended this meeting representing the Academy. He noted that those attendees at this meeting made several recommendations for the board to consider. The board will review these matters and report back to the committee at the next meeting. 

FAPM will continue to monitor the activities of the Florida Board of Pharmacy, and report any new developments to the members.

FAPM Welcomes New Board Member

At the FAPM Annual Scientific Meeting on Saturday, June 25, the attendees elected TSE CHUNG LEE, M.D. to the Board of Directors as a Member at Large. Dr. Lee is presently in practice at the PRC Pain Associates in Daytona Beach as an Interventional Physiatrist. He will be representing the FAPM at the FMA House of Delegates in Orlando.

Dr. Lee earned his medical degree at the Medical College of Ohio in Toledo, Ohio. He completed a residency in Physical Medicine and Rehabilitation at New York University, Rusk Institute in New York City. He then completed a Fellowship in EMG/Musculoskeletal/Spinal/Ultrasound in Napa, California under the direction of Marko Bodor, M.D.

He is further a member of the American Academy of Physical Medicine and Rehabilitation, the International Society of replica watches uk Interventional Spine and the American Institute of Ultrasound Medicine. He is a Diplomate of the American Board of Physical Medicine and Rehabilitation and of the American Board of Pain Medicine.

The Florida Academy of Pain Medicine is pleased to welcome Dr. Lee as the newest member of the Board of Directors.


2015-2017 Board of Directors
President - Vinod Malik, MD
President Elect - Stanley Dennison, MD
Vice President - Peter Taraschi, DO

Secretary - Felix Linetsky, MD

Treasurer - Kenneth Botwin, MD

Immediate Past President - Jeffrey Zipper, MD

Member-at-Large - Susanti Chowdhury, MD

Member-at-Large - Tse Lee, MD

Member-at-Large - Raul Monzon, MD

Member-at-Large - Albert Ray, MD

President's Message

As the newly elected President of the Florida Academy of Pain Medicine, I want to thank the Board and Members for rolex replica sale the vote of confidence in my ability to lead this Academy.

At our recent FAPM Scientific Meeting in Orlando, we set records of the number of physician attendees and for the number of exhibitors. Our program offering 20 Category 1A CME credits was highly complimented by the attendees, and rolex replica the exhibitors greatly appreciated the increased attendance and interest in their products and services.

I want to thank our Gold Sponsor, Medtronic and the other special event sponsors -St. Jude Medical and Quest Labs. On our website ­you can find a list of all of our exhibit sponsors and their services. I hope you will support them by using their services whenever possible.

Our membership will reach new heights this year, and I hope everyone reading this message will be sure to join FAPM. Our fiscal year ends on December 31st and you can pay dues on our website. In order for FAPM to remain a viable Academy, we need the support of every pain medicine physician in Florida.  

Speaking at our conference luncheon, FMA President Alan Pillersdorf, MD reminded everyone to support their medical associations so we can present a united front of strength as we face the challenges of our profession.

We are currently in the process of evaluating this year's conference, and planning for the 2016 program. Hopefully, each of you will want to attend that event in Orlando on August 12-14, 2016.

At this conference we will continue to offer a comprehensive program emphasizing pain medicine issues including interventional and integrated techniques. We plan to offer additional workshops and welcome any suggestions from our members on topics of interest to you. Just email your ideas to our executive office at websterk427@gmail.com .

Fraternally, Vinod Malik, MD
FAPM President

Political Pulse
Description: http://fapmmed.net/pulse.png

Description: Herald Tribune  Politcs

The battle for Florida
Herald-Tribune Politics provides a visual guide to the gubernatorial battle for Florida in geographic terms. Political Editor Jeremy Wallace examines a number of issues facing the campaigns as the race reaches its peak. For example, Duval County, “once a solid Republican stronghold,” is eroding for the GOP. However, Gov. Rick Scott is likely to once again dominate among rural voters as he did in 2010. On the upside for Charlie Crist, he has an opportunity to take a bite out of the margin that carried Gov. Scott in 2010 in Miami-Dade and Broward counties.

