# overview
I am an Associate Professor at Texas A&M University College and board certified in Ambulatory Care Pharmacy. I teach an Integrated Pharmacotherapy (IPT) course in opioid management and coordinate a course in Toxicology. I have devoted much of my professional time to pain management policy, training and education. I have served on several editorial boards including the Journal of Opioid Management, Journal of Pharmacotherapy specializing in Pain Management content, and Journal of Research in Interprofessional Practice and Education. As a clinical pharmacist, I serve at the Sacred Heart Community Clinic located on a large church campus in the Austin Texas area. As a healthcare team, the healthcare providers provide approximately 5000 medically underserved patient visits per year. These patients range from young adults to up to 65 years of age having conditions including pain, asthma, diabetes, hypertension, hyperlipidemia, osteoporosis, anxiety and depression. In the first ten years of my practice, I served as an operating room pharmacist working with a pain management team of anesthesiologist and surgeons. My responsibilities included providing analgesic drug information, meeting accreditation requirements, maintaining analgesic/anesthetic inventory, and preparing anesthetic formulations in the operating room hospital setting. In the year 2000, I was promoted to a clinical pharmacist specialist in pain management position in a large academic, flag ship teaching hospital with fourteen affiliated hospitals in the healthcare system. In this position, I helped with programs in the healthcare system related to treating patients with acute, chronic, and end-of-life pain. A multidisciplinary pain committee was established having anesthesiologists, surgeons, psychologists, physical therapists, rehabilitation specialists, neurologists, pharmacologists, chaplain, and a social worker. Together we provided a broad-based approach to managing complex pain problems.

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3214 Pharmacology And Pharmaceutical Sciences

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8.1 Organisation And Delivery Of Services

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8 Health And Social Care Services Research

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United States Food And Drug Administration

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Patients' Persistence In Asking Questions

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8.1 Organisation And Delivery Of Services

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3214 Pharmacology And Pharmaceutical Sciences

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8 Health And Social Care Services Research

# educationAndTraining[].organization.label
University of Arkansas at Fayetteville - (Fayetteville, Arkansas, United States)

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A Multidisciplinary Team of a Physician and Clinical Pharmacists Managing Hypertension

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Improving severe sepsis outcomes: cost and time to first antibiotic dose.

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Opioid and benzodiazepine utilization patterns in metropolitan and rural Texas.

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What do we need to be telling our patients about opioids together with acetaminophen?

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Management of chronic nonmalignant pain with nonsteroidal antiinflammatory drugs. Joint opinion statement of the Ambulatory Care, Cardiology, and Pain and Palliative Care Practice and Research Networks of the American College of Clinical Pharmacy.

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Summary of hospital logistics associated with intravenous patient-controlled analgesia (IV PCA) for acute postoperative pain management

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Transforming Pain Management and the Role of the Clinical Pharmacist

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Pancreatic resection pain management: is combining PCA therapy and a continuous local infusion of 0.5% ropivacaine beneficial?

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UTILIZATION PATTERN OF PRESCRIPTION PAIN MEDICATION AMONG ADULTS WITH DIABETES MELLITUS

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Patient Education on Opioid Storage, Security, and Disposal of Opioids: Should the Approach Differ in Rural and Urban Settings?

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Evaluation of a behavioral assessment tool for the individual unable to self-report pain.

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A Comparison of a Fentanyl, Morphine, and Hydromorphone Patient-Controlled Intravenous Delivery for Acute Postoperative Analgesia: A Multicenter Study of Opioid-Induced Adverse Reactions

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Extended-release lipid-foam encapsulated epidural morphine: clinical efficacy and safety precautions.

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Treating diabetes in underserved populations using an interprofessional care team.

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Erratum: Pain control: COX-2-selective NSAIDs (American Journal of Nursing (March 2004))

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Intravenous Patient-Controlled Analgesia Pump and Reservoir Logistics: Results from a Multicenter Questionnaire

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COX-1 - Selective NSAIDs - A review and comparison with nonselective NSAIDs

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Bacillus Calmette-Gurin vaccination as defense against SARS-CoV-2 (BADAS): a randomized controlled trial to protect healthcare workers in the USA by enhanced trained immune responses.

# publications[].label
With the withdrawal of COX-2 inhibitors, opioids are an obvious alternative choice for pain.

# publications[].label
The effect of health-related information seeking and financial strain on medication nonadherence among patients with diabetes and/or hypertension in central Texas

# publications[].label
Challenges in acute post-operative pain management.

# publications[].label
Mobilizing pharmacists to address the opioid crisis: A joint opinion of the ambulatory care and adult medicine practice and research networks of the American College of Clinical Pharmacy

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Opioids: the role in headache pharmacotherapy.

# publications[].label
Capnography monitoring during opioid PCA administration.

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Diabetes Education & Health Professional Cultural Competency

# researcherOn[].awardedBy.label
National Association of Chain Drug Stores - (Alexandria, Virginia, United States)

# streetAddress
Texas A&M Health Science Center; 3950 North A.W. Grimes Blvd; Office 313 S