WIP Newsletter Vol III Issue 2 rev
Transcription
WIP Newsletter Vol III Issue 2 rev
World Institute of Pain Newsletter V O LU M E I I I , I S S U E 2 Presidential Address I N S ID E T H I S I S S U E : Dear colleagues, THE NEW EXECUTIVE BOARD of the World Institute of Pain (WIP) will begin to function by the end of June 2008 after the Silver Anniversary, 25th Annual Pain Symposium in Lubbock, Texas. After 15 years, since the establishment of WIP in 1993 by five people, WIP has become a very respected, recognized organization in pain medicine. In the beginning, only a small group of enthusiastic people participated and contributed to the activities of WIP. Now, WIP has grown to a level that with the new bylaws includes 17 sections all over the world. We are now holding biannual congresses, cadaver workshops, examinations for FIPP, and our journal Pain Practice has a respected place in pain medicine. Now it is time to go forward. We are still at the very beginning in pain medicine. Pain as an invisible disease has still not been recognized as a chronic disease within its own right. Recognition of specialization in pain medicine could only be achieved in a few countries. To improve guidelines for the proper and appropriate use of interventional techniques and to overcome the difficulties and problems related with the misuse and abuse of these techniques is a crucial issue. WIP has now grown to a large family, with section leaders, FIPP alumni of more than 500, our advisory board of well-known scientists and clinicians — all eager to work together to improve pain management all over the world. It is also time now to strengthen relations with other societies in the field of pain; to come together to solve the important problems we have. I strongly believe that science can not and will not be under the monopoly of a sole organization and we are eager to collaborate for the sake of pain science. To succeed, we need your help, contributions, new ideas — especially of the younger generations who are enthusiastic to enter this challenging world of pain medicine. As our outgoing president Prof. Gabor Racz states in his “Reflections of the Outgoing President” in this newsletter, for us to succeed there has to be a spirit of inclusiveness, which cuts across borders, religions and any possible difficulties. By all of us working together we are more likely to continue succeeding with our mission.” I strongly encourage you to read the “Reflections of the Outgoing President” in this newsletter to see the best example of a hardworking man who devoted all his life to the improvement of pain medicine, especially interventional techniques for pain management. He established a cradle of education that has benefited many of us. He is an intellectual with great vision and wisdom. There is only one word in that article that I criticize, and that is “Outgoing,” as no one is going anywhere and there will always be incoming colleagues. Prof. Serdar Erdine, MD, FIPP Founder and WIP President, 2008-2011 Presidential Address 1 Reflections from outgoing president 2 WIP 5th World Congress 2009 5 History of pain medicine, 2nd in series 7 WIP section news 10 FIPP examination announcement 20 WIP congratulates 46 FIPPs 21 Pain Practice 22 WIP marketplace 24 Notice of meetings 25 FIPP alumni news 26 Calendar of events 27 www.kenes.com/wip W O R LD I N S TITU TE O F P A I N PAGE 2 Reflections of Outgoing President Gabor R. Racz, MD, FIPP WIP President 2005-2008 By all of us working together, we are more likely to continue succeeding with our mission. Our mission is clear: Better physicians through better training and better education. IN THE BEGINNING the focus was a dream of the founders to improve the standard of pain practice by better training and education of pain physicians. The founders — Prithvi Raj, David Niv, Serdar Erdine, Ricardo Ruiz-López, and myself — felt that the dream could be best realized by being involved in multiple organizations that were devoted to pain medicine, education and research. The success of World Institute of Pain (WIP) is because of this concept and sincere voluntary efforts by the experts in this field. The concept that better education leads to better patient care is true. The participating physicians from multiple countries are now becoming better in their clinical practice of pain medicine regardless of the government regulations, and their country’s economic status and different languages spoken. The basic mission of WIP has always been to strive for the highest level of education in the field of pain medicine in the individual country. That mission was also agreed upon to be the entry ticket to the FIPP Examination. The presidency has been three very quick years, and there have been significant achievements because of many hard working, dedicated people. For the future presidents, and especially for the next one, there is plenty of work to do. Prof. Serdar Erdine has shown talent as an excellent teacher, researcher, and organizer of major societies. The most important significant contribution by him is that he is one of the founders of WIP. He understands that for us to succeed there has to be a spirit of inclusiveness, and for the mission of WIP to succeed it has to be consensus solutions. The concept that better education leads to better patient care is true. Already, Prof. Erdine has embarked on the development and adaptation of new WIP bylaws, which have been approved by the WIP Executive Board. The new face of WIP creates sections and regions in other parts of the world and allows them to be a part of WIP and cater to their specific needs. In my term, WIP worked with the American Society of Interventional Pain Physicians (ASIPP) to coordinate the second part of the ABIPP examination and allow those candidates to take our FIPP examination. This joint venture was due to the efforts of ASIPP leadership especially Laxmaiah Manchikanti, Andrea Trescot and Ramsin Benyamin. The FIPP will maintain its unique international status. The FIPP Examination would not have been possible without the hard work of our registrar and practical workshop facilitator, Dr. James Heavner, and our FIPP secretary, the person who knows more physicians than anyone else, Paula Brashear. The work of WIP has grown so much that now we increased the staff, and the new executive secretary is Dianne Willard. From her office in North Carolina, she will have ample responsibilities, as the WIP spokesperson and a liaison between the committees and the boards. Pain Practice, the official journal of WIP is now indexed in James Heavner Paula Brashear Dianne Willard Medline, during my term of office. Congratulations go to Craig Hartrick for his successful attempt to do so as the Editor-in-Chief of the journal. (continued on next page) PAGE 3 Reflections of Outgoing President (continued from previous page) I also want to recognize the earlier work of Prithvi Raj and Susan Raj, which put the foundation for the uniqueness of this journal for the pain physicians. The flow of information means better trained doctors and better patient care. We have achieved success in bringing together pain physicians globally through regional meetings in London, Puerto Rico, Greece, Istanbul, Argentina, Budapest, Mexico, Canada, Lubbock, and Memphis. Charles Gauci, with his able colleagues Muhammad Ather and Patrick McGowan, contributed significantly in the organization of the sections, and the website. Susan and Prithvi Raj We cannot stop on our laurels. Philip Finch has been advocating for several years to develop a WIP Master’s Level Examination, to recognize the highest level of achievement in pain practice. I am proud to report the 4th World Congresses in Budapest was successful. Looking back at the previous congresses, first in Iliat organized by David Niv, then Istanbul organized by Serdar Erdine, and the next one organized by Ricardo Ruiz-López, in Barcelona, they have all been successful in those times. Each congress was bigger than the one before, and the most recent one in 2007 in Budapest had over 1,800 registrants. Physicians from 73 countries attended. WIP is now planning the next World Congress in March 13-16, 2009 in New York City. Richard Rauck is the organizer for this congress and under his leadership, a superb scientific committee has been chosen in Tony Yaksh. James Rathmell, and Giustino Varrassi. I believe the next congress will outdo the previous successes by providing the latest and best information in pain management to its attendees. Discussions are going on among the WIP officers about the formation of the WIP Educational Foundation. This idea is brought forward to support and train pain physicians without regard to the handicap imposed by economic status. Our numbers of FIPP have grown during 13 examinations to 476 from 30 countries. In 2001 when I learned of the Initiative for the Proclamation of Pain Treatment and the Provision of Palliative Care to the level of Human Rights, I was among the hundreds of WIP members around the world who promptly endorsed it. I was also present in 2004 at the 3rd WIP World Congress in Barcelona when this important initiative was officially endorsed by WIP. Our WIP members in Puerto Rico brought us their report of how the concept for the initiative was born during their missionary work in the 1980's while they were witnessing the suffering of innocent people dying in horrendous pain. Because of their dedication to the importance of it, WIP unanimously supported the concept and takes great pride in being publicly supportive of this idea. I recognize one member in particular who is dedicating time and energy to acquire worldwide recognition for the initiative — Eduardo Ibarra, MD, FIPP, who is President of the Physicians and