HOPD Employee- How busy?
Hi everyone,
I am looking into an employed position at a community hospital. They do not currently have a pain department and I would be helping to establish it. I was told by the CEO that there would be no difficulty filling my clinic with spine pain and filling two days for procedures. I want to provide the best patient care, but at the same time I am willing to hustle and work hard. They told me they would do all the marketing for me (put me on billboards, TV, etc) in the community and...
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Source: Student Doctor Network - August 17, 2022 Category: Universities & Medical Training Authors: PainApp2021 Tags: Pain Medicine Source Type: forums
lumbar paraspinous hematoma after RFA
50's cardiac history on warfarin.
had two successful mbb, and then lumbar RFA 2 weeks ago.
post procedure meeting - 2 weeks - complained of severe pain in right low back with hip flexion weakness, i got stat MRI
this is what the MRI shows
3cm hematoma in the paraspinous muscles. no impingement in neuroforamen/no hematoma in epidural space. of note, he does have a known 5cm AAA. i think the hematoma is causing the pain - any thoughts? how would you proceed? drain it? leave it...
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Source: Student Doctor Network - August 9, 2022 Category: Universities & Medical Training Authors: TIVAndy Tags: Pain Medicine Source Type: forums
Nevro Boston Scientific
$85M settlement reached in spinal cord stimulation lawsuits
Nevro Corp and Boston Scientific have reached an $85 million settlement in ongoing litigation over a spinal tech patent infringement.
www.beckersspine.com (Source: Student Doctor Network)
Source: Student Doctor Network - August 3, 2022 Category: Universities & Medical Training Authors: Bostonspine Tags: Pain Medicine Source Type: forums
Patient advice
I have a mid-60 year old patient with remote IV drug abuse, HIV and previous lumbar laminectomy still having low back and leg symptoms. Has failed all non-opioid meds, LESIs, MBBs, SI joints. Is currently doing a spinal cord stim trial but not getting a lot of relief and seems to be heading in the direction of a failed SCS trial. At last visit leading up to the trial, patient’s partner put a lot of pressure on me to prescribe an opioid and that it is terrible to have to see patient deal with...
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Source: Student Doctor Network - July 31, 2022 Category: Universities & Medical Training Authors: NeuroGuyIP Tags: Pain Medicine Source Type: forums
Doing Pain or Anesthesia?
With inflation, reimbursement cuts, and staffing costs since pandemic has anyone practicing considered going back to Anesthesia? Some of these rates are undeniably great. I'm still young, when I decided to do my pain fellowship the market was hot for outpatient pain jobs, now I see a trend for Anesthesia jobs, there is a definite shift happening and I am wondering if many people who are in pain are considering switching back? And if you are not switching back is it because you haven't done...
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Source: Student Doctor Network - July 28, 2022 Category: Universities & Medical Training Authors: sd287 Tags: Pain Medicine Source Type: forums
How to improve spine MRI reads
Hi all,
About to start my pain fellowship and one of my glaring deficiencies (among many) I've realized is independence in reading spine MRIs. Our residency had very good exposure to pain, but I feel like I didn't make as much of an effort to become proficient at this so I wouldn't have to rely on a radiologist's interpretation. A lot of the time my attending would point out abnormalities that I either could or could not appreciate, and then I didn't necessarily think about it again. Does...
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Source: Student Doctor Network - July 25, 2022 Category: Universities & Medical Training Authors: PainApp2021 Tags: Pain Medicine Source Type: forums
Where can I buy a fluoroscopy apron with both front and back coverage?
Looking for a fluoroscopy apron/vest+skirt combo with both front and back coverage. Anyone know where to get a good one? (Source: Student Doctor Network)
Source: Student Doctor Network - July 16, 2022 Category: Universities & Medical Training Authors: Member10billion Tags: Pain Medicine Source Type: forums
RFA pain
Odd case yesterday and I'm hoping to get some hive mind input. Did an RFA on a patient and during the ablation around 70 degrees Celsius mark during ramp up the patient had significant axial low back pain. Prior to the burn Took AP,15,30, and lateral imaging and everything looked great. Motor testing negative too. Gave some additional lido 2% and restarted with repeat pain. Repeat imaging good, aspiration neg, and motor stim negative again. Eventually I wound up removing two probes and...
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Source: Student Doctor Network - July 14, 2022 Category: Universities & Medical Training Authors: ED50 Tags: Pain Medicine Source Type: forums
Sports and Pain
Hey everyone, if this has been answered in the past definitely let me know and I can delete. I ultimately want to do Sports Med with my career but understand that it’s hard to swing a fully sports practice so people choose another area to fill the gap ie inpatient rehab, snf, MSK stuff. If I wanted to alternate with sports med and do spine procedures on the other days is this technically what the Sports and Spine fellowship is meant for? Is there a reason I shouldn’t be considering this?
As...
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Source: Student Doctor Network - July 6, 2022 Category: Universities & Medical Training Authors: kulmpke Tags: PM&R Source Type: forums
Dr.PayItBack...Best Resource for Becoming a Pain Baller!
Dr PayItBack
A Millennial Physician Getting Back to Broke (and Beyond)
drpayitback.com (Source: Student Doctor Network)
Source: Student Doctor Network - June 27, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
American Spectator Hit Piece on Pain Surgeons...
Perverse Health-Care Incentives Endanger Spine Patients - The American Spectator | USA News and PoliticsThe American Spectator | USA News and Politics
We have failed collectively as physicians when the Louisiana State Legislature must intervene to draft a bill making sure that...
spectator.org
"Non-operative specialists, such as pain anesthesiologists and pain medicine physicians, are not trained to perform spinal fusions as the codes are written. They have not completed a surgical residency performing surgery or treating surgical patients. Pa...
Source: Student Doctor Network - June 12, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Advice switching back to anesthesiology from pain medicine
Hello. I was wondering if anyone can give me some advice on switching back to anesthesia from pain medicine. I graduated from fellowship last year and have been practicing 100% pain for almost 2 years. I was thinking of switching back but really nervous about making the switch and I feel stuck. I am board certified but feel that my anesthesia skills have severely diminished. I was thinking of asking new jobs to see if any anesthesiologists were willing to shadow me until I get back into...
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Source: Student Doctor Network - June 7, 2022 Category: Universities & Medical Training Authors: JD786 Tags: Anesthesiology Source Type: forums
Synerfuse - Thoughts?
Synerfuse | Integrated Solution to Chronic Back Pain
Integrated Solution to Address Chronic Back Pain, When It’s Needed Most
www.synerfuse.com
One of the neuromodulation reps showed me this combined Fusion/DRG stim last night. Interested in thoughts. (Source: Student Doctor Network)
Source: Student Doctor Network - June 4, 2022 Category: Universities & Medical Training Authors: NJPAIN Tags: Pain Medicine Source Type: forums
ABC News: Tulsa Shooter Battled Chronic Back Pain
Tulsa mass shooter allegedly gunned down his doctor after asking for help with pain
A patient gunned down his doctor and three other people in a mass shooting at a Tulsa, Oklahoma, medical building on Wednesday afternoon, according to police.
abcnews.go.com
"The suspect was released from the hospital on May 24, five days after his surgery, Franklin said. After his release, the suspect called several times over several days complaining of pain and wanting additional treatment, the chief said."
...
Source: Student Doctor Network - June 2, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Billing question
Hi
I have patient whom I have been seeing for low back / leg pain , improved with ESI.
Recently she was involved in MVA and associated with low back and leg pain. I want to do ESI under her MVA ( she has Med Pay $10,000 ) but my billing wants to do her under original commercial insurance as she said if she is exhausted with MedPay , I will not be able to treat her and we can not bill her regular insurance after we go through her MVA!
Is it right? (Source: Student Doctor Network)
Source: Student Doctor Network - May 27, 2022 Category: Universities & Medical Training Authors: Chn96 Tags: Pain Medicine Source Type: forums
