Specific Examples of Electrodiagnostic Testing Changing your Management
We often get consults for NCS/EMG regarding patients with pain. I like doing the studies, but I often wonder whether the EDx testing really changes anything for anyone. Sure, confirming a radic may push you to do that LESI, and maybe give a better sense of the level, but many would go ahead and try the LESI even without the EDx.
So I wanted to ask this audience for some actual case examples of when and why you ordered EDx and how it specifically changed your management. (Source: Student Doctor Network)
Source: Student Doctor Network - October 18, 2022 Category: Universities & Medical Training Authors: drg123 Tags: Pain Medicine Source Type: forums
Medical Assistant/Lab Technician Opportunity in Brooklyn, NY
Busy Interventional Orthopedics and Regenerative Practice in Brooklyn, NY is looking for a new medical assistant ASAP.
The practice is non-surgical interventional pain management, and the candidate would work for the Interventional Pain Physician who coordinates patient care with our in-house team of physical therapists and chiropractors. There is a procedure suite with a fluoroscope where spine injections, joint injections...
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Source: Student Doctor Network - October 10, 2022 Category: Universities & Medical Training Authors: LightFaber Tags: Jobs and Help Wanted Board 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
LA group with multiple offices
Looking for pain physician with anesthesia background. Open on start date. Multisite practice with its own ASC's. High starting salary for the area.
Additional inför, please PM me or painjobs@painrecruiters.com (Source: Student Doctor Network)
Source: Student Doctor Network - August 14, 2022 Category: Universities & Medical Training Authors: painj Tags: Pain Management Positions Source Type: forums
Lobel 4.5 CME event. Meeting the Challenge of Pain Management in an Ever-Evolving Opioid Epidemic
Coming soon to this thread will be a link to sign up.
Gather-ed - Meeting the Challenge of Pain Management in an Ever-Evolving Opioid Epidemic
medicuscme.gathered.com
I am looking for 20 people to enroll. I will entertain, as always.Self Study
Meeting the Challenge of Pain Management in an Ever-Evolving Opioid Epidemic - Baseline AssessmentHow much do you already know about safe opioid prescribing? This short self-assessment activity will let you test your...
Read m...
Source: Student Doctor Network - July 29, 2022 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine 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
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
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
Should I put this research experience under the research activity section which was done while taking courses?
While I was in the nursing program.
I had three different courses that required research.
1. Two people were teamed up to do research about alternative pain management techniques, required to read several articles, and had to do a poster presentation in class like a conference.
2. The name of this course was literally Research: the team of 4-5 people was assigned to common hospital malpractice? or mistakes such as urinary catheter infection, fall precaution, and patient identification...
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Source: Student Doctor Network - May 26, 2022 Category: Universities & Medical Training Authors: Laktario Tags: Pre-Dental 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
Adding Ketamine to ESI?
I came across this mildly dated study while pre-reading Benzon's Practical Management of Pain before fellowship.
Effect of Addition of Epidural Ketamine to Steroid in Lumbar Radiculitis: One-Year Follow-Up
Randomized Trial
Yasser M. Amr, MD.
:::::Pain Physician:::::
BACKGROUND: Treating sciatica with epidural steroid injection has been a common practice worldwide. N-methyl-D-aspartate (NMDA) receptors are an important component...
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Source: Student Doctor Network - May 6, 2022 Category: Universities & Medical Training Authors: Norepi Tags: Pain Medicine Source Type: forums
Would you buy this practice?
Cross posting from the private physicians group to hopefully get more feedback here. Hopefully that’s not against the rules.
So I’ve found myself in an interesting situation.
A pain practice had its owner suddenly disabled due to a stroke. He will no longer be able to practice due to significant residual neurological losses. Unfortunately, not even in patient evaluations or med management.
The practice was not able to be sold as I guess other providers felt that patients would find...
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Source: Student Doctor Network - April 19, 2022 Category: Universities & Medical Training Authors: SandmanMD Tags: Pain Medicine Source Type: forums
Benzo vs other options for anxiety
Question for the psychiatrists here from a pain physician.
All the national guidelines I’ve read about anxiety management, state that virtually no one should be prescribed chronic daily benzodiazepines for anxiety, (particularly short acting agents such as Xanax), and definitely not tid or qid dosing. Some papers do mention a small supply for rescue benzo doses to be used 3-5 times a month max.
Everything else should be used instead of benzos, so psychotherapy, multiple SSRI, buspirone...
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Source: Student Doctor Network - April 17, 2022 Category: Universities & Medical Training Authors: bedrock Tags: Psychiatry Source Type: forums
Pain Fellow (Non-ACGME)
A Non-Accredited Pain Management Fellow in the Central Valley of California:
One position to be filled as soon as possible. Requirements include, Unrestricted CA State Medical License and Special Interest in learning Interventional and Non-Interventional Pain Management Skills. Candidates with full residency training in Anesthesia, PM&R or Neurology will have a priority.
Fellow will be working with and trained by Interventional Pain Specialists with background of Anesthesia...
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Source: Student Doctor Network - April 16, 2022 Category: Universities & Medical Training Authors: grandhe Tags: Internship, Residency and Fellowship Positions Source Type: forums
Medical Scribe/Intern Opportunity in the Bay Area, CA
This is an exciting opportunity for the aspiring medical student, during a gap year between undergraduate studies and medical school, to assist in the treatment of patients in the heart of Silicon Valley as part of a busy Workers Comp Physical Medicine & Rehabilitation, Pain Management, Sports Medicine, and Occupational Medicine Practice in Mountain View and Redwood City.
The pre-medical interns will have the opportunity to work with world-class Physical Medicine and Sports Medicine...
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Source: Student Doctor Network - March 29, 2022 Category: Universities & Medical Training Authors: sports_med Tags: Jobs and Help Wanted Board Source Type: forums