Surgeons of Puerto Rico. Our incoming president Prof. Serdar Erdine of Istanbul, Turkey, is supportive of the Initiative, and our presidentelect, Prof. Ricardo Ruiz-López of Barcelona, Spain, by invitation from The Vatican has presented this message to Pope Benedictus. At a meeting May 22, 2008 in Panama Dr. Ibarra joined with representatives from 18 Latin American Pain associations, including representatives of the United Nations and the Vatican, to produce a worldwide statement on the Initiative. We urge you to lend support in every way you can to strengthen their efforts. Pain is prevalent; chronic and cancer pain is expected to double by 2030. In this world of aging population. I feel it is important that WIP take a proactive stand with Dr. Ibarra’s movement in urging the UN to declare pain treatment a Founders Erdine, Racz and Niv at the FIPP Examination in Budapest, September 2005. human right. W O R LD I N S TITU TE O F P A I N PAGE 4 We have had personal tragedies during my term. David Niv lost his life tragically. We will always miss his smile and remember his phenomenal contributions to WIP. WIP encourages the contributors to support the creation of a statute in his home town Tel Aviv, Israel. Sam Hassenbusch was also taken from us by a dreadful illness. He was a man with eternal optimism and generous spirit until the very end. His contributions shall be remembered by all of us which are to preserve the academic and leadership qualities of pain physicians. WIP Board will honor his memory by allocating the Samuel Hassenbusch Prize. This prize will be awarded annually to the FIPP candidate that year who is the best graduate in the FIPP examination. Hassenbusch We shall have new issues such as the recognition that language can be a tremendous gift The Hassenbusch Prize will be awarded annually to the FIPP can- and at the same time, a barrier to exhibiting skills, and this issue didate who is the best graduate in must be addressed in the future in order to allow candidates to avail themselves for the FIPP. The new Examination Board will the FIPP examination that year. be chaired by Nagy Mekhail from Cleveland and Maarten Van Kleef from Maastricht. Another issue we are discussing is a result of the growing number of many bright, young contributors and experienced leaders ready to step into WIP leadership. We are considering reducing the term of the WIP presidency from three to two years. I would expect this to occur as a maturing process and could even be acted upon during the tenure of the incoming president. On this topic the WIP members and the Board are invited to assert input. Our changes have not been self serving. One of the lighter touches has been the inclusion of some art. At the last Congress we started an art auction as a fundraiser. We have had several people offer similar contributions for future Congresses. The theme was “Pain and Scream” in 2007. In 2009 in New York “Pain and Relief” will be illustrated among the beauties and historical pictures of the Statue of Liberty. These paintings will be by the same artist, Csok Ramo of Hungary, but if and when we have an art committee, we might offer the opportunity to pick the theme painting as the winner in the spirit of the day. Our mission is better education and better relief. We have learned from anybody and everybody that we could make this happen. I have long worked with neurosurgeons and paid attention to Harvey Cushing who said, “A good neurosurgeon is a good traveler.” We can safely say, a good pain physician is a good teacher and a good traveler. We accept those who travel a long way to learn but also bring much they can teach. We believe that one should be willing to listen and learn and keep no “Scream and Pain” secrets. We are living in a wonderful time, with new developments, new concepts Painted in Budapest, 2003 and new ideas that make our specialty safer and better. We are influenced by highly By Csok Ramo, Artist significant institutions and industry where growth is marked with equipment, systems and neuromodulations and high technology based on our current day practice. The evidence exists that what we are doing helps patients through suffering, helps people in their daily lives and in getting back to work. This is an emphasis of the ambitious research inspired and collected by many WIP members such as Ludger Gerdesmeyer and Jan Van Zundert and reported in peer review journals and our conferences. Finally, these were just some thoughts for the incoming president, Serdar Erdine, and president-elect, Ricardo Ruiz-López. They need to keep a careful eye on the mission and achievements of WIP so far. They need to reconsider some of the ideas that have not been achieved by WIP and find other ways to do it successfully. I also invite every WIP member to chip in and make pain practice safer and better for our patients. -GBR Ruiz-López PAGE 5 V O LU M E I I I , I S S U E 2 WIP2009 5th World Congress New York, USA, March 13-16, 2009 WIP 5th World Congress THE WORLD INSTITUTE OF PAIN (WIP) has chosen New York, the heart of the United States, as the venue for its 5th World Congress. Since its founding in 1994, WIP has held four successful World Congresses in Eilat (Israel), Istanbul (Turkey), Barcelona (Spain), and recently in Budapest (Hungary) with more than 2000 delegates. WIP’s combined focus on participant-friendly yet intense educational activities, together with “hands-on” courses, has led to the development of novel interventional techniques for the management of pain. At the same time, we have fostered consensus building amongst pain experts on the effectiveness of existing techniques and on avenues for further improvements in therapeutic performances. This will be a chance to hear and meet the leading lecturers and share their experiences from all over the world. Congress Chairman Richard Rauck, together with the Scientific Program Committee, chaired by Tony Yaksh, and co-chaired by Richard Rathmell and Giustino Varrassi, is preparing a program representing the very latest evidence-based and best-practice-based pain medicine in all areas and disciplines interested in the field. In addition to science, there will be an opportunity to take a bite out of the “Big Apple.” Like no other place on earth, New York’s diversity, unique culture and style infused with iconic architecture makes for a memorable experience. Richard Rauck We look forward to welcoming you to New York in 2009 at the WIP 5th World Congress. Serdar Erdine, MD, FIPP Founder & President Ricardo Ruiz-López, MD, FIPP Founder & President-Elect CONGRESS VENUE: Hilton New York 1335 Avenue of the Americas New York, NY 10019 USA Tel: +1-212-586-7000 Fax: +1-212-315-1374 Opening Ceremony - “Broadway Opens to the World” followed by a Welcome Reception will be held on Friday, March 13, 2009 at 1730 hours at the Hilton New York. www.kenes.com/wip W O R LD I N S TITU TE O F P A I N PAGE 6 5th World Congress World Institute of Pain - WIP2009 New York, USA, March 13-16, 2009 Announcement and Call for Abstracts Important Dates Abstract Submission Deadline: September 29, 2008 Early Registration: December 1, 2008 21st Century Pain Medicine Science, Art, Practice www.kenes.com/WIP2009 PRELIMINARY TOPICS TOPICAL SEMINARS • Cancer Pain Management for Refractory Patients • Characteristics of Unusual Drug Delivery Routes to Target the Brain • Clinical Publications: Their Role in Scientific Journals • Common Analgesic Drugs and their Uncommon Mechanisms • CRPS: An Update on Mechanisms and Clinical Manifestations • Fibromyalgia: Evolving Concepts and New Therapies • Genetics Predisposing the Pain Phenotype • Geriatric Pain: How Does it Differ from Other Age Groups? • Headaches: How to Differentiate and the Implications for Treatment • Intrathecal Drug Delivery: Where are We? • Lysis of Adhesions: Current and Future Applications • Multimodal Analgesia in the Perioperative Patient • Neuropathic Pain: Modern Algorithm for Management • Nonneuronal Cell and Pain: Current and Future Targets in Pain Research • Opioids in Chronic Pain PLENARIES Current Themes in the Processing of Pain Information • Afferent Transduction Processes and Targeted Therapy • Inflammatory Cascades and Pain Modern Themes in Neuropathic Pain • Commonalities and Similarities in the Clinical Neuropathic Pain Phenotype • New Targets in Neuropathic Pain Imaging the Pain Pathway • The Complexity of the First Link in the Dorsal Horn • The Brain Pathways Activated by Pain Stimuli • Overview of Palliative Care • Pain and Spinal Cord Injury: Mechanisms and Management • Pain as a Disease • Pain Medicine Education and Board Certification: A Global View • Pathophysiology and Diagnosis of Radicular Pain • Pediatric Pain: Developmental, Mechanistic, and Treatment Considerations • Political Affairs and Economic Reimbursement for Interventional Pain Medicine • Post Amputation Pain: Characteristics and Treatment Options • Radiofrequency: An Expanding Role in Interventional Pain Medicine • Spinal Cord Stimulation: Evidence-Based Efficacy and Indications • Spinal Pain: Diagnosis and Treatment • Targeted Neurotoxins • Transition from Acute to Chronic Pain: What is Happening? • Trigeminal Neuralgia and Atypical Facial Pain • Visceral Pain: Mechanisms and Clinical Manifestations PAGE 7 V O LU M E I I I , I S S U E 2 Clarion Call to Pain Physicians By P. Prithvi Raj, M.D., FIPP, ABIPP Founder and Past President, WIP I AM WRITING THIS COLUMN in the WIP Newsletter on the History of Pain Management, to answer a clarion call which we as Pain physicians need to hear. This column has a bias of the way I think about the status of pain management and could be challenged by pure historians. Collectively, it is our moral obligation to elevate the standard of pain practice higher than we found it in our lifetime. By writing this column, I am pleading to all the practitioners of pain medicine and the pain societies, to come together to find ways of how to solve the problems pain medicine faces today. The need for us to solve the problems of pain medicine is: 1. Recognition of pain management as a primary specialty, and its subspecialties; such as Interventional Pain Medicine. 