Iteld Plastic Surgery in the Media


Dr. Iteld
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Replacing Opioids: Taking the Issue to the Highest Levels—an Interview with Dr. Iteld

Dr. Iteld has been working with a lobbyist group to promote and encourage an initiative to expand the Centers for Medicare & Medicaid Services (CMS) payments for non-opioid drugs. Here is an interview with him about these efforts:

You recently participated in meeting on Capitol Hill. With whom did you meet?

We met with policy advisors and legislative aids at the White House, members of the Senate and the House of Representatives.

What was the purpose of that meeting?

Our purpose is to expand CMS compensation to hospitals for the use of non-opioid medication in peri-operative settings.

Why has this become such an important issue?

There are many non-opioid medications that can be used during surgery to reduce or eliminate the need for opioids during the first several days of recovery. After that time, the need for opioids is minimal or unnecessary in most situations.

Prior to 2015, Medicare reimbursed hospitals for these medications on a case-by-case basis. Because of this, usage increased by more than 200% between 2013 and 2015. In 2015, CMS included these medications, including Exparel, in the “surgical bundle.” Due to this move, the usage stabilized or declined over the subsequent two years.

The medication is far from exorbitantly priced. We are talking about a medication that costs $300 and only requires a single dose. However, many hospitals now limit or even restrict availability due to bundled payments.

What is changing that it’s an issue now?

For calendar year 2019, CMS is recommending unbundling reimbursement to ambulatory surgical centers, but has not made a final decision about Outpatient Prospective Payment System (OPPS) done in a hospital setting.

The reason we are taking the issue to Capitol Hill is because “outpatient” means a stay of less than 48 hours. So many procedures that can be done with an overnight stay—for example, joint replacements, and some cancer procedures, as well as innumerable other surgeries—would be excluded from this medication and opioid usage would continue.

What did you hope to accomplish?

Our goal for the trip was to encourage and elicit support from the White House and legislators to expand CMS payments to include these procedures.

We are NOT trying to take opioids away from patients with chronic pain or in hospice settings. We want to increase the availability and awareness of opioid-sparing techniques for acute surgical procedures.

You advocate for non-opioid surgery. Would you please expand on that?

Many surgical procedures are often an initial exposure, which can lead to dependence, some times as high as in 20% of patients. While most patients never become long-term users, there are many studies showing that up to two-thirds of prescribed pain pills are not used following surgery. It is these very pills that wind up on the streets and in our children’s hands, and are the core of the opioid crisis.

The opioid epidemic took a generation to develop and will not be solved overnight. Our belief is that this is an important starting point, and we hope that Washington incorporates opioid-reducing techniques into its overall strategies.

What are the next steps?

Our hope is that CMS will include OPPS for 2019, and then we can work toward in-patient procedures for 2020.

Since most commercial and state insurance programs follow CMS guidelines, we will look to work with surgical and anesthetic societies to educate their members about best practices for opioid reduction, increase patient awareness, and implement direct-to-consumer awareness tactics.

A final note:

We have gone opioid-free for most procedures in my practice. This protocol provides equivalent or better pain control than relying on opioids, and offers a better patient experience. I encourage other surgeons to do the same.


Dr. Iteld Dances to Fight Breast Cancer

Learn About Dr. Lawrence Iteld, His Chicago-Based Practice, and His Sweet Dance Moves for Charity

More than 600 people turned out to cheer on seven Chicago celebrities, as well as Dr. Iteld and seven other business leaders from across Chicagoland, as they took to the floor to take some very fancy steps in the fight against breast cancer. All together, the event raised more than $250,000 for the battle to prevent breast cancer.

Thank you to all who contributed in his name and cheered him on!

Visualize & Rize

Dr. Iteld had a wonderful time supporting Visualize & Rize, the foundation started by Jermon Bushrod of the Chicago Bears and his wife Jessica to support youth sports and education programs.

Room Seven Grand Opening

Dr. Iteld had a wonderful time as he participated in the grand opening for Room Seven.

vVerge Best Plastic Surgeons in Chicago List

We are pleased to announce that Dr. Iteld has been named one of the best plastic surgeons in Chicago by vVerge.

CoolSculpting and Linda Evangelista “Controversy”

Dr. Iteld was interviewed by FOX 32 Chicago about Linda Evangelista’s claims that CoolSculpting disfigured her. Although he has not treated her nor seen her medical records, he addressed the subject of rare side effects, how to get information, and the ability to deal with any unwanted outcomes.

The Checkup by SingleCare

Dr. Iteld is quoted in SingleCare about non-opioids and how there are safer and less addictive options.

Better Skin Care

Dr. Iteld is quoted in SheFinds about the 4 antioxidants every woman over 40 should be using to reverse signs of aging.

Opioid-Free: A Better Way to Recover

Published in Modern Aesthetics, read Dr. Iteld’s article on it’s time to rethink the standard patient care and his opioid-free approach.

Everything you need to know about breast reconstruction surgery

Read the interview with Dr. Iteld published in Health eNews, a news service from Advocate Health Care

Listen to Dr. Iteld talk about breast reconstruction on WLIT iHeartRadio:


Coping with Acute Pain

Dr. Iteld was interviewed with WGN9 NEWS NOW about different pain management solutions.

It’s time to get out in the sun…but safely, please. Dr. Iteld’s interview on ABC7 WLSHD News discusses ways to protect your skin this summer.

In Dr. Iteld’s interview with Chicago FOX32, he discusses how narcotics-free surgeries could impact the opioid crisis. A pioneer in the field, he is passionate about the industry-wide transition to less addictive painkillers as patients recovery from surgery.

Watch Dr. Iteld’s interview with Chicago’s ABC7 WLSHD discuss taking care of skin in winter, using various skin care products for healthier skin.

Watch Dr. Iteld explain why “I Love My Job!” on WCIU:

Watch Dr. Iteld’s interview about nonsurgical options on Chicago’s ABC7 WLSHD

Watch Dr. Iteld’s interview with anchor Dina Bair on WGN-TV Medical Watch