Compassionate pain management awaits you at Kroll Care, Georgia licensed pain clinic # 350. Our goal is to meet the needs of patients so as to provide them with the opportunity of having a meaningful quality of life. To achieve this, we utilize multiple modalities.
Whether your best treatment will consist of an interventional procedure performed in our state of the art procedure room by a physician with more than 20 years’ experience, and/or taking medications (narcotics and non-narcotics), and/or wearing a brace and/or using a Transcutaneous Electrical Nerve Stimulator, and/or using a topical application, and/or receiving chiropractic care, and/or participating in CBT – Cognitive Behavioral Therapy with one of our Doctors of Psychology, and/or reviewing your X-rays taken in our digital X-ray suite, your treatment goals and methods will be decided by you and your providers together. A treatment plan will be developed and you will be required to adhere to the program in order to continue to receive treatment at Kroll Care.
In March 2016, the CDC published “Guidelines for Prescribing Opioids for Chronic Pain”. Since then, in response to the tragic overdose deaths and the addiction to opioids of thousands of Americans, Governmental bodies, legislative as well as executive, at all levels as well as health insurers, national pharmacy chains and individual pharmacists have exerted profound pressures to limit the amounts of opioids being prescribed. Moreover, there is mounting scientific evidence that the risks of true addiction, the effects on hormones, the euphoria and clouding effects on brain function, opioid caused constipation, and the compromising of respiration are dose related.
We have wrestled with our response to the current state of affairs and have adopted the following plan:
We will slowly taper medication dosages of all non-cancer, non-palliative pain patients to lower levels with a goal of no patient receiving greater than 150 Daily Morphine Equivalents (ME’s), taking each patient’s special circumstances into consideration.
The ultimate goal is to lower maximum ME’s to 90.
Eliminate the use of Methadone as a long acting opioid at Kroll Care.
Switch as many patients as possible to the use of Belbuca (see article about Belbuca elsewhere on this site).
Increase dramatically the use of trigger point injections.
Offer interventional procedures for all patients who we believe can benefit from these procedures. You will be expected to avail yourself of this service as part of your treatment plan.
Require psychological counselling for all patients whose ME exceeds 150.
Offer medication assisted addiction treatment for patients with a true addiction condition.
Patients with an ME greater than 150 will be seen every 2 weeks. Those with ME’s 150 or less will be seen every 3 weeks.
Working together we will continue the legacy of compassionate care that has been the hallmark of Kroll Care.
Daily Morphine Equivalents
The relative potency of opioid medications are calculated in Daily Morphine Equivalents (ME’s). This allows a comparison to the medication “load” from medication to medication. There are some variations among the many conversion calculators but all agencies now use some form of ME. Here are examples of relative ME’s: read more
Kroll Care has expanded it’s laboratory testing capability
We are now able to offer complete blood testing in our in-house laboratory. This is in addition to our existing urine drug testing laboratory which gives us control of the process without having to ship specimens out.
You are the Focus
Every patient is unique, and we will you as an individual. At Kroll Care, we take the time to listen to our patients needs and wants to make your care as convenient as possible.
The relative potency of opioid medications are calculated in Daily Morphine Equivalents (ME’s). This allows a comparison to the medication “load” from medication to medication. There are some variations among the many conversion calculators but all agencies now use some form of ME.
Medicare has announced that beginning January 1, 2019, opioid amounts greater than 90 Daily Morphine Equivalents (ME) will not be automatically approved and we fully expect other insurers to follow suit.