2. Research and study of the pain mechanisms, with the most effective tools available today. 3. Champion the right of every human being to expect assistance in pain relief by all physicians as a mandate from the United Nations. 4. Educate the government and reimbursement agencies to respect the Pain specialty similar to major specialties like Medicine and Surgery. In this and future issues of WIP Newsletter, I shall review the History of Pain Management from pre-historic times. Your comments will be most welcome.—Prithvi Raj, MD, FIPP, ABIPP Founder and Past President WIP (prithviraj@fuse.net). HISTORY OF PAIN MEDICINE: Pain Relief—Ancient Civilizations By P. Prithvi Raj, MD, FIPP, ABIPP SOME 5000 YEARS AGO, man began to build cities and develop a system of writing. In the early Mesopotamian civilizations, peoples such as the Babylonians and, subsequently, the neighboring Hebrews considered suffering to be a punishment from the gods, possibly to arrive at an explanation for distressing situations for which they had few solutions. The text of the Hebrew Bible, thought to have originated during a period extending from the 12th to the 2nd century B.C. contains the following explanation for the pain of childbirth. In the book of Genesis,'' punishes Eve by telling her, A will greatly multiply thy sorrow . . . in sorrow thou shalt bring forth children. The earliest known quality v assurance in the practice of medicine is found in the code of Hammurabi, written in Mesopotamia in approximately 1700 B.C. Ancient Egypt Egyptian mummies allow us the first glimpse at diseases of soft tissues in ancient times. It seems the Egyptians suffered, among other diseases, tuberculosis, dental caries, athero-sclerosis, and urinary stones; dental prostheses for decaying gums and teeth were used and there is evidence of dental abscesses. Pain must have been common in the populace and, indeed, the medical papyri reveal substantial use of drugs such as hyoscyarnine, scopolamine, and the opium poppy, along with ritual and mechanical procedures. In the Hearst papyrus, recorded about 1550 B.C., clinicians treat-ing "pains within the body," which we now call visceral pain, are advised to prescribe the drinking of a mixture of beer, juniper, and yeast, to be swallowed for 4 days.' A surgical technique commonly producing pain is the very famous Procedure, circumcision (Fig 1). This was per formed in young males just before marriage and without local anesthesia. However, analgesia could be induced (by mixing calcium carbonate or Stone of Memphis with acetic acid (vinegar) which would give fresh carbon dioxide, which to be produced requires heat, that heal being Fig 1 — Replica of picture on the wall of Ancient Egyptian pyramid showing circumcision done on awake patients one of them was restrained by second person while the operator operates. W O R LD I N S TITU TE O F P A I N PAGE 8 taken from the skin of the prepuce4 The carbon dioxide induces local cooling. The principle applies to cryo-analgesia, which is used for the treatment of pain today. Perhaps more dramatically were the amputations performed under freezing conditions, a technique used at first by the chief physician of the Islamic world Avicenna. Ancient India Ancient India’s contributions to medical science were quite significant. Plastic surgery began in India; Shushruta, whose specialty was rhinoplasty, was the first physician to perform plastic surgery and was a pioneer with regard to the study of human anatomy. In ancient India, the system of medicine called Ayurveda was first recorded by Dhanvantari, who was deified as the God of Medicine. Ayurveda literally means the science of the living; ayu means life and Veda means knowledge. Unlike Allopathy and Homeopathy, Ayurveda was fundamentally based on herbal medicine. It was also considered a scientific art of healing, because it did not rely solely on magical or supernatural explanations for illness. Instead, Ayurveda was based on the idea that there is a physical link between the disease and the cure. According to Caraka, a prominent practitioner of Ayurveda in 7th century B.C., “A physician who fails to enter the body of a patient with the lamp of knowledge and understanding can never treat diseases. He should first study all the factors, including environment, which influence a patient’s disease, and then prescribe treatment. The earliest concepts of medicine can be found in sacred writings called the Vedas, especially in the passages of the Atharva Veda. The Atharva Veda put the causes of pain into three categories: (Fig 2) ♦ Adhyatmika that included physical and mental suffering produced by natural and organic causes, which is in keeping with the way modern medicine approaches pain; Fig 2 — Manuscript page from Atharva-Veda. The earliest Indian text to give much medical information. ♦ Adhibhautika that included physical and mental suffering produced by natural and extra organic causes such as men, birds, or animals, for example. ♦ Adhidaivika that included suffering produced by supernatural causes such as planets, ghosts, and demons. Clearly, in ancient India religion was thought to play an important role in the healing process. Patients expected their physicians to include spirituality as part of the healing process. Often rituals were performed that included prayer and the singing of hymns. Yoga: The Body and Mind Connection (Fig 3) Fig 3 — It is believed that Maharishi Patanjali was the avatar of Adi Shesha - the Infinite Cosmic Serpent upon whom Lord Vishnu rests. He is considered to be the compiler of the Yoga Sutras, along with being the author of a commentary on Panini's Ashtadhyayi, known as Mahabhasya. He is also supposed to be the writer of a work on the ancient Indian medicine system, Ayurveda. Yoga dates back to the 2nd century B.C., when Patanjali is credited with presenting it. Yoga is a system of exercises that embraces physical and mental nourishment. it is based on the idea that within the body there are channels called Nadi and centers called Chakras. By tapping the energy of these areas, it is said that one can acquire not only the ability to overcome pain, but even avoid future illness by creating an internal balance. Ancient China Unlike the holistic approach to medicine that is taken by many Hindu physicians, Chinese philosophy focuses on identifying good versus bad energy. Another distinction is made here between the core of Western and Eastern philosophy. “Bad” energy and pain are not considered “evil,” as the Christian concept of “evil” does PAGE 9 V O LU M E I I I , I S S U E 2 not exist in Taoism or Confucianism. Instead, these negative forces are considered the influence of an absence of growth or the inability to overcome change. Through the proper channeling of these negative energies, the physician relieves pain. In this philosophy, human beings are more evolved, and therefore, more connected to the Universe. Because of this higher level of existence, they are more conscious of pain and suffering. It is known that although animals can experience pain, the concept of “suffering” is an intrinsically human perception. This idea is linked to chronic pain, which defies the belief that pain is a survival mechanism. Pain transcends the biological and moves into the psychological and for the Chinese, the spiritual. One of the best-known energy techniques used is acupuncture, which is also known as acu-moxi-therapy. Through the use of needles or cauters, applied to vital areas on the skin, the doctor can “restore proper phasing of Fig 4 — An ancient acupuncture energy flow.” As the needles penetrate chart. blockages of energy, that energy is released and allowed to flow correctly. It is not required for a needle to be inserted into an area located at the source of pain. As all the energy spheres are interconnected, one must only place the needle in an area of “flow.” For example, a certain region of the ear might influence energy in the stomach, thus relieving pain there (Fig 4). Fig 5 — TAI CHI class, United States. Tai chi is another common form of energy exercise. Much like Yoga, these complex series of movements allow the patients to focus their minds and release energy blockages. In addition, energy is revitalized, assisting in the healing process and improving general health. (Fig 5). - PPR Acknowledgements: The WIP acknowledges the following sources of images used in this article. Permission was either obtained or attempted. The WIP’s fair use of the images is based on the intended educational purpose and no profit is generated or received for the article or its use by WIP. Fig 1. Takrouri MSM. Replica of picture on the wall of Ancient Egyptian pyramid. In: Historical Survey of Ancient Surgery and Anesthesia Practice in Arabic Countries [Article of the Month]. Retrieved 3 June 2008, via Google images and www.pafsaonline.org/article.html. Fig 2. Sammy A. Manuscript page from Atharva-Veda. Retrieved 3 June 2008, via Google images and http://dr-sato.org/ayrvda.aspx. Fig 3. Maharishi Patanjali was the avatar of Adi Shesha—the Infinite Cosmic Serpent. Retrieved 3 June 2008, via Google images. Fig 4. Kieou King, T. An Ancient Acupuncture Chart. Retrieved 3 June 2008, via Google images. Fig 5. TAI CHI class, United States. Retrieved 3 June 2008, via Google images. Your WIP Newsletter is working for you! FIPP Alumni News you can