Koth Cassavaugh
Management
Certainly. Yes, we started off in our OR with our anesthesiologists, and as you heard, the surgeons start seeing it in effect and they start getting excited about it. The results that we've had with being able to get people up get moving without that disassociation has expanded our comfort level. So we knew that the product works exceptionally well and has shown very good safety with the 220 plus patients we've treated so far.So that's why we looked at our ER, where they have some very painful procedures that are short-term procedures much like you and kind of think as an ambulatory surgery center. So like risk reduction, resetting bones and all that stuff, we can do a nice dose about 15 minutes before they want to do the procedure, give them the procedure, and then you know, watch them for a little bit and they're ready to go home without that extreme downtime.We also looked at where we had other painful procedures and nice smaller cohort of people that we can ensure we got proper training and everything. So our oncology center where there is numerous patients, who suffer from all various types of pains, but one of the things we looked at procedurally was our bone marrow biopsies, which is a large bore needle, very painful procedure.And again, giving them a dose about 15 minutes or so before that procedure, giving it time to take effect, then do the procedure helps with transitioning - will help with transitioning our patients through that procedure without that pain, and again not having the dissociation, the respiratory depression and all that stuff. So that way as soon as they are cleared, we can have them move on and go home from that.So we looked at those areas first. Again with the REMS program, it's nice. We can train certain sets of people and limit access until we know everything is working in the manner that we have seen and do expect. And then from there, we're looking to expand to our floors, which is a much broader based education with our whole nursing staff. A little bit more personnel that we have to work with, but we definitely are seeing how well it is working.The PACU nurses are talking to the floor nurses, the floor nurses see our patients who do come up and stay in-house and it buys them a little time because there's a nice long window three to four hours of duration is giving the nurses who are short nationally, a little bit of time to be able to get in the room and not have the patient already behind on their pain curve. We're still effectively pain controlling them where they don't need other boluses. And as we said, we know that it's been doing great things. We're getting more people up and getting them moving much quicker.