Friday, February 2, 2007

PURPOSE

A blog-based means of documenting and developing an exciting new writing project, that of a new nonfiction book proposed as a unique and hithero unavailable resource for patients with pain and those who care about them.

Written by prolific writer and world class pain specialist, Richard B. Patt, M.D. this project proposes a detailed exploration of the issues that relate specifically to treating chronic pain with narcotics (opioid analgesics or strong painkillers) in today's complex medical enviornment. This contrasts with the self help books for chronic pain that are currently available which are more general and tend to treat this controversial topic incompletely and often from a biased or antiquated viewpoint.

The current project will document the major changes in thought and practice currently underway and posits a refreshing and welcome viewpoint that, with adequate resources and careful effort the safe and effective treatment of most cases of chronic pain can be accomplished with the ongoing use of narcotic analgesics (opioids) as a main component of treatment. Endorsing therapies previously shunned altogether or reserved for the actively dying, In a candid appraisal of the relative merits and pitfalls of this versus other approaches, Dr. Patt dispels exaggerated concerns about addiction and other risks.


The underling goal of this project is to provide essential baseline knowledge and real world tools to empower patients, family members and care providers to help achieve lasting mastery over chronic pain.

PAIN HURTS: Project Introduction

Welcome to my effort to document the initial stages of a new project about which I am very excited. This is nothing new as, although more selective in my venerable age, once having decided to launch a new project, I am nearly always delighted. What is new is my electing to ascertain others' potential excitement and delight in advance and throughout this project's development by utilizing an interactive electronic forum, the blog, a new endeavor for me.

As I will share with you in notes about my background, I have edited and written several books that relate to various aspects of pain and its management as part of a larger body research, scholarly and pop publications. Thinking back to their respective gestations, I can honestly say that, for the most part, each of these projects was important. Admittedly, from one point of view each work comprises just one among a range of variously useful books within an increasingly topical and thus "popular" area of interest. Nevertheless, viewed through a "retrospectoscope" that considers their temporal context, each was regarded as a meaningful contribution at the time and so, constitute, from my viewpoint, books that needed writing. Would that it were about more books! Despite my joy in the craft, I have resisted repetition and volume for their own sake both out of respect for the beleagured reader and an increasing recognition of the value of my own time.

Finally, though, after a few fallow years and some very dearly bought perspective I am poised to introduce the present project which I anticipate will be as important as any work I've ever taken on.
So in conclusion, I freely extend a warm invitation for you to join me in what I anticipate to be an exciting voyage of exploration and creation: the development of a new project:

PAIN HURTS: Treating Chronic Pain Safely with Narcotics A Consumers’ Guide to the Perils of Today’s Medical Management of Pain

I am hopeful you will give my invitation strong consideration and that together we can accomplish something important for today's pain patients for whom meaningful fresh resources are so important.


Richard B. Patt, M.D.

Richard B.Patt, M.D. - Professional Background: Detailed Curriculum Vita

Personal
1920 Woodbury St, Houston, Texas 77030-4126
Office Tel: (713) 799-2777, Fax 790-2266
Born: May 12, 1954, Baltimore, Maryland
Married with 18 year old son
— Fluent in English and Spanish —

Professional
The Patt Center for Pain Management
1920 Woodbury St, Houston, Texas 77030-4126
(713) 799-2777, Fax 799-2266, Pgr 1-888-912-1951
Toll Free 877-PATT-CTR —
RPatt@cancerpain.org
Website: —
mailto:Rpatt@cancerpain.org

• Education
Undergraduate: University of Maryland (1973-1977)
Medical School (Basic Sciences — Spanish)
Medical School (Clinical Sciences — U.S., M.D. Awarded)
Bachelor of Arts in Philosophy (1977)
Universidad Central del Este, Dominican Republic (1978-1980)
American University of the Caribbean, Montserrat (1980-1982)

• Postgraduate Training
Surgical Internship
Anesthesiology Residency
Anesthesiology Pain Fellowship
St. Agnes Hospital, Baltimore, Maryland (1982-1983)
Albert Einstein College of Medicine, Bronx, NY (1983-1985)
Albert Einstein College of Medicine, Bronx, NY (1985-1986)
— All examinations completed successfully on first effort —

• Certifications
E.C.F.M.G. Examination (1983)
F.L.E.X. Examination (1985)
Written Anesthesiology Board Examination (1985)
Oral Anesthesiology Board Examination (1987)
Diplomate, American Board of Anesthesiology (A.B.A.) (1987)
A.B.A. Subspecialty Exam in Pain Medicine (1994)
A.B.A. Subspecialty Certification in Pain Medicine (1994-12/04)
Fellow, International Neuromodulation Society (1997)
• Licensure and Registration
Georgia License # 025470 (inactive)
New York License #163352-1 (inactive)
California License (through 2006)
TX License #J5440 (through 2006)
— No history of medical malpractice —

• Academic Appointments
University of Texas School of Medicine
Associate Professor of Anesthesiology & Critical Care (1993)
Associate Professor of Neuro-Oncology (1995)
University of Rochester, School of Medicine & Dentistry
Associate Professor, Anesthesiology (1990)
Associate Professor, Oncology (1991)
Associate Professor of Psychiatry (1990)
Senior Instructor, Anesthesiology (1986)
Assistant Professor, Anesthesiology (1987)
Assistant Professor, Psychiatry (1988)

• Professional Administrative Assignments
President and Chief Medical Officer, The Patt Center for Pain Management (September 1998 - present)
Coordinator for Inpatient Medical Care, The Hospice at the Texas Medical Center (February 2001 - June 2002)

— Full Time Faculty (1993 - 1998) University of Texas M.D. Anderson Cancer Center
Director, Anesthesia Pain Services (1993-1998)
Deputy Chief, Pain & Symptom Management Section (1993-1996)
Director and Founder, Pain Fellowship (1993-1998)
Medical Director, Pain Fellowship (1993-1998)

— Full Time Faculty (1986 - 1993)
University of Rochester Strong Memorial Hospital
Medical Director, Pain Treatment Center (1990-1993)
Acting Medical Director, Pain Center (1989-1990)
Director and Founder, Cancer Pain Service (1986-93)
Director and Founder, Pain Fellowship (1988-1993)

• Clinical Privileges
Kelsey Seybold Hospital, Houston, TX (2001-2006)
St. Luke’s Episcopal Hospital, Houston TX (1998-2006)
Methodist Hospital, Houston TX (1998-2005)
Hermann Memorial Hospital, Houston TX (1998-2006)
Select Specialties Hospital and Skilled Nursing Facility (1998-2006)
Plaza Specialty Hospital, Houston, TX (2003-2005)
M.D. Anderson Cancer Center (1993-1998)
The Hospice at the Texas Medical Center (1995-2002)
Strong Memorial Hospital (1986-1993)
Monroe Community Hospital, Rochester, N.Y. (1991-1993)

• Teaching
— The Patt Center for Cancer Pain & Wellness (1998 - 2006)
Preceptorships for Med Students, Product Managers & Sales Representatives
— University of Texas M.D. Anderson Cancer Center (1993-1998)
Anesthesia and Neurology Pain Fellows, Oncology Fellows, Anesthesia Residents, Regional Observers, Observers from Asia, Latin America, Middle East, Africa, Australia
— University of Rochester School of Medicine (1989-93)
Pain Fellows and Anesthesiology Residents
Clinical Faculty Preceptor, Graduate Nursing Program
Preceptor, Medical Student Sr Ambulatory Clerkship
Preceptor, 1st yr Medical Students: Introduction to Doctoring
Preceptor, Medical Student Senior Class Research Project

• Awards and Honors
Marquis Who's Who in the World, 13th ed. (1995-1996)
Contemporary Authors, First Edition (1996-1997)
Marquis Who's Who in Medicine & Health Care, 1st ed 1995-6
Annual Visiting Nurse Physician of the Yr, Rochester 1992
International Authors and Writers Who’s Who, 15th ed., 1997-1998
Marquis Who’s Who in the South and SW, 24th & 25th ed, 1995-1997
Amer. Cancer Society Mary Tracy Lecturer, Certificate of Merit, 1994
Stella M. Traweek Visiting Professor in Geriatrics, Lubbock Texas 1996
Consumer Expert Directory Pain Expert, Health & Fitness 1996

• Academic and Professional Affiliations, Memberships
American Society of Anesthesiologists (1982)
N.Y. State Society of Anesthesiologists (1982)
Texas Society of Anesthesiology (1993)
International Anesthesia Research Society (1982)
American Society of Regional Anesthesia (1984)
International Association for the Study of Pain (1985)
American Pain Society (1985)
American Academy of Pain Medicine (1988)
Society for Practice of Pain Management (1992)
Academy of Hospice Physicians (1988)
New York State Hospice Association (1988)
Int’l College of Hospice/Palliative Care (Founding) (1996)
National Hospice Organization (1988)
Unione Internacionale Contra el Cancer-(Lifetime, 1997)
American Medical Association (1984)
New York State Medical Society (1988)
Monroe County Medical Society(1988)
Texas Medical Association (1993)
Lifetime Member, Texas Medical Foundation (1996)
Harris County Medical Association (1993)
Society of Behavioral Medicine (1988)
Society for Anesthesiology in Developing Countries (1986)
Anesthesia History Association (1984)
Malignant Hyperthermia Association of the U.S. (1985)

• Academic and Professional Affiliations, Service
— American Society of Anesthesiologists

Delegate (1989), Alternate Delegate (1990-1993)
Committee on the Consultants' Corner (1989-1992)
ASA Committee on Cancer Pain Guidelines (1993-1995)
Sub-Committee on Local Anesthesia & Pain (1989-1993)
Consultant, Committee on Acute Pain Guidelines (1993-1994)
American Pain Society: Director-At-Large (1996-1999)
Co-Chair, Consumer Relations Committee (1993-1995)
Professional Development Course Subcommittee (1995)
Continuing Education Committee (1995)
Chair, Task Force on Ethics and Industry (1996)
Reviewer, Pediatric Pain Guidelines
Reviewer, Guidelines for Acute Pain and Cancer Pain (4th ed)

— New York State Society of Anesthesiologists
Chairman, Public Education Comm, (1988-1991)
Committee on Public Education (1987-1992)
Delegate (1989-1991)
Speakers Bureau and State Fair Exhibitor (1987-1993)
Assistant Coordinator, Mini workshops, PGA, (1991-1992)
Continuing Medical Education Committee, (1989-1991)
Committee on Annual Sessions, PGA, (1989-1992)
President, District 6 of NYSSA (1991-1992)
President Elect, District 6 of NYSSA (1990-1991)
Vice President. Director Scientific Affairs, District 6 (1988-99)
Alternate Director, District 6 NYSSA (1991-1995)

— International Association for the Study of Pain
Co-Chair, Task Force on Pain and AIDS (1993-2000)
Member, Task Force on Cancer Pain (1990-2000)
Teaching Envoy to the Kenya Pain Society (1994)

— Other:
Academy Hospice Physicians Publications Comm (1989-93)
Am Academy Pain Medicine, Regulatory Affairs Comm (1995-1999)
Southern Pain Society, Professional Education Comm (1997-2002) Physicians Association for AIDS Care, Pain Mnmt Comm (1993-98)
Vice President, Einstein Anesthesia Alumni Assoc (1989-1990)
Nat’l Chronic Pain Society Board Member (2002-2004)
American Institute of Life-threatening Illness & Loss,
National Medical School Faculty Committee (1993-1995)

• Invited Editorial Assignments
Pain Management — Associate Editor 1989 -1992
Pain Management — Series Editor Pain Management Update 1993 -1999
American Pain Society Bulletin — Department Editor Innovations in Patient Care 1989 -1992
J Pain and Symptom Management — Department Editor Anesthesia and Analgesia Rounds 1989-1993
Clinical Journal of Pain — Department Editor M.D. Anderson Cancer Pain Rounds 1995 -1999
Primary Care and Oncology — Department Editor Case Records from the MDACC Pain Service 1996-1999
Guest Editor American J of Hospice and Palliative Care 1990 issue #7
Guest Editor American J of Hospice and Palliative Care 1991 issue #8
Guest Editor American J of Hospice and Palliative Care 1992 issue #8
Guest Editor American J of Hospice and Palliative Care 1996 issue #1
Guest Editor Heme Onc Annals vol 2, no 6 (1994)
Guest Editor Pediatric Annals vol 24, no 3 (1995(
Guest Editor Analgesia vol 8, no 2 (1997)
Book Review Editor Pain Digest 1993 -1998
Chief Editorial Advisor Pain Relief Papers (Janssen Pharmaceutica) 1992 -1997
Co-Editor Dept of Anesthesiology Newsletter (University of Rochester) 1990 -1992
Co-Editor Pain & Symptom Management Section Newsletter (M.D. Anderson) 1994 -1996
Expert Analyst Pain Medicine Journal Club Journal 1995-1996

— Editorial Board
Pain Digest (1993-1999)
Pain Management (1989-1992)
Anesthesiology Review (1990-1995)
Anesthesiology News (1991-present)
Oncology (1996-2002)
J Pain and Symptom Management (1993-1999)
Jnl of Occupational Rehabilitation (1992-1999)
American J of Hospice and Palliative Care (1990-2005)
Sphere (NY State Society of Anesthesiology) (1990-1993)
Clinical Journal of Pain (1996-2004)
American Pain Society Bulletin (1993-2002)
Literature Scan in Anesthesiology (1991-1993)
Pain Mgmt Journal Club Journal (1995-1999)
Alternative Medicine Journal (1994-1995)
Complementary Medicine Journal (1995-1996)
Alternative Therapies in Clinical Practice (1996-1999)

— Invited Reviewer — Journals
Anesthesiology
Anesthesia and Analgesia
Pain,
Clinical Journal of Pain
Mayo Clinic Proceedings
Cancer Control: Journal of Moffitt Cancer Ctr
Archives of Neurology
Joint Commission J Quality Improvement
Journal of Palliative Care
Pediatrics
Oncology
J Pain and Symptom Management
Anesthesiology News
Analgesia
International Journal of Radiation
Pain Digest
Alternative Medicine Journal
Hospice (NY State Hospice Assoc)
Palliative Medicine

— Invited Reviewer — Book Publishers
Johns Hopkins University Press
Oxford University Press
Appleton Lange Publishers
Raven Press
Churchill Livingstone
J.B. Lippincott
Hong Kong University Press

• Other Professional Administrative Assignments
— The Patt Center for Cancer Pain & Wellness
President and Chief Medical Officer (09/98 - present)

— St Luke’s Episcopal Hospital (2000-2005)
Ethics Committee, Pharmacy & Therapeutics Committee
Co-Chair, Pain Committee/Joint Commission Task Force on Pain

— University of Texas M.D. Anderson Cancer Center
Chair, Education Committee, Pain Section (1993-1995)
Judge, United Cancer Foundation Fellowship Award (1996-1997)
Table Sponsor, 9th & 10th Annual "Living with Cancer" Symposia
"Essential Personnel:" Institutional and Divisional Emergency Plan
Chair, Fellowship Committee, Pain Section (1993-1998)
Speakers Bureau (1995-1998)
International Patient Steering Committee (1996-1998)
Lobby Greeter Program (1995-1997)
Christmas Adopt-A-Family Program (1995-1997)

— University of Rochester School of Medicine, Strong Memorial Hospital
Director, Pain Treatment Center Quality Assurance Committee 1986-1989
Coordinator, Visiting Professor Prgrm, Dept Anesthesiology 1987-1990
Departmental Representative, Risk Management Group 1986-1992