use HAVE YOU MOVED or been appointed to a position of leadership within your organization or a professional society board or committee? Have you been awarded a grant, authored a book or article, or received another honor? If so, tell us about it! The WIP has introduced a FIPP Alumni News section of the WIP Newsletter to keep the WIP community abreast of significant professional achievements of its alumni and to promote collaboration between colleagues with similar interests. With address changes, only the minimum of information will be published—name of your practice, hospital or university affiliation, city/province and country, and your email address subject to your consent. Specific details of your address and contact information will not be disclosed unless you specifically request it and consent to this detail being published. Please forward your FIPP news of interest to your WIP Executive Secretary, Dianne Willard, at dianne.willard@worldinstituteofpain.org. see page 26 for this issue’s FIPP Alumni News. W O R LD P A G E 1 0 I N S TITU TE O F P A I N P V O LU M E I I I , I S S U E 2 WIP Section Update By Charles A. Gauci, MD,FRCA, FIPP WIP Council Executive Board Member-at-Large; Chairman, Board of Sections THERE IS A LOT of WIP activity going on around the world, as this Section Update will show. I wrote to all the Section chairmen asking for their local report. These reports have been edited and reproduced here. More and more doctors are sitting for the FIPP exam and we will be seeing countries that are presently united within “super sections” breaking away to form their own national Section as they reach the critical mass of five FIPPs. As a benefit to our members in WIP Sections, we have included mention of some significant regional pain conferences that are not WIP-sponsored. We are unable to feature all of them here in this newsletter, but in the near future the WIP website will feature WIP Section “bulletin board” pages that will be used to promote activities and communication within the sections, with greater opportunities for links to conference websites. This new website facility should be available by August of this year. It is hoped that Section chairmen will contribute significantly to the content of the WIP Section bulletin board. There still seems to be some confusion as to how each Section should go about seeking WIP endorsement for their meetings and what this endorsement entails. The procedures were explained in the last newsletter and Section leaders should follow those guidelines. Each Section chairman will also soon receive a rudimentary WIP Section Manual, which will include these guidelines and more. This manual will grow in content and value as we learn from each other how best to promote and manage the growth of WIP throughout the world. - Charles Gauci AUSTRALIA There are eight FIPPs representing the Australian section, including one who is an officer and member of the WIP Executive Board. As you know, the Australian chapter is quite small, and although there have been some informal discussions with individual members there have been no official meetings or sessions at local meetings. Peter Courtney, MD, FIPP Section Chairman, Australia SOUTH AFRICA Earlier this year the WIP Africa Section held its first Africa Section Cadaver Workshop with Prof. Gabor Racz, MD, FIPP (USA), Dr. Neels de Villiers, MD, FIPP (South Africa), and Dr. Ajay Maharaj, MD, FIPP (South Africa) as FIPP Instructors. The workshop was attended by 27 doctors and consisted of six cadavers and six C-arm workstations at Tygerberg University Campus, Cape Town. This workshop was preceded by active lectures and a live theatre session held with patients operated upon in theatre for cervical, thoracic and lumbar neuroplasty, lumbar facet blocks and lumbar sympathectomy. All participants received a signed certificate of attendance. All 28 members signed up to become subscribers of the African Section of WIP. A profit of 1,000 Euros to WIP was made and presented to Prof. Gabor Racz, MD, FIPP (USA). Future activities include four potential candidates who are actively being trained for the FIPP examination in Budapest, utilizing the online MDC Pain Clinic training modules. We aim to have a minimum of five FIPP members qualified by January 2008. Future workshops are planned and include a follow-up live cadaver workshop to be held 10-12 October 2008. We plan to invite Drs. Jan Van Zundert, MD, FIPP (Belgium) and Patrick McGowan, MD, FRCA, FIPP (UK) to serve as instructors. Also, Dr. Neels de Villiers, MD, FIPP (South Africa) visited Dr. Charles Gauci, MD, FIPP (UK) at Whipps Cross Hospital London in May and Gauci has provisionally agreed to teach at a future workshop planned for February 2009! Dr. Neels de Villiers MD, FRCA, FIPP Section Chairman, Africa V O LU M E I I I , I S S U E 2 PAGE 11 BENELUX (Belgium & The Netherlands) In 2007, five anaesthesiologists from Belgium and the Netherlands passed the FIPP examination; bringing the total number of alumni to 25 and making the Benelux Section the second largest section of WIP. Several times a year, we organized special preparation sessions for candidates. In December we organized the first joint meeting on anaesthesiology/interventional pain management between the Benelux countries. This meeting was attended by 200 anesthesiologists including Prof. Serdar Erdine, MD FIPP (Turkey) as support from WIP. In 2008, further active recruitment of candidates was pursued and preparation of candidates is ongoing for the next FIPP examination in Budapest. In November, the second joint meeting on anaesthesiology/interventional pain management will be held and WIP endorsement is under consideration as this meeting is expected to further stimulate the recruitment of candidates for the FIPP examination. Jan Van Zundert, MD, FIPP Section Chairman, Benelux Prof. Maarten Van Kleef, MD, FIPP Section Representative, Benelux CENTRAL AND EASTERN EUROPE (Germany, Hungary, Lithuania, Ukraine) A WIP meeting will be held here in my clinic in Bad Wiessee in September 2009. Presently, there are 11 FIPPs representing this Section, including six from Germany, three from Hungary, and one from both Lithuania and Ukraine. Dr. Martin Marianowicz, MD, FIPP Section Chairman, Central and Eastern Europe IBERIAN (Portugal & Spain) During the last six months there have been no scientific or academic events endorsed by WIP in our country, but the following academic activities of interest to Iberian Section pain physicians are planned: ♦ Symposium on “Chronic Pain in Women,” to take place in Barcelona on 30 January 2009. ♦ International Symposium on “Minimally-Invasive Surgery in Chronic Pain,” to take place in Barcelona 22 May 2009. We will keep WIP members informed of future news and development of activities in the Iberian Section, which presently consists of 13 members—12 from Spain and one from Portugal. Dr. Carmen Pichot, MD, FIPP Section Chairman, Iberian INDIA, IRAN & PAKISTAN Courses not sponsored by WIP, which may be of interest to pain physicians in this region, include the following activities offered under the banner of my pain clinic DARADIA. ♦ We are providing training to five participants each month for two weeks, whereby participants observe all interventions and perform procedures on an indigenously-prepared mannequin. More than 50 participants have completed this course over the past year; 25 in the past six months from all over our country and also from outside our country. ♦ A cadaveric workshop was held in January 2008. (continued on next page) W O R LD I N S TITU TE O F P A I N PAGE 12 INDIA, IRAN & PAKISTAN (continued from previous page) ♦ We organised one free pain management camp in April 2008 where 20 consultants from India and abroad gave their opinion on 120 difficult pain problems. ♦ Also in April 2008 we organized a workshop that consisted of live demonstrations, meet the experts one-to-one interaction, hands-on training, understanding CT and MRI, and operation of instruments. Future programs are planned, including the continuation of the two-week training course, a workshop on 5-7 September 2008, and a special training program for candidates preparing for the FIPP examination. Gautam Das, MD, FIPP Section Chairman, India, Iran & Pakistan This section is represented by six FIPPs – five in India and one in Iran. I do not claim to be doing much for WIP, but I promise maximum candidates for the FIPP examination from north India in the near future, as I am presently training about 20 anaesthesiologists at Khyber Medical Institute in Jammu and Kashmir for the FIPP examination. My intention is not only that they pass the FIPP examination, but also that they preserve the high standards of the FIPP for all graduates. I am also planning a North India conference on interventional pain practice to which 200 candidates are invited. This conference will be in August 2008, and I will be actively inviting doctors from WIP. Tariq Tramboo, MD, FIPP Section Vice Chairman, India, Iran & Pakistan ISRAEL During the first half of this year there has not been much WIP activity, as Israel is a small country. We have six FIPPs since the time of the late Prof. David Niv, MD, FIPP (rest in peace). Since the country is religious, we cannot conduct a cadaver workshop here. We do have biannual pain meetings organized by the Israel Pain Association, and the last one was an International Congress. We hope to receive WIP endorsement for the next 2009 annual congress. I think that a radiofrequency procedures or other invasive procedures workshop on mannequins is an imperative in Israel, and will be one of the aims of this section. Dr. Meir Bennun, MD, FIPP Section Chairman, Israel KOREA & JAPAN A brief report of our WIP Section activities: 1. We informed the members of Korean Pain Society about the Application for Certification as Fellow of Interventional Pain Practice. 