  Description: Herald Tribune

Physicians touchy about marijuana
Many physicians are speaking out against a proposed constitutional amendment to legalize medical marijuana in Florida, saying its passage could lead to abuse. The Herald-Tribune says the overarching concern is that “Yesteryear’s ‘pill mill’ doctor will become tomorrow’s ‘pot doc,’ someone who rubber-stamps prescriptions for medical marijuana regardless of concern.” The FMA has cited the issue of potential drug abuse as one of its reasons for opposing the amendment.


Overstep on painkillers
Prescription painkiller crackdown has gone 'way too far,' some doctors believe
Tampa Bay Times 9/2/2014

Tampa anesthesiologist Dr. Rafael Miguel helped lead the fight against a surging prescription drug abuse crisis in Florida.

As vice chair of the state's Board of Medicine, Miguel called for legislative change to stem the flow of drugs that led to thousands of overdose deaths each year.

Eventually, people listened.

Laws tightened. Police stepped up enforcement. And deaths declined by 23 percent from 2010 to 2012.

Miguel now is in a different drug battle — one for more access to narcotics, not less.

The obstacle, Miguel and other doctors report, are pharmacies that are increasingly second-guessing them, asking to see medical records or refusing service.

"They call us sometimes and ask if (a prescription) is medically necessary," said Miguel, 59, who has a Brandon clinic and teaches pain medicine at the University of South Florida. "Well, if I write a prescription and it's got my DEA number and my signature on it, what do you think, I'm joking around?"  (Read More)

Walgreens’ Good Faith Dispensing Protocol

From: Bob Twillman [mailto:btwillman@aapainmanage.org] 
Sent: Monday, October 07, 2013 1:10 PM
To: Jeffrey Zipper
Subject: Academy update: Walgreen information, request feedback 

Last June, your Academy's Policy and Advocacy Department sent all members a letter summarizing the situation with respect to Walgreens’ Good Faith Dispensing protocol. That information also provided members with an easy way to report problems encountered with patients filling prescriptions for opioid analgesics. After hearing more concerns expressed by many of you at the Annual Clinical Meeting held in Orlando, we have decided that we need to re-send this information.

Attached is the original memo, for your review. If you and your patients have been having problems getting prescriptions filled, please provide feedback using this form.  The form is also in the attached document with more information as to what we are seeking and how the information will be handled.

As always, thank you for your support of the Academy.

Bob Twillman, PhD, FAPM
Deputy Director
Director of Policy and Advocacy


Dear Colleagues, as you can see from the missive below it appears the FAPA’s #1 Legislative priority this year is to obtain controlled substance prescribing privileges (all hands on deck)!! Given the fiasco that Florida has recently experienced with the advent of “pill mills” this would be an unwise turn of events and must be opposed for the safety of our patients. THE PAIN MANAGEMENT COMMUNITY MUST FIGHT TO PREVENT THIS LEGISLATIVE INTIATIVE.
Dr. Zipper
,President FAPM 
Read More

Pill Mill Crackdown Pays Off

The Florida Academy of Pain Medicine is proud of the role our board and members have played in the development of effective policies that have contributed to the decline of "pill mills" in the state of Florida. Over the past four years our lobbyists, presidents, staff members and  our affiliate medical societies have worked tirelessly to see these policies implemented to the fullest extent of the law. 

Our congratulations to every physician and organization that stepped up to the task that made these changes happen.

[ EDITORIAL-2014 TheLedger.com -All rights reserved ]

Florida's Effective Policies: Pill Mill Crackdown Pays Off

Florida, once labeled "the pill mill capital of the country," has shown that it's ready to relinquish that title.

