Will pain come back around?
Hi All,
Currently resident looking into pain and have been seeing a lot of posts about the current state of pain- slashed reimbursement, saturation in desirable cities, etc. I also have seen a lot about anesthesiologists flocking back to the OR give the insanity of their job prospects atm.
As many of these things work sort of sinusoidally, my question is- do we think pain will come back around?
Is there a future where older pain docs get fed up with slashed reimbursements and retire en...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 10, 2023 Category: Universities & Medical Training Authors: klumpke Tags: Pain Medicine Source Type: forums
Anesthesia residents that are planning on doing a pain fellowship, what made you want to?
M2