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.