A report last week by the U.S. Centers for Disease Control and Prevention found that changes in Florida policies and law enforcement have led to what appears to be "the first documented substantial decline in drug overdose mortality in any state during the past 10 years."
(Read More)

  • Leaders & SpeakersFrom left, Rigoberto Guzman, MD, President FSPMR; Jeffrey Zipper, MD, President FAPM; Alan Harmon, MD, President FMA; Vinod Malik, MD, President-Elect, FAPM
  • Marla Golden, DO, receiving the Felix Linetsky Education Award
  • Jeffrey Zipper, MD, President, Florida Academy of Pain Medicine receiving the FAPM Distinguished Service Award
  • Alan Harmon, MD, President, Florida Medical Association
  • Albert Ray, MD, Past President FAPM
  • Kenneth Webster, Executive Director, FAPM
  • Ken Webster's Special Lady

FAPM Conference Is Big Success

With excellent pre-conference programs on basic pain issues, ultrasound treatments and physical medicine and rehabilitation, the conference provided special training in multiple modalities. The pre-conference workshops were followed by offering twelve CME credits in areas related to pain medicine issues.

Featured speakers included Alan Harmon, MD, President of the Florida Medical Association and Judy Foreman, author of the bestselling book, “A Nation in Pain". The panel discussions held on the second day featured specialists in various disciplines, a representative on E-FORCE and PDMP issues, and legal and legislative programs. Panel moderators were: Albert Ray, MD, FAPM Past-President, and Jeffrey Zipper, MD, current FAPM President.

Highlights of the annual membership luncheon included FAPM awards. Marla Golden, DO, received the Felix Linetsky, MD, Education Award for her leadership and participation in FAPM educational programs the past few years. The Distinguished Service Award was presented to Jeffrey Zipper, MD, for his leadership in legislative issues affecting the practice of medicine in Florida. Lynne Columbus, DO, from Clearwater, Florida was elected to the FAPM Board of Directors.


Insurance companies should not meddle
in patients’ treatment

By Albert Ray

You pay your insurance premiums on time, and you know exactly what kind of medical and prescription coverage to expect. But what happens when your insurance company decides it doesn’t want to provide the same coverage anymore?

That’s exactly what happened to “Mark,” one of my patients suffering from osteoarthritis and a serious lower-back injury. Without treatment for the severe, debilitating pain, Mark simply could not function. As a 60-year-old man living by himself, Mark has been completely self-reliant. He has no one in his household to help him deal with the pain, so pain management has been critical to his quality of life and ability to function.

For years, Mark underwent physical therapy and a full range of interdisciplinary treatment to restore his quality of life. Thankfully, his pain has been consistently managed with medications. I prescribed a specific dosage of painkillers that provided adequate pain relief without any sedation or adverse side effects. Although not perfect, Mark’s situation was manageable. And as important, he was paying his insurance premiums on time — to a major Florida insurance company — until suddenly, he received a notice that this unscrupulous company planned to arbitrarily limit the amount of pain medication he could receive in any given month.

As Mark’s doctor, I had to find a way to provide him with a new prescription that fell within the limits of this new, arbitrary insurance-coverage limit. Sadly, it also meant that I had to reduce his dosage from 90 milligrams per day to 80 milligrams, which meant that Mark would have less pain relief and an increase in the level of sedation because of the insurance company’s interference with my patient’s treatment.

Why would an insurance company interfere this way? Was it just plain greed, a simple case of trying to save a few bucks so it could pocket more profits?

Unfortunately, Mark’s case is not unique. In 2011, Florida lawmakers took steps to fight “pill mills” that were thriving in our state and allowing people to abuse prescription drugs. Unscrupulous people from around the country would drive here to buy pain medication and sell it on the black market.

Since passage of new laws aimed at fighting pill mills, doctors and pharmacists, working closely with law enforcement, were able to reduce the number of pill mills and prescription drug-abuse incidents. But the unfortunate side effect is that legitimate patients, in desperate need of pain-management treatment, are getting shafted by insurance companies who use the new law as an excuse to alter insurance coverage and boost their profits.