2. We have a regular meeting every two months about the interventional pain practice. 3. Our section chairman, Prof. Sang Chul Lee (South Korea) will visit Japan twice this year to let Japanese pain physicians have interests in WIP and FIPP. 4. Our section chairman, Prof. Sang Chul Lee (South Korea), who is 13th president of World Society of Pain Clinicians, had a very successful 13th International Pain Clinic Congress World Society of Pain Clinicians in Seoul, Korea from May 29th to June 1st, 2008. 이상철 Sang Chul Lee, MD, PhD, FIPP (continued on next page) Section Chairman, Korea & Japan V O LU M E I I I , I S S U E 2 PAGE 13 KOREA & JAPAN (continued from previous page) It was a great honor and privilege for us to host the 13th International Pain Clinic Congress held in Seoul, Korea, from May 29 to June 1, 2008. The World Society of Pain Clinicians through all these years of activity has continued to maintain a high standard in the academic and scientific profile of their congresses. In particular, the scientific program for the WSPC 2008 provided a comprehensive update on the latest developments in the field of pain. During the four-day program, all the issues in the field of pain were handled at 3 Refresher Courses, 3 Special Sessions, 25 Symposiums, 6 Luncheon Sessions, and 2 Early Morning Workshops. On the back of lively participation of colleagues, scientific and educational objectives of the society have been fulfilled successfully. Thanks to participants’ commitment and contributions, this important Congress provided a platform for participants to have a productive conversation and gain meaningful insights into this arena. A total of 1,107 distinguished participants from 31 countries and 39 leading companies have joined us at the Congress as exhibitors, occupying 58 booths. In addition to special lectures, more than 90 presentations and 170 poster presentations were given to make this Congress more rewarding. And, the carefully planned scientific sessions and discussions on timely issues also offered practitioners in the field of pain medicine the precious opportunity to extend their skills and knowledge of advanced techniques. Especially, a variety of social programs held during this year’s Congress were able to be the wonderful chance for participants to strengthen their professional relationships with others in the field of pain and expand and energize their network. Prof. Sang Chul Lee (South Korea), the 13th President of World Society of Pain Clinicians, played a pivotal role in creating the cozy atmosphere by encouraging WSPC members (Front row) Robert Van Seventer, Eli Alon, Sang Chul from around the world to exchange scientific information Lee, Anna Spacek (Back row) Jia-Xiang Ni, Lloyd freely, contributing to making the WSPC a great success. He Saberski, Christopher Wells was elected a WSPC President in 2004 and has prepared this congress for around 4 years. Lastly, we would like to express our deepest gratitude for your endless support in many ways and great contributions towards a successful 13th International Pain Clinic Congress. In order to achieve better health for everyone, we must strengthen the friendship and contacts between us. Let us all work together to facilitate the wide-ranging advancement of the field of pain medicine. For more information on the Congress, please visit the website (www.pain-wspc2008.org) or contact the WSPC2008 Secretariat (wspc2008@intercom.co.kr). 이상철 Sang Chul Lee, MD, PhD, FIPP Section Chairman, Korea & Japan PAGE 14 V O LU M E I I I , I S S U E 2 LATIN AMERICA (Argentina, Brazil, Columbia, Mexico) The interest in interventional pain practice in Brazil is increasing. As I lecture throughout Brazil, I use each opportunity to promote the aims of WIP. One physician from Brazil was awarded FIPP certification following the Memphis 2008 examination, bringing the total FIPPs in this region of Latin America to three. Two to three physicians are expected to sit for the Budapest 2008 examination. Assis Courses not sponsored by WIP that may be of interest to pain physicians in this region include: a course on interventional pain practice during the October 2008 Brazilian Congress of Pain (IASP Chapter), which Eduardo Ibarra, MD, FIPP (Puerto Rico) is coming over for; and another course in November 2008 during the National Congress of the Brazilian Society of Anesthesiology, which Ricardo Plancarte-Sanchez, MD, FIPP (Puerto Rico) and Alexandre Teixeira, MD, FIPP (Portugal) are coming over for. Plans are also underway for a National Congress on Interventional Pain Practice to be held sometime next year. Fabricio Dias Assis, MD, FIPP Section Co-Chairman, Latin America (Brazil) Interest in WIP and the FIPP examination is growing in the Latin American region. In addition to the Brazilian members, there are four more FIPPs in this region (three in Columbia, one Argentina, and one Mexico). Also, at present there are approximately seven or eight colleagues from Argentina, two or three from Uruguay, and two or three from Chile who are ready to sit for the FIPP examination. The timing of their application will depend on their decision and financial situation. As I have mentioned before, (the English) language is no doubt a barrier; however, other colleagues will be applying in the near future. I would like to share what will probably be the most important initiative in Latin America to train colleagues for WIP certification. We have reached an agreement with the Latin American Flores Confederation of Anesthesiology Associations (CLASA) to conduct the Specialist Program in Pain Medicine and Palliative Care, which has been taught by Fundación Dolor (jointly with the University of Buenos Aires) since 1980 for all of Latin America. This two-year program is oriented for specialists in anesthesiology and comprises 1000 class hours with practice on cadaveric models, patients and simulators. This program offers training in acute, chronic and oncologic pain. More than 500 colleagues have graduated from this course. Many of the graduates are from neighboring countries, namely, Uruguay, Paraguay, Bolivia, Chile and Colombia. This agreement with CLASA is part of the collaboration of Fundación Dolor de Buenos Aires with the Latin American Section to promote the training of specialists for WIP certification. Fundación Dolor de Buenos Aires, founded in 1980, is a non-profit organization with a clinical and an academic department devoted to teaching and investigation. A proposal has been submitted to WIP to formalize links between Fundación Dolor and WIP. Although this is a region that is characterized by scarce financial resources, it possesses very resourceful and hardworking individuals. Without a doubt, this enhanced relationship with WIP will contribute to the increased recognition and prestige of WIP in the Latin American region. It is my understanding that all the promotional and educational work will lead to a larger number of anesthesiologists seeking FIPP certification. In May 2008, the 3rd Advanced Interventional Pain Symposium and Practical Workshop were held in Buenos Aires, Argentina. On this occasion, we were honored by the presence of Charles Gauci, MD, FRCA, FIPP (UK) and Menno Sluijter, MD, FIPP (Switzerland). I wish to Dr. Carlos Flores teaches with highlight the fact that this year for the first time we used the Kip Kip Kohrman Simulator dummy. W O R LD I N S TITU TE O F P A I N PAGE 15 LATIN AMERICA (continued from previous page) (Argentina, Brazil, Columbia, Mexico) Kohrman Simulator for training in interventional radiology. Also, colleagues from several Latin American countries attended the symposium this year, including Uruguay, Chile, Brazil, Paraguay, Colombia and Venezuela. These courses were held in parallel with the international courses of Fundación Dolor. This year, Fundación Dolor conducted the 14th international course. Next August (from 13 to 16) we will be organizing the 37º Argentine Congress of Anesthesiology and VIII Pan-American Symposium of Regional Anesthesia. I am the President of the Congress and we will be honored by the presence of Gabor Racz, MD, FIPP (USA) and Dr. Luis Miguel Torres Morera, together with 40 more professors. Menno Sluijter, Carlos Flores, Charles Gauci Juan Carlos Flores, MD, FIPP Section Co-Chairman, Latin America 14th International Pain Course of Fundación Dolor 3rd Annual Advanced Interventional Pain Symposium & Practical Workshop 9-10 May 2008 (Buenos Aires) www.fundaciondolor.org.ar 9º Curso Internacional sobre Dolor para Enfermería 3º Curso Internacional de Salud Mental y Dolor 2º Curso Internacional de Medicina Física y Dolor Date: August 13-16, 2008 — Buenos Aires, Argentina AUGUST in Buenos Aires, AUGUST in Argentina. www.anestesiabaires2008.com.a MEDITERRANEAN (Greece, Italy, Malta) During the last few months there has been an increasing interest in WIP in the Adriatic area. This interest is going to be demonstrated by a few colleagues who will sit for the examination in Budapest, and also by the growing idea to organize a section Congress in Greece, next May. The Mediterranean Section presently has eight FIPPs – two in Greece, five in Italy, and one in Malta. I'll keep you informed on the development of the above-mentioned activities and on any new ones. Giustino Varrassi, MD, FIPP Section Chairman, Mediterranean P GE 16 PA AGE 16 V O LU M E I I I , I S S U E 2 MIDDLE EAST (Egypt, Saudi Arabia) The Middle East section has certified six FIPPs, two from Saudi Arabia and four from Egypt. An International Pain Congress, co-sponsored by WIP, ESMP (Egyptian Society for Pain Management), and PAIP (Pan Arab Institute