Center: Dr. Michael Nichols, Right: William Stuart

I was recently invited to take a quick excursion out of the continental U.S. to visit the great state of Hawaii, where I was asked to give a presentation on intrathecal medications. With over twenty medical professionals in attendance including physicians, physician assistants, nurses, psychologists, and pharmacists I delved into the specific intrathecal drugs, their pharmacological effects, dosing ranges, and stability results.

I discussed both the 2007 and 2012 Polyanalgesic Consensus Committee guidelines, and compared and contrasted the two publications. The audience showed curiosity in micro-dosing (a topic that has been of particular interest for me), so I discussed my experiences with my clients and micro-dosing, as well as the many lectures I have attended on the subject. The audience also asked questions about dosing and dosing changes for Prialt, so I reviewed the many issues relating to drug stability and mentioned that more studies need to be performed. My presentation was well-received, and I am always grateful for these opportunities.

During travels, I like to make it a priority to visit clients, and on this trip I was fortunate to visit Dr. Mike Nichols on the Big Island. In the picture provided, you can see we are displaying the Shaka a Hawaiin hand gesture that can be interpreted as “hang loose” or “right on.” This symbol certainly embodies the mentality of Hawaii where the notion is that everything’s all right. And as you can see by the smiles on our faces, it speaks the truth.

Throughout 18-holes of golf, we discussed new issues in pain management and intrathecal therapy, and simply enhanced our relationship. I find it paramount to look a client in the eye and express gratitude for doing business with my company as loyalty is very dear to me and my family. In the end, we shook hands and parted ways. I boarded a plane that night and left thankful for the time that we spent together.