Jacob Fleming, MD
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jacobflemingmd.bsky.social
Jacob Fleming, MD
@jacobflemingmd.bsky.social
Spine & Musculoskeletal Interventional Radiologist
Dallas, TX
#SpineIR #MskIR #BackTable
Reposted by Jacob Fleming, MD
5/6 📌 Conclusion: Understanding pain pathways in cancer can guide treatment choices, emphasizing the need for comprehensive pain management strategies.

Discover more in the full study: doi.org/doi:10.1007...

#InterventionalRadiology #CancerCare #MedTwitter
Understanding the Physiopathology of Pain Pathways for a Practical Approach of Cancer Pain Management
CardioVascular and Interventional Radiology - Pain associated with cancer is often the first symptom reported with major repercussions on patient’s quality of life. Mechanical compression,...
link.springer.com
February 22, 2025 at 4:01 PM
Reposted by Jacob Fleming, MD
4/6 Treatment insights:

- Regularly reevaluate oral medications
- Consider multimodal analgesia
- Explore interventional pain procedures: intrathecal therapy & neuromodulation as effective treatments for managing chronic pain 🏥🔬

#PainRelief #Neuromodulation
February 22, 2025 at 4:01 PM
Reposted by Jacob Fleming, MD
3/6 Cancer-related pain involves:

- Nociceptive pain: Activated by tissue injury
- Neuropathic pain: Resulting from nerve damage

Both types can lead to central and peripheral sensitization, making effective management crucial
February 22, 2025 at 4:01 PM
Reposted by Jacob Fleming, MD
2/6 Pain in cancer patients can arise from:

- Mechanical compression by tumors
- Release of algogenic substances
- Complications of oncologic treatment

These elements contribute to chronic pain through neuroinflammation and sensitization
February 22, 2025 at 4:01 PM
Give the dubs a try. Modern dubs are far superior to the antiquated stuff from the 90s and early 00s. Different vibe than the original Japanese, but better, in my (completely unbiased 😜) opinion.
December 16, 2024 at 8:56 PM
She’s an actress known by her maiden name, Lindsay Seidel, best known for several hundred anime credits including Gabi in AoT and Nagisa in AC, Nejire in MHA, and many many more
December 16, 2024 at 12:34 AM
Assassination Classroom would be a good palette cleanser after the grimness of AoT. Much more comedic. (Full disclosure, my wife also stars in that one as well as AoT. 😁)
December 15, 2024 at 7:36 PM