Michael Mckenna, Md
Las Vegas,#2REBUTTAL Individual responds
Mon, July 14, 2008
Please note that it is difficult to respond to an anonymous letter writer. It is obvious that "Greg" is not willing to identify himself. If he would identify himself, I could examine his chart and, if he provided appropriate consent, I could publicly comment on his specific medical condition and the specific circumstances regarding his complaint. As an interventional pain specialist, my practice is inundated with patients seeking opioid (narcotic) medications. While opioids can be effective for the management of specific painful conditions, these medications can cause severe side effects and are frequently abused by drug-seeking patients. When prescribed indiscriminately, opioids can fuel addiction and can be diverted into the community. It is my experience that addicts and criminals become upset when these medications are not prescribed. While opioids can be effective in treating pain, good and ethical medical practice requires a diagnosis prior to treatment with these potentially dangerous medications. From the description provided by "Greg," no such diagnosis was made and, therefore, no opioid medications were prescribed. Most likely, "Greg" is a patient seeking specific opioid medications because of addiction, criminal diversion or an undiagnosed psychological issue. Regarding my qualifications, please note that I have practiced pain medicine for twenty years and I have never been accused of malpractice. My specific training includes an undergraduate degree from Stanford, a medical degree from the Harvard Medical School and four years of residency/fellowship training at the Massachusetts General Hospital in Boston. I am board certified in Anesthesiology as well as Pain Medicine through the American Board of Medical Specialists. Michael J. McKenna, MD, FIPP Board Certified in Pain Medicine and Anesthesiology Las Vegas, NV