of Pain) will be conducted 20-22 November 2008 at the Cairo International Conference Center. ♦ Congress Chairmen are Serdar Erdine, MD FIPP (Turkey) and M. Omar Tawfik, MD (Egypt). ♦ Honorary guests are Prithvi Raj, MD FIPP (USA), Gabor Racz, MD FIPP (USA), Mahmoud Kamel (Egypt) and Fathy Nasr (Egypt). ♦ Secretaries General are Magdi Iskander, MD, FIPP (Egypt), Abdullah Fekry and Maher Fawzy (Egypt). ♦ Scientific Committee consists of Nagy Mekhail, MD, FIPP (USA), Maarten Van Kleef, MD, FIPP (Netherlands), and Ahmed Helmy, MD (Egypt). ♦ Organizing Committee is represented by M. Elansary (Egypt), S. Ibrahim (Egypt), A. Eissa (Egypt), Ricardo Ruiz-López, MD, FIPP (Spain), Charles Gauci, MD, FRCA, FIPP (UK), M. Afifi (Egypt), H. Abu Khudair (Jordan), A. Al-Mulla (Egypt), H. Ajaj (Libya), M. N. Seraj (Egypt), A. F. Abdel Sattar (Egypt), Philip Finch, MD FIPP (Australia), Richard Rauck, MD FIPP (USA), M. A. Bakr (Egypt), N. Fellah (Algeria), Z. Naja (Lebanon), A. El-Shoaebi (KSA), and J. Costandi (UAE). Also, there were two major events in Egypt involving pain activity in which I have actively participated. ♦ The Silver Anniversary Pain Meeting of the Egyptian Society of Management of Pain (ESMP) held in Sharm El Sheikh from 13-15 November 2007. There were approximately 130 attendees from Arab and African countries, with guest speakers from USA, France, the Kingdom of Saudi Arabia, and India. Topics included interactive clinical interventional case presentations and ultrasound regional workshops in addition to chronic pain. ♦ The 26th Annual Pain Meeting was held at the Cairo International Congress Center from 5-8 April 2008 in association with the African Association for Management of Pain. The guest speakers were mainly from the UK, and the issue of female organ mutilation was addressed scientifically and religiously, in addition to clinical workshops for pain management. I am regularly involved every six months in revising both the basic science and clinical curriculum for the M.SC pain candidates in our institute (National Cancer Institute Cairo University). Prof. Magdi Iskander, MD, FFARCS, FIPP WIP Section Chairman, Middle East (Egypt and Saudi Arabia) NORTH AMERICA (Canada & USA) Two Canadians passed the 2007 Budapest examination, bringing the total Canadian FIPPs to three. Three to four Canadian pain physicians are expected to sit for the examination within the year. The FIPP examination has been actively promoted at Canadian national meetings and interventional workshops in my hospital. A cadaver RF workshop is scheduled for October 24 here in my hospital at Sunnybrook Health Sciences Centre that may be of interest to pain physicians in this region. I have also been organizing hands-on courses in ultrasound-guided procedures in chronic pain. These courses are in preliminary planning stages and details will be promoted in future issues of the WIP Newsletter. Michael Gofeld, MD, FIPP Section Secretary, North America (Canada) The North American section is eagerly preparing for the World Congress in New York. Recruitment for the FIPP is still strong and continuing. We are working to strengthen our ties with other associations, as well as, developing a stronger base. Future education projects are still in the early stages. More updates to follow. Leland Lou, MD, FIPP Section Chairman, North American W O R LD I N S TITU TE O F P A I N PAGE 17 PUERTO RICO & CARIBBEAN At the present time we are happy to inform that four MDs from Colombia were granted the FIPP certification from the last exam held in Memphis. Five months prior to this examination we were invited to the Pain Management Symposium held in the city of Cali, Colombia. WIP initiative in Latin America was presented along with pain management topics. It generated such strong commitment that eight physicians took the test in Memphis. As we are invited to give talks over these countries, we interlink these talks with WIP’s initiative. So far we have covered, Barbados, Colombia, Bahamas, Venezuela, Peru, Dominican Republic, Puerto Rico and the US. We are planning to sponsor a cadaver workshop in San Juan, PR most probably 2010. Let’s see what the next six months news bring us. José R. Rodríguez Hernandez, MD, FIPP Section Chairman, Puerto Rico & Caribbean SOUTH EAST ASIA (Singapore, Philippines, Taiwan) The Biennial Scientific Meeting 2008 – Life Beyond Pain in Singapore is coming up on 18-20 July 2008, where Prof. Serdar Erdine, MD FIPP is invited as a keynote speaker and cadaveric workshop instructor. Other speakers include Roger Goucke who is Dean of the Australian Pain Faculty, Anthony Dickenson (UK), and Michael Nicholas (Australia). I am also actively supporting future events in Malaysia, speaking in many South East Asian pain meetings, and also promoting the WIP FIPP examination. There are presently nine FIPPs from the South East Asia region – four in the Philippines, four in Singapore, one in Taiwan. My fellows from Malaysia and Philippines will sit for the FIPP exam in Budapest this year. We welcome all to visit us in Singapore. Details of upcoming meetings of The Pain Association of Singapore (a chapter of IASP) can be obtained at www.pain.org.sg Sow Nam Yeo, MD, FIPP Section Chairman, South East Asia SWITZERLAND Our activities these first months have been mainly linked to obtaining feedback from members to promote WIP activities, and to develop an educational website that could be used between WIP members and FIPP alumni. In fact, our promotional activity was initiated in Lausanne on October 1st, before the WIP sections were created. These activities include organizing the committee, which now consists of: Chairman: Philippe Mavrocordatos, MD, FIPP Secretary: Pietro Schianchi, MD, FIPP Treasurer: Patricia Zangger, MD, FIPP Individual members: Michael Hartmann, MD, FIPP Lucian Macrea, MD, FIPP Menno Sluijter, MD, FIPP Tatiana Pance, MD, FIPP The first two annual regional conferences on interventional pain management, which were held in Lausanne, Switzerland in January 2007 and April 2008, respectively. The first official WIP meeting of the Swiss Section which was conducted on June 11, 2008 in Fribourg, Switzerland. A report from this meeting will be submitted for publication in the next issue of the WIP Newsletter. Information on pain congresses and WIP activities are forwarded to the members of the Swiss Society of Interventional Pain (SSIPM) to promote the aims of WIP and advancement of pain education and training in the Swiss region. Philippe Mavrocordatos, MD, FIPP Section Chairman, Switzerland PAGE 18 V O LU M E I I I , I S S U E 2 TURKEY On behalf of WIP Turkish Section, we have established the Turkish Board Committee for Algology. All members are Phipps and also members of the Turkish Agrology Association. Presently, there are 14 FIPPs in the Turkish Section, including one WIP founder and new president, Serdar Erdine, MD FIPP. We have conducted the first board examination (the beta exam) for five members. This examination is similar to the FIPP examination, consisting of a 60-question written exam and three procedures performed on cadavers. We have also agreed that all Turkish FIPPs are to be Turkish Algology Board certified. The certificate assembly is scheduled for 12 June 2008, at the opening ceremony of our National Congress. After the beta exam we organized the subcommittees for examination and administration, and started planning the second board exam for first week of December 2008. As you may know, we are also editing the Turkish translation of Pain Practice. Prof. Gül K.Talu, MD, FIPP Section Chairman, Turkey UNITED KINGDOM & ÉIRE A steady trickle of UK Doctors is sitting for (and passing) the FIPP examination. Presently, there are 19 FIPPs from the UK, and two from Eire. The WIP-UK Section has organized an annual hands-on cadaver workshop and symposium for the past six years. Last year, due to popular demand, an extra mini- workshop was held on 23-24 November. There were didactic presentations on the 23rd November taught by Charles Gauci, MD, FRCA FIPP (UK); Leland Lou, MD, FIPP (USA); Martine Puylaert, MD, FIPP (Belgium), and Sean White, MD, FIPP (UK), with the hands-on cadaver session held on 24th November and taught by Muhammad Ather, MD, FRCA, FIPP (UK), as well as Gauci, Lou, Puylaert, and White. The main activity this year is a symposium on interventional pain scheduled for 26 June 2008, followed by a hands-on cadaver workshop on 27-28 June. The workshop is fully booked. In fact, our workshops are routinely fully booked within a few weeks of being advertised – a tribute to their value in the teaching of interventional pain. The guest speakers/demonstrators at the June 2008 meeting include several well-known WIP figures: Prof. Serdar Erdine, MD FIPP (Turkey), Andrea Trescot, MD, FIPP (USA), Leland Lou, MD, FIPP (USA), Olav Rohof, MD, FIPP (Netherlands), Ramsin Benyamin, MD, FIPP (USA), Ricardo Ruis-López, MD, FIPP (Spain), Miles Day, MD, FIPP (USA), and Alex Cahana, MD, FIPP (USA). Charles Gauci, MD, FRCA, FIPP (UK) founded the WIP-UK Section in 2002 and he has run it since then; following his election to the Executive Board of WIP. Gauci was given responsibility for all of the national sections; therefore, he has handed over the chairmanship of WIP-UK to MANUAL OF RF TECHNIQUES Muhammad Ather, MD, FRCA, FIPP (UK) Both Drs. Ather and Gauci by Dr. Charles A. Gauci MD will continue to organize the WIP-UK workshops and symposia. FRCA FIPP Muhammad Ather, MD, FRCA, FIPP Order at: www.flivopress.com Section Chairman, United Kingdom - Éire The WIP Newsletter can be retrieved online from the WIP website at: www.worldinstituteofpain.org W O R LD I N S TITU TE O F P A I N PAGE 19 WIP Section News Middle East Section World Institute of Pain (WIP) The Egyptian