They are playing games with patients, forcing them to jump through hoops, fill out mountains of paperwork to justify even the slightest adjustment to a sleeping-pill prescription or an arthritis treatment. And when they get called on it, they point to the laws passed in 2011 that were designed to fight criminals and illegal drug abuse.

No insurance-company executive should have the right to tell a doctor what to prescribe for a patient, nor should they be able to impose arbitrary limits that could radically affect a patient’s well being. Most of all, insurance-company executives should never be allowed to interfere with treatments they previously agreed to pay for. Such meddling can only be ascribed to one motive: greed and profiteering on the backs of patients who have dutifully paid their premiums.

The Legislature was right to combat prescription-drug abuse in 2011. But now greedy insurance companies are abusing the law. Until state lawmakers do something, patients will continue to suffer.

Albert Ray, M.D., is the medical director at The LITE Center and clinical associate professor at the University of Miami Miller School of Medicine.

Read more here: http://www.miamiherald.com/2014/05/21/4129354_insurance-companies-should-not.html#storylink=cpy


Patient Op-Ed: Denying necessary prescriptions to needy patients 

The Florida Academy of Pain Medicine is working diligently to bring attention to our legislature, patients and citizens regarding the problems patients are having getting drug prescriptions filled. The following article was printed in the Tampa Bay Times in support of our concerns over this process of denying necessary prescriptions to needy patients. Please feel free to share this article with you patients, colleagues and staff. We will continue our efforts to help patients across the state to be able to have their physician prescribed drug requests filled. Should you have any similar cases to report of patients not getting their prescribed drugs in a timely manner, please let us know. Together we can help alieviate this problem. (Read OpEd)

Fraternally, Jeffrey Zipper, FAPM President 


Dear Colleagues, 

            The FAPM has hired a public relations firm to help bring media attention to issues of importance and concern to us and our patients. We are presently working on a project to help our patients gain better access to their needed medications from Pharmacies. To that end, if you have any patients experiencing difficulty with getting their prescriptions filled for CS’s please contact Mr. Brian Burgess from Meteoric Media Strategies ASAP at 850-273-2270 or email to brianjburgess@gmail.com. Thank you! 

Jeffrey A. Zipper, M.D.

Peripheral nerve blocks -- revision to the Part B LCD
LCD ID number: L29258 (Florida)
LCD ID number: L29466 (Puerto Rico/U.S. Virgin Islands)

The local coverage determination (LCD) for peripheral nerve blocks was most recently revised January 1, 2013. Since that time, major revisions were made throughout the entire LCD. The ‘Indications and Limitations of Coverage and/or Medical Necessity’ section of the LCD has been revised to clarify indications versus limitations of coverage. In addition, the ‘CPT®/HCPCS Codes’, ‘ICD-9 Codes that Support Medical Necessity’, ‘Documentation Requirements’, ‘Utilization Guidelines’ and ‘Sources of Information and Basis for Decision’ sections of the LCD were revised.
Effective date

This LCD revision is effective for services rendered on or after March 17, 2014. First Coast Services Options Inc. LCDs are available through the CMS Medicare coverage database at http://www.cms.gov/medicare-coverage-database/overview-and-quick-search.aspx external link.

Coding guidelines for an LCD (when present) may be found by selecting “LCD Attachments” in the Jump to Section…” drop-down menu at the top of the LCD page.

Note: To review active, future, and retired LCD for jurisdiction 9, please click here

FAPM has a “Neutral” Position on Medical Marijuana Amendment:
Florida is facing a pain medicine crisis, and lawmakers must find a way to deliver pain medicine to legitimate patients while still blocking these controlled substances from those who abuse them. No matter how Floridians vote on medical marijuana amendment this November, the real burden must be on lawmakers to overhaul our pain medicine regulations so that patients with legitimate health issues can get the medications they need to have a high quality of life. They deserve to have this access legally and without undue excessive burden.