— Other
National Cancer Institute Special Grant Review Session (RFA 93-CA-35) Cancer Pain Management in Outpatient Setting Reviewer 1994
Board Member, Cancer Action of Rochester (1990-1), Cancer Action Advisory Board (1991-1993)
Subject Matter Specialist, Cancer Information Service, National Cancer Institute, (1992-1998)
Question Writer, American Board of Anesthesiology Subspecialty Board Examination in Pain Management (1992-1993)
Hospice Advisory Comm, Genesee Region Home Care (1989-1993)
Medical Advisory Board, Pain Management Information Center, Ithaca, NY (1990-1996)
National Medical Advisory Board, National Medical Care (Home Care Division) (1992-1996)
Advisory Council, Pain Management Refined (Janssen Pharmaceutica, Phase V Communications) (1992-2000)
Medical Director, Option Care Pharmacies of Rochester (1990-1993)
Professional Advisory Committee, Critical Care Pharmacy of Rochester (1990-1995)
Advisory Council, University Risk Management Consortium (1987-1990)
Agency for Health Care Policy Research, Reviewer for Cancer Pain Guidelines (1993-1995)
Consultant, New York State Office of Professional Medical Conduct, (1992-1995)
Consultant, Upstate New York Division of Medicare (1993-1995)
Council of Hospice Professionals, National Hospice Organization (1993-2002)
Pain Management Advisory Board, Wyeth Ayerst Co. (1993-1995)
Anesthesiology SubCommittee, Rochester Community Individual Practice Association (1991-1993)
Academic Advisory Board, Pain Net Inc (1994-1998)
Member, Board of Directors, Long Range Planning Committee, Education Committee National Chronic Pain Society, Inc. (2002 - 2004)
Member, Education Committee, Texas Association of Palliative Medicine (Houston Chapter, 2000-2002)

• Consultations to Industry
Purdue Frederick Co.
Janssen Pharmaceutica
Roxane Labs
Knoll Labs
Dupont Pharmaceuticals
New England Medical Care
Option Care Pharmacies
Zeneca Pharmaceuticals
Wyeth Ayerst Laboratories
Astra Pharm
TransOral Pharmaceuticals, Inc,
Hewlett Packard
I.C.I., Australia
Pfizer Japan
Medtronic, Inc.
Abbott Labs
Elan, Inc.
Cytotherapeutics Inc
Anesta Corp
Algos
Cephalon, Inc.
Durect Co.
Endo Pharmaceuticals

Publications
• Books
1. Patt RB, Pfisterer W: Keywords & Concepts for Anesthesia Boards. N.Y., Keywords Press, 1986.
2. Patt RB (ed): Cancer Pain. Philadelphia, Lippincott, 1993.
– First comprehensive textbook on focusing specifically on cancer pain. Widely reviewed:
Anesthesiology (1993;78:805-6), Lancet (1993;341:678-9) Clin J Pain (1993;9:66), NEJM (1993;329:818), Am J Hospice Pall Care (1993;10:1); J Natl Cancer Inst (1993;85:917-8), Anesth Analg (1993;77:411), JAMA (1993;270:1873), J Pain Symptom Mgmt (1993;8:511-2), American Pain Society Bull (10/93), Arch Neurol (1994;51:113), Doody's Health Sciences Book Review Annual (1993), Sloan Kettering Network News.
Abstracts from reviews: "...would highly recommend this book for all health care providers...will shortly become one of the ‘standard’ textbooks..." Am Jnl of Hospice Care; "Without a doubt, the most comprehensive of all texts in print. Dr. Richard B. Patt, an expert in cancer pain management, has endeavored to produce the most complete text on the assessment and treatment of cancer pain and related problems." Anesthesiology; "This volume is a valuable compendium, which should be available to any clinician dealing with cancer patients." JAMA ; "It should be added to all hospital and anesthesiology department libraries." New Engl J Medicine.
3. Lang S, Patt RB: You Don't Have to Suffer: A Family's Guide to Cancer Pain Management. New York, Oxford University Press, 1994.
— U.S. hardback release: 1994 — U.S. Paperback release: 1995 — Japanese translation release: 1996 — Chinese translation: release 1997
— Audio casette edition: Talking Book Topics RC44721 Sep-Oct 1998.
— First comprehensive patient and family oriented self help book focusing specifically on cancer pain. Widely reviewed: Lear's (Jan 1984), Library Journal (Dec 1993), Publisher's Weekly (Dec 1993), Science News (1994;145:322), Oncology Times (Sep 1994), J Pain Symptom Management (1995;10:650-651), Am J Hospice Pall Care (1995;11:3-4).
Abstracts from reviews: "There is no other patient-oriented reference currently available which compares in depth or quality of information to this excellent text." Clin Journal of Pain; "Reassuring and honest...a "must have" for all health care providers..it will help health care professionals locate information that can be transferred to patients...should be required reading for students in the health professions and used as an authoritative resource to educate professionals in a way that will enable them to empower patients and families to control this very out-of-control experience. Overall, this is a superb book." Oncology Times.
4. Payne R, Patt RB, Hill CS Jr. (eds): Assessment and Treatment of Cancer Pain: Progress in Pain Research and Management, Vol 12 IASP Press, Seattle, 1998.
— Widely reviewed: Br J Anaesth 1999, v. 82, no 1, Pain Res Manage 1999;4:201, APS Bulletin 1998;8, no 6, Jnl Indian Med Assoc 2991;99, no 12, Canadian Journal of Anaestheisa, Anaesthesia and Intensive Care, Progress in Palliative Care, British Journal of Anaesthesia, Tidsskrift for den norske lFgeforening, Palliative Medicine, The Annals of Pharmacotherapy.
5. Sykes N, Fallon MT, Patt RB (eds): Clinical Pain Management (vol 3): Cancer Pain in Rice ASC, Warfield CA, Justins D, Eccleston C (eds): Clinical Pain Management (4 volume series). London, Arnold, 2003.
6. Patt RB, Lang S: The Complete Guide to Relieving Cancer Pain and Suffering (Oxford University , 2004).
— U.S. paperback release 2006.

• Book Chapters
1. Patt RB: Neurosurgical Interventions for Pain Problems. Anesth Clin N Amer 1987;5: 609-38. 2. Patt RB: The Patient with Pheochromocytoma. In Frost E (ed): Preanesthetic Assessment 1. Birkhauser, 1988 pp 50-7.
3. Patt RB: The Patient in Diabetic Ketoacidosis. In Frost E (ed): Preanesthetic Assessment 1. Birkhauser, 1988, pp 92-9.
4. Patt RB: Pregnancy-Induced Hypertension. In Frost E (ed): Preanesthetic Assessment 1. Birkhauser, 1988, pp 127-39.
5. Patt RB, Jain S: Comprehensive Management of Cancer Pain. In Stoelting R, Barash P (eds): Current Adv in Anesthesia 1989;6:355 413.
6. Patt RB: Pain Therapy. In Frost EAM (ed): Clinical Anesthesia in Neurosurgery, 2nd ed. Butterworth, 1990, pp 347-81.
7. Patt RB, Kaleka L: Recovery from Regional Anesthesia. In Frost EAM (ed): Post Anesthesia Care Unit: Current Practices, 2nd ed. CV Mosby, 1990, pp 106-17.
8. Patt RB, White E: Medical Legal Aspects of Postanesthetic Care. In Frost EAM (ed): Post Anesthesia Care Unit: Current Practices, 2nd ed. CV Mosby, 1990, pp 223-9.
9. Patt RB: Basic and Advanced Methods of Pain Control. In Rubin P (ed): Clinical Oncology: A Multidisciplinary Approach, 7th ed. WB Saunders, 1993, pp 709-733.
10. Patt RB: The Oncology Patient. Anesth Clin N America 1990;8:867-79.
11. Patt RB, Loughner J: Management of Pain in the Cancer Patient. In Rosenthal S, et al (eds): Medical Care of the Cancer Patient, 2nd ed. WB Saunders, 1992, pp 255-64.
12. Patt RB: Cancer pain syndromes. In Patt RB (ed): Cancer Pain. Philadelphia, JB Lippincott, 1993, pp 3-22.
13. Patt RB: Peripheral neurolysis. In Patt RB (ed): Cancer Pain. Philadelphia, JB Lippincott, 1993, pp 359-376.
14. Patt RB: General principles of pharmacotherapy for oncologic pain. In Patt RB (ed): Cancer Pain. pp 101-3.
15. Rowlingson J, Hammill RJ, Patt RB: Assessment of the patient with oncologic pain. In Patt RB (ed): Cancer Pain. Lippincott, 1993, pp 23-39.
16. Patt RB, Jain S: Therapeutic decision making for procedure-based pain. In Patt RB (ed): Cancer Pain. 1993, pp 275-83.
17. Waldman S, Leak D, Kennedy D, Patt RB: Intraspinal opioid analgesia for oncologic pain. In Patt RB (ed): Cancer Pain, Lippincott, 285-328.
18. Plancarte R, Amescua C, Patt RB: Sympathetic neurolytic blockade. In Patt RB (ed): Cancer Pain. 1993, pp 377-425.
19. Patt RB: Control of pain of advanced malignancy. In Aronoff (ed): Eval. & Rx of Chronic Pain, 2nd ed. Williams & Wilkins, 1992, 313-39.
20. Patt RB: Anesthetic procedures for the control of cancer pain. In Arbit (ed): Management of Cancer Related Pain. Futura, 1993, pp 381-407.
21. Patt RB, Payne R: Pain Management. In Buetler E, et al (eds): Williams' Hematology, 5th ed. McGraw Hill, 1995, pp 203-208.
22. Patt RB, Catania J: Cancer pain. In Paris PM, Brody MC (eds): Textbook of Acute Pain. WB Saunders,,1998.
23. Patt RB, Isaacson S: Cancer pain syndromes. In Raj PP (ed): Pain Medicine: A Comprehensive Review. St. Louis,, Mosby, 1995, pp 502-521.
24. Patt RB, Plancarte R: Pelvic pain. In Raj PP (ed): Pain Medicine: A Comprehensive Review. Mosby, 1995, pp 440-448.
25. Raj PP, Patt RB: Peripheral neurolysis. In Raj (ed): Pain Medicine: A Comprehensive Review. Mosby, 1995, pp 288-96.
26. Patt RB, Cousins MJ: Neurolytic blockade techniques for chronic and cancer pain. In Cousins MJ, Bridenbaugh PO (eds): Neural Blockade, 3rd ed, Philadelphia JB Lippincott, pp 1007-1061.
27. Patt RB, Manfredi P: Cancer pain emergencies. In Parris WCV (ed): Principles and Practice of Cancer Pain Management. Newton, MA, Butterworth-Heinemann, 1997, pp 477-88.
28. Patt RB, Plancarte R: Superior hypogastric plexus block for pelvic pain. In Waldman SD, Winnie A (eds): Interventional Pain Management. , 1st ed. WB Saunders, 1996 pp 384-91.
29. Patt RB, Hassenbusch S: Implantable technology: Problems and Complications. In Waldman SD, Winnie A (eds): Interventional Pain Management. , 1st ed. WB Saunders, 1996, pp 483-500. 30. Patt RB: Pharmacologic management and its limitations. In Waldman SD, Winnie (eds): Interventional Pain Management. , 1st ed. WB Saunders, 1996, pp 65-8.
31. Patt RB, Waldman: Celiac plexus and splanchnic nerve block. In Waldman SD, Winnie A: Interventional Pain Management. , 1st ed. WB Saunders, 1996, pp 360-74.
32. Weinstein SM, Coia LR,Yasko AW, Patt RB: Pain management. In Pazdur R, et al (eds): Cancer Management: A Multidisciplinary Approach. NY, PRR Publishers, 1996, pp 629-654.
33. Patt RB, Plancarte R: Superior hypogastric plexus block and ganglion impar. In Hahn MB, et al (eds): Regional Anesthesia, An Atlas of Anatomy. St Louis, Mosby Yearbook, 1996, 193-201.
34. Patt RB, Reddy S: Cancer pain management, in Rawal N (ed): Fundamentals of Anaesthesia and Acute Medicine: Management of Acute and Chronic Pain. British Med Journal Books, London, 1998, pp 172-97.
35. Patt RB: The current status of anesthetic approaches to cancer pain management. In Payne R, Patt RB, Hill CS Jr. (eds): Assessment and Treatment of Cancer Pain: Progress in Pain Research and Management, Vol 12. IASP Press, Seattle, 1998, pp 195-211.
*36. Patt RB, Chiang JS, Dai CT: Intraspinal opioid therapy for intractable cancer pain. International Anesthesiology Clinics 1998;36:105-116
*37. Patt RB, Reddy SK, Black RG: Neural blockade for abdominopelvic pain of oncologic origin. Int’l Anesthesiology Clinics 1998;36:87-104.
38. Patt RB, Burton A: Pain associated with advanced malignancy, including adjuvant analgesic drugs in cancer pain management. In Aronoff (ed): Evaluation and Treatment of Chronic Pain, 3rd ed. Williams and Wilkins, 1998, pp 337-376.
39. Patt RB, Ellison N: Breakthrough pain. In Aronoff (ed): Evaluation & Treatment of Chronic Pain, 3rd ed. Williams & Wilkins, 1998, pp 377-388.
40. Patt RB, Ellison N: Pain management. In Buetler E, ey al (eds): Williams' Hematology, 6th ed. McGraw Hill, pp 261-270.
41. Reddy S, Patt RB: Anessthetic management of the patient with chronic pain. In Supkis DE (ed): Anesth Clinics of N America 1998;16:691-700..
42. Weinstein SM, Coia LR, Yasko AW, Patt RB: Pain management. In Pazdur, et al (eds): Cancer Management: A Multidisciplinary Approach, 2nd ed. Huntington, PRR Publishers, 1998, pp 671-93.
43. Patt RB: Basic and Advanced Methods of Pain Control. In Rubin P (ed): Clinical Oncology: A Multidisciplinary Approach, 8th ed. WB Saunders, 2991.
44. Patt RB: Oncologic pain management. In Abrams SE, et al (eds): The Pain Clinic Manual. Lippincott Williams & Wilkins, 2000, pp 293-351.
45. Weinstein SM, Anderson PR, Yasko AW, Patt RB, Driver L: Pain management. In Pazdur, et al (eds): Cancer Management: A Multidisciplinary Approach, 3rd ed. Huntington, PRR Publishers, 1999, pp 773-98.
46. Patt RB, Plancarte R: Superior hypogastric plexus block for pelvic pain. In Waldman SD, Winnie A (eds): Interventional Pain Management, 2nd ed. WB Saunders, 2000, pp 528-534.
47. Patt RB, Hassenbusch S: Implantable technology: Problems and Complications. In Waldman SD, Winnie A (eds): Interventional Pain Management, 2nd ed. WB Saunders, 2000, pp 654-670. 48.. Patt RB: Pharmacologic management and its limitations. In Waldman SD, Winnie A (eds): Interventional Pain Management, 2nd ed. Saunders, 2000, , pp 72-78.
49. Patt RB, Waldman SK: Celiac plexus and splanchnic nerve block. In Waldman SD, Winnie A: Interventional Pain Management, 2nd ed. Saunders, 2000, pp 493-507.
50. Patt RB: Outcomes, efficacy and sequelae of visceral pain management. In Raj PP (ed): Practical management of Pain, 2rd Ed. Mosby, 2000, pp 904-919.
51. Patt RB, Manfredi PL: Cancer pain emergencies. In Parris WCV (ed): Cancer pain management. Butterworth Heinemann, 1997, pp 477-487.
52. Patt RB: Neurolysis. In Wallace MS, Staats PS (eds): Pain medicine and management: Just the Facts. McGraw Hill, 2005, pp 272-6.
53. Patt RB: Oncologic pain management. In Abram SE, Haddox JD (eds): The Pain Clinic, 2nd ed. Lippincott, 2000, pp 293-351.
54. Patt RB, Burton A: Pain associated with advanced malignancy, including adjuvant analgesic drugs in cancer pain management. In Aronoff GM (ed): Evaluation and treatment of chronic pain, 3rd ed. Williams and Wilkins, 1999, pp 337-336.
55. Patt RB, Ellison N: Breakthrough pain. In Aronoff GM (ed): Evaluation and treatment of chronic pain, 3rd ed. Williams and Wilkins, 1999, pp 377-388.
56. Anderson RR,. Day M, Patt RB, , et al in Raj PP, Lou L, Erdine S, et al (eds): Radiographic imaging for regional anesthesia and pain management. Churchill Livingstone, 2003.
57. Raj PP, Patt RB: Visceral pain, in Raj PP (ed): Pain medicine: A comprehensive review. Elsevier, 2003 pp 95-109.
56. Patt RB: Cancer Pain. In Burchiel KJ (ed): Surgical Management of Pain. Thieme, 2002 , pp 469-484.

