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  • "My name is Staci Hancock. I was a patient of Dr. Michael Christies in February of 2020. I underwent a primary knee arthroplasty the afternoon of February 18th, 2020…I also was concerned about opioid use after surgery because with my two previous surgeries, the side effects of the opioids caused delays in my recovery. Nausea and constipation are not fun with a broken leg…So, complex surgery in the afternoon. Up and walking that same day. Actually slept that night …Now I know. The “multimodal injection” around my knee incision? It’s called BKK, multimodal opioid sparing analgesia, a “periarticular injection” Dr. Christie used it to help me recover safely and fast. Wish BKK was available with my other fractures."

    — Staci Hancock, Patient

  • "I have had extensive experience with the use of BKK in my surgical practice…over 20 years…over 5000 impatient and outpatient spinal operations. The use of BKK on every spinal surgical patient over the time frame has proven to be opioid sparing, safe, and reproducible. I can strongly endorse this modality and its effectiveness in treating posts spinal surgical patients."

    — Timothy P. Schoettle, MD, FAANS

  • "A retrospective analysis of the specific components, steps, of our protocol revealed BKK, the base of our established multimodal opioid free analgesic enhanced recovery protocol to be the decisive component, “game changer.” My outcomes, my colleagues’ outcomes, were simply superior compared to standard of care benchmarks. BKK delivered as an erector spine plane block upon closure resulted in early mobilization, lead to expedited functional recovery, and lead to expedited discharge…Average LOS for a simple laminectomy remained right at 3 hours, admission to discharge…BKK as the base of an enhanced recovery protocol for spinal procedures significantly decreased the use of opioids…Truly a simple and effective game changer."

    — Gray Stahlman MD

  • "Using BKK…was a game changer…more complex and invasive surgeries discharged routinely at 23 hours…I endorse it, I would try it, you and your patients will like it.”

    — Daniel S. Burrus M.D, Board Certified Orthopedic Surgeon

  • "Peri-operativists…used BKK in an infiltrative multimodal fascial plane injection that resulted in impressive patient safety… and satisfaction with a striking decrease in length of stay…Our  first ACDF was performed in 2004, and after performing over 1800 of these procedures through 2014, the average  LOS was five to six hours…multimodal opioid free and anti-emetic analgesia provided by BKK was THE “game changing” innovation…During 2013-2014 our facility was reported as achieving the highest HCAHP net promoter score for all US acute care hospitals. BKK is a safe, affordable, simple, opioid avoiding/eliminating innovation providing excellent postoperative analgesia even in patients opioid tolerant or dependent."

    — WM Dennis Rogers MD

  • "I have been in practice in Nashville Tennessee for the past 25 years…My specialty fellowship training in total joint arthroplasty…I have incorporated BKK, in my opioid sparing multimodal analgesic protocol since 2015. BKK, is Multimodal…As an engineer by training, always looking to make things better and safer for my patients. I can recommend BKK periarticular as an exemplary admixture and the base of my ERAS protocol…Simple, safe, efficacious, and reliable, used in hundreds of my patients."

    — Phillip Karpos MD