Society for Management of Pain (ESMP) Pan Arabic Institute of Pain (PAIP) Announce INTERNATIONAL PAIN CONGRESS In the temple of Pain Relief 20-22 November 2008 CAIRO INTERNATIONAL CONGRESS CENTER, EGYPT Congress Chairmen Prof. Serdar Erdine & Prof. Omar Tawfik Secretary General Prof. Magdi Iskander, Prof. Maher Fawzi & Prof. Abdullah Fekry For more information, please contact Al Manar Conference Center, Cross Rds 7 & 32 Maadi, Cairo, Egypt Tel+(202) 2359 4110 - 2358 5385 - 2359 0999; Fax +(202) 2378 0458 E-mail: manar_travel@link.net; manartravel.net or E-mail: magdir_iskander@hotmail.com V O LU M E I I I , I S S U E 2 PAGE 20 WORLD INSTITUTE OF PAIN SECTION OF PAIN PRACTICE ur Recruit yo ! colleagues ANNOUNCES 13th FIPP (ABIPP Part II) Examination 11-12 September 2008 — Budapest, Hungary * Registration deadline - 1 August 2008 - No late applications * Register for the FIPP Examination by mail to: Dr. James Heavner, Registrar TTUHSC 3601 4th Street – MS: 8182 • Lubbock, Texas 79430 USA Phone: 806-743-3112 • Fax: 806-743-3965 • E-mail: paula.brashear@ttuhsc.edu Paula Brashear, FIPP Examination Secretary Nagy Mekhail, MD, FRCA, FIPP, Examination Chair Maarten van Kleef, MD, PhD, FIPP, Examination Co-Chair Serdar Erdine, MD, FIPP, President, WIP THANK you, and let Paula know NOW if you do decide to submit the FIPP application and WHEN you will send it. Email: paula.brashear@ttuhsc.edu THE 13TH ANNUAL ADVANCED INTERVENTIONAL PAIN CONFERENCE AND PRACTICAL WORKSHOP AND FIPP EXAMINATION PREPARATION COURSE 8-10 September 2008 — Budapest, Hungary For program and registration go to: http://www.kenes.com/wip08/fipp_exam.asp www.worldinstituteofpain.org WORLD INSTITUTE OF PAIN Paula Brashear, FIPP Examination Secretary E-mail: paula.brashear@ttuhsc.edu PAGE 21 W O R LD I N S TITU TE O F P A I N WORLD INSTITUTE OF PAIN SECTION OF PAIN PRACTICE CONGRATULATES 46 who passed the 12th FIPP Examination (Fellow of Interventional Pain Practice) March 9, 2008 in Memphis, Tennessee USA #431 #432 #433 #434 #435 #436 #437 #438 #439 #440 #441 #442 #443 #444 #445 #446 #447 #448 #449 #450 #451 #452 #453 Hammam H. Akbik, MD, FIPP-USA Amany Ezzat. Ayad, MD, FIPP-Egypt John P. Badalamenti, MD, FIPP-USA Manuel Alexander Barbeito, MD, FIPP-USA Jeffrey W. Berg, MD, FIPP-USA Gamal S. Boutros, MD, FIPP-USA Joe Hugh Browder, MD, FIPP-USA Karen A. Burnham, MD, FIPP-USA Sheldon K. Cho, MD, FIPP-USA Frantz J. Colimon, MD, FIPP-Colombia Rosemary Daly-Camacho, DO, FIPP- USA Thomas Joseph Derbes, MD, FIPP-USA Hong-Kai Kevin Du, MD, MSC, FIPP-USA Mohammad Abdo Eldeeb, MD, FIPP-USA Lee W. Erlendson, MD, FIPP-USA Jorge Rene’ Estupiñan, MD, FIPP-Colombia Miguel Figueroa, MD, FIPP-USA Michael Fletcher, MD, FIPP-USA David Michael Forman, MD, FIPP-USA Gennady Gekht, MD, FIPP-USA Carlos E. Guerrero, MD, FIPP-USA Paul Joseph Hubbell, III, MD, FIPP-USA Ronald Wayne Jones, DO FIPP-USA #454 #455 #456 #457 #458 #459 #460 #461 #462 #463 #464 #465 #466 #467 #468 #469 #470 #471 #472 #473 #474 #475 #476 Robert H. Long, MD, FIPP-USA Timothy R. Lubenow, MD, FIPP-USA Sachit N. Manocha, MD, FIPP-USA Vidyasagar Mokureddy, MD, FIPP-USA Iran E. Montalvo-Otano, MD, FIPP-USA Robert Harper Odell, Jr, MD, PhD, FIPP-USA Jon C. Parks, MD, FIPP-USA Louis J. K. Pau, MD, FIPP-USA Mark C. Pinkerton, MD, FIPP-USA Sunitha Polepalle, MD, FIPP-USA Patrick L. Retterath, MD, FIPP-USA Roberto de Oliveira Rocha, MD, FIPP-Brazil Dasa S. Satyam, MD, FIPP-USA Ahmed I Sewielam, MD, FIPP-USA Shiv K. Sharma, MD, FIPP-USA Timothy Earl Snell, MD, FIPP-USA Praveen Kumar Suchdev, MD, FIPP-USA Boris Milan Terebuh, MD, FIPP-USA Vikas Varma, MD, FIPP-USA David A. Weber, MD, FIPP-USA Neil Howard Weisman, MD, FIPP-USA Rey Ximenes, MD, FIPP-USA Madhu S. Yelameli, MD, FIPP-USA ATTENTION ACTIVE MEMBERS/SUBSCRIBERS! Are you receiving your Pain Practice journal? Have you moved? Changed you e-mail address? Update your subscription address online at: www.worldinstituteofpain.org OR SEND AN E-MAIL TO DIANNE WILLARD, EXECUTIVE SECRETARY-WIP dianne.willard@worldinstituteofpain.org V O LU M E I I I , I S S U E 2 Official Journal of the World Institute of Pain Volume 8, Issue 4, 2008 Preview of Table of Contents for July/August Issue ONLINE JOURNAL www.blackwell-synergy.com/loi/ppr EDITORIAL Ultrasonography in Pain Medicine: A Sneak Peak at the Future Samer Narouze, MD REVIEW ARTICLE Ultrasonography In Pain Medicine: A Critical Review * ABSTRACT PREVIEW —————> next page Michael Gofeld, MD, FIPP ORIGINAL ARTICLES The efficacy of levobupivacaine, ropivacaine and bupivacaine for combined psoas compartment - sciatic nerve block in patients undergoing total hip arthroplasty Marcel A. de Leeuw, MD; Jürgen A. Dertinger, MD; Lenie Hulshoff, MD; Martijn Hoeksema, MD; Roberto S. Perez, PhD; Wouter W. Zuurmond, MD, PhD; Jaap J. de Lange, MD, PhD A randomized double-blind comparison of a morphine–fentanyl combination vs. morphine alone for patient-controlled analgesia following bowel surgery Zeev Friedman, MD; Rita Katznelson, MD; Shannon R Phillips, BNSc; Cristina Zanchetta, BScPhm; Oana-Irina Nistor, BScN; Leonard B Eisen, FRCPC; Naveed Siddiqui, MD Selecting an Appropriate Medication for Treating Neuropathic Pain in Patients with Diabetes: A Study Using the UK and Germany Mediplus Databases M. Gore, PhD; A. Sadosky, PhD; D. Leslie, PhD; A. H. Sheehan, PharmD Trigeminal neuralgia during sleep Marshall Devor, PhD; Irene Wood; Yair Sharav; Joanna M. Zakrzewska EVIDENCE BASED MEDICINE Section Editor: Jan Van Zundert, MD, PhD, FIPP Evidence for the Use of Botulinum Toxin in the Chronic Pain Setting—A Review of the Literature Louise C. Jeynes, MB BS, MRCP (Paed), FRCA; Charles A. Gauci, MD, FRCA, FIPP Percutaneous Lysis of Epidural Adhesions-Evidence for Safety and Efficacy Gabor B. Racz, MD, FIPP, ABIPP; James E. Heavner, DVM, PhD, FIPP (Hon); Andrea Trescot, MD, FIPP CONSENSUS STATEMENT Opioids and the Management of Chronic Severe Pain in the Elderly: Consensus Statement of an International Expert Panel with Focus on the Six Clinically Most Often Used World Health Organization step III Opioids (Buprenorphine, Fentanyl, Hydromorphone, Methadone, Morphine, Oxycodone) Joseph Pergolizzi, MD; Rainer H Böger, ; Keith Budd, ; Albert Dahan, ; Serdar Erdine, MD; Guy Hans, ; Hans-Georg Kress, ; Richard Langford, ; Rudolf Likar, ; Robert B. Raffa, ; Paola Sacerdote, CLINICAL REPORTS Alleviation of Pancoast Tumor Pain by Ultrasound-Guided Percutaneous Ablation of Cervical Nerve Root Michael Gofeld, MD, FIPP; Anuj Bhatia, MBBS, DNB, MNAMS, FRCA, MD Ultrasound Guided Steroid Injection for Obturator Neuralgia Hariharan Shankar, MBBS; Clement Zablocki Epidural Abscess Due to Spinal Cord Stimulator Trial Rauchwerger JJ; Zoarski GH; Waghmarae R; Rabinowitz RP; Kent JL; Aldrich EF; Closson CWF LETTERS TO THE EDITOR Regarding CYP450 2D6 poor metabolizers Harry Ahdieh, PhD In response to Dr. Ahdieh Adriana Foster, MD Continued on next page —> PAGE 23 W O R LD I N S TITU TE O F P A I N Official Journal of the World Institute of Pain Volume 8, Issue 4, 2008 Preview of Table of Contents for July/August Issue Chymopapain: a shot from the past Raj Mitra, MD; Matthew Wedemeyer, MD; Ivan Cheng, MD Craig Hartrick, MD, FIPP Editor-in-Chief, Pain Practice On the true origins of the Walther’s Ganglion blockade and more Ricardo Plancarte, MD, FIPP; Jorge Guajardo, MD: Ángel Lee, MD Response to Drs. Plancarte, Guajardo and Lee Miles Day, MD, FIPP ERRATA Re: Day M. Sympathetic Blocks: The evidence. Pain Pract. 2008;8:98-109. ONLINE JOURNAL www.blackwell-synergy.com/loi/ppr Official Journal of the World Institute of Pain Volume 8, Issue 4, 2008 FEATURED ABSTRACT PREVIEW ULTRASONOGRAPHY IN PAIN MEDICINE: A CRITICAL REVIEW Michael Gofeld MD, FIPP Pain Management Program Department of Anesthesia Sunnybrook Health Sciences Centre 2075 Bayview Avenue, MG-630 Toronto, Ontario, Canada M4N 3M5 Tel: (416) 480-4771 Fax: (416) 480-4772 E-mail: michael.gofeld@sunnybrook.ca ABSTRACT RECENT ULTRASONOGRAPHY has been increasingly used in the field of regional anesthesia to assure reliable blockade of peripheral nerves by visualizing neuroaxial structures. As its popularity is steadily increasing, it may become a standard of care for both intraoperative analgesia and postoperative pain control. The application of ultrasound in chronic pain management, however, remains underutilized. Obstacles to implementation of ultrasound-guided techniques are present. Nevertheless, numerous articles have been published and some interventionalists have gained experience and started to spread their knowledge through hands-on workshops and medical meetings. It therefore seems timely to describe the techniques of ultrasound-guided injections for chronic pain, to review accumulated experience in this field, to reappraise the scientific and clinical value of this method, and to outline potential future developments. V O LU M E I I I , I S S U E 2 PAGE 24 WIP Marketplace Interventional Pain Treatment Techniques DVDs DVD # 1 Includes NAME: -Splanchnic Nerve Block ADDRESS: -Hypogastric Block CITY: -Lumbar Sympathetic Block ZIP: DVD # 2 Includes STATE: COUNTRY: TELEPHONE: -Stellate Ganglion Block EMAIL: -Cervical Facets Median Branch Block ____ DVD 1 @$200 ____ DVD 1&2 ____ DVD 2 @$200 ____ DVD 1,2,&3 @$525 @$350 -T2 and T3 Sympathetic Block DVD # 3 Includes -Ganglion Impar Block -Trigeminal Nerve Block -Glossopharyngeal Nerve Block DVD 4 Includes (Coming Soon) -Epiduroscopy ____ DVD 3 @$200 Please add applicable shipping: = ________ ($12 US & Puerto Rico / $22 International) TOTAL: $__________ US METHOD OF PAYMENT ___ Cash ___ Check (Payable to WIP-DVD Acct) -Sphenopalatine Ganglion Block -Suprascapular Nerve Block Credit Card (Information as it appears on card) Name _________________________________________ TO ORDER, CONTACT: Card __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __ Kristi Conner 3601 4th Street MS 8182 Lubbock, TX 79430 USA Kristi.conner@ttuhsc.edu Tel: 806-743-2916; Fax: 806-743-1511 EXP Date: __ __ / __ __ __ __ CVV: __ __ __ __ (3 digits on back of card / AmEx - 4 digits on front) Please allow 4 to 6 weeks for delivery PAGE 25 W O R LD I N S TITU TE O F P A I N NOTICE OF ANNUAL MEETING OF WIP EXECUTIVE BOARD NOTICE IS HEREBY GIVEN by the undersigned, as the Executive Secretary of the World Institute of Pain, that the annual meeting of the WIP Executive Board is to be held as follows: Date: Time: Place: Sunday, 7 September 2008 2:00 PM (time approximate, but will not be earlier than this posted time) Kempinski Hotel Coryinus Budapest, Hungary The following preliminary agenda represents matters to be discussed. A final agenda will be published one month prior to the meeting: I. Approval of Minutes II. Reports from WIP Officers: President, President-Elect, Secretary, Treasurer III. Reports from Members-at-Large for Boards of: Sections, Alumni, Examination, Pain Practice Editorial, and Advisory IV. Report from World Congress Chairman WIP Executive Board members are asked to RSVP to the undersigned Executive Secretary no later the 30 July 2008. This notice dated and distributed: 20 June 2008 By: Dianne Willard Ms. Dianne Willard Executive Secretary World Institute of Pain 145 Kimel Park Drive, Suite 310 Winston-Salem, NC 27103-6972 USA Email: dianne.willard@worldinstituteofpain.org Tel: +1 336.714.7375 Fax: +1 336.765-8492 V O LU M E I I I , I S S U E 2 PAGE 26 FIPP Alumni News Send your FIPP alumni news to your WIP Executive Secretary at: dianne.willard@worldinstituteofpain.org Prof. Alex Cahana, MD, DAAPM, FIPP (2006), previously Director of the Interventional Pain Program at the Geneva University Hospital in Switzerland, has joined the University of Washington Medical Center in Seattle, WA, USA, as the H.M. Blake Professor and Chief, Division of Pain Medicine, Center for Pain Relief and Discovery. (E-mail: acahana@u.washington.edu) Prof. Serdar Erdine, MD, FIPP (2001), Founder and President of WIP; and Chairman, Department of Algology, Medical Faculty, Istanbul University, completed a three-year term as President of the European Federation of IASP Chapters (EFIC). Erdine’s service to EFIC spans 12 years and includes terms as Treasurer, Honorary Secretary, and President-elect. Erdine will continue to serve on the EFIC Executive Board as Immediate Past President. Leland Lou, MD, FIPP (2001), WIP Section Chairman, North American (USA and Canada), has moved and is now affiliated with Rush Pain Associates in Meridian, Mississippi, USA. (E-mail: leland.lou@rushhealth.com). Gabor B. Racz, MD, FIPP (2001), founder and president of WIP, hosted the 25th Annual TTUHSC Pain Symposium with Dr. James Heavner (FIPP 2001), Director of Research in the Department of Anesthesiology. Racz and Heavner conceived the idea for the pain symposium, which was a first to allow doctors to practice in workshop the pain procedures they were learning. The Texas Tech University Health Sciences Racz Pain Center was also dedicated, in recognition of Dr. Racz who developed the clinic and pain fellowship program from the time he arrived at Texas Tech in 1978.The highlight of a dinner event was Dr. Prithvi Raj conducting the formal passing of the gavel ceremony to WIP president-elect Prof. Serdar Erdine with a video response by Prof. Erdine. P. Prithvi Raj, MD, FIPP (2001), founder and past president of WIP, was recently videotaped by the Wood Library Museum of Anesthesiology for his “life achievements in anesthesiology and pain.” This is a great honor. Richard L. Rauck, MD, FIPP (2002) was the interviewer for The new Fourth Edition of Raj’s Practical Management of Pain this project. (For more, go to (ELSEVIER) is now available for purchase through several www.woodlibrary museum. booksellers, including www. elsevier.com and www.amazon. org or contact Patrick Sims at com. James P. Rathmell, MD, FIPP (2005) is one of the sim@asahq.org) contributing authors. Giustino Varrassi, MD, FIPP (2005), WIP Executive Board Member-at-Large representing the WIP Advisory Board, has been appointed President of the European Federation of IASP Chapters (EFIC). He will serve a three-year term. The new Second Edition of Interventional Pain Management: Image-Guided Procedures with DVD (ELSEVIER) is now available for purchase through several booksellers, including www.elsevier.com and www.amazon.com. P. Prithvi Raj, MD, FIPP (2001); Leland Lou, MD, FIPP (2001); Serdar Erdine, MD, FIPP (2001); Peter S. Staats, MD, FIPP (2001); Gabor B. Racz, MD, FIPP (2001); Michael Hammer, MD, FIPP (2002); David Niv, MD, FIPP (2001); Ricardo Ruiz-López, MD, FIPP (2001); and James Heavner, DVM, PhD, FIPP (2001) are among the contributing authors. World Institute of Pain NEWSLETTER World Institute of Pain 145 Kimel Park Drive, Suite 310 Winston-Salem, NC 27103-6972 USA Tel: +1 336.714.8385 Fax: +1 336.765.8492 Executive Secretary Ms. Dianne Willard dianne.willard@worldinstituteofpain.org FIPP Examination Secretary Mrs. Paula Brashear paula.brashear@ttuhsc.edu Editor-in-Chief, Pain Practice Craig T. Hartrick, M.D., DABPM, FIPP www.worldinstituteofpain.org Webmaster Patrick R. McGowan, MBChB, FRCA, FIPP webmaster@worldinstituteofpain.org The WORLD INSTITUTE OF PAIN was founded in 1993 as an internationally- recognized organization to bring together the most recognized experts in the field of pain management for the benefit of patients and the advancement of pain management. This NEWSLETTER is published quarterly and is distributed free of charge to those who are interested in our work. WIP Council Executive Board Officers Serdar Erdine, MD, FIPP, Founder & President Ricardo Ruiz-López, MD, FIPP, Founder & President-Elect Gabor B. Racz, MD, FIPP, Founder & Immediate Past President P. Prithvi Raj, MD, FIPP, ABIPP, Founder & Past President Philip M. Finch, MBBS,DRCOG, FFPMANZCA, FIPP, Secretary Richard L. Rauck, MD, FIPP, Treasurer Executive Board Members-at-Large Charles A. Gauci, MD, FRCA, FIPP, Board of Sections Craig T. Hartrick, MD, DABPM, FIPP, Editor-in-Chief, Pain Practice Patrick R. McGowan, MBChB, FRCA, FIPP, Alumni Association Nagy Mekhail, MD, PhD, FIPP, FIPP Board of Examination Giustino Varrassi, MD, FIPP, Advisory Board Section Chairmen Muhammad Ather, MD, FRCA, FIPP—United Kingdom and Éire Meir Bennun, MD, FIPP—Israel Peter Courtney, MBBS, FIPP—Australia Gautam Das, MD, FIPP—India, Iran & Pakistan Neels de Villiers, MD, FRCA, FIPP—Africa Fabrício Dias Assis, MD, FIPP—Latin America (Argentina, Brazil, Mexico) Juan Carlos Flores, MD, FIPP—Latin America (Argentina, Brazil, Mexico) Magdi Iskander, MD, FFARCS, FIPP — Egypt & Saudi Arabia Sang Chul Lee, MD, PhD, FIPP — South Korea & Japan Leland Lou, MD, FIPP — North America (USA & Canada) Martin Marianowicz, MD, FIPP — Central & Eastern Europe (Germany, Hungary, Lithuania, Ukraine) Philippe Mavrocordatos, MD, FIPP, — Switzerland Carmen Pichot, MD, FIPP — Iberian (Spain, Portugal) José R. Rodríguez Hernandez, MD, FIPP — Puerto Rico & Caribbean Gül K. Talu, MD, FIPP, — Turkey Giustino Varrassi, MD, FIPP — Mediterranean (Italy, Greece, Malta) Sow Nam Yeo, MD, FIPP — SE Asia (Singapore, Philippines, Taiwan) Jan Van Zundert, MD, FIPP — Benelux (Belgium & The Netherlands) (Turkey) (Spain) (USA) (USA) (Australia) (USA) (UK) (USA) (UK) (USA) (Italy) (UK) (Israel) (Australia) (India) (Africa) (Brazil) (Argentina) (Egypt) (South Korea) (USA) (Germany) (Switzerland) (Spain) (Puerto Rico) (Turkey) (Italy) (Singapore) (Belgium) WIP Calendar of Events 26 June 2008—3rd International Symposium on Interventional Pain Procedures — London, UK CONTACT: Dr. M. Ather, muhammad.ather@bhrhospitals.nhs.uk or pain.workshops@bhrhospitals.nhs.uk 27-28 June 2008—7th UK Hands-on Cadaver Workshop on Interventional Pain Procedures—London, UK *FULL* CONTACT: Dr. M. Ather, muhammad.ather@bhrhospitals.nhs.uk or pain.workshops@bhrhospitals.nhs.uk 7 September 2008: WIP Executive Board Meeting — Budapest, Hungary CONTACT: Ms. Dianne Willard at dianne.willard@worldinstituteofpain.org 8-10 September 2008: Review Course and Workshop — Budapest, Hungary FUTURE WIP CONTACT: www.kenes.com/wip08 WORLD CONGRESSES 11-12 September 2008: 13th FIPP (ABIPP Part II) Examination — Budapest, Hungary REGISTRATION DEADLINE: 1 AUGUST 2008 – NO LATE APPLICATIONS (DATES TBA) CONTACT: http://www.kenes.com/wip08/fipp_exam.asp OR Mrs. Paula Brashear at paula.brashear@ttuhsc.edu 20-22 November 2008 Regional Symposium—Cairo, EGYPT 2011 CONTACT: Dr. M. Iskander, magdir_iskander@hotmail.com Perth, Western Australia 13-16 March 2009: WIP2009 5th World Congress — New York, NY, USA—www.kenes.com/wip 2013 18 March 2009: 14th FIPP (ABIPP Part II) Examination — New York, NY, USA R EG I S TE R F O RDEADLINE: F I P P E X5AJANUARY M I N A T I 2009 O N w— it h m e s APPLICAGTIONS H e a v n e r , D V M , P h D , F I P P London, England, UK REGISTRATION NOJ aLATE 3 6 0CONTACT: 1 4 t h S t rMrs. e e t —Paula M S : Brashear 8 1 8 2 • Latupaula.brashear@ttuhsc.edu b b o c k , TX 79 4 3 0 U S A 2015 P h o nMarch e : 8 0 62009: - 7 4 3 -Optional 3 1 1 2 • FReview a x : 8 0 6Course - 7 4 3 - 3and 9 6 5Workshop • E - m a i l:—PNew a u laYork, . b r a s hNY, e a rUSA @ttuhsc.edu TBA Maastricht, * A p pAND l i c a nDETAILS t s f r o mTOt hBE e U K a r e u r g e d t o u s e t h e U K a p p l i c a t i o n f o r m a d a p t e d t oThe U KNetherlands DATES ANNOUNCED! c rMay e d e n2009: t ia l s Symposium a n d m a y s in e c Athens, u r e it fGreece rom Dr. Charles Gauci via Charles.gauci@btinternet.com 28-31 o r P a u l a .Athina b r a s h Vadalouca, e a r @t t u h sMD, c . e dPhD, u FIPP CONTACT: PAGE 28 V O LU M E I I I , I S S U E 2