Nontrad needs advice, am I on the right track?
I graduated undergrad around 7 years ago and have a pre-med background. I was going to apply to medical school back then but kept putting off studying for the MCAT. One of my parents suddenly died at the end of my sophomore year and I developed a chronic pain disorder shortly after that. I ended up taking a gap year after college to teach English abroad through a government program. The past 5 years I’ve just been working and treating my trauma/grief and my medical condition. I’m in a much...
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Source: Student Doctor Network - March 26, 2022 Category: Universities & Medical Training Authors: Purplie Tags: Pre-Medical (MD) Source Type: forums
Help With Cerner/FirstNet
Just got a new gig which has me switching to cerner. I used it back in residency but forgot all the tips and tricks. Specifically, right now I'm trying to create my own order sets because the pre-filled ones are incomplete.
For example, ED Chest Pain doesn't have a Dimer order to click. I can "add to phase" a dimer and it comes into the order set pre-selected as Dimer Blood Stat. But if I unclick it, the details go away and I'd have to re-select "blood" and "stat" details every time I...
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Source: Student Doctor Network - March 21, 2022 Category: Universities & Medical Training Authors: Backpack234 Tags: Emergency Medicine Source Type: forums
CRNA fixes parosmia with Stellate block!?!
Teen gets most of her smell back after 'rebooting' nerve system through series of shots
Republic Pain Specialists - Pain Management Bryan, College Station & Madisonville, Texas > About > Our Team
People travel across the country to have a nurse do a stellate…for post-Covid parosmia.
There is an MD associated with this practice, kind of, based on the web site. So many questions/issues here. (Source: Student Doctor Network)
Source: Student Doctor Network - March 17, 2022 Category: Universities & Medical Training Authors: cowboydoc Tags: Pain Medicine Source Type: forums
SIS courses
Hi everyone, I was interested in this Spine Intervention Society course. I am nearing completion with my training but wanted to attend one SIS course. This course seems to give the most bang for the buck it covers a variety of things. Has anyone attended this course? I had 2 questions:
1. does the hands on sessions for this course course involve everything listed (i.e. disc access in all lumbar levels, cervical-thoracic-lumbar transforaminals and RFA etc.)
2. this course does not...
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Source: Student Doctor Network - March 11, 2022 Category: Universities & Medical Training Authors: interjectionreflection Tags: Pain Medicine Source Type: forums
Frank Patino of UFC
Pain Doctor Convicted of Over $100 Million Health Care Fraud Scheme
A federal jury in the Eastern District of Michigan convicted a Michigan doctor today for his role in masterminding and executing a complex scheme to defraud Medicare and other health insurance programs by administering medically unnecessary spinal injections in exchange for prescriptions of high...
www.justice.gov
“According to court documents and evidence presented at trial, Francisco Patino, 66, of Wayne County, excessively prescribed highly addictive opioids to his patients a...
Source: Student Doctor Network - March 11, 2022 Category: Universities & Medical Training Authors: nimbus Tags: Anesthesiology Source Type: forums
Anyone who loved obgyn but didn't pursue it? What did you do?
I am on my very nice family med rotation, which I was hoping to love partially due to my low Step 1 but also due to the opportunity to do obgyn. I unfortunately find that I feel overwhelmed with the case load of patients in their 50/60s with comorbid conditions and the fact that the PCP is often the first to field an undifferentiated complaint like back pain or headaches.
I unfortunately fell in love with my OB rotation which I just had. It was all amazing from the healthy deliveries to the...
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Source: Student Doctor Network - February 28, 2022 Category: Universities & Medical Training Authors: kgamon8 Tags: Medical Students (MD) Source Type: forums
Prognostic blocks for peripheral neuromodulation
I see many articles for peripheral nerve stimulation in which most if not all of them report a positive response to a block of the same nerve prior to placing the stimulator. I see similar regarding blocking nerve roots and DRG stimulation. At a recent course I had the opportunity to discuss this with a guru that I respect. His response was " the MOA of stim is not the same as a local anesthetic block so it makes no sense to predict a response based on a block. Do you do a spinal to predict...
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Source: Student Doctor Network - February 28, 2022 Category: Universities & Medical Training Authors: NJPAIN Tags: Pain Medicine Source Type: forums
ViaDisc Thunderdome Showdown: Beall versus Centeno
Beall says VAST study/ViaDisc is Gold; Centeno says it's Garbage.
Two men enter...one survives...
The New VAST Trial Results on VIA Disc - Regenexx
Dr. Centeno discusses the VIA Disc VAST Trial results when treating low back degenerative disc disease.
regenexx.com (Source: Student Doctor Network)
Source: Student Doctor Network - February 23, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Is anyone doing this two needle technique for RFA?
I saw Dr. Chapman's video a while back where he does the two needle technique.
Then more recently I actually found the article describing the technique.
Two-Needle Technique for Lumbar Radiofrequency Medial Branch Denervation: A Technical Note - PubMed
The detailed two-needle approach to lumbar RF medial branch denervation appears to be promising in terms of projected treatment success by coagulating a large volume of tissue, in a cost- and time-efficient manner.
pubmed.ncbi.nlm.nih.gov
...
Source: Student Doctor Network - February 22, 2022 Category: Universities & Medical Training Authors: GottaHaveIt Tags: Pain Medicine Source Type: forums
Going back into the OR
Hey folks,
Anybody here made a transition back to OR anesthesiology after a period of out of OR jobs? e..g critical care or pain med?
I've been out of the OR for a few years now (pure critical care), wondering what steps are needed to be OR-credentialed again. (Source: Student Doctor Network)
Source: Student Doctor Network - February 1, 2022 Category: Universities & Medical Training Authors: lunaire Tags: Anesthesiology Source Type: forums
MMGA Nonanesthesia Pain provider compensation negotiation
Advice please:
In contract re-negotiations with large medical group:
Management wants to categorize the interventional physiatrists in the Physiatry MMGA category instead of the Nonanesthesiaain provider category. All the interventionalists are fellowship-trained in spine procedures and their practices are mainly interventional.
Any tips/suggestions for “proving” one’s justification into the higher compensated category?
What arguments- besides we are doing everything the anesthesiology...
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Source: Student Doctor Network - February 1, 2022 Category: Universities & Medical Training Authors: Lodoc Tags: Pain Medicine Source Type: forums
CESI, how high
what level is your cut off for interlaminar CESI
I don't go above C6-7, always been told the ligament may not be fused above this level for safe CESI
interesting article here: "RESULTS: Our most common spinal level for injection was C5-6, followed closely by C6-7. Hundreds of injections were performed at spinal levels above C5-6 with the most cephalad level C2-3." (Source: Student Doctor Network)
Source: Student Doctor Network - January 29, 2022 Category: Universities & Medical Training Authors: DOctorJay Tags: Pain Medicine Source Type: forums
NASS Recognized Sports and Spine Fellowships
https://www.spine.org/Portals/0/Assets/Downloads/Education/Match-Opportunities.pdf
Learn how to apply here:
ISMM Fellowships (Source: Student Doctor Network)
Source: Student Doctor Network - January 27, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Spine surgeon societies versus Pain surgeons
Leave spinal fusions to the surgeons, spine societies warn
The recent technology advances in spine surgery allow for less invasive procedures and outpatient surgeries. But several spine societies have come together to warn against non-spine surgeons performing spinal arthrodesis.
www.beckersspine.com (Source: Student Doctor Network)
Source: Student Doctor Network - January 19, 2022 Category: Universities & Medical Training Authors: myrandom2003 Tags: Pain Medicine Source Type: forums
Pain Is A Great EM Subspecialty That You Should Think About
Doing an Interventional Pain fellowship is something that's open to EM residents and physicians, just as much as it is to Anesthesiologist and Physiatrists. You should look into it. It's a whole different world, and a whole different life. Sleeping at night, and being awake during the day. Spine epidurals, joint injections, nerve blocks, nerve ablations, using fluoro/ultrasound, joint injections, placing spinal cord stimulators. Cool procedures. I have a 2 level kyphoplasty on a cancer...
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Source: Student Doctor Network - January 16, 2022 Category: Universities & Medical Training Authors: Birdstrike Tags: Emergency Medicine Source Type: forums
