Shots fired and bomb planted at family medicine clinic - over opioids?
Suspect identified in shooting at Allina Clinic Crossroads in Buffalo, 5 people injured
Richard Ulrich added that his brother had back surgery a couple years ago and was put on opioids, which he believes led his brother to do what he did at the clinic.
Click to expand...
The guy is 67. He looks like he could be one of my...
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Source: Student Doctor Network - February 10, 2021 Category: Universities & Medical Training Authors: Agast Tags: Pain Medicine Source Type: forums
Spine Case
60 yo M pmh throat cancer, diabetes, hypertension, hyperlipidemia, hypothyroid with worsening neck pain and unilateral arm weakness. Imaging shows atlantoaxial instability. Surgeon booked a suboccipital craniectomy and decompression/fusion to c5 due to cord compression and is itching to get to the OR. What's your next step? (Source: Student Doctor Network)
Source: Student Doctor Network - February 3, 2021 Category: Universities & Medical Training Authors: GassYous Tags: Anesthesiology Source Type: forums
Re: Efficacy and safety of antidepressants for the treatment of back pain and osteoarthritis: systematic review and meta-analysis
(Source: BMJ Comments)
Source: BMJ Comments - February 1, 2021 Category: General Medicine Source Type: forums
Austin Pediatrician Dr. Dodson & Under-Desk Holsters Revisited
A Pediatrician With Terminal Cancer Killed Another Pediatrician And Himself During A Hostage Situation
Bharat Narumanchi died by suicide after fatally shooting a beloved Austin pediatrician, Katherine Lindley Dodson, during a hostage situation at a children's medical center.
www.buzzfeednews.com
This story has been blowing up my social media. Dr. Dodson worked with one of my friends from med school at that clinic.
I took a lot of flack on here a while back for suggesting that pain docs explore self-defense options in the clinic. Some of us do...
Source: Student Doctor Network - January 31, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Medial branch blocks/RFA after fusion
Patient has had prior L4-5 posterior decompression and fusion. Patient now has axial low back pain reproduced by facet loading bilaterally, has failed conservative measures including physical therapy, and MRI shows significant facet degeneration at L2-3, L3-4, and L5-S1 joints bilaterally. Which medial branch nerves do you choose to target and why? L1-5 bilaterally? L1, L2, L3, & L5 bilaterally? L1, L2, L4, & L5 bilaterally? Thanks in advance for any input. (Source: Student Doctor Network)
Source: Student Doctor Network - January 27, 2021 Category: Universities & Medical Training Authors: No_Pain_No_Gain Tags: Pain Medicine Source Type: forums
Anyone working four days a week?
I'm thinking about cutting back my workload to 4 days a week and hiring someone part time 4 days a week (or full time 5 if that's their bag). How does your staff handle things when you're out of the office one day a week? Are you expected to still be reachable during business hours? Even taking two half days off would be amazing. (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2021 Category: Universities & Medical Training Authors: Agast Tags: Pain Medicine Source Type: forums
Regenerative Medicine Fellowship Opportunities
RSI Fellowship - Regenerative SportsCare Institute, NYC
www.regensportscare.com
This fellowship is designed for graduates of a residency program in Physical Medicine and Rehabilitation with a strong interest in Interventional Sports and Spine Medicine with a focus on orthobiologic therapies. Qualified applicants must have a strong interest in clinical research. This fellowship is 12 months long and takes place at premier sports and spine private practice on the Upper East Side in Manhattan, New York...
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Source: Student Doctor Network - January 20, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Rusty on some more advanced things - where to go to brush up on
Hey,
since fellowship I've been doing a lot of bread and butter and SCS. I'm trained in Vertiflex and mild.
I want to start getting back into doing some of the more advanced stuff some of which I haven't done since fellowship specifically:
1. SCS Implant
2. Kypho
3. DRG
4. Intrathecal pump implant/trial
5. PNS
6. Discogram
any idea of of any programs or ways to get my muscle memory back so that I'm comfortable doing them on my own?
I know the companies have courses but right now...
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Source: Student Doctor Network - January 15, 2021 Category: Universities & Medical Training Authors: Nonphysiologic Tags: Pain Medicine Source Type: forums
Stock market opinions?
Any opinions? I went in heavy in March and April. I did okay and I'm exiting now. I don't think a crash is imminent and I'm sure it will still go up for the next few weeks at least. There seems to be a lot of stimulus money being kicked around and I'm sure it will fuel the market but really, how long can this continue? I'm not sure but I don't want to stick around to find out. I'd rather remain on the sidelines and wait for the next downturn. That will be my cue to jump back in.
Same...
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Source: Student Doctor Network - January 15, 2021 Category: Universities & Medical Training Authors: Pain Applicant1 Tags: Pain Medicine Source Type: forums
DLT and thoracic spine surgery
So we have a new surgeon who is starting to request lung isolation during thoracic spine surgeries. He’s primarily requesting it for big thoracic fusions and recently a corpectomy/fusion for epidural abscess. I remember this request a couple times in training, but it was rare.
They’ve been requesting it for some cases where I don’t think it’s reasonable - ie loooong cases with anticipated high blood loss, and covid+ patients. Even in patients without those issues, it’s a pain to manage a...
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Source: Student Doctor Network - January 3, 2021 Category: Universities & Medical Training Authors: Airlife91 Tags: Anesthesiology Source Type: forums
Abdominal pain in women
Alright, 6 months out and this one keeps getting me extended LOS and honestly when I get 2 or 3 at a time it seems like my cognitive load capacity is just depleted. Had two tonight. Young women, present in agonizing pain. Maybe a little tacky, maybe not. Tender belly. Improve with morphine. CT neg. Labs pretty much normal, maybe a mildly bumped WBC or some other nonspecific finding. Normal UA, preg neg. US comes back neg. Still tearful in bed saying they are dying. Seems like I just can't...
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Source: Student Doctor Network - December 24, 2020 Category: Universities & Medical Training Authors: wareagle726 Tags: Emergency Medicine Source Type: forums
Occupational hand radiation
I am admittedly careless at times with my hands in the path of the x-ray during fluoroscopic procedures. I am otherwise careful with radiation safety, wearing lead glasses, taking a step back during laterals, generally avoiding live fluoro, etc. I was led to believe that incidental exposure to the hands for the procedures we do was generally benign. But I've come across some articles that are leading me to believe otherwise...
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Source: Student Doctor Network - December 12, 2020 Category: Universities & Medical Training Authors: manowar rules Tags: Pain Medicine Source Type: forums
Help with SCS lead location
Need some ideas.
I have a patient that has a history of rectal pain/tailbone pain. 77 year old male, history of L4-L5 laminectomy 15 years ago - essentially not complaining of much back pain. Had some urological procedure (i think prostate biopsy) successfully, but then started having some discomfort in tailbone area a couple of months later. Was sent to physical therapy and they put some type of probe in his rectum (YES YOU READ THAT RIGHT) and manipulated it for some god awful reason...
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Source: Student Doctor Network - November 25, 2020 Category: Universities & Medical Training Authors: predentalgirl Tags: Pain Medicine Source Type: forums
RLS > spinal
Did a total knee earlier today on a ASA 3 lady with restless leg syndrome, easy uneventful spinal. But patient is jerking her legs nearly the entirety of the case. She's snoring away the whole case and has zero pain post-op so the spinal obviously worked. How the hell is she moving her legs though? Anyone experience anything like this and if so any tricks? Surgeon was getting super annoyed and I was pretty close to converting to GETA and paralyzing. (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2020 Category: Universities & Medical Training Authors: minwoo Tags: Anesthesiology Source Type: forums
Chronic testicular pain
Pudendal, Genitofemoral, ilioinguinal, all failed. Lyrica, Cymbalta, Narcs, Gabapentin, tramadol, anti depressant all fail. MRI of spine is perfect. Someone tried TFESI without success. Ideas? Would SCS help? Will insurance cover? Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - November 22, 2020 Category: Universities & Medical Training Authors: gator2886 Tags: Pain Medicine Source Type: forums