• Articles (Peer Reviewed Periodicals) (* denotes citation indexed by National Library of Medicine’s "MedLine" or "Pubmed"))
*1. Patt RB: Delayed postoperative respiratory depression associated with oxymorphone. Anesth Analg 1988;67:403-404.
*2. Patt RB: Interventional analgesia: Epidural and subarachnoid therapy. Am J Hospice Care 1989;6:11-14.
3. Patt RB, Orkin L: Stellate ganglion block for treatment of central retinal artery occlusion. Anesth Rev 1989;16:53-55.
*4. Patt RB, Jain S: Comprehensive Management of Cancer Pain. Current Problems in Cancer 1989;13:131-196.
*5. Patt RB, Jain S: Management of a patient with osteoradionecrosis of the mandible with nerve blocks. J Pain Symptom Mnmt 1990;5:59-60.
*6. Patt RB: Postamputation pain. Middle East J Anesthesiol 1989;10:83-91.
*7. Patt RB, Jain S: Long term management of a patient with perineal pain secondary to rectal cancer. J Pain Symptom Mnmt 1990;5:127-128.
*8. Plancarte R, Amescua C, Patt RB, Aldrete JA: Superior hypogastric plexus block for pelvic cancer pain. Anesthesiology 1990;73:236-239.
*9. Plancarte R, Patt RB: Intractable upper body pain in a pediatric patient relieved with cervical epidural opioid administration. J Pain Symptom Mnmt 1991;6:98-99.
*10. Patt RB: Anesthetic management of pheochromocytoma. Middle East J Anesth 1986;8:277-85.
*11. Patt RB, Jain S: Epidural sufentanil for cancer pain. Am J Nurs 1990;5:122.
*12. Ladd AL, DeHaven KE, Thanik J, Patt RB, et al:: Reflex sympathetic imbalance, response to epidural blockade. Am J Sports Med 1989;17:660-67.
— Discussion 667-8.
*13. Patt RB: Nonpharmacologic measures for controlling oncologic pain. Am J Hospice and Palliative Care, 1990;7:30-37.
— Reprinted: Physician's Update: J Hospice Northeast Florida, April, 1991.
*14. Nonpharmacologic measures for controlling oncologic pain. Am J Hospice and Palliative Care 1992;9:41-7.
15. Patt RB, Balter K: Post-traumatic reflex sympathetic dystrophy: Mechanisms, medical management. J Occ Rehab 1991;1:57-70.
*16. Szalados J, Patt RB: Management of a patient with displaced orthopedic hardware. J Pain Symptom Mnmt 1991;6:394-7.
*17. Patt RB: PCA: Prescribing analgesia for home management of severe pain. Geriatrics 1992;47:69-84.
*18. Patt RB, Hogan LA: Transdermal fentanyl for chronic cancer pain: Detailed case reports and the influence of confounding factors. J Pain Symptom Mnmt 1992;7:S-51-3.
*19. Patt RB: New analgesic for chronic pain: Transdermal fentanyl. Pain Mnmt 1991;4:19-21.
*20. Patt RB, Angarola RT, Coyle N, Murphy TM, Payne R: University of Rochester Pain Center’s 2nd Annual Hugh Cumming Memorial Teaching Day on Cancer Pain: Cancer pain and the war on drugs. Am J Hospice Pall Care 1991;8:43-7.
*21. Wu C, Patt RB: Accidental overdose of systemic morphine during intended refill of intrathecal infusion device. Anesth Analg 1992;75:130-2.
22. Waldman, Donohoe, Patt RB: Postural puncture (postspinal) headache: Identification, evaluation and treatment. Internal Med 1993;14:57.
23. Patt RB: Peripheral neurolysis and the management of cancer pain. Pain Digest 1992;2:30-42.
24. Patt RB: Managing cancer pain. Am J Pain Mnmt 1992;3:76-84.
25. Waldman SD, Patt RB: Guide to the clinical use of controlled-release morphine and transdermal fentanyl. Pain Digest 1992;2:200-206.
*26. Patt RB: Pharmacotherapy for cancer pain: An anaesthesiologist's viewpoint. Annals of the Academy of Medicine of Singapore 1994;23:598-609.
27. Patt RB (ed): Panel discussion. Am J Hospice and Palliative Care 1993;10:19-22.
*28. Patt RB, Lustik S, Litman RS: Use of transdermal fentanyl in a six year old patient with neuroblastoma and diffuse abdominal pain. J Pain Symptom Mnmt 1993;8:317-319.
— Patt RB: Response to commentary. J Pain and Symptom Mnmt 1993;8:322-4.
29. Patt RB, Catania JA, Porzelius J, Isaacson S: Enhancing safety and accuracy of lumbar sympathetic block with a 2-chloroprocaine test dose. Pain Digest 1993;3:189-191.
30. Patt RB: Pharmacotherapy: The cornerstone of the anesthesiologist's continued role in the treatment of cancer pain. Probl Anesth 1993;7:486-508.
*31. Patt RB, et al: Pneumothorax as a consequence of thoracic subarachnoid block. Anesth Analg 1994;78:160-162.
32. Patt RB: An evolving role for the psychostimulants in pain management. APS Bull 1993;3:1-2.
— Reprinted in Dolor, vol 2, no 1, 1994.
*33. Patt RB, Reddy S: Spinal neurolysis for cancer pain: Indications and recent results. Annals Academy Medicine Singapore 1994;23:216-20.
*34. Patt RB, Reddy S: Pain and the opioid analgesics: Alternate routes of administration. PAAC Notes: Journal of the Physicians Assoc for AIDS Care 1993;5:453-458.
35. Patt RB, Reddy SK: Epidural fentanyl as an adjunct to celiac plexus block. The Pain Clinic 1996;9:205-208.
36. Chiang JS, Dai CT, Patt RB: Intraspinal opioid therapy for intractable cancer pain. Cancer Bull 1995;47:61-66.
37. Patt RB, Reddy SK, et al: Neural blockade for abdominopelvic pain of oncologic origin. Cancer Bull 1995;47:52-60.
*38. Patt RB, Proper G, Reddy S: The neuroleptics as adjuvant analgesics. J Pain Symptom Mnmt 1994;9:446-453.
*39. Patt RB, Reddy S: The benzodiazepines as adjuvant analgesics. J Pain Symptom Mnmt 1994;9:510-514.
40. Patt RB, Alvarez JT: A practical guide to cancer pain assessment and its significance. Res Staff Phys 1995;41:11-16.
41 Patt RB: Anesthetic, neurosurgical and orthopedic interventions for cancer pain. HemeOnc Annals 1994;2:450-456.
42. Breitbart W, Patt RB: Pain management in the patient with AIDS. HemeOnc Annals 1994;2:391-399.
43. Patt RB: Superior hypogastric plexus block: A new approach for pelvic pain. Am Pain Soc Bull 1995, vol 5, no 1, 7-10.
*44. Holder KA, Patt RB: Taming the pain monster: Pediatric postoperative pain management. Ped Annals 1995;24:164-8.
45. Hassenbusch S, Payne R, Patt RB, Paice J, Chandler S: Modeling of patient charges for opioid therapy by different deliver routes for cancer pain management. J Pain Symp Mnmt, in press.
*46. Payne R, Cunningham M, Weinstein SW, Ribiero, Patt RB, Chiang: Intractable pain & suffering in a cancer patient. Clin J Pain 1995;11:70-5.
*47. Patt RB, Payne R, Farhat GA, Reddy SK: Subarachnoid neurolytic block under general anesthesia in a three year old with neuroblastoma. Clin J Pain 1995;11:143-146.
48. Patt RB, Jain S, et al: The outcomes movement and neurolytic blockade for cancer pain management. Pain Digest 1995;5:268-77.
49. Payne R, Carr DB, Jacox A, Patt RB: Understanding the new cancer pain guidelines: Implications for primary care. Primary Care and Cancer 1995, vol 15, no 8, pp 30-35.
*50. Calava JM, Patt RB, Reddy S, Varma DGK, Chiang J: Psoas sheath chemical neurolysis for management of intractable leg pain from metastatic liposarcoma. Clin J Pain 1996;12:69-75.
51. Patt RB, Reddy S, Calava J, Chahadeh H: Alternative approaches to opioid drug delivery. Internal Medicine, March 1996 suppl:14-18.
*52. Ferrante, Patt RB, et al: Practice guidelines for cancer pain management: A report by the ASA Task Force on Pain Management, Cancer Pain Section. Anesthesiology 1996;84:1243-1257. *53. Garcia E, Patt RB, Ginsberg LE: Effective but near disastrous subarachnoid neurolysis for mechanical root pain in a paraplegic cancer patient. Cl J Pain 1996;12:243-9.
54. Patt RB: Using controlled-release oxycodone for the mnmt of chronic cancer and noncancer pain. Am Pain Soc Bull 1996 vol 6 #4, pp 1-6.
*55. Wong ET, Gunes S, Patt RB, et al: Palliation of intractable cancer pain by MRI-guided cingulotomy. Clin J Pain 1997;13:260-263.
*56. Hassenbusch SJ, Paice J, Patt RB, Bedder M, et al:: Clinical realities and economic considerations: Economics of intrathecal therapy. J Pain Symptom Mnmt 1997;14:S36-48.
*57. Manfredi PL, Chandler SW, Patt RB, Payne R: High dose epidural infusion of opioids for cancer pain: Cost issues. J Pain Symptom Mnmt 1997;13:118-121.
*58. Wells N, Smith J, Flannery M, Greene D, Panella Vaughan J, Patt RB: An education program to improve cancer pain. J Clin Oncology, in press.
*59. Patt RB, Ellison NM: Breakthrough pain in cancer patients: Characteristics, prevalence and treatment. Oncology 1998;12:1035-1046.
— Portenoy RK. Breakthrough pain in cancer patients: characteristics, prevalence and treatment--The Patt/Ellison article
reviewed. Oncology 1998; 12: 1050-1051.
*60. Christie JM, Simmonds M, Patt R, et al: Dose titration, multicenter study of oral transmucosal fentanyl citrate for the treatment of breakthrough pain in cancer patients using transdermal fentanyl for persistent pain. J Clinical Oncology 1998;16:2238-46.
61. Wachsman S, Gunes S, Weinstein S, Patt RB: Memory Loss After Chemical Cordectomy. J Pain Symptom Mnmt, in press).
*62. Chua KS, Reddy SK, Lee MC, Patt RB: Pain and loss of function in head and neck cancer survivors. J Pain Symptom Mnmt
1999;18:193-202.
*63. Ford SE, Hassenbush SJ, Patt RB, Staats PS: A method for training physicians to implant intrathecal catheters. Neuromodulation 1999;2:254-257.
• Articles (Non-peer Reviewed Periodicals)
1. Patt RB: Pheochromocytoma: Case report and review. Sphere, J NY State Society of Anesthesiologists, December 1984.
— Reprinted: Middle East Journal of Anesthesiology 1986;8.
2. Patt RB: Anesthetic malpractice: Legal aspects. Sphere: J NY State Soc Anesthesiologists, 04/85.
3. Patt RB: Pheochromocytoma: Preoperative preparation. Anesthesiology News, May, 1985.
4. Patt RB: Practical guide to endotracheal intubation. Surgical Practice News, May, 1985.
5. Patt RB: Anesthetic malpractice II. Sphere, J New York State Society of Anesthesiologists, 09/85.
— Reprinted: Journal of the Florida State Society of Anesthesiologists.
6. Patt RB: Anesthetic Malpractice III. Sphere: J New York State Society of Anesthesiologists, 11/85.
7. Patt RB: Patient with diabetic ketoacidosis: Preoperative preparation. Anesthesiology News, 12/85.
— Reprinted: General Surgery and Laparoscopic News, 1992;13(6):20-2.
8. Patt RB: Anesthetic malpractice V. Sphere, J New York State Society of Anesthesiologists, 01/86.
9. Patt RB: Patient with pregnancy induced hypertension: Preoperative preparation. Anesthesiology News, April, 1986.
10. Patt RB: Pharmacologic aids to endotracheal intubation. Resident and Staff Physician 1986;32:47-54.
11. Patt RB, Frost EAM: Pregnancy induced hypertension. Current Reviews in Clinical Anesthesia 1986;9:66-71.
12. Patt RB, Osborn I: Surgical-anesthetic interface: Post dural-puncture headache. Hospital Physician, August, 1986.
13. Patt RB: Intraspinal opiate analgesia I. Solution (Options Care Pharmacies Newsletter), November-December, 1988.
14. Patt RB: Intraspinal opiate analgesia II. Solution (Options Care Newsletter), Jan-Feb 1989.
15. Patt RB: Home-based patient controlled analgesia. Solution (Options Care Newsletter), Apr 1990.
16. Patt RB: Hospice care for terminally ill children: The American experience. Anesthesiology News, April 1990, pg 23.
17. Patt RB: Current insights: Chronic and perioperative uses of oral morphine. Literature Scan: Anesthesiology, 1991;5:2.
18. Patt RB: PCA in the home care setting. Pain Topics, 1991;5:10-11.
19. Patt RB: Tele-Lecture series: Pharmacologic management of cancer pain. Literature Scan: Anesthesiology, 1991;5:4-5.
— Reprinted: Consult, Rockford Memorial Hospital Monthly Newsletter, February, 1992.
20. Patt RB: Transdermal fentanyl (Duragesic). Hospice Update, Newsletter of the American Academy of Hospice Physicians 1992;3 (no 1):5-7.
21. Patt RB: Pain management in persons with AIDS. Medical Alert vol 1, no 4, Jul-Aug 1993 pp 3-6.
22. Patt RB: Management of Cancer Pain. Joint Commission on Accreditation of Health Care Organizations Abstracts of Clinical Care Guidelines vol 6, no 5, May 1994, pp 3-4.
23. Patt RB: Pain mechanisms and their therapeutic implications. Current Reviews in Clinical Anesthesia 1995;15:231-5.
24. Patt RB, Payne R: AHCPR guidelines on cancer pain: What anesthesiologists should know. Anes News Jul 1995, pp 28-34.
25. Patt RB: Cancer pain management: New developments, new initiatives. Southern Pain Society News, 10/95, pp 12-15.
26. Patt RB, Chahadeh C, Gillis T, Payne R: Oral opioids to manage chronic pain in a lung cancer patient. Primary Care & Cancer 7-8/96;16:9-10.
27. Breitbart W, Patt RB, Passik S, et al: AIDS Pain: A Call for Action. IASP Clinical Updates, vol 4, no 1, March, 1996.
28. Patt RB: Surgical versus pharmacologic approaches: Medical outcomes. Conrad Notes Meeting Newsletter, 01/96.
29. Patt RB: Cancer pain assessment and management. Janssen Medical News, 1996, vol 2, issue 8, pp 1-5.
30. Patt RB: Emerging themes in contemporary cancer pain mnmt. Analgesia: A Journal of Pain Therapy for Health Professionals. V8, #2, 5/97.
31. Wong ET, Ginsberg LE, Patt RB, et al: Radiation-induced insufficiency fracture of the sacrum may simulate metastatic prostate cancer. Primary Care and Oncology Nov-Dec 1996, vol 16 pp 16-17.
32. DuPont RL, Patt RB, Portenoy RK, Schnoll SH: Prescribing controlled substances. Patient Care Vol 32, no 10, p 41.
33. Ellison NM, Lipman AG, Patt RB, Portenboy RK: Opioid analgesia. Patient Care 1998;32:47-66.
34. Patt RB: Evolving views on opioid therapy for the management of chronic pain: Pain killers (analgesics) - panacea, poison or somewehere in between? Newsletter of the Multiple Herditary Exostosis (MHE) Coallition 2001, no. 8.
— Reprinted: The ABC’s of MHE. Chapter 4, MHE and Pain, Section 3, www.mhecoalition.org.
http://www.mhecoalition.com/EvolvingViewsOnOpioidTherapy_RichardPatt.html