Congress Reaches Deal on SGR Repeal

Today, February 6, 2014, Congress reached a bipartisan, bicameral agreement on a bill that would repeal the Medicare Sustainable Growth Rate (SGR) and replace it with a pay-for-performance system that would evaluate and incentivize quality health care. All 3 congressional committees of jurisdiction—the Senate Finance Committee, the House Ways and Means Committee, and the House Energy and Commerce Committee—have agreed on 1 piece of legislation that will now move through the legislative process as a consensus bill.

Specifically, the legislation would:

  • Repeal the SGR immediately
  • Provide positive annual payment updates of 0.5% for 5 years
  • Install a Merit-Based Incentive Payment System (MIPS), which would include prospectively set performance thresholds and offer flexibility in the imposition of performance requirements that are inappropriate for some specialties
  • Delay the effective date of the MIPS program 1 year, from 2017 to 2018
  • Increase the MIPS funding pool and adjust the phase-in of penalty risks for those who fall in the lowest performance quartile to be capped at a maximum of 9% (as opposed to the previous 12%)
  • Sustain a 5% incentive payment for physicians participating in alternative payment models
  • Double original funding for technical assistance to small practices of 15 or fewer professionals
  • Recognize the development of functional status quality measures as a priority

Many of the provisions of the bill are improvements from previous proposals and current law. AAPM&R advocated strongly to incorporate items that would be beneficial in highlighting the care that physiatrists provide. However, because this legislation is not budget neutral, legislators will now spend several weeks considering budget-cutting options to offset the cost of the repeal. Some options have been leaked, including cuts to postacute care and changes to the in-office ancillary services exceptions to the physician self-referral law (Stark law). 

Your Academy is advocating tirelessly to ensure that the SGR repeal is not achieved on the backs of our physician members. Stay tuned for additional information in the coming weeks. 

Jeffrey A. Zipper, M.D.
FAPM President


Medicare will deny claims for referring physicians who are not enrolled in PECOS as of January 6, 2014. Physicians must be enrolled to prescribe durable medical equipment. For more information, refer to their website at https:llcms.hhs.gov/. (at the time of this post, this website is down).

Some of our vendors are concerned that prescribing physicians who are not enrolled will not be able to prescribe the durable medical equipment that you have prescribed in the past.  


Dear Colleagues,           

            FSCO the Medicare administrate contractor for jurisdiction J 9 has retracted its previous article titled “Ultrasound Guidance for Needle Placement in the Office Setting”. This retraction was based upon input from your specialty society CAC representatives. Although this article has been retracted there are still some limitations on these services (please see attachment). Please also note, that in the 2014 proposed rule for Revisions to Payment Policies under the Physician Fee Schedule, the Centers for Medicare & Medicaid Services (CMS) proposes a reduction in the relative value units (RVUs) based on equipment inputs and procedure time assumptions for Current Procedural Terminology (CPT®) code 76942. 
Jeffrey Zipper
President FAPM
Chief Executive Officer

FY 2014 Medicare OBS Reimbursement Rates for SCS Trials

September President's Message

Dear Colleagues,
I hope everyone has enjoyed their summer and all are ready to get back into the swing of things. I would like to start off by thanking Dr Albert Ray our immediate past president for his leadership and tireless efforts in serving our organization over the past two years; as well as, Dr. Felix Linetsky, Dr Kenneth Webster and the entire FAPM board of directors for putting on an excellent educational program at this year’s annual scientific conference. If you were unable to attend this year’s conference you certainly missed out and I hope to see you at the conference next year. In fact, place it on your calendar today! (June 20-22, 2014). The Florida Academy of Pain Medicine largely exists to advocate for and to protect the rights of the chronic pain patients and the physician community that serves them within the State. Your membership in this organization is of paramount importance and without your support we would not have a voice in Tallahassee. I personally value your membership in the Academy and believe that together we are making a difference in your practice and patients’ lives. I hope each of you will see fit to renew your membership this year. If you know of a colleague that is not presently a member of FAPM, please encourage him or her to join today!  (READ MORE)


