Coping with chronic pain while doing A levels
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Coping with chronic pain while doing A levels
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Source: The Student Room - September 7, 2022 Category: Universities & Medical Training Authors: Spilerrrrrr Tags: Medicine Source Type: forums
Newbie...can someone please verify my MDM to appropriately bill 99204 for all new patients?
PROBLEM COMPLEXITY (LOW)
-typically low since I keep visits to 1 stable chronic illness
DATA (3 points from category 1) (MODERATE)
-review of CBC and BMP (1pt)
-review of X-ray spine report everytime (1pt)
-review of MRI spine report everytime (1pt)
(I’m in a busy private group so MRI is usually always done)
-review of the same Xray/MRI counts everytime right? I do this out of good practice.
MANAGEMENT (MODERATE)
-RX management OR injection discussion at every visit...
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Source: Student Doctor Network - August 21, 2022 Category: Universities & Medical Training Authors: cameroncarter Tags: Pain Medicine Source Type: forums
Case Discussion
Had this case recently, I'll fill in details as we go along.
72 yr old scheduled for a single level laminectomy. Hx of OSA, HTN and known AS. TTE from two years ago shows moderate AS, AVA of 1.2 and preserved EF. METs are limited by chronic back pain. Able to golf but needs a cart to get around since he can't walk.
Do you proceed with surgery or repeat TTE? (Source: Student Doctor Network)
Source: Student Doctor Network - August 20, 2022 Category: Universities & Medical Training Authors: Ronin786 Tags: Anesthesiology Source Type: forums
What's your plan after the new 10.4% cuts for pain go through?
Double down on real estate, crypto, and land trusts?
2023 Impending Cuts of 10.4% Threatens Access to Care for Chronic Pain Patients
As an interventional pain management physician, I write to you on behalf of my many chronic pain patients who require proper interventional pain management to live a functional life. With the recent release of the proposed 2023 physician fee...
www.votervoice.net (Source: Student Doctor Network)
Source: Student Doctor Network - July 21, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Ochsner-LSU Shreveport growing again. Outstanding openings
Ochsner-LSU Shreveport continues to grow and expand coverage of academic trauma center, outpatient women's/children's hospital and multiple ambulatory facilities. Seeking anesthesiologists in all areas of practice for staff and leadership positions. Flexible schedules and work types available (i.e.: CRNA direction, resident teaching, solo cases). Great quality of life and low cost of living. Please see our Gaswork posting: GasWork.com - Reference #376838. ICU and chronic pain also...
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Source: Student Doctor Network - July 10, 2022 Category: Universities & Medical Training Authors: LSUANESTHESIA Tags: Anesthesiology Positions Source Type: forums
CMS proposed physician payment rule 2023
Any guesses on how this would be implemented if it goes through?
CMS Proposes Physician Payment Rule to Expand Access to High-Quality Care | CMS
The Centers for Medicare & Medicaid Services (CMS) today issued the Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule, which would significantly expand access to behavioral health services, Accountable Care Organizations (ACOs), cancer screening, and dental care — particularly in...
www.cms.gov
“CMS is also proposing to bundle certain chronic pain mana...
Source: Student Doctor Network - July 8, 2022 Category: Universities & Medical Training Authors: Linktones Tags: Pain Medicine Source Type: forums
A1c and injections
what are your policies re this if they aren't going to get steroids?
let's say they have A1c of 11+
would you do TPI? MBB? RFA?
what if the story was complicated by chronic poorly healing wounds in the limbs?
curious what people's thresholds are and what a1c you'd inject at. (Source: Student Doctor Network)
Source: Student Doctor Network - June 30, 2022 Category: Universities & Medical Training Authors: oreosandsake Tags: Pain Medicine Source Type: forums
Why is there no pain in chronic pulpitis?
Hey everyone I am a dental student and this is a question that I am curious about.
In acute pulpitis the patient feels severe pain so what is the reasoning that in chronic pulpitis the pain disappears even though the pulp is still inflamed? (Source: Student Doctor Network)
Source: Student Doctor Network - June 9, 2022 Category: Universities & Medical Training Authors: Samuray1234 Tags: Dental Students 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
Do you need a fellowship?
Hi everyone! I have some questions that I hope generate a discussion. Hopefully, this helps current PM&R residents and medical students considering PM&R.
1) For a PM&R resident, do you need a fellowship?
2) What can you do without a fellowship?
3) What must you do a fellowship in order to do?
My personal feeling is that unless you want to be uber subspecialized in a particular patient population (ex. athletes, chronic pain, brain injury, SCI, kids), want to cover professional/Olympic teams...
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Source: Student Doctor Network - May 19, 2022 Category: Universities & Medical Training Authors: JBM16BYU Tags: PM&R Source Type: forums
Chronic opioid management, clinic visit?
It could be a silly question but need some input.
I took over the hospital-based pain clinic from an old pain doctor who was retiring. He saw chronic opioid patients every 3 months and he prescribed 30 days of medication every 28 days. He did a drug screen every 6 months but no pill counts.
My understanding is that most private practice sees opioid patients every month and does pill counts.
Do you recommend seeing opioid patients every month in a hospital pain practice setting as well...
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Source: Student Doctor Network - May 10, 2022 Category: Universities & Medical Training Authors: so55b Tags: Pain Medicine Source Type: forums
Advice on mentioning misdiagnosis and alternative medicine on Personal Statement?
Hi,
I’m currently in the process of writing my personal statement. A large part of my reason to go into medicine was that my sister had intense chronic pain that for a long period of time, she was diagnosed differently by multiple doctors and treatments were never effective. Our family physician didn’t give up on her case and eventually referred us to an alternative medicine practitioner (who practiced something similar to OMT) who was able to eliminate her pain. We never really understood...
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Source: Student Doctor Network - May 5, 2022 Category: Universities & Medical Training Authors: randompremed457 Tags: Pre-Medical (MD) Source Type: forums
Harm reduction and the chronic pain patient
I thought I understood the core tenets of harm reduction and strongly support them but I was “educated” on Twitter a bit ago about HR in setting of chronic pain. The CPPs and some HR providers feel it is inappropriate to have these patients to taper off/down on opiate doses or switch to MAT. HR principles support maintaining these patients on large doses of opiates because they are stable on them These are obviously the most vocal patients/advocates and they are the exception to the...
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Source: Student Doctor Network - April 24, 2022 Category: Universities & Medical Training Authors: npage148 Tags: Pain Medicine Source Type: forums
Harm reduction and the chronic pain patient
I originally put it in pain med but it’s probably better here.
I thought I understood the core tenets of harm reduction and strongly support them but I was “educated” on Twitter a bit ago about HR in setting of chronic pain. The CPPs and some HR providers feel it is inappropriate to have these patients to taper off/down on opiate doses or switch to MAT. HR principles support maintaining these patients on large doses of opiates because they are stable on them These are obviously the most...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 24, 2022 Category: Universities & Medical Training Authors: npage148 Tags: Topics in Healthcare Source Type: forums