• Abstracts and Posters
1. Lu GP, Prinscott J, Frost EAM, Gibson JA, Patt RB: Cerebral hemodynamic response of sufentanil. Southern Society of Anesthesiologists Annual Meeting, April, 1986.
2. Ladd AL, Dehaven KE, Thanik J, Patt RB, Feuerstein M: Reflex sympathetic imbalance: Response to epidural blockade. American Academy of Orthopedics Annual Meeting 02/88.
3. Frost E, Miller E, Patt RB, Prinscott J: Alternative for nitrous oxide in neuroanesthesia. Southern Society of Anesthesiologists Annual Meeting, 04/88.
— Ninth World Congress of Anesthesia, 1988.
4. Thanik J, Patt RB, Feuerstein M, Dehaven K, Ladd A: Atypical reflex sympathetic dystrophy: Characteristics and response to sympathetic blockade. American Pain Society, 1988.
5. Feuerstein M, Papciak AS, Kuttner M, Patt RB: Perceived work & family environment, pain severity & expectation to return to work in chronic pain patients. APS, 1988.
6/ Papciak AS, Kuttner M, Feuerstein M, Thanik J, Patt RB: Psychological factors associated with pain-related disability and return to work. American Pain Society, 1988.
7. Kuttner M, Feuerstein M, Papciak AS, Patt RB, et al: Patterns of psychological disturbance, pain behavior, and pain severity in chronic pain. American Pain Society, 1988.
8. Patt RB, Potenza V, While E: Epidural sufentanil as the sole anesthetic agent for ESWL. Anesth Analg 1989;68:S221.
9. Patt RB, Millard RW: A role for peripheral neurolysis in the management of intractable cancer pain. VI World Congress on Pain, Adelaide, Australia, 04/90.
10. Millard RW, Patt RB: A comparison of questionnaires for low-back pain disability. VI World Congress on Pain, Adelaide, Australia, April, 1990.
11. Plancarte R, Amescua, Patt RB: Presacral blockade of the ganglion of walther (ganglion impar). Anesthesiology 73;1990:751.
12. Porzelius J, Patt RB: Drug allergy index: Empirical investigation or clinical lore? 1991 Annual Meeting of the American Pain Society.
13. Millard RW, Wells N, Patt RB: Predicting response from epidural steroid injection for chronic pain. 1992 Annual Mtg of American Pain Soc.
14. Patt RB, Reddy S, Proper G, Wu C: Management of intractable cancer pain with subarachnoid neurolytic block. VII World Congress on Pain, Paris, France, August, 1993.
— By invitation, Annual Meeting of the American Pain Society, 1993.
15. DeLeon Casasola O, Plancarte R, Helaley M, Allende S, Patt RB, Lema MJ: Neurolytic superior hypogastric plexus block for cancer pain: A multicenter experience with 159 patients. VIIth World Congress on Pain, August, 1993, Paris France.
16. Plancarte RS, Patt RB, Allende S: The fruit scale: Validation of a new measurement device for chronic cancer pain. 7th World Congress on Pain, August, 1993, Paris France.
17. Isaacson SA, Perkins FM, Mevorach DL, Patt RB, Wu CL: Safety of continuous epidural MSO4 infusion for postoperative pain management on surgical wards. Anesthesiology 1993;3A:888.
18. Patt RB, Wu CL, Reddy S, Perkins FM, Isaacson S: Incidence of postdural puncture headache following intrathecal neurolysis with large caliber needles. Reg Anesth 1994;19(suppl 2):86.
19. Patt RB, et al: Changes in clinical activity at a major cancer center associated with integration of dedicated anesthesiology personnel. IASP 8th World Congress on Pain, Vancouver, 08/96.
20. Calava JM, Patt RB, Reddy S, et al: Neurolytic psoas sheath block for management of refractory lower extremity cancer pain. IASP 8th World Congress on Pain, Vancouver, August 1996.
21. Reddy SK, Patt RB, et al: The nature of referrals from the post anesthesia care unit to the chronic pain service in a tertiary cancer center. 8th World Congress on Pain, Vancouver, 08/96.
22. Chan F, Reddy S, Patt RB, et al: Pain syndromes in hyperthermic isolated limb perfusions of chemotherapeutic agents in cancer patients. 8th World Congress on Pain, Vancouver,0 8/96.
23. Ginsberg LE, Patt RB, Hassenbusch SJ: Stereotactic MR-guided capsulotomy, pulvinotomy and cingulotomy for intractable cancer pain. Annual Meeting of the Radiological Society of North America. Chicago, November, 1995.
— 34th Annual Meeting of the American Society of Neuroradiology, Seattle, Washington, 06/96. 24. Christie JM, Simmonds M, Patt RB: A dose-titration, multicenter study of oral transmucosal fentanyl citrate for the treatment of breakthrough pain in cancer patients using transdermal fentanyl. 1997 Annual Mtg of the American Society of Anesthesiologists. Anesth 1997;87:A750.
25. Rauck RL, Boyer M, Patt RB: Use of Algomed infusion system for the intrathecal delivery of morphine sulfate to manage cancer pain. 16th Annual Meeting of APS, October, 1997.
26. Patt RB, et al: Long term safety and efficacy of oral transmucosal fentanyl citrate for the treatment of breakthrough cancer pain. 16th Annual Meeting of APS, October, 1997.
27. Hung C, Patt RB, et al: Celiac plexus block in a tertiary cancer center. 16th Annual Meeting of APS, October, 1997.
• Letters to the Editor (* denotes that citation is indexed by National Library of Medicine’s "MedLine")
*1. Patt RB: Controlling abuse of drugs from the anesthesia department. JAMA, 1985;254:3180-1.
*2. Patt RB, Thanik J: Availability of sustained relief morphine. J of Pain and Symptom Mnmt 1989;4:2.
*3. Patt RB: Interventional analgesia: Epidural and subarachnoid therapy. Am J Hospice Care 1989;6:18.
*4. Patt RB, Loughner J: Problems and innovations in home-based patient controlled analgesia with epidural opioids. Anesthesiology 1990;72:215-216.
*5. Patt RB: Is it anesthesia or analgesia? Reg Anesth 1990;15:48-9.
*6. Du Pen SL, Patt RB, Hahn MB: Importance of research design in cost analysis. J Pain and Symptom Mnmt 1992;7:135-6.
*7. Balter K, Patt RB: The needle and the brain: Psychological factors involved in nerve blocking for chronic pain-In response to article by Drs. Brena, Chapman and Sanders. Clin J Pain 1992;8:182-3.
*8. Patt RB, Wu C, Bressi J, Catania J: Accidental intraspinal overdose revisited, Anesth Analg 1993;76:202.
*9. Patt RB, Hogan L: Comment: Transdermal fentanyl. Annals of Pharmacotherapy 1993;27:795-6.
*10. Litman RS, Younan M, Patt RB, et al: Postoperative recurrent paralysis in an infant after mivacurium infusion. Can J Anaesth 1994;41:758-9.
*11. DeLeon-Casasola OA, Plancarte-Sanchez R, Patt RB, Lema MJ: Superior hypogastric plexus block using a single needle and computed tomography guidance. Reg Anesth *1993;18:63.
*12. Patt RB: Spinal opioids: Distinguishing trend from science. J Pain and Symptom Mnmt 1993;8:451-3.
*13. Patt RB, Reddy S: Walk, don't run: Alternate methods of changing needle direction. Anesth Analg 1995;80:1067.
*14. Patt RB: Costa Rica marks improvement in cancer pain management. J Pain Symptom Mnmt 1995;10:334-5.
15. Patt RB, Hill CS: Relative risks and benefits of pharmacotherapy for pain. Pain Digest 1996;6:113-4.
16. Patt RB, Plancarte R: RE: Yamada K, et al: Relief of intractable perineal pain by coccygeal nerve block. J Anesthesia
1997;11:170-171.
17. Patt RB: Copraxamol/Propoxyphene: It is the wise doctor who listens to their patients. Brit Med J 19 Sep 1998, Rapid Response.

• Editorials (* denotes that citation is indexed by National Library of Medicine’s "MedLine")
1. Patt RB, Feuerstein M: New breed of doctor relieves cancer pain. Rochester Times-Union, 9A, March 21, 1989.
2. Patt RB: Cancer pain and the war on drugs: Proceedings of the 2nd Annual Hugh Cumming Memorial Lecture. Am J Hospice and Palliative Care 1991;8:9-11.
*3. Patt RB: No pain, no gain: Riding in the car together. Am J Hospice Pall Care 1993;10:17-18.
*4. Patt RB: Controlling cancer pain: A new priority in comprehensive cancer care. Cancer Watch 1994;3:40-2.
*5. Patt RB: Pain management: Cancer and AIDS. Heme/Onc Annals, 1994;2:389-390.
*6. Patt RB: Overview: Prescribing relationship: A powerful intervention for pediatric pain. Pediatric Annals 1995;24:123-124.
*7. Patt RB: Pain management: Highlighting special populations. Am J Hospice Pall Care. 1996;13:18-19.
*8. Patt RB: Put life into their days, not just days into their life. Am J Hospice Care 1996;13:13-18.
• Invited Questions & Answers
1. Patt RB: In Practice: My Biggest Practice Problem. Weaning elderly patients off addictive drugs. Medical Tribune v 32, #18, p 19, 09/05/91.
2. Patt RB: Questions and Answers. A 33 year old nurse with myositis. Medical Tribune, February 27, 1992, p 15.
3. Patt RB, Portenoy RK: Questions and Answers — Iatrogenic Cranial Injury Tough to Treat. Medical Tribune, October 22, 1992, p 23.
4. Patt RB: Ambulatory surgical management of breast carcinoma using paravertebral block. Breast Diseases: A Yearbook Quarterly 1996;7:68-9.
5. Roach P, Patt RB: Cancer Consultations — A patient whose fentanyl patch loses potency after 48 hours. Primary Care and Cancer, 07/95, p 3.
• Teaching Aids
1. Patt RB, Smith JL, Greene D, et al: A Practical Guide to Effective Cancer Pain Management: Assessment, 1994. (RFA CA-91-25, National Cancer Institute, 1992). Syllabus and Teaching Manual.
2. Patt RB, Smith JL, Greene D, et al: A Practical Guide to Effective Cancer Pain Management: Therapeutics, 1994. (RFA CA-91-25, National Cancer Institute, 1992). Syllabus and Teaching Manual.
3. Patt RB, et al: Pain Management Refined. Worked on small team to develop educational slide kit on cancer pain management for Janssen Pharmaceutica, 1992.
4. Patt RB, et al: Pain and AIDS. Worked on small team to develop educational slide kit for Janssen Pharmaceutica, 1995.
5. Patt RB (ed): Pain and Symptom Management Clinical Grand Rounds at UTMDACC. Edited six module videotape educational series, 1995-6.
6. Patt RB (ed): Assessment and Management of Pain in the 1990’s. Edited six module series of clinical vignettes, 1995-1996.
7. Patt RB: Chronic Epidural Analgesia. Teaching Videotape for The Hospice at the Texas Medical Center, 1996.
8. Patt RB: Interventions for intractable cancer pain. In Portenoy RK (ed): Real Patients, Real Problems: Optimal Assessment and Management of Cancer Pain. Am Pain Soc, pp 21-30, 1997.
• Book and Meeting Reviews
1. Patt RB: Pain Management in Advanced Irreversible Disease (Fox Chase Hospice). NY Hospice Association 12/88.
— Reprinted: Iowa Hospice Organization Newsletter, February, 1989.
2. Patt RB: Second International Congress on Cancer Pain. Anesthesiology Review 1989;16:63-64.
3. Patt RB: Journal of Palliative Care. N.Y. State Hospice Association Newsletter, December, 1989.
4. Patt RB: Management of Pain (Bonica JJ, et al). Archives of Neurology, 1990;47:1165.
— Reprinted: New York State Hospice Association Newsletter, May 1991.
5. Patt RB: Management of Pain (Bonica JJ, et al). J Am Geriatric Soc, 1992;40:546-7.
6. Patt RB: Nerve Block for Common Pain (Richard Cytowic). Archives of Neurology, 1992;49:16.
7. Patt RB: Pain: Mechanisms and Management (Rene Caillet) J Occ Rehab 1993;3;120.
8. Patt RB: Pain Clinic IV (Hyodo M, Oyama T, Swerdlow M ) J Pain Symptom Mnmt 1994;9:132-4.
9. Manfredi P, Patt RB: The Medical Care of Terminally Ill Patients (Enck R:) Pain Digest 1994;4:150.
10. Patt RB: Pain Relief in Advanced Cancer (Twycross R) The Lancet, in press.
11. Varon J, Patt RB: Critical Care Medicine (JE Pearrillo, et al) Pain Digest 1995;5:36.
12. Patt RB: Current Review of Pain (PP Raj). Pain Digest 1995;5: 36.
13. Black RG, Patt RB: Freedom from Chronic Pain (Marcus N). Pain Digest 1995;5:37.
14. Chang HM, Patt RB: Postoperative Pain Management (Ferrante M). Pain Digest 1994;4:221-222.
15. Uhm JH, Patt RB: Molecular Neurobiology of Pain (Boorsook D) Pain Digest 1998;8:188-9.
16. Patt RB: Berger AM, Portenoy RK, Weissman DE (eds): Principles and Practice of Palliative Care and Supportive Oncology, 2nd ed. Anesth Analg 2003;96:1643-4.
• Invited Commentary
1. Patt RB: Amphetamines in narcotic treatment of cancer pain. Pain Management, 1989;2:218-22.
2. Patt RB: Osteomyelitis following steroid injections. Pain Management, 1989;2:218-222.
3. Patt RB: Injection; debate-analgesics vs. Nerve Blocks. Pain Management, 1989;2:218-222.
— Reprinted: Hospice Update, Newsletter of the Academy of Hospice Physicians, Vol 1, no 3, Apr 1990, p 3.
4. Patt RB: Transdermal fentanyl in cancer pain management. Pain Management 2:288-290, 1989.
5. Patt RB: Assessing pain in children. Pain Management, 3:11-3, 1990.
6. Patt RB: Topical aspirin treatment of postherpetic neuralgia. Pain Management, 3:7-9, 1990.
— Reprinted: Hospice Update, Newsletter of the Academy of Hospice Physicians, Vol 1, no 4, July, 1990, pp 3-4.
7. Patt RB: Weight loss surgery and low back pain. Pain Management, 1991;4:9.
8. Patt RB: A staging system for cancer pain and outcome of pain therapy. Pain Management, 1991;4:41.
9. Literature Scan in Anesthesiology, 1991;5, no 6.
10. Pain Digest 1993;2, no 3, 1993;2.
11. Patt RB: Epidural analgesia vs IV PCA, Pain Medicine Journal Club Journal 1995;1:141-3.
12. Do you use morphine for relieving pain in terminally ill patients? Anesthesiology News, 1996. 13. Patt RB: Subcutaneous fentanyl and sufentanil. Pain Medicine Jnl Club Jnl 1996;2:141-3.247-50.
14. Pain Digest 1997;7.