FMA’s Business of Medicine Survey Reveals Florida Physicians’ Top Concerns 

Pictures from Past Conferences

Conference Pictures

Conference Pictures

Conference Pictures

Conference a Great Success

2013 FAPM Awards Recipients
Special Award  Presented at Conference Luncheon
Left to Right: Rigoberto Puente-Guzman,MD, President of FSPR&R
Ralph Nobo, MD, Vice-President of FMA, Albert Ray, MD, President of FAPM, Kenneth Webster, Ed D. FAPM Executive Director receiving the Presidential Achivement  Award, and Jeffrey Zipper, FAPM  President-Elect

          Two Leadership Members of FAPM Author Major Works

Congratulations to Felix Linetsky, MD and Albert Ray, MD for recent publications in a major new textbook on Pain Medicine.

 Felix Linetsky, MD, FAPM Board member, chairman of the FAPM Education Committee responsible for  our excellent Annual Educational programs, and President of the American Academy of Regenerative Orthopedic Medicine,  has coauthored “Treatment of Chronic Painful Musculoskeletal Injuries and Diseases with Regenerative Injection Therapy (RIT): Regenerative Injection Therapy Principles and Practice,” along with Hakan Alfredson, MD, PhD,  David Crane, MD, and Christopher Centano, MD. This chapter was published in the Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: the American Academy of Pain Medicine Textbook on Patient Management and released last month. This chapter offers a comprehensive review of regenerative injection therapies including treatments related to pathology of connective tissue, mechanism of action of chemical injectates and biological injectates;  provides a step by step approach to differential diagnosis and treatment; and offers future directions for regenerative injection therapies.

Dr. Linetsky and his co-authors are all internationally recognized experts in the field of regenerative injection therapies, and have combined their knowledge and skills in this excellent chapter.  Dr. Linetsky will be speaking and also teaching an Ultrasound Guided Treatment course at our upcoming annual meeting in June 28-30, 2013. The FAPM has named an award in Dr Linetsky’s honor: The Annual Felix Linetsky Award for Excellence in Education, to recognize his lifelong dedication to helping patients receive better care through education.  Dr. Linetsky will be available for private conversations for those interested.

Albert Ray, MD, current president of FAPM and president of the Foundation for Pain Medicine, has served as the section editor on Integrative Approaches for the  Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches: the American Academy of Pain Medicine Textbook on Patient Management.  He has served as the editor for 25 chapters including such topics as pain perception, neuroplasticity and sensitization, muscle pain treatment, addictive disorders, mental status exam of pain patients, psychological assessment s and treatments, hypnosis, acupuncture, manual therapies, regenerative therapies, interdisciplinary functional restoration programs, spirituality, disparate populations, sleep and pain, empowerment for pain sufferers and their caregivers, geriatric issues in pain, primary care issues, patient advocacy, neonatal pain, disability assessment, the Double Effect, and failure to treat issues. Within this book, Dr. Ray has authored a chapter entitled “Neuroplasticity, Sensitization, and Pain,” and coauthored “Pain as a Perceptual Experience” with Ms. Rhonwyn Ullmann, MS, and Michael Francis, MD; as well as “Manual Therapies,” with Mr. John Barnes, PT,LMT, NCTMP and Ms. Rhonwyn Ullmann, MS.

Dr. Ray, has dedicated his medical career to the understanding, treatment, and teaching of pain in the whole person, and has also served as the president of the American Academy of Pain Medicine, the Southern Pain Society, and the National Pain Foundation. He has been a Director at Large for the American Board of Pain Medicine and still sits on their Exam Council.  Dr. Ray has also been a pioneer working for the establishment of Pain Medicine as a primary specialty. Dr. Ray will be leading a course in Basic Pain Medicine at our Annual Educational Meeting next month.

The FAPM will have this brand new textbook available at the exhibit hall at Booth 306 for anyone interested. Come join this exciting meeting and meet our authors in person.

