Dr. Kenneth A. Stein
14312 Aitken Hill Court
Chesterfield, MO 63017
Emergency Medical Care

Dr. Stein is an Attending Staff Physician at St. Anthony's Medical Center, Department of Emergency Medicine and Critical Care, one of the busiest emergency departments in the State of Missouri with approximately 70,000 patient visits per year. He is an Assistant Clinical Professor at the St. Louis University Health Sciences Center, Department of Surgery & Emergency Medicine Division. He has lectured nationally on Pain Management, and consults in the area of pharmaceutical and bio-medical product development and marketing. In litigation support Dr. Stein will serve as breitling replica an emergency medical care expert and provide an unbiased opinion on medical malpractice and negligence cases, not guaranteeing a favorable outcome but providing an honest assessment. Following please find some excerpts from Dr. Stein's CV:

American Board of Physician Specialties, Board Certified Emergency Medicine since 2005

American Board of Internal Medicine, Board Certified since 1992

State of Missouri, Licensed since 1991

Advanced Trauma Life Support, Provider since 1990; Instructor since 1997

Advanced Cardiac Life Support, Provider since 1988

Assistant Clinical Professor: 1994 - Present
Department of Surgery/Emergency Medicine Division
St. Louis University Health Sciences Center, St. Louis, MO

Attending Staff Physician: 1992 - Present
Department of Emergency Medicine and Critical Care 
St. Anthony's Medical Center, St. Louis, MO

Emergency Medicine Physician: 1991 - 1992
DePaul Health Center, Bridgeton, MO

Emergency Medicine Physician: 1991 - 1992
Barnes Hospital & Washington University Medical Center, St. Louis, MO 

Assistant Professor of Surgery: 1994 - Present
Division of Emergency Medicine
St. Louis University Hospital, St. Louis, MO 

Clinical Instructor: 1991 - 1992
Division of Emergency Medicine, Department of Surgery
Barnes Hospital, Washington School of Medicine, St. Louis, MO 

Preceptor for third year medical students: Spring 1991
Washington University, St. Louis, MO 

"Effective Pain Management in Emergency Medicine." 
Journal of Practical Pain Management. Sept/Oct 2001.

by Kenny Stein, MD 

It is easy for health care practitioners to identify with the patient who has severe pain resulting from a kidney stone or an acute femur fracture. However, it may be difficult to rolex replica identify with a patient who has chronic back pain, yet has no obvious findings on exam. Clinicians need to believe the patient's assessment of pain. This is not always easy for the emergency medicine specialist, but is extremely important.

Pain is always subjective1 and for many health care providers this is a difficult concept. Clinicians are more comfortable with problems that can be diagnosed on exam or by ordering a test. However, there is no test that can prove or disprove a patient's complaint of replica watches pain. Not vital signs, a patient's facial expressions, or "gut instincts" can be used to invalidate a patient's rating of his or her pain.

Pain is the most common presenting symptom to the emergency medicine specialist. More than 60 percent of ED patients have pain as their main symptom or a major part of their symptoms. When a patient in pain enters the Emergency Medicine Department he or she has two main concerns (not necessarily in this order):
1. How quickly can I get relief from my pain?
2. What is causing this pain?
The major focus of health care specialists is:
1. What is the diagnosis? 
2. What is the treatment for the underlying disease process?

Often a lower importance is placed on relieving the pain. This leads to discordance between the expectations of the patient and the focus of the emergency medicine specialist.

So how good a job are most specialists doing at treating and assessing pain in the Emergency Medicine Department? 

Please see reference above for the complete article.

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