As a pediatric anesthesiologist, I help children and young adults manage pain. I direct the Pain Management Center at Cincinnati Children’s.
An after-hours lecture about pain management in children was instrumental to my career choice. I attended that talk during my third year in medical school. I thought it was the most fascinating thing I had ever heard. That was in 1989 when the specialty was just three years old.
Cincinnati Children’s provides one of the largest pediatric pain research programs in the world. We look at everything from how pain is created and transmitted in the nervous system, to how our rehabilitation program restores kids to functional lives. We see pain as part of a collection of problems and that treatment needs to address pain from many different angles.
My approach to care is all about communication, education and listening. How I interact with patients and families comes down to forming relationships. Medical conversations are human conversations. Too many times, that's forgotten in a system that has become more technologically focused and less interpersonal.
I am immensely proud of the teams I work with. We are like a family. The care we deliver is an extension of the caring, supportive and friendly atmosphere that characterizes the relationships among the staff.
I’m honored that the Pain Management Center was the first pediatric pain program in the country to receive the Clinical Center of Excellence Award from the American Pain Society in 2007. Many of my staff are among Cincinnati Magazine's "Top Doctors," and nominated for several patient care awards. I am happy to receive awards, but more delighted when my team does.
I spend my free time on multiple activities. Many of my patients follow my sock collection, even asking during a visit which socks I am wearing.
Since my children are grown up, my hobbies are reborn. I am an avid photographer. My photos decorate our department, and I donate some to raise money for charity. Music is important to me; I play several instruments and write and record music.
I don't just ask my patients to get fit; I try to model good fitness. I love cycling and will sometimes see staff and patients on the local bike trails. I always wear a helmet when I ride.
MD: University of Connecticut Health Center School of Medicine, Farmington, CT, 1991.
Residency: Pediatrics, Duke University Medical Center, Durham, NC, 1991 - 1994; Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, PA, 1994-1997.
Fellowship: Pediatric Anesthesia, Children's Hospital of Pittsburgh, Pittsburgh, PA, 1997 - 1998; Pain Management, Longwood Combined Pain Fellowship, The Children's Hospital, Boston, MA, 1998-1999.
Certification: American Board of Pediatrics, 1994; American Board of Anesthesiology, 1998; ABA Pain Management, 2000.
Complex chronic pain conditions in infants, children and young adults, including those related to vascular malformations, epidermolysis bullosa and cancer.
Anesthesia, Inflammatory Bowel Disease IBD, Leukemia, Epidermolysis Bullosa EB, Pain Management, Pancreas Care
Outcomes of pain treatment, with a focus on outpatient, chronic pain management.
Anesthesia
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Dissociation between individual differences in self-reported pain intensity and underlying fMRI brain activation. Nature Communications. 2022; 13.
Operative and Anesthetic Care of the Patient With Chronic Pain. Pediatric Anesthesia. 2022.
Pediatric Amputation. Pediatric Anesthesia. 2022.
Signature for Pain Recovery IN Teens (SPRINT): protocol for a multisite prospective signature study in chronic musculoskeletal pain. BMJ Open. 2022; 12.
Healthcare utilization among youth with Ehlers-Danlos syndrome hypermobile type. American Journal of Medical Genetics, Part A. 2022; 188:1109-1117.
Medical Management of Chronic Pancreatitis in Children: A Position Paper by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Pancreas Committee. Journal of Pediatric Gastroenterology and Nutrition. 2021; 72:324-340.
Development and Psychometric Evaluation of the PROMIS Pediatric Pain Intensity Measure in Children and Adolescents with Chronic Pain. Journal of Pain. 2021; 22:48-56.
The Role of Neuraxial Opioids in Pediatric Practice. Clinical Journal of Pain. 2019; 35:497-500.
In-hospital and 90-day outcomes after total pancreatectomy with islet autotransplantation for pediatric chronic and acute recurrent pancreatitis. American Journal of Transplantation. 2019; 19:1187-1194.
Chronic Pain. A Practice of Anesthesia for Infants and Children. 2019.
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