FL Doc Arrested for Running Pill Mill, 3rd Offense
A St. Petersburg doctor who was accused in 2011 of helping operate an illegal pain clinic in Pasco County was arrested again Thursday on charges that he was doing the same thing in Citrus County. (Read More)

From the President:

Dear FAPM Members:
The Florida Academy of Pain Medicine strives to represent our members on important issues that affect your ability to practice medicine in the state of Florida. While we have expanded our member services the past two years, including Executive Offices and services, we have not increased your annual dues.

However, it is important for the success of our programs to maintain a strong member base. As we enter the fourth quarter of our fiscal year we need every member to be sure their dues are current. We have a current list of dues paying members for this year posted in our membership section on this website. Please check to see if your name appears. If your name is listed, thank you for your support of FAPM programs. If your name is not listed, please take a moment to pay them “on line”. Your support is needed now so that FAPM can continue to represent you on issues that affect your medical practice.

Take time to check our website often to stay informed of important medical matters. We strive to maintain up-to-date communication so that our members are properly informed.

Albert Ray, MD, President

                                                 Membership Benefits
Active website with regular updates, special alerts and blast emails.
Educational programs designed to keep you up-to-date on the latest developments in pain medicine. Discounted fees for members.
Information resources to provide practical insight into dealing with third party payers and regulatory agencies.
Annual scientific conference with nationally known speakers and relevant topics.
PAC FUND to support legislative issues pertaining to pain medicine.
Opportunities for the exchange of information and experiences with colleagues who have encountered problems similar to those with which you are dealing.
PainInfo, the Academy’s periodical newsletter, which keeps you informed as to upcoming meetings, Academy activities, and economic, legislative and regulatory information (both state and national) which affects your practice.
Representation within Florida’s recognized organized medicine body, the Florida Medical Association, both via a seat in the FMA House of Delegates and a seat on the FMA Specialty Council.

New FDA guidance urges patient outreach regarding important drug recall related to Aspergillus Meningitis FLORIDA DEPARTMENT OF HEALTH COLLABORATES WITH HEALTH CARE PROFESSIONALS IN ONGOING FUNGAL MENINGITIS OUTBREAK INVESTIGATION ~New FDA guidance urges patient outreach~
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NY Times- FDA Won't Require Special Training


Join the Court Fight to Protect Physician Medicare Data

Attorney General Bondi's Weekly Briefing: Prescription Drug Diversion: Combating the Scourge
Congress Approves 10-Month SGR Patch

Note!The Electronic - Florida Online Reporting of Controlled Substances Evaluation program (E-FORCSE) is Florida's Prescription Drug Monitoring Program (PDMP). The PDMP was created by the 2009 legislature in an initiative to encourage safer prescribing of controlled substances and to reduce drug abuse and diversion within the state of Florida.   Remember:  Section 893.055, Florida Statutes, requires health care practitioners to report to the PDMP each time a controlled substance is dispensed to an individual. This information is to be reported through the electronic system as soon as possible but not more than 7 days after dispensing. This reporting timeframe ensures that health care practitioners have the most up-to-date information available.

MAJOR ALERT!! House GOP agrees to doc pay-rate extension

ALERT! CVS tells some Florida doctors it won't fill their prescriptions for narcotics

ALERT! Lyons: Doctors on CVS blacklist feeling branded

Pain Management Regulations Affect
More Than Pain Management Specialists

Linda A. Keen
of counsel to The Florida Healthcare Law Firm

MSK Medicine Council Outstanding Service Award

The AAPM&R Outstanding Council Service Award was established this year to recognize service/volunteerism of Council members who contribute to the success of the Academy in fulfilling its mission and serving its membership in ways not limited to research, education, and product development.
Congratulations to Andrew Sherman, MD, MS—the first MSK Medicine Council recipient of the AAPM&R Outstanding Council Service Award! Outstanding Council Service Award recipients will be recognized at the Annual Assembly at our Council business meeting on Friday, November 5, at 5:45 pm, and will be announced during the Forty-Second Walter J. Zeiter Lecture and Awards Ceremony on Saturday, November 6, at 11 am.