Dr. Grover is Chair of the Division of Emergency Medicine at Community Hospital of the Monterey Peninsula. Dr. Grover was born at Community Hospital and is a life-long resident of Monterey County. He graduated from medical school at University of California, Los Angeles as one of the top three students in his class. Dr. Grover completed his residency at Stanford in Emergency Medicine, and was chief resident. In addition to his current role as Division Chair, he is an attending physician in the Emergency Department, Vice Chief of Staff for the hospital, and serves as Physician Champion for the Monterey County Prescribe Safe Initiative.
Dr. Grover's publications related to Prescribe Safe
- Grover CA, Close RJ. Frequent users of the emergency department: risky business. West J Emerg Med. 2009; 10: 193-4. This was an opinion piece highlighting the problems associated with ED frequent users.
- Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med. 2010; 11: 336-43. This was a publication on the first 100 patients in the Frequent Users Group (original EDRVP). We reduced ED visits by 83% and CT scans by 67%.
- Grover CA, Wiele ED, Close RJ. Narcotic Bowel Syndrome. J Emerg Med. 2012; 43: 992-5. One of our EDRVP patients had chronic abdominal pain - and was ultimately diagnosed with Narcotic Bowel Syndrome after referral to a tertiary care center. As the opiate pain medications caused her recurrent abdominal pain - she asked us to write up the case to teach other providers about her diagnosis.
- Grover CA, Close RJ, Wiele ED, Villarreal K, Goldman LM. Quantifying drug-seeking behavior: a case control study. J Emerg Med. 2012; 42: 15-21. Since many of the EDRVP patients exhibit drug seeking behavior from chemical dependency issues, we looked at their behaviors to understand more about drug seeking behavior.
- Grover CA, Garmel GM. How do emergency physicians interpret prescription narcotic history when assessing patients presenting to the emergency department with pain? Perm J. 2012; 16: 32-6. We provided a number of fictitious cases of patients presenting with back pain - each with a different prescription drug history (we varied medication potency, number of prescribers, and number of prescriptions) - to see how providers interpreted the data in regards to the possibility of drug seeking behavior.
- Grover CA, Elder JW, Close RJ, Curry SM. How frequently are "Classic" Drug-Seeking Behaviors Used by Drug-Seeking Patients in the Emergency Department? West J Emerg Med. 2012; 13: 416-21. Since many of the EDRVP patients exhibit drug seeking behavior from chemical dependency issues, we took another at their behaviors to understand more about drug seeking behavior.
- Grover CA, Crawford E, Close RJ. The Efficacy of Case Management on Emergency Department frequent users: An Eight Year Observational Study. J Emerg Med. In press. All previous studies of case management have followed patients for 3 years or less. We had the data on patients for 8 years - and found that case management continues to work in the long term.
- Grover C. State prescription drug monitoring programs: Are they the answer to America's new public health epidemic? ACEP Trauma and Injury Prevention Section Newsletter. March 2012. This was an informational piece on prescription drug monitoring programs.
- Grover C. Prescription Drug Monitoring Programs. Modern Resident. Apr/May 2013. This was another informational piece on prescription drug monitoring programs.
- Brooks, Dorothy. New Initiative Slashes Opioid Prescriptions, Boosts Community Response. [PDF] ED Management. October 2016.
- Grover CA, Close RJ. Community Hospital of the Monterey Peninsula: Clinical Connection. [PDF] Winter 2017. Information piece for area physicians on the latest best practices to reduce harm to patients in prescribing addictive medications.
- Grover CA, Close RJ. Community Hospital of the Monterey Peninsula: Clinical Connection. [PDF] Winter 2016.
- ED Management. [PDF] October 2016. Information piece for area physicians on best practices to identify patients at risk for addiction and non-opioid treatments for pain.
- Grover C. Community Hospital of the Monterey Peninsula: Clinical Connection. [PDF] Summer 2017.
- Grover C. TENS Units: Hope for the Opioid Epidemic? Emergency Medicine News. September 2017.
- Grover CA, McKernan MP, Close RJH. Transcutaneous Electrical Nerve Stimulation (TENS) in the Emergency Department for Pain Relief: A Preliminary Study of Feasibility and Efficacy. West J Emerg Med. 2018; 19: 872-876. A study of using the non-opioid technology TENS in the ER at CHOMP proved to be a success! The first study of using such technology in the ER anywhere.
- Grover C, Christoffersen K, Clark L, Close R, Layhe S. Atraumatic back pain due to quadratus lumborum spasm treated by physical therapy with manual trigger point therapy in the Emergency Department. Clin Pract Cases Emerg Med. In press. A publication highlighting the successful work at CHOMP of using physical therapists with special training to relieve pain without medication.