Anesthesiology, Pain Management
Certification: American Board of Anesthesiology - Anesthesiology and American Board of Anesthesiology - Pain Management
Practice Philosophy: Health care in general and chronic pain management in particular is a shared responsibility. In that context the doctor-patient relationship is a partnership. I believe that working together is the best way I can practice good pain medicine and help my patients to help themselves maintain / regain a good life. My primary role as your pain management physician is to give you my best advice in order to help you make well-informed decisions regarding your pain management. I enjoy developing relationships with patients over time.
Professional School: University of Cape Town
Residency: Newcastle Group of Hospitals
Internship: MPILO General H
Special Interests: Chronic Pain Management, long acting opiate pain medication management and Trigger Point Injections/Dry Needling (an "acupuncture-like" treatment)
About Pain Management:
Covington MultiCare Pain Management service provides comprehensive and holistic evaluations, management and follow up for a wide variety of chronic pain conditions. Chronic pain is not just a simple sensation but rather a complex experience with many factors involved. The evaluation is designed to get to know you and the circumstances of your life. With this information an understanding of your pain experience is reached and a plan to help you get better is formulated. Better is defined as living as best possible in terms of quality of life, function and autonomy / independent living. Our goal is to try and help you to help yourself get better. This is the self-care rehabilitation approach. Our role is to function like “coaches on the sideline and the cheerleading section”. We provide continuity of care.
In addition Pain service provides a variety of treatments designed to take the edge off your pain with the goal of facilitating your own efforts at getting as active as possible in your life. These include opiate medication management, interventional procedures (nerve blocks) and dry needling / trigger point injections (an “acupuncture-like” treatment).
The Covington MultiCare Pain Management Service only accepts new patient referrals for opiate pain medication management and complex chronic pain management from MultiCare Health System Primary Care Providers(PCP), meaning patients must be well established with a MultiCare PCP and said PCP must be the referring provider. We cannot except referrals from providers outside of the MultiCare Health System, nor can we accept referrals from any MultiCare Specialists, MultiCare Hospitalists, MultiCare Urgent Care Providers or MultiCare Emergency Department Providers; the only exception to this rule is for established patients being referred by a MultiCare Oncologist that have a current cancer diagnosis and will be reviewed on a case by case basis by Dr. Jacobson.
These policies are in place so Dr. Jacobson can work more closely and collaboratively with a patients MultiCare PCP regarding opiate pain medication management and rehabilitation, this has nothing to do with insurance. This is also due to our patient load currently being in excess for these types of consults and the fact that the patient will need to continue working with their MultiCare PCP, regarding their current pain management, including any current opiate pain medication(s), until the patient is established with our clinic, which will not be until the patients second visit after the initial consult.
Opiate pain medications are not guaranteed to be prescribed by Dr. Jacobson, this includes taking over any current opiate pain medications the patient may be currently on. Opiate pain medications are NOT initiated at the initial consult. Dr. Jacobson only recommends and/or prescribes the following oral opiate pain medications, at low doses, Morphine Sulfate ER (MS Contin) and Methadone, for a time limited amount of time (3-6 months); exceptions may be made on case by case basis by Dr. Jacobson. Covington Pain Service and Dr. Jacobson teach patients that opiates are not meant to be a lifelong treatment, help patients adopt a rehabilitation approach to management, help patients to set goals to reactivate and how best to decide when it is appropriate to consider a step-wise slow taper off opiates. Dr. Jacobson will recommend when it is time to taper the patient off opiate prescriptions, this will happen when the patient is either established in rehabilitation or displays no progress in rehabilitation / reactivation regarding improved quality of life and function.
Dr. Jacobson does offer other forms of pain management in the form of Trigger Point Injections/Dry Needling, which is a form of acupuncture that is done in-office. This may be discussed at the initial consult, if appropriate.