Patient case (clinical description): A 30-year-old man who is a computer scientist came to the clinic with the lab result stating azoospermia.  The patient is sexually active with his wife and does not use any contraception methods.  They have been trying to conceive for the past year with no success.  The patient has a past medical history of recurrent pneumonia, shortness of breath, and  persistent cough that produces large amounts of thick sputum. The patient had multiple lung infections during childhood. He does not smoke, use illicit drugs or alcohol.  The patient has no history of other medical conditions including allergies or any kind of surgery.  On physical examination, the digits show clubbing.  An ultrasound shows bilateral absence of the vas deferens, and FEV1 was 75% on the respiratory function test.

Patient's own account: I'm a 30-year-old computer scientist. I did some lab tests that came back quite alarming, stating that I have azoospermia?! I'm sexually active with my wife and we don't use contraception. We've been trying to have a child for the past year. I have a medical history of pneumonia and shortness of breath and regular wet cough. I had several lung infections when I was a kid. That's why I'm very careful and don't smoke, do drugs, or drink. I don't have other medical conditions including allergies or any kind of surgery. The doctor did the clubbing test on my fingers, which was positive. I also did an ultrasound and it showed that I'm missing the tubes that carry sperm around. I also had a 75% for my respiratory function test.

Clinical trial: Self-Management of Chronic Pain

Eligibility criteria:
Inclusion Criteria:

          -  Have a complex, prolonged (neck shoulder pain or lower back pain

          -  Have been followed by a pain management specialist for at least 6 months

          -  Referred for Pain Medicine Consultation

          -  Be >18 years of age

          -  Be able to travel to and from the clinic

          -  Have a goal and motivation that is adequate in relation to the program offered

          -  Be medically prepared and not have any other medical examination or ongoing disease
             that constitutes an obstacle as well as adequate pharmacological treatment

          -  Have no major change in pain management (e.g. medications)

          -  Own a smart phone, tablet or computer or have the knowledge to use one

        Exclusion Criteria:

          -  Low back pain requiring surgical intervention in the next 3 months

          -  Severe or acute psychiatric illness, severe anxiety or depression

          -  Reported/acute psychiatric illness or acute crisis

          -  Ongoing abuse of alcohol, drugs and drug-based drugs. This also includes high doses of
             prescribed drugs

          -  Pain related to malignancy

          -  Other areas of pain exceeding the level/intensity of low back or neck pain

          -  Currently involved in a lawsuit or pending litigation in relation to the low back or
             neck pain
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 18 Years old.


Eligibility (NLI label): Entailment