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By Heather Auxier, APRN-CNP
Certified Nurse Practitioner, Blanchard Valley Pain Management

What is chronic pain? This is an unfavorable, unpleasant sensory and emotional experience that is persistent lasting weeks to years. 

The three types of musculoskeletal pain include nociceptive, neuropathic and nociplastic.

Nociceptive pain can be associated with tissue damage or injury. Examples of this kind of pain would include spraining your ankle or touching a hot stove. 

Burning, stabbing, shooting and prickling are often descriptive words for neuropathic pain.  

Often, people will say this pain travels or is radicular in nature. Other diagnoses for this kind of pain include trigeminal neuralgia, diabetic neuropathy and sciatica. 

Lastly, nociplastic pain is a pain that arises from altered nociception despite no clear evidence for disease or actual threatened tissue damage, causing an activation of peripheral nociceptors or evidence for disease or lesion of the somatosensory system causing the pain. The net result of this pain is usually widespread and amplified. Fibromyalgia is considered a nociplastic type of pain. 

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By Karen Kier
Pharmacist on behalf of the ONU HealthWise team

In 2000, the highest grossing stop-motion animated film in history was released titled Chicken Run, bringing in 227 million dollars. When my daughter was in elementary school, she loved this movie and we watched it over and over again!

The movie was directed and written by Peter Lord and Nick Park. A stop-motion film requires the moviemakers to physically manipulate the characters in small increments between the photograph frames so they appear in motion. 

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By Michael Flores, PhD
Big Lots Outpatient Behavioral Health
Nationwide Children’s Hospital

*Through a collaboration between Blanchard Valley Health System and Nationwide Children’s Hospital, the content of this article was provided courtesy of Nationwide’s 700 Children’s® blog by pediatric experts.

Defiant behavior among toddlers and young children (commonly known as “the terrible twos”) is a normal phase of child development. Children might throw temper tantrums or have rapid mood changes. They want to do things by themselves. Their favorite word is “no.” Similar developmentally appropriate behavior often shows up again during the teen years. Teens may rebel against household rules or act frustrated or angry. Some of this behavior stems from hormonal changes associated with puberty, as their bodies and minds develop.

Temper tantrums are usually triggered when a child is frustrated, tired or hungry. As children learn more appropriate ways to communicate their wants and needs, and when clear limits and behavioral expectations are consistently set, these outbursts tend to become less frequent. However, some children continue to struggle with aggressive or impulsive behavior. Sometimes these actions may pose a threat to their safety or the safety of others. For some people, the behaviors can continue through childhood and even into adulthood.

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By Karen Kier, Pharmacist on behalf of the ONU HealthWise team

In 1976, Elton John and Kiki Dee released the duet Don’t Go Breaking My Heart. The song was written by Elton John and Bernie Taupin under the pseudonyms of Ann Orson and Carte Blanche. The single was never on an original Elton John album, but appeared on the 1994 release Duets.

Elton John sang the same duet with Miss Piggy on The Muppet Show. He performed the duet again with Kiki Dee for the Live Aid concert, but has done performances with RuPaul, Minnie Mouse and the Spice Girls.

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By Kathlean Downing, CPC, CDEO, CPMA, CRC, CEMC
Compliance Specialist, Risk Management, Blanchard Valley Health System

As we begin 2023, it is hard to believe that nearly three years have passed since the federal government initially declared a public health emergency (PHE). With the declaration of the PHE, the Centers for Medicare & Medicaid Services (CMS) and other commercial payers adjusted coverage policies, and the doors for telehealth were opened for a whole new world of healthcare to emerge. 

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By Karen Kier
Pharmacist on behalf of the ONU HealthWise team

In Spain, tapa or tapas are small plates or small bites of food. Spaniards often eat their dinners later in the evening, so they will have tapas as small snacks to hold them over until food is served. Tapa would be similar to an appetizer in the United States.

There are three different types of tapas. The first is cocas de picar and is considered finger food to nibble such as nuts or olives. The second is pinchos, which requires utensils like a toothpick or skewer. Cazuelas is the third type of tapas served as a small dish of food in sauce.

So, why am I discussing tapas? I will be providing some small bites of information published in recent medical journals about some healthy habits for 2023. Some of these tips might be a good solution if your resolutions are not going quite as planned.

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