Invited Lectures and Visiting Professorships

• Keynote Addresses, Named Lectures, International Presentations (1997-2000)
What’s New in Cancer Pain, Novel Routes of Drug Administration Anesthetic Approaches. 1st Singapore International Symposium of the Singapore Pain Association, 01/97.
Breakthrough Pain. Midwestern Pain Society, Chicago, April, 1997.
Pharmacotherapy for Cancer Pain: North and South American Perspectives. Latin American Product Mngrs, Purdue Frederick, Norwalk, 09/97.
Intrathecal Drug Delivery in the Management of Cancer Pain. Medtronic Oncology Consultants Meeting, Chicago, IL, January 1997.
Breakthrough Pain. Annual Meeting of the Northern California Oncology Association, San Francisco, September, 1997.
Breakthrough Pain. Annual Meeting of the Medical Oncology Association of Southern California, Pomona, CA, October, 1997.
Interventional Pain Management. Annual Advanced Practice Course. Academy of Hospice Physicians, March, 1998.
"Cancer Pain Management. " Keynote, Rio Grande Valley Case managers Assoc Island Escape Conference, South Padre Island, TX, 10/98.
What’s New in Cancer Pain Management. Plenary Session. Annual Meeting of the Southern Pain Society, Nashville, TN, May, 1998.
"Driving Duragesic." Keynote Pain Talk at OrthoBiotech Annual National Sales Meeting. Charleston, 02/99.
Pain Management: Coming of Age. Keynote Lecture, Pacific Pain Symposium, Honolulu, September, 1999.
• Keynote Addresses, Named Lectures, International Presentations (1996)
Cancer Pain 101. Knoll Pharmaceutical company National Specialty Sales Representatives Meeting, NJ. February 1996.
Cancer Pain: Role of Neurolytic Blocks Invited Plenary Session. 11th World Congress of Anaesthesiologists, Sydney, Australia, 04/06.
Cancer Pain Management in the Elderly. 2nd Stella M. Traweek Visiting Pain Professor Lecture in Geriatric Pain Medicine. Texas Tech Health Sci Center, Lubbock, 01/96.
Pharmacologic Management of Cancer Pain, Transdermal Opioids, Anesthetic Approaches. II Brazilian Congress on Pain, Sao Paulo 3/96
Cancer Pain control in Developing Nations. Universidade de Passo Fundo, Brazil, March 1996.
Cancer Pain Control in Developing Nations. Sao Paolo, Brazil, March 1996.
Cancer Pain Control in Developing Nations. Brazilian Institute of Cancer, Rio De Janeiro, Brazil, March 1996.
Pathogenesis and Assessment of Pain in Cancer Patients; New Trends in Pain Management in Cancer Patients. National Cancer Center Symposium on Palliative Care and Pain Management in Cancer Patients, Jakarta, Indonesia, April, 1996.
New Trends in Pain Management in Cancer Patients. Indonesian Chapter of IASP, Jakarta, Indonesia, April, 1996.
New Developments and New Initiatives in Cancer Pain Management; Pain Clinic Grand Rounds. Ruttonjee Hospital, Hong Kong; Queen Mary Hospital, Hong Kong, April, 1996.
New Developments in Cancer Pain Management; Pain Clinic Rounds; Recent Advances in Cancer Pain Management. Siriraj Hospital; Ramathiobodi Hospital; Mahidol University; Bangkok, Thailand, April, 1996.
Opioid Analgesics; Spinal Opioids; Alternate Routes of Drug Administration; What’s New in Pain Management.3rd International Course on Pain, Buenos Aires, July, 1996.
What’s New in Pain Management. 8th Annual Hugh Cumming Memorial Teaching Day on Cancer Pain. Rochester, NY, 06/96.
A New Era in Cancer Pain Management; Cancer Pain Treatments.Singapore Hospice Council Symposium; Singapore Cancer Society Public Forum.Singapore, April, 1996.
Pharmacologic Interventions: Myths and Misconceptions. American Cancer Society Symposium, San Antonio, TX, June, 1996.
Cancer Pain Assessment; Opioid Therapy; Transdermal Fentanyl. 7th International Symposium: The Pain Clinic. Istanbul, 10/96.
Train the Trainers. European Sales Force Orientation, Medtronic, Inc, Minneapolis, MN, July, 1996.
Real Problems, Real Solutions: Strategies for Opioid Use. Strategies for Effective Pain Management, Associated Symposium of 8th World Congress on Pain, Vancouver, 08/96.
Pain Management Refined: New Approaches. Keynote for Annual Meeting of PA. State Cancer Pain Initiative, Hershey, Pa, 04/96.
Neurolytic Procedures: Indications & Outcomes. How to Assess and Treat Pain in Patients with Cancer and AIDS. Satellite to VIII World Congress on Pain, Houston, TX, 08/96.
Moderator, Wyeth Ayerst Associated Symposium of 8th World Congress on Pain, Vancouver, 08/96.
Breakthrough Pain: Yesterday’s State of the Art. Actiq (OTFC). Associated Symposium of 8th World Congress on Pain, Vancouver, 08/96.
Hospice Care: Take the Pain out of Dying, Bethesda & Good Samaritan Hospitals, Cincinatti, OH, 10/96.
Treating Pain as a Medical Disorder. Issues Facing Primary Care Providers, Bassett Health Care, Cooperstown, NY, 10/96.
Ethical and Clinical Challenges in Pain Management; Refractory Pain. Geisinger Clinic Cancer Teaching Day, Danville, Pa, 11/96.
Pharmacotherapy for Cancer Pain Mnmt, Anesthetic Approaches. 1st Annual Bolivian Pain Society Meeting, La Paz, Bolivia, 11/96.
Refractory Cancer Pain. 1996 Annual Meeting of the American Pain Society, Washington, DC, November, 1996.

• Keynote Addresses, Named Lectures, International Presentations (1995)
A Context for Interventional Approaches to Cancer Pain Management. Cross Cancer Institute, Edmonton, Alberta CA, February, 1995.
A Context for Interventional Approaches to Cancer Pain Management. Tom Baker Hospital, Calgary, Alberta Canada, 02/95.
New Developments and New Initiatives in Cancer Pain Management. The Cancer Institute, Victoria, British Colombia, February, 1995.
New Developments and New Initiatives in Cancer Pain Management. Nanaimo, British Colombia, February, 1995.
New Developments and New Initiatives in Cancer Pain Management. British Colombia Cancer Agency, Vancouver, February, 1995.
Just Say Yes to Cancer Pain Control. Palliative Care Conference, Midwestern Regional Med Ctr, Chicago, 03/95.
Management of Cancer Pain; New Developments and New Initiatives in Cancer Pain Management. Indonesian Society of Anesthesiologists; Dr. Capt. Mangunkusumo Hospital. Jakarta, Indonesia, 1995.
Cancer Pain Management; Cancer Pain Management. National Defense Medical Center, Taipei, Taiwan; Kaoshiung Med. College, Kaoshiung, Taiwan, 4/95.
Current Trends in Cancer Pain Treatment. Third Annual Meeting, Pain Society of the Philippines, Manila, April, 1995.
New Developments in Cancer Pain Management. New Developments in Cancer Pain Management. Seoul, Korea, 04/95; Pusan, Korea, 4/95.
Anesthetic Approaches for Managing Bone Pain. ASCO Satellite Meeting, May 1995.
Pain and Symptom Management Update. Annual Meeting, Delaware Society of Clinical Oncology, Wilmington, 06/95.
Cancer Pain: New Developments and Initiatives. The Janssen Pharmaceutica Lecture, Annual Meeting of Southern Pain Society, Atlanta, 5/95.
Transdermal Fentanyl: Clinical Experience and Guidelines for Use. 8th Panhellenic Cancer Congress, Athens, Greece, 11/95.
Transdermal Fentanyl: Fab or Fad? Current Trends in Pain Relief, Nuffield Dept of Anaesthetics, Oxford, England, September, 1995.
Transdermal Fentanyl: Fab or Fad? Sampson Lipton Memorial Meeting: Pain Mechanisms and Management, Liverpool, England, 09/95.
Recent Advances in Cancer Pain Management. 6th Canadian Palliative Care Conference, Halifax, Nova Scotia, 10/95.
Anesthetic and Neurosurgical Interventions. Second Annual Costa Rica Palliative Care Meeting and 56th National Medical Congress Costa Rica, November, 1995.

• Keynote Addresses, Named Lectures, International Presentations-1994
Just Say Yes to Controlling Cancer Pain. Sixth Annual Teaching Day on Cancer Pain, Rochester, NY, June, 1994.
Management of the Person with Symptomatic Cancer: A Mandate for Change. The Mary Tracy Lecture, New Rochelle Hospital Medical Center, New Rochelle, NY, 08/94.
Current Perspectives on Pain & Symptom Management. Oncology Grand Rounds, St. Catherine's Hospital, Ontario, Canada, 11/94.Oncology Grand Rds Hamilton Regional Cancer Ctr, Ontario, 11/94.Oncology Grand Rds Princess Margaret Hosp, Ontario, 11/94.
Pain and AIDS; New Routes of Drug Administration; Spinal Analgesia. Annual Mtg, Mexican Pain Soc, Mexico City, 11/94.
Pain Mechanisms; New Routes of Opioid Administration. VI Pain Course, Colombian Anesthesia Society, Bogota, 11/94.
Cancer Pain: Current Trends. College of Physicians and Surgeons, 55th National Medical Congress, Costa Rica, 11/94.
Pain and AIDS. Keynote, Annual Meeting, Kenya Society of Neuroscientists, Nairobi, December, 1994.
Cancer Pain Management with Adjuvant Drugs. Nairobi Hospice, Kenya, 12/94.

• Keynote Addresses, Named Lectures, International Presentations-1993
Cancer Pain Management. Annual Meeting of District 1 of the NY State Society of Anesthesiologists, Bermuda, 05/93.
How to Treat Pain in the AIDS Patient. Ninth International Conference on Aids, Berlin, June, 1993.
Cancer Pain Management: An Agenda for the 1990's. Vahl Memorial Lecture, Park Ridge Hospital, Rochester, 09/93.
Management of Problems and Complications of Infusion Techniques; Advanced Pharmacologic Approaches Utilizing Adjuvant Drugs; Hypogastric Plexus & Ganglion of Walther Block. Interventional Pain Management: Principles & Practices, Dannemiller Fnd, Nice, France, 8/93.
Cancer and Cancer Pain; Transdermal Fentanyl. Cancer Pain Management: An Agenda for the 1990's.Product Managers Training Seminar, Janssen Pharm, Mallorca, Spain, 09/93.
The Need for an International Task Force on Pain and AIDS. AIDES Federation National Pain and AIDS Symposium, Paris, 11/93.
Transdermal Opioid Analgesia. Janssen Pharmaceutica Round table. Montreal; Quebec City, November, 1993.
Cancer Pain Management for the 1990's. University of Lisbon Postgraduate Course on Pain. Lisbon, Portugal, 12/93.
Comprehensive Assessment; Advanced Pharmacologic Management of Cancer Pain and Related Symptoms. Medical University of South Carolina Pain Conference, Charleston, SC, 12/93.

• Keynote Addresses, Named Lectures, International Presentations-1991-1992
Pharmacologic and Nonpharmacologic Pain Management in the Oncology Patient. Oncology Pain Management Teaching Day, St. Joseph's Medical Ctr, Denver, 02/92.
The Role of Nerve Blocks in the Management of Cancer Pain; Transdermal Fentanyl for the Control of Cancer Pain.Mexican Nat’l Congress of Anesth, Leon, Mexico, 11/92.
Assessment and Ongoing Evaluation of the Patient with Cancer Pain; Oral Pharmacologic Management; Clinical Care of Alternative Delivery Systems; Nonpharmacologic Management of the Patient with Cancer Pain. Queens Medical Center, Honolulu, 03/92.
Assessment of Pain and Other Symptoms in Cancer; Pharmacologic Management; Nonpharmacologic Management.W.H.O. symposium, Santo Domingo, 9/92.
Pain, Symptom Control and Quality of Life. Memory and Mourning Symposium. Strong Museum, Rochester, NY, 10/92.
Pain Management; The Spirit of Caring.NMC Homecare National Nursing Seminar, October, 1992, Martha's Vineyard.
The Role of Nerve Blocks in the Management of Cancer Pain; Transdermal Fentanyl for Cancer Pain. BiAnnual Meeting, Mexican Pain Society, Villa Hermosa, 11/92.
Novel and Nonpharmacologic Approaches to the Management of Cancer Pain. Argentine Conference on Palliative Care, Buenos Aires, November, 1992.

• Keynote Addresses, Named Lectures, International Presentations-1988-1990
The Art and Science of Anesthesiology: Fact and Fiction. Universidad Central del Este, Dominician Republic, 07/87.
Interventional Analgesia for the Patient with Cancer Pain. Dept Anesth, St. Michael's Hospital, Toronto, 06/88.
Interventional Analgesia for the Patient with Cancer Pain. Dept Anesth, University Hospital, London, Ontario, 06/88.
Cancer Pain Relief: A Challenge for the 1990's; Neurolytic Blocks for Pain. Combined 20th Latin American & 22nd Argentinian Congress of Anesthesiologists, Buenos Aires, 09/89.
Home-based Intraspinal Opiate Therapy. Annual Meeting, Option Care Home IV & Nutritional Service, Orlando, 10/89.
Cancer Pain Management in the 1990's: Prescriptions that Work. American Cancer Society, Canandaigua, NY, 03/89.
Sedation and Analgesia for Procedures in Pediatric Patients. Dept Hematology, St. Justine Hospital, Montreal, 06/89.
Nonpharmacologic Mgmt of Cancer Pain; Spinal Opioid Therapy; Organization of a Cancer Pain Service. BiAnnual
Meeting of the Mexican Pain Society, Acapulco, 11/90.

• Meeting Coordinator
Program Chairman, Cancer Pain Can Be Relieved. June, 1989.1st Annual Hugh Cumming Memorial Teaching Day on Cancer Pain, University of Rochester.
Program Chairman, Cancer Pain and the War on Drugs. June, 1990.2nd Annual Hugh Cumming Memorial Teaching Day on Cancer Pain, University of Rochester.
Program Chairman, Healing the Mind, Healing the Body: Putting it All Together. June, 1991.3rd Annual Hugh Cumming Memorial Teaching Day on Cancer Pain, University of Rochester.
Program Chairman, The Final Frontier: Our Care of Patients with Advanced Irreversible Illness. June, 1992. 4th Annual Hugh Cumming Memorial Teaching Day on Cancer Pain, University of Rochester.
Program Chairman, The Nature of Suffering: Care of Symptomatic Cancer Patients. June, 1993. 5th Annual Hugh Cumming Memorial Teaching Day on Cancer Pain, University of Rochester.
Program Chairman, Humor and Healing: Our Patients, Ourselves. June, 1994. 6th Annual Hugh Cumming Memorial Teaching Day on Cancer Pain, University of Rochester.
Program Co-chairman, Partners in Excellence I. Houston, TX, April, 1995.M.D. Anderson Cancer Center.
Program Co-chairman, How to Assess & Treat Pain in Cancer. Houston, 1996.Satellite to 8th World Congress on Pain
Program Director, University of Texas M.D. Anderson Cancer Center. Houston, TX, June, 1997. Hands on Interventional Therapies Workshop and Cadaver Course I.
Program Director, Hands on Interventional Therapies Workshop and Cadaver Course II. M.D. Anderson Cancer Center, Houston, TX, 5/98.
Coordinator, Medtronic Oncology Consultants Committee Meeting. Chicago, IL, January 1997.
Program Co-Director, M.D. Anderson Cancer Center, Houston, 05/98.Hands on Interventional Therapies Workshop and Cadaver Course II.

• Workshops
1. Anesthetic Considerations for Extracorporeal Shock Wave Lithotripsy. Miniworkshop. New York, December, 1987.41st Postgraduate Assembly in Anesthesiology of the New York State Society of Anesthesiologists.
2. Neurolytic Nerve Blocks. Miniworkshop. New York, 12/88.42nd Postgraduate Assembly in Anesthesiology, NY State Soc of Anesthesiologists.
3. Chronic Home Based Epidural Opiate Therapy for Cancer Pain. Rochester, Tender Loving Care Nursing Agency, 11/88.
4. Intraspinal Opiate Therapy for Intractable Cancer Pain: Home Care. Albany, NY, 4/89. .Annual Meeting NY State Hospice Assoc.
5. Nonpharmacologic Management of Oncologic Pain. Univ. Rochester, 6/89. Cancer Pain Teaching Day & Hugh Cumming Memorial Lecture.
6. Cancer Pain Update. Consultants' Corner. New Orleans, LA, 10/89.Annual Meeting of the American Society of Anesthesiologists.
7. Neurolytic Nerve Blocks: An Update. New York, 12/89.43rd Postgraduate Assembly of the New York State Society of Anesthesiologists.
8. Chronic Pain Problems. Luncheon Panel, New York, 12/89.43rd Postgraduate Assembly of the New York State Society of Anesthesiologists,
9. Neurolytic Nerve Blocks-An Update, New York, 12/90.44th Postgraduate Assembly of the NY State Society of Anesth.
10. Implantable Infusion Devices and Stimulators. San Diego, 2/93. Hands-on Danemiller Foundation Implantable Techniques Workshop.
11. Implantable Infusion Devices and Stimulators, Workshop, Boston, 3/93.Hands-on Danemiller Education Foundation Implantable Techniques.
12. Implantable Infusion Devices and Stimulators. Chicago, 7/92.Hands-on Danemiller Memorial Foundation Implantable Techniques Workshop.
13. What's New in Symptom Management. Albany, NY, April, 1991. Annual meeting, New York State Hospice Association.
14. Issues in Cancer Pain Treatment. Panel Chair and Participant. Phoenix, 01/92.Combined Refresher Course-America Pain Society & American Academy of Pain Medicine.
15. Patient Controlled Analgesia in Cancer Pain. Pain Seminar, New York, December 1991.Memorial Sloan Kettering Cancer Center.
16. Managing the Oncology Patient's Pain. 9th Annual Meeting, Option Care Pharmacies.Tuscon, AZ, 10/92.
17. Celiac Plexus and Superior Hypogastric Block, 1993. Annual Meeting of the American Society of Regional Anesthesia
18. Transdermal Fentanyl and Other Alternate Routes. Cracker Barrel Session, 1993.Annual Mtg. American Society of Regional Anesthesia.
19. Comprehensive Management of Chronic Pain. Current and Future Applications. Charleston, 06/93. Closed Round Table Discussion on Oncology Products, Janssen Pharmaceutica.
20. Implantable Infusion Devices and Stimulators: Hands-on. Orlando, 10/93.Danemiller Foundation Implantable Techniques Workshop.
21. Implantable Infusion Devices and Stimulators: Hands-on, Arizona, 01/94.Danemiller Foundation Implantable Techniques Workshop.
22. Just Say 'Yes' to Pain Control. Houston, September, 1995.6th Annual Anderson Network Living Fully With Cancer-Patient Conference.
23. Neurolytic Techniques. Current Concepts in Acute, Chronic and Cancer Pain Management. December, 1995.Memorial Sloan Kettering.
24. Anesthetic Techniques, Pain Syndromes in AIDS Patients. How to Assess and Treat Pain in Patients with Cancer & AIDS. Satellite to VIII World Congress on Pain. Houston, 08/96.
25. Interventional Therapies Workshop I. Houston, TX, 06/97.Cadaver dissection lab, Univ of Texas M.D. Anderson Cancer Center.
27. Cadaver dissection lab. Memphis, 05/97. Dannemiller Foundation and Medtronic, Inc. Hands-On Implantable Techniques Workshop.
28. Cadaver dissection lab. Memphis, July 1997.Dannemiller Foundation and Medtronic, Inc. Hands-On Implantable Techniques Workshop.
29. Cadaver dissection lab. Houston, TX, 06/97. Interventional Therapies Workshop II. University of Texas M.D. Anderson Cancer Center.
30. Problem Based Case Oriented Active Learning Discussions on Chronic Pain Management. New Orleans, October, 1997. 16th Annual Meeting of the American Pain Society.
31. Contemporary Neurolytic Blockade, M.D. Anderson Cancer Center’s 5th Annual Hands on Interventional Therapies Workshop and Cadaver Course. Houston, 05/01.
• Extramural — 2001-2002 (Incomplete)
The Legacy of Chronic Pain: One Clinician’s 20 Yr Perspective. Texas Medical Center Pain & Palliative Care Grand Rounds. 07/02, Houston.
• Extramural — 1999-2000
1. Pharmacologic Management of Pain in Geriatrics. Pharmacy Fraternity. Baltimore, MD, January, 1999.
2. Palliative Care. San Diego, March, 1999.
3. Chronic Pain Management. Anesthesiology Grand Rounds, San Antonio, TX, March 1999.
4. Practical Pain Management. Medical Grand Rounds, Veteran’s Administration, Los Angeles, February 1999.
5. Pain Management and Radiotherapy. University of Texas M.D. Anderson Cancer Center, February, 1999.
6. Pain Management and Quality of Life. Nursing Grand Rounds, University of Kentucky, February, 1999.
7. Pain Pharmacotherapy: A Moving Target, Pharmacy Society, Portland, OR, March, 1999.
8. Outpatient Pain Management, University of Tenessee Pain Clinic, March, 1999.
9. Pain Management Fundamentals, Houston TX dinner meeting, March, 1999.
10. Cost Effective Pain Management, Veteran’s Administration, Long Beach, CA, , March, 1999.
11. Palliative Care. Dinner Meetings in Walla Walla, Pasco and Yakima WA, June, 1999.
12. Starting a Pain Management Initiative. Interdisciplinary Grand Rounds, Chicago, April, 1999.
13. Pharmacotherapy. Third Annual Interventional Therapies Workshop. University of Texas M.D. Anderson Cancer Ctr.
14. Pain Management in the Elderly, Medical Grand Rounds, University of Alabama, May, 1999. 15. Neuropathic Pain. Nursing Grand Rounds, Medical Grand Rounds, Boise, ID, May, 1999.
16. Opioids and Chronic Nonmalignant Pain. Back Pain Symposium, Las Vegas, June, 1999.
17. Cost Effective Home Care for Pain. Case Managers’ Conference, University of Texas MD Anderson Cancer Ctr 06/99.
18. Pain in the Managed Health Care Environment. Eugene, OR, July 1999.
19. Opioids and Chronic Nonmalignant Pain. Anesthesiology Grand Rounds. El Paso, TX, July, 1999.
20. Pain in the Managed Health Care Environment. San Francisco, August, 1999.
21. Opioids and Chronic Nonmalignant Pain. Veteran’s Administration, Spokane WA, September, 1999.
22. What’s New in Pain Management. Dinner Meetings, Seattle WA, Portland OR, September, 1999.
23. Pain as the Fifth Vital Sign. Veteran’s Administration, Long Beach, CA, , August, 1999.
24. Pain in the Managed Health Care Environment. San Francisco, August, 1999.
25. Pain Management in the Primary Care Setting. Dinner Meeting, Houston, TX September, 1999.
26. Opioids and Chronic Nonmalignant Pain. Dinner Meeting, Oklahoma City, September, 1999.
27. New Treatment Strategies for Pain Management. Dinner Meeting, Houston, TX October, 1999.
28. Opioids and Chronic Cancer and Nonmalignant Pain. Pacific Pain Symposium, Honolulu, September, 1999.
29. Pain Management in the Primary Care Setting. Dinner Meeting, Houston, TX. November, 1999.
30. Cost Effective Pain Management. Pharmacy Managers’ Meeting, Houston, TX. December, 1999.
31. The Importance of Managing Pain Effectively. Multiple Myeloma Support Group of the Houston American Cancer Society, 01/99.
32. Pain and Mutiple Myeloma. Houston American Cancer Society Myeloma Support Group, January, 2000.
33. Pain as a Medical Disorder, Pain Care Workshop for Nurses, St Luke’s Episcopal Hospital, September 25, 2000.

• Extramural — 1998
1. Cancer Pain ManagementUniversity of Oklahoma and Oklahoma Pain Initiative, Oklahoma City, January 1998.
Neuropathic Pain in Cancer and AIDS. International Conference on Mechanisms and Treatment of Neuropathic Pain: Progress and Prospects. Rochester, NY, June 1998.
Cancer Pain I., Cancer Pain II. Danemiller Education Foundation, Pain and its Management: An Advanced Course. Palm Springs, January, 1998.
Interventional Pain Management (Plenary); The Anesthesiology Approach (concurrent). Advanced Pain Management. Academy of Hospice and Palliative Care Physicians, Seattle 03/98. Refractory Cancer Pain. Oncology Grand Rounds, University of Miami, Jume, 1998.
Opioids and Chronic Cancer and Nonmalignant Pain. Dinner Meeting, Kansas City, August, 1998. Pain Management in the Elderly, Medical Grand Rounds, Houma, LA, August, 1998.
Opioids and Chronic Nonmalignant Pain. Medical Grand Rounds. Klamath Falls, OR, September, 1999.
Palliative Care in the Nursing Home Setting. Dinner Meeting. Colombus, IN, June, 1999.
Managing Pain in the Terminally Ill. Pain Symposium. Tampa FL, October, 1998.
Pain in the Managed Health Care Environment. Rocklin, CA, September, 1998.
Pain as the Fifth Vital Sign. Veteran’s Administration, Spokane, WA, October, 1998.
What’s New in Pain Management. Jackson, MS, October, 1998.
Opioids and Chronic Nonmalignant Pain. St Louis, MO, October, 1998.
Pain Management in the Primary Care Setting. Albuquerque, NM, ,November, 1998.
Managing Pain in the Terminally Ill. Phoenix, AZ, November, 1998.
• Extramural — 1997
Treating Pain as a Medical Disorder. Methodist Oncology Grand Rounds, 01/97, Houston, TX.
Treating Pain as a Medical Disorder. Blue Cross Blue Shield Community Rounds, Rochester, NY, 02/97.
Pain Management Basics. Genesse Hospital Internal Medicine Housestaff Rounds, Rochester, NY, 02/97.
New Approaches to Sympathetic Neural Blockade. University of Rochester Pain Treatment Center, 02/97.
Emerging themes in contemporary cancer pain management. Baylor Medical School Dept of Anesthesiology Grand Rounds, 06/97.
Interventional Therapies for Cancer Pain. Dannemiller & Medtronic, Inc. Hands-On Implantable Techniques Wrkshp, Memphis, 05/97.
Interventional Therapies for Cancer Pain Management. Dannemiller and Medtronic, Inc. Hands-On Implantables Workshop, Memphis, 07/97.
Cancer Pain I., Cancer Pain II. Danemiller Memorial Education Foundation Review Course in Pain Management, San Diego, 04/97.
Prime Med Primary Care Conference, Los Angeles, April, 1997.
Cancer Pain I., Cancer Pain II. Danemiller Memorial Education Foundation Review Course in Pain Management, Kansas City, 07/97.
State of the Art Pharmacotherapy for Cancer Pain; Anesthetic Interventions for Cancer Pain. UTMB Galveston Anesthesiology Grand Rounds, 8/97.
Clinical Forum on Pain Management. 1997 Annual Meeting, American Society of Anesthesiologists, October, 1997, San Diego.
Adjuvant Analgesics. Physicians for Compassionate Care Advanced Pain Management Conference, Portland Oregon, 10/97.
Pain Management. Annual Meeting of Navy and Air Force Physicians Assistants, Corpus Christi, TX, October, 1997.
Cancer Pain. Advances in Pain Management: The 21st Century. Cleveland Clinic, May, 1997.
Epidural Analgesia for Controlling Cancer Pain. Update in Cancer Pain Management. Robert Wood Johnson Medical School, NJ, 11/97.
Cancer Pain Management. University of Oklahoma and Oklahoma Pain Initiative, Tulsa, OK, November, 1997.
• Extramural — 1996
Contemporary Management of Cancer Pain. Univ of Texas Southwestern Medical Center, Dallas, TX, January, 1996.
Interventional Pain Management: When and Why. Symptom Management in the Cancer and HIV Patient, Dearborn, MI, 02/96.
New Initiatives in Cancer Pain Management. Multidisciplinary Update in Pain Management. Florida Academy of Pain Medicine, Orlando, 02/96.
Cancer Pain: Clinical Syndromes, Cancer Pain: Pharmacology, Cancer Pain: Spinal Opioids. Danemiller Memorial Education Foundation Principles & Practice of Pain Management, Kansas City, 07/96.
Cancer Pain I, Cancer Pain II. Pain Management: A Comprehensive Review. Chicago, 09/96. National Center for Advanced Medical Education.
Cancer Pain Mnmt, ObGyn Grand Rounds, Beyond the WHO Ladder. Pain Service Rnds 9/96. Magee Women’s Hospital, Univ Pittsburgh.
Opioids for Nonmalignant Pain. Family Practice Grand Rounds. Mercy Hospital, Pittsburgh, PA, November, 1996, February, 1996.
• Extramural — 1995
Celiac and Hypogastric Plexus Block. Annual Mtg, American Society of Regional Anesthesia, Orlando, April 1995.
Anesthetic Approaches to Bone Pain. Metastatic Bone Disease Conference. Annual Mtg, American Soc Clinical Oncology, Los Angeles, 05/95.
Management of Cancer Pain. Texas Coast Anesthesia Review Course, League City, April, 1995.
How the Anesthesiologist Can Contribute to Cancer Pain Management. Loyola University Anesthesia Grand Rounds, Chicago, 08/95.
New Initiatives in Cancer Pain Management. Sinai Hospital of Baltimore, Medical Grand Rounds, May, 1995.
Palliative Care in Developing Nations. 7th Annual University of Rochester Teaching Day on Cancer Pain, Rochester NY, May, 1995.
Management of Side Effects of Opioid Therapy. Current Concepts in Acute, Chronic and Cancer Pain Management. Sloan Kettering, 12/95.
Outcomes of Surgical vs Medical Approaches. Pain Management: Pharmacoeconomics and Medical Outcomes. American Pain Society Annual Meeting, LA, November, 1995.
Invasive Treatment Options. Academy of Hospice Physician’s Advanced Cancer Pain Management Symposium. San Antonio, December, 1995.
Management of Drug Side Effects. Memorial Sloan Kettering Cancer Center Meeting on Pain and AIDS, NY, October, 1995.
Chemical Neurolysis, Pharmacologic Management, Neurolytic Lumbar Sympathetic Block, Neurolytic Ganglion Impar Block, Neurolytic Hypogastric Block. Interventional Pain Management: An Advanced Technique Seminar. Dannemiller Education Foundation, 10/95.
Moderator, Panel on Interdisciplinary Management of Cancer Pain: An Update and New Guidelines. Annual Meeting, American Society of Anesthesiologists, 10/95, Atlanta.
Comprehensive Assessment. Panel on Interdisciplinary Management of Cancer Pain: An Update and New Guidelines. Annual Meeting of the ASA, October, 1995, Atlanta.
Anesthetic Approaches to Bone Pain. Metastatic Bone Disease Conference. Annual Meeting, American Society of Therapeutic Radiation Oncology, Miami Beach, 10/95.
New Initiatives in Hospice and Pain Control. The Hospice in Austin Texas, September, 1995.
Anesthetic Interventions for Controlling Pain in the Hospice Setting. Advanced Cancer Pain Management Symposium. Academy of
Hospice Physicians, San Antonio, TX, 12/95.

• Extramural — 1994
Acute, Chronic and Cancer Pain, Pain Mechanisms. 31st New York Anesthesiology Review, June, 1994.
Role of Neurolysis. 1994 Annual Meeting of the American Society of Anesthesiologists, October, 1994, San Francisco.
Current Trends in Cancer Pain Management. Lenox Hill Hospital, Dept. Oncology, NY June, 1994.
Regional Blocks for Pain Management: Lumbar Paravertebral Sympathetic Block; Trigeminal Nerve Block; Celiac Plexus Block; Superior Hypogastric Plexus Block; Ilioinguinal Nerve Block; Lateral Femoral Cutaneous Nerve Block. Dannemiller Fnd Vail Anesthesia Update. 1/93.
Complications of Implanted Infusion Devices. Dannemiller Foundation, Implantable Techniques Workshop, Orlando, 10/93.
Cancer Pain: Current Trends in Treatment. Annual Meeting of the American Academy of Pain Medicine, February, 1994.
Interventional Pain Therapies. Annual Meeting of the National Hospice Organization, February, 1994, San Francisco.
Celiac and Hypogastric Blocks, Pharmacologic Mgmt of Cancer Pain. Annual Mtg, Am Soc Reg Anesth, 4/94, Chicago.
Pelvic Pain, Visceral Pain, Anesthetic Modalities for Cancer Pain Management, Cancer Pain Management. 6th International Congress: Pain Clinic, Atlanta, 04/94.
Cancer Pain Management. Comprehensive Pain Medicine Review (Pain Net), Dallas, January, 1994.
Pharmacologic & Nonpharmacologic Management of Cancer Pain and Related Symptoms. Arkansas Cancer Pain Initiative Annual Mtg, 05/94.
Current Trends in Cancer Pain Management. New York University, Dept Medical Oncology, NY June, 1994.
Current Trends in Cancer Pain Management. Columbia Presbyterian, Dept Medical Oncology and Anesthesiology, NY, 06/94.
Management of Cancer Pain from an Anesthesiologist's Perspective. 80th Ann Clinical Congress, Am. College of Surgeons, Chicago, 10/94.
Clinical Syndromes; Pharmacologic Management; Pharmacokinetics and Dynamics, Hypogastric Plexus Block; Opioid Analgesics; Adjuvant Analgesics. Dannemiller Memorial Education Foundation Pain Review Course, St. Louis, July, 1994.
Cancer Pain Management. Comprehensive Pain Medicine Review Pain Net, Dallas, August, 1994.
Cancer Pain Management. Baylor Pain Medicine Review, Dallas, September, 1994.
Interventional Strategies for the Treatment of Cancer Pain. 13th Annual Meeting of the American Pain Society, 11/94, Miami.
Cancer Pain Management. Comprehensive Pain Medicine Review Pain Net, Dallas, January, 1994.

• Extramural — 1993
New Modalities in Pain Management. 2/93. Oncology Journal Club, University of Tennessee, Memphis.
Complications of Implanted Infusion Devices. Dannemiller Foundation, Implantable Techniques Workshop, San Diego, 2/93.
Complications of Implanted Infusion Devices. Dannemiller Foundation, Implantable Techniques Workshop, Boston, 3/93.
Cancer Pain. American Academy of Pain Medicine Review Course in Pain Medicine, San Diego, 3/93.
Cancer Pain Syndromes; Update on the Use of Spinal Opioids; Implantable Continuous Drug Infusion Systems; Current Strategies in the Management of Symptoms Other than Pain in the Cancer Patient; Hypogastric Plexus and Ganglion of Walther Block. 3rd Annual Regional Anesthesia and Pain Management Update, Dannemiller Foundation, Hawaii, 3/93.
Anesthetic Approaches to Chronic Pain; Neurostimulation. Pain Management for Neurologists, Dannemiller Foundation, Rye, NY, 07/93.
Pharmacologic Management of Cancer Pain: Is it Effective? Annual Meeting of the American Medical Student Association, Miami 03/93.
Evaluation and Treatment of Cancer Pain: Clinical Syndromes; Evaluation and Treatment of Cancer Pain: Pharmacologic Mnmt; Therapeutic Nerve Blocks for Cancer Pain. Kansas City, 08/93. Principles and Practices of Pain Management: Review. Dannemiller.
Narcotic Use: Overuse versus Under use and Medicolegal Concerns. Physical Medicine: Advances in Cancer Pain Management. Kaiser Permanente, Orange County, 04/93.
Anesthetic and Neurostimulatory Approaches. Pittsburgh, 09/93. A.S.C.O. Conference on Cancer Pain (Introduction of Cancer Pain Assessment and Treatment Curriculum Guidelines).
Implantable Technology for Pain Control. Anesthesiology Grand Rounds. Albany Medical Center, April, 1993.
The Evolving Role of the Anesthesiologist in the Management of Cancer Pain. M.D. Anderson Cancer Center, April, 1993.
Advanced Pharmacotherapy of Cancer Pain, Peripheral Neurolysis; Hypogastric Plexus; Implantable Continuous Infusion Techniques: The Basics; Complications of Intraspinal Infusions; Epidural Neurolysis and Lysis of Adhesions; Continuous Infusions. Interventional Pain Management Symposium, Dannemiller Foundation, Boston, 07/93.
Moderator and discussant: Epidural Narcotics: Postoperative Analgesia (Poster Session), A.H.C.P.R. Guidelines for Cancer Pain Management (Breakfast Panel). Annual Meeting of the American Society of Anesthesiogists, Washington, D.C. 10/93.
Chronic Pain Management (Luncheon Panel). 47th Postgraduate Assembly of NY State Society of Anesthesiologists, 12/93.
Innovations in Chronic Pain Management. Oncology Grand Rounds, Albany Medical Center, Albany NY, Sep, 1993.
Workshop on Pain Management. Cooper Hospital and University Medical Center, Atlantic City, NJ, October, 1993.
• Extramural — 1992
Patient Controlled Analgesia in the Management of Cancer Pain; Barriers to Pain and Symptom Control in Cancer Pain Management; Dyspnea, Hiccups and Other Symptoms; Home Care; Management of Treatment Related Pain. Principles and Practice of Cancer Pain Management II. Dannemiller Educational Foundation, Hawaii, 03/92.
Pain Management in the Cancer Patient. Cancer Update. Mercy Hospital Medical Center, Des Moines, Iowa, April, 1992.
Indications for Invasive Techniques in the Management of Cancer Pain. Pain Seminar, Fort Lauderdale, Fla, 02/92.
Indications for Invasive Techniques in the Management of Cancer Pain. Pain Seminar, Pasadena, California, March 1992.
Drugs Used in Chronic Pain Management. International Pain Symposium: Update 1992. Atlanta, Ga, April, 1992.
Interventional Management of Cancer Pain. Anesthesiology Dept, Geissinger Clinic, Danville, Pa, April, 1992.
Controversies in the Management of Noncancer Pain; Cancer Pain. George Washington University, Washington D.C., 06/92.
New and Novel Routes of Drug Administration. Pain Seminar. The Ohio State University, May, 1992.
Pain and Symptom Control in Terminal Illness. Hospice Teaching Day. Central NY Academy of Medicine, June, 1992.
Advanced Pharmacotherapy; Peripheral Neurolysis;Hypogastric Plexus; Intraspinal Infusions-Complications. Interventional Symposium, Dannemiller Memorial Education Foundation, Chicago, 06/92.
Complications of Implanted Infusion Devices. Implantable Techniques Workshop. Dannemiller Education Foundation, Chicago, 07/92.
New Modalities in Pain Management. Medical Grand Rounds, Hamot Medical Center, Erie, Pa, 9/92.
New Modalities in Pain Management. Medical Grand Rounds, Eastern Maine Medical Center, Bangor, Maine, 9/92.
Pain and Symptom Management: The Five W's and an H. American Cancer Society, Wayne County, NY, 9/92.
New Modalities in Pain Management. Medical Grand Rounds, Kent County Memorial Hospital, Warwick, RI, 10/92
Transdermal Fentanyl and Novel Routes of Administration, Moderator, Assessment and Management of Pediatric Pain. Cancer Pain Seminar, Memorial Sloan Kettering NY, 12/92.

• Extramural — 1991
Home and Hospice-based Management of Symptomatic Cancer. Hospice Pinellas, Largo, Florida, January, 1991.
Epidemiology and Management of Cancer Pain. Medical Staff Meeting, Largo Medical Center, Largo, Florida, Jan, 1991.
Assessment and Management of Chronic Pain. Grand Rounds. Monroe Community Hospital, Rochester, New York, 2/91.
Patient Controlled Analgesia in the Management of Cancer Pain; Barriers to Pain and Symptom Control in Cancer Pain Management; Home Care of the Patient with Cancer Pain; The Management of Dyspnea, Hiccups and Symptoms other than Pain. Cancer Pain Update, Dannemiller Memorial Educational Foundation, Maui, Hawaii, 03/91.
Barriers to Optimizing Cancer Pain Control. Kansas City Pain Consortium, Menorah Medical Center, April, 1991.
Understanding Pain Management. Upstate Division of Medicare, Binghampton, NY, May, 1991.
Confounding Factors and the Pharmacologic Management of Cancer Pain. Dept Medicine, Sinai Hospital, Detroit, August, 1991.
Confounding Factors and the Pharmacologic Management of Cancer Pain. U.C.L.A. Medical Oncology Grand Rounds, August, 1991.
Controversies in the Management of Chronic Non-Malignant Pain. Pain Seminar, Saratoga Springs, NY, June, 1991.
Cancer Pain Management: Is it a Problem? Medical Grand Rounds, Tompkins General Hospital, Ithaca, New York, 08/91.
Pain and Symptom Management in the Cancer Patient. Panel, Annual Meeting of the American Academy of Family Practice Physicians, Washington, D.C., September, 1991.
Indications for Invasive Techniques in the Management of Cancer Pain. Pain Seminar, Palm Springs, Fla, September, 1991.
Influence of Confounding Factors on Cancer Pain Management. Boston Oncology Nursing Society Meeting, October, 1991.
Chronic Pain Management. Annual Meeting of the New York State Society of Nurse Anesthetists, Rochester, October 1991.
Patient Controlled Analgesia in the Management of Cancer Pain. Seminar, Memorial Sloan Kettering Cancer Center, 12/91.
Confounding Factors and the Pharmacologic Management of Cancer Pain. Hematology-Oncology Grand Rounds, Dartmouth Hitchcock Medical Center November, 1991.
• Extramural — 1990
Neurolytic Blocks. The Genesee Hospital, Anesthesia Dept, February, 1990.
Chronic CNS Opioid Therapy: Use of Implantable Devices. Pain Management Seminar, Saratoga Springs, NY, 06/90.
Problem Pain Patients: The Back. Rochester Orthopedic Society, April, 1990.
Neuropathic Pain. Symposium on the Immunosuppressed Patient. St. Raphael's Medical Center, Connecticut, 09/90.
Modalities in Cancer Pain Management. Pain Clinic, Yale University, New Haven CN, September, 1990.
Chronic Pain Management. Primary Care Rounds. Genesee Hospital, Rochester, New York, September, 1990.
Neuropathic Pain. Grand Rounds. Tompkins General Hospital, Ithaca, New York, September, 1990.
Comprehensive Assessment of the Patient with Oncologic Pain; Difficult Pain Syndromes Pain Symposium, Allentown Hospital, PA, 09/90.
Pharmacologic Management of Cancer Pain. Grand Rounds. Bayfront Medical Center, Tampa, Florida, September, 1990.
Pharmacologic Management of Cancer Pain. Oncology Staff Meeting. Watson Clinic, Orlando, Florida, September, 1990.
Cancer Pain Relief, Grand Rounds. Genesee Memorial Hospital, Batavia, New York, October, 1990.
Innovations in Cancer Pain Management. Soldiers and Sailors Hospital, Rochester, New York, October, 1990.
Cancer Pain: Treatment that Works. Clifton Springs Hospital, Clifton Springs, New York, December, 1990.
Office-based Management of Cancer Pain. Fulsom Clinic, Rochester New York, December, 1990. Assessment & Management of Musculoskeletal Pain. District 15 NY State Chiropractic Society, Rochester, N.Y. Jan, 1990.

• Extramural — 1987-1989
Pain Management in Geriatrics. Geriatric Medicine Grand Rounds, Monroe Community Hospital, January, 1987.
Anesthesiologists: Your Guardians in the Operating Room. Irondequoit Senior Center, Eastern Monroe Senior Center, 05/87.
Current Methods of Pain Management, Lecture Series. Association of Operating Room Nurses, February, 1988.
Comprehensive Management of Cancer Pain. Genesee Valley Chapter of the Oncology Nursing Society, March, 1988.
The Anesthesiologist's Role in the Management of Oncologic Pain. Anesthesiology Dept, Beth Israel Medical Center, 04/88.
Interventional Analgesia for the Patient with Cancer Pain. Dept Anesthesiology, Albert Einstein, Bronx, NY, April, 1988.
Anesthesia Procedures in Cancer Pain Management. Rochester General Hospital, Seminar on Pain Management, 11/88.
Pain Management in the Terminally Ill. Keritas, Isiah House and Corpus Christi Hospices, Rochester, NY, January, 1989.
Cancer Pain Management in the 1990's: Prescriptions that Work. Tumor Board, Clifton Springs Hospital, Clifton Sprg, NY, 2/89.
Cancer Pain Management in the 1990's: Prescriptions that Work. Dept Medicine, Tompkins Gen'l Hospital, Ithaca, NY, 04/89.
Cancer Pain in the 1990's: An Overview. Pain Seminar, Roswell Park Memorial Institute, Buffalo, NY, May, 1989.
Cancer Pain Management in the 1990's: Prescriptions that Work. Dept Medicine, Geneva General Hospital, Geneva, NY, 5/89.
Cancer Pain: Multidisciplinary Assessment and Management. Finger Lakes Area Social Work Oncology Group, NY, 05/89.
Pharmacologic Management of Cancer Pain for Primary Care Medical Residents. Highland Hospital, Rochester, 05/89.
Practical Approaches to the Management of Pain in the Cancer Patient. Newphane and Locport Medical Staff, May, 1989.
Unrelieved Cancer Pain: Nature and Dimensions of the Problem & Solutions. Pain Interest Group, U.C. San Diego, 12/89.
Catheter Implantation. Pain Management Center. University of California, Los Angeles, December, 1989.
Cancer Pain Management. Anesthesiology Conference Series. University of California, Los Angeles, December, 1989.
Home-based Symptom Control for the Terminally Ill. Genesee Region Home Care (Hospice), Rochester, December, 1989.

• Intramural — University of Texas M.D. Anderson Cancer Center
Anesthetic Pain Management Strategies. Pain Resource Nursing Program, October, 1993.
Anesthesia-based Pain Control for Patients with Cancer. Pain and Symptom Conference, November, 1993.
Celiac Plexus Block in the Management of Abdominal Pain. Panelist, Supportive Care Forum, November, 1993.
Gynecologic Cancer Pain. Gynecologic Surgical Oncology, MDACC, February, 1994.
Analgesic Alternatives for Oncologic Pelvic Pain. Gynecologic Medical Oncology, MDACC, March, 1994.
Strategies for Controlling Cancer Pain. Anesthesiology Grand Rounds, March, 1994.
Partners in Pain. P.I.K.N.I.K. Program, Anderson Network, April, 1994.
Role of the Radiology Technologist. Diagnostic Radiology Technologist's Lecture Series, April, 1994.
Overview of Cancer Management. Dept. Anesthesiology, University of Texas, Hermann Hospital, June, 1994.
Anesthetic Interventions to Control Cancer Pain. Institutional Grand Rounds, MDACC, July, 1994.
Just Say Yes to Pain Control. P.I.K.N.I.K. Program (Partners in Knowledge, News in Cancer), Anderson Network, Jan, 1995.
Just Say Yes to Pain Control. P.I.K.N.I.K. Program (Partners in Knowledge, News in Cancer), Anderson Network, May, 1995.
Cancer Pain Management. Medical Grand Rounds, St. Luke's Episcopal Hospital, Houston, TX, January, 1995.
Perioperative Management of Patients on High Dose Opioids. Surgical ICU Grand Rounds, March, 1995.
Anesthetic Approaches to Pain Management. Partners in Excellence, MDACC, April, 1995.
Psychostimulants, Arousal and Pain. Opioid Interest Group, UT Substance Abuse Research Center, Houston, 02/95.
Cancer Pain Management in the 1990's. Spanish Speaking Conference, UTMDACC, May, 1995.
Communicating with your Physician about Pain and Other Difficult Issues. 6th Annual Anderson Network Living Fully With Cancer-Patient Conference, Houston 09/995.
Pain Management. Medical Oncology: A Comprehensive Review, UTMDACC, September, 1995.
Booksigning and Authors’ Reception, Living Fully With Cancer, UTMDACC Annual Survivors Conference, September, 1995.
Anesthetic Approaches to Pain Management in Cancer. 17th Annual Pharmacy Symposium on Cancer Therapy, UTMDACC, 10/95.
Fundamentals of Assessment. Pain Fellows Lecture Series, September, 1995, UTMDACC.
Anesthetic Procedures. Pain Fellows Lecture Series, August, 1995, UTMDACC.
Integration of Interventional Pain Treatment with Medical Therapy. Medical Grand Rounds, UTMDACC, January, 1996.
How to Talk with Your Doctor. P.I.K.N.I.K. Program, Anderson Network, January, 1996.
Moderator: Pain Management Telemedicine Conference with UTMDACC Orlando, March, 1996. Bases para el Manejo del Dolor. Conferencia Internacional de OncologĂ­a MĂ©dica en EspaZol, UTMDACC, May, 1996.
Pain Assessment. Pain Fellows Lecture Series, July, 1996.
Pain: An Overview. 4th Year UT Medical Students (Neurology Elective), July, 1996.
Booksigning and Authors’ Reception, 8th Annual Living Fully With Cancer, UTMDACC Annual Survivors Conference, 09/96.
Moderator: Pain Management Telemedicine Conference with UTMDACC Orlando, September, 1996.
Update on Cancer Pain for the Volunteer Staff, Continuing Education, September, 1996.
Pharmacologic Pain Control; Anesthetic Pain Control. UTMDACC Section of Oncologic Dentistry and Prosthodontics, 01/96.
Moderator: Pain Management Telemedicine Conference with UTMDACC Orlando, February, 1997.
Pain Management. UTMDACC Oncology Review Course, September, 1996.
Fundamentals of Cancer Pain Management. Interventional Therapies Workshop. UTMDACC, 06/1997.
Pain Management. Medical Oncology: A Comprehensive Review, UTMDACC, September, 1997.
Anesthetic Approaches to Pain Management. 17th Annual Pharmacy Symposium on Cancer Therapy, UTMDACC, 10/97.
Pharmacotherapy; Subarachnoid Neurolysis: Not a Lost Art. Interventional Therapies Workshop. UTMDACC, June, 1997.
Booksigning and Authors’ Reception, 9th Annual Living Fully With Cancer, UTMDACC Annual Survivors Conference, 09/97.

• Intramural — University of Rochester School of Medicine and Dentistry
Critical Appraisal of Low Back Pain Management. Neurosurgery Grand Rounds, November, 1986.
Nerve Blocks for Nurses: Nursing Considerations for Regional Anesthesia. Operating Room Nsg Lecture Series, Apr, 1987.
3. The Anesthesiologist's Role in the Management of Oncologic Pain. Oncology Grand Rounds, May, 1987.
4. Practical Management of Pain in Patients with Gynecologic Cancer. Obstetrics and Gynecology Grand Rounds, March, 1988.
5. Comprehensive Cancer Pain Control. Radiation Oncology Grand Rounds, June, 1988.
6. Cancer Pain Management: International and National Initiatives. Medical Oncology Fellowship Seminar Series, Sep, 1988.
7. Cancer Pain Management: Three Case Studies. Medical Oncology Grand Rounds, September, 1988.
8. Urologic Applications of Spinal and Epidural Analgesia. Urology Grand Rounds, September, 1988.
9. Implantable Central Nervous System Opiate Therapy. Operating Room Nursing Lecture Series, October, 1988.
10. Pharmacologic Management of Cancer Pain for Primary Care Physicians. Internal Medicine and Family Practice, March, 1989.
11. Terminal Care. Obstetrics and Gynecology Gyn Chief Residents' Board Review Lecture Series, April, 1989.
12. The Appropriate Use of Analgesics to Control Cancer Pain. Community Health Care Practicum, Medical School, April, 1989.
13. Cancer Pain Management for Anesthesiologists: The Basics. Anesthesiology Residents & Faculty Lecture Series, 6/89.
14. Peripheral Nerve Blocks. Anesthesiology Residents and Faculty Lecture Series, July, 1989.
15. Chronic Pain. Anesthesiology Residents and Faculty Lecture Series, August, 1989.
16. Appropriate Use of Analgesics. Pain Control Symposium, Depts. of Dentistry and Oral Surgery, October, 1989.
17. Medical Management Cancer Pain. Oral and Maxillofacial Surgery and Dental Conference Series, December, 1989.
18. Nursing Guidelines for Intraspinal Opioid Therapy. Clinically Advanced Specialists Nursing Retreat, November, 1989.
19. Chronic Pain Management. Internal Medicine Clinical Case Conference, November, 1989.20. Management of Pain from Oral Cancer. Oral Surgery Grand Rounds, December, 1989.
21. Chronic Pain. Anesthesiology Residents and Faculty Lecture Series, August, 1990.
22. Cancer Pain. Anesthesiology Residents and Faculty Lecture Series, March, 1990.
23. Diasonics Lithotripsy and Pain Control. SMH Diasonics Users Group, April, 1990.
24. The Role of Nerve Blocks in Chronic Pain and Spasticity. Rehabilitation Medicine Grand Rounds, October, 1990.
25. Cancer Pain and You. Cancer Center Patient Support Group, January, 1991.
26. Alternative Strategies for Controlling Cancer Pain. Radiation Oncology Grand Rounds, March, 1991.
27. Management of Chronic Pain. General Class Exercise, 4th Year (Medical School) Therapeutic Course, April 1991.
28. Transdermal Fentanyl, Cancer Center, University of Rochester, May, 1991.
29. Pain Management in Pediatrics, Pediatric Outpatient Conference, June, 1991.
30. Treatment Modalities: Sensory and Physical, Graduate Nursing 333, University of Rochester, July 1991.
31. Cancer Pain: Assessment, Treatment and Evaluation, Graduate Nursing 333, University of Rochester, July 1991.
32. Procedural Based Pain Management, Medical Oncology Fellows Seminar, University of Rochester, September, 1991.
33. Management of Chronic Pain. General Class Exercise, 4th Year (Medical School) Therapeutic Course, April 1992.
34. Intractable Pain. Radiation Oncology Grand Rounds, University of Rochester, October, 1991. 35. Management of Pain due to Gynecologic Cancer. University of Rochester, Department of Obstetrics and Gynecology, 02/92.
36. Assessment and Management of Orthopedic Cancer Pain. Regional Meeting of the Association of Orthopedics Nursing 03/92.
37. Pain Management Update. U of R Cancer Center Nursing Conference, April, 1992.
38. Advances in Pain and Symptom Control for the Cancer Patient. U of R Clinical Associate Forum, October, 1992.
39. Multidisciplinary Management of Chronic Pain. University of Rochester Orthopedic Grand Rounds, January, 1993.
40. Intrathecal Baclofen. University of Rochester Neurology Grand Rounds, February, 1993.
41. Cancer Pain Control: An Update. University of Rochester Radiation Oncology Grand Rounds, April 1993.
42. Cancer Pain Management. Lecture Series, Medical Residents, University of Rochester, April 1993.
43. The World Health Organization Cancer Pain Program. University of Rochester International Health Committee, May 1993.
44. Multidisciplinary Approach to Pain in a Cancer Patient. University of Rochester Medical Grand Rounds, May 1993.
45. Cancer Pain: Assessment, Treatment and Evaluation, Graduate Nursing 333, University of Rochester, July 1993.
46. Pain Management in the Nursing Home. 7th Annual Conference: Medical Practice in the Nursing Home. Rochester, 09/93.

• Intramural — Albert Einstein College of Medicine
High Frequency Ventilation: An Overview. Symposium on Ventilators and Fiber optic Bronchoscopy, March, 1986.
2. Decision Making in Anesthesiology: The Art; Cost; Science Triangle. Anesthesiology Grand Rounds, April, 1986.

• Interviews, Lay Press and Other Media
Prescribing a Multidisciplinary Approach to Cancer Pain Management. Anesthesiology News, 15:8, 1989.
2. Cancer Pain Control. The Talk Show, WXXI 1370 AM Radio, August 15, 1989.
3. Powerful New Weapons Change Treatment of Pain. New York Times, Science Times section, C1, February 13, 1990.
— Reprinted as Pain, Pain, Go Away. Flaste R (ed): NY Times Book of Science Literacy. NY, Random House, 1991, 199-205.
— Reprinted as Making Gains on Aches, Pains, Kansas City Times, February 22, 1992.
4. New Methods Ease Pain for Cancer Victim. Rochester Democrat and Chronicle (1B), September 25, 1989.
5. Push of a Button Tames Misery. Rochester Democrat and Chronicle, Frontiers (C3), March 8, 1990.
6. Inside Health Care: Hospitals Heighten Sensitivity to Pain. Health Week: News and Solutions for Health Care Management, 2/11/91.
7. Inside Health Care: Chronic Pain, Spotty Relief. Health Week: News and Solutions for Healthcare Management, 2/25/91.
8. Mendon Resident Joins UR Cancer Center. The Mendon-Honeyoye Falls-Lima Sentinel, August 16, 1991.
9. Invasive Techniques Stem Cancer Pain. Am Academy Family Practice Physicians Annual Mtg Convention Highlight, v.10, 1991, p4.
10. Euthanasia Movement May be Helping Spur New National Attention to Pain Relief. Hospice News Service, 1992;3, April.
11. Expert Urges Knowledge of Nonpharmacologic Methods: Invasive Techniques Control Cancer Pain. Oncology News, 1992;18:2.
12. Select Invasive Modalities May Offer Superior Pain and Symptom Management. Pain Topics 1992; vol 5, no 4, p 7-8.
13. New Medical Specialty: Pain. Syracuse Post-Standard, February 8, 1993, p B1.
14. Fentanyl Patch May be Good Option for Chronic Cancer Pain. Oncology News International, February, 1993, p 19.
15. Help for Cancer Pain. Rochester Democrat and Chronicle, May 17, 1993, p C3.
16. Cancer Patients Can Ease Pain Safely, Doctors Say. Richmond Times-Dispatch, Tues, June 22, 1993.
17. Round table: Breaking Through Cancer Pain Barriers (With Cancer, Pain is No Gain). Med World News 1993;34:24-30.
18. Treatment for Intractable Cancer Pain. InSynch: Updates in Interventional Pain Treatments, 1993, v4, no 3.
19. Pain Signals You Shouldn't Ignore. Woman's Day,
20. You Don't Have to Suffer Book Release Tour
—CNN Morning News, 3/3/94
—Medical News Network (closed circuit cable tv)
—Medical Herald, March 1994, p 6
—WKYC-TV (NBC), Cleveland Ohio
—WCPN-FM (NPR, APR), Cleveland, Ohio, 02/94
—Ladies Home Journal, in press
—Texas Medical Magazine
—CNN Radio Health Watch
—American Medical Radio
—Independent Living (AARP), 5/22/94
—WDOK-FM, Cleveland Ohio
—KNUZ AM, KQUE FM, Houston, 03/15/94
—WHUR FM, Washington D.C., 03/26/94.
—KHTV, Houston, 03/26/94
—WBAL AM Radio, Elaine Stein Show, 5/94
21. Controlling Pain as a Part of Cancer Care. USA Today, March 2, 1994, 7D.
22. Cancer Pain is Beatable but too Few Know It. Personal Health, NY Times, 3/16/94, C-12.
23. New Guidelines Expected to Improve Pain Control for Cancer Patients. Texas Medical Center News, 04/1/94, p 6.
24. Effective Pain Management Can be a Reality. Coping, May/June, 1994, p 22-3.
25. Pain: Should We Tough it Out or Reduce Severe Suffering? Houston Post, 4/20/94, pp A15-16.
26. Houston Headliners. KPRC TV Houston (NBC Affiliate), May, 1994.
27. Stroke Ravages Financial Health. Syracuse Herald-Journal, August 1, 1994, A-1.
28. FDA Considers Requiring Manufacturers to Perform Clinical Trials in Children. Anesthesiology News, May 1994, p 1.
29. Ways of Relieving Chronic Pain. Aware Positive Talk Radio, HIV Talk Radio Project, July, 1994.
30. Insurance Abandons Dupont Retiree: Health-care Bills Drain Savings of Cancer Victim. Wilmington News Jnl, 10/16/94, p 1.
31. Suffer No More: Why Pain is Bad for You. Good Housekeeping, November, 1994, 90-97.
32. Expert Calls for New Health Care Method. Daily Nation, Nairobi, Kenya, 12/19/94.
33. Palliative Care, Channel 7 Television, San Jose, Costa Rica, November 23, 1995.
34. Cancer Pain: You Don’t Have to Suffer. Health Scene: The Journal of Wellness and Good Health Care, Many-June, 1996, p 11.
35. You Don’t Have to Suffer. AM Singapore Television Program, 04/26
36. Cancer Pain and Palliative Care. Singapore Sunday Times, 04/96.
37. You Don’t Have to Suffer. ABC Radio News, 10/96.
38. Pain that Won’t Stop. Detroit Free Press , Cover Story, Body and Mind Section, 12/10/96.
39. Cancer Pain Management. Dr. Porteus’ Health and Science Report, Radio Interview, 02/97.
40. Morphine Makes Comeback as Painkiller. Knight-Ridder Newspapers, 02/97.
41. Using Narcotics to Treat Chronic Pain. Time/CNN Impact Forum (Live and Archived WWW Interview), April 4, 1997.
42. The Case for Morphine. Time Magazine, April 28, 1997.
43. FDA Approves Powerful New Pain Reliever. Blumberg Business Wire, 07/16/97.
44. Implantable Pump Provides Pain Relief. UT MD Anderson Network News, September, 1997. 45. Cover blurb, Webb M: The Good Death. Bantam, 1997.
46. Knocking Out Pain. UTMDACC Conquest 1997;vol 12, no. 2, pp 14-15.
47. Relieving the Agony. Houston Chronicle, August 16, 1999.
48. Breakthrough Pain. Houston KLOL FM Radio Interview with Patient. November 1999,
49. Breakthrough Pain. Houston KLOL FM Radio Interview with Patient. November 1999, re-aired in January, 2000..
50. Cover blurb, Yang JC, Tsui SL: A Guide to Pain Medicine. Hong Kong University Press. 2002.

• Research
— Funded Research
Patt RB, Feuerstein M: Thoracic subarachnoid block for cancer pain. American Cancer Society Grant, 1989-91.
2. Patt RB, Wells N, Hogan L: Evaluation of a Sustained Release Oxycodone Preparation. Purdue Frederick Corp, 1992.
3. Patt RB, et al: An Educational Program to Reduce Cancer Pain. RFA CA-91-25, National Cancer Institute, September, 1992.
4. Payne R, Patt RB, et al: Evaluation of oral transmucosal fentanyl for breakthrough cancer pain.
5. Hassenbusch S, Patt RB, et al: Phase I/II feasibility study of intrathecal infusion of SNX-111 in terminally ill patients with intractable pain.
6. Patt RB, Hassenbusch S, et al: A Study of the Patient-Activated Reservoir for Intrathecal Delivery of Morphine Sulfate as Management of Pain due to Cancer

— Multicenter Trials
Intravenous Regional Guanethedine for Reflex Sympathetic Dystrophy and Causalgia (Ciba Geigy).
2. Implantable Epidural/Intrathecal Access Port for Patients with Cancer Pain (Davol, Inc).
3. Transdermal Fentanyl Seeding Trial (Janssen Pharmaceutica).
4. Open Label Dose-titration study of Continuous Subcutaneous Sufentanil Citrate for the Treatment of Chronic Pain (Durect).

— Research in Progress
1. A controlled comparison of the effects of two psychostimulants on pain, arousal and other symptoms in patients with advanced cancer.
2. Effect of celiac plexus block on survival in patients with pancreatic cancer pain.
3. Hypogastric plexus block: Reliably predicting the efficacy of neurolysis.
4. Comparison of cost, analgesic efficacy, side effects of controlled release morphine and methadone in the treatment of cancer pain.
5. Spinal transplantation of autologous adrenal medullary tissue.
6. Transdermal fentanyl administered by electrophoresis for acute pain.
7. Epidural clonidine for terminally ill patients with intractable pain.
8. Skibber J, Patt RB, et al: Analysis of patients with locally recurrent rectal carcinoma: Prospective assessment of quality of life, outcome of therapy and management of pain.
9. Opioid Use in Cancer Survivors.