Red Title Official Thread: Graduate Entry Medicine 2023 Entry
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Source: The Student Room - July 23, 2023 Category: Universities & Medical Training Authors: anon010 Tags: Medicine Source Type: forums
Re: Chronic pain: management focusses on the individual and not the pain
(Source: BMJ Comments)
Source: BMJ Comments - July 17, 2023 Category: General Medicine Source Type: forums
Obligation to legacy patients
Have a doc in our practice that left for the VA. Was managing some chronic opiates. Not a lot of patients and most are on fairly reasonable amount of mme as he was working towards tapering. He was really the only one, for the most part, doing COT in our group. Because I'm newer to the group I was asked if I would take on management and because the other docs have zero interest. I reluctantly agreed but am not sure as to my obligation to their management. I'm in a state where marijuana is...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 15, 2023 Category: Universities & Medical Training Authors: Dansk2011 Tags: Pain Medicine Source Type: forums
Re: Chronic pain: definitions and diagnosis
(Source: BMJ Comments)
Source: BMJ Comments - July 13, 2023 Category: General Medicine Source Type: forums
Chronic pain: a silent killer
(Source: BMJ Comments)
Source: BMJ Comments - July 12, 2023 Category: General Medicine Source Type: forums
What would you do?
I have an 80 year old woman with osteoporosis and prior compression fractures. She developed significant acute axial low back pain February 18th without any inciting event. This was so severe that it resulted in a short hospitalization for pain control. Workup was negative except for chronic L3 and L4 compression fractures (I have included sagittal STIR and T2 lumbar spine MRI images below from 2/19/2023). Patient was referred to me in March. Pain was facetogenic on examination. I ended up...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 14, 2023 Category: Universities & Medical Training Authors: No_Pain_No_Gain Tags: Pain Medicine Source Type: forums
Back pain management
I'm almost 2 years out of training, still have some doubts regarding managing nontraumatic lower back pain in the ER:
Obviously in people with no red flags, treat symptomatically and discharge.
The main problem are these patient who usually have some worsening of their chronic back pain, coming in with some mild neuro complaint like one leg is starting to feel numb or a little weak, or some numbness in the groin. Assuming infectious workup is negative and they get a MRI non-con, always...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 6, 2023 Category: Universities & Medical Training Authors: ACal Tags: Emergency Medicine Source Type: forums
Chronic Pain and the Differential Diagnosis of Mood Disorders
I need to get people's opinions on a differential diagnostic issue. Situation would be a patient with chronic pain who develops clinically significant depressive symptoms as a result (or, at least with the stress of the chronic pain contributing substantially to mood dysfunction). My contention would be that this would NOT be diagnosed as a 'Depressive Disorder Due to Another Medical Condition' but rather an Adjustment Disorder With Depressed Mood (or even MDD if full criteria for MDD are...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 1, 2023 Category: Universities & Medical Training Authors: Fan_of_Meehl Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
There are wins sometimes
December 2020: Patient presents for intake on following combination of medications (among others) from elderly out of state psychiatrist who is not good about responding to communication but patient kind of idolizes:
Diazepam 15 mg qAM, 10 mg qnoon, 10 mg q4PM, 15 mg qHS
Adderall IR 20 mg TID
temazepam 30 mg qHS
Ambien 15 mg qHS
gabapentin 600 mg qAM + 300 mg qHS
Patient had struggled to get off suboxone they were put on for chronic pain in the past but had been sober for a few years...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 26, 2023 Category: Universities & Medical Training Authors: clausewitz2 Tags: Psychiatry Source Type: forums
New Study Shows Chronic Pain is Real After all...
Has Science Cracked the Code on Chronic Pain?
In a first, researchers have identified chronic pain pathways in individuals directly from their neural activity, showing promising paths forward for treatment.
www.ucsf.edu
If I were Deyo, Chou, anyone who ever published an article in the Back Letter, or therapeutic nihilists/pain deniers, I'd be pissed... (Source: Student Doctor Network)
Source: Student Doctor Network - May 25, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Average reimbursement for implants
Hi,
Can anyone please let me know the average reimbursement you (physician, not hospital) get for doing an ITP or SCS implant at a hospital if you are working in PP? Do you generally negotiate your professional fee with the hospital, or is it normally a set price according to reimbursement? I want to do pumps for chronic malignant pain and stims, but if it is not economical then I will just make it a smaller part of my practice. How do you generally gauge what procedures are more "worth...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 19, 2023 Category: Universities & Medical Training Authors: PainApp2021 Tags: Pain Medicine Source Type: forums
Abbott Receives FDA Approval for Its Spinal Cord Stimulation Systems to Treat Chronic Back Pain in People Who Have Limited Surgical Options
FDA approval was backed by Abbott's DISTINCT study, the largest randomized controlled trial for spinal cord stimulation (SCS) in people with chronic back pain when surgery is not an option Results...
abbott.mediaroom.com (Source: Student Doctor Network)
Source: Student Doctor Network - May 18, 2023 Category: Universities & Medical Training Authors: PainDoc2025 Tags: Pain Medicine Source Type: forums
Chronic GTB - How do you treat it? What are all the options?
Chronic GTB. What are all the options? (Source: Student Doctor Network)
Source: Student Doctor Network - May 10, 2023 Category: Universities & Medical Training Authors: wscott Tags: Pain Medicine Source Type: forums
Prophylactic Antibiotics and Neuraxial
In fellowship, our institutional dogma was that if a patient was on antibiotics we would not perform any neuraxial intervention.
Have patient on chronic antibiotics (6 months into 2.5 year course) for knee replacement hardware infection with a lumbar radicular symptom who could benefit from a LESI. No infectious symptoms right now.
I spent some time reviewing the literature (google schoalr search) this morning and couldn't find anything that spoke to recommendations if a patient was on...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 6, 2023 Category: Universities & Medical Training Authors: agolden1 Tags: Pain Medicine Source Type: forums
TMS financial questions
I'm a psychiatry-matched MS4 currently on a pain clinic elective. I am giving a presentation about some RCTs of TMS for chronic pain conditions and would like to include some basics about reimbursements for TMS in general. I'm aware that it's not currently billable for pain (except migraines), but the goal is to provide some background about the reimbursement landscape for approved conditions.
I've scoured some old threads and found the following info thus far:
2022 thread:
...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 20, 2023 Category: Universities & Medical Training Authors: esob Tags: Psychiatry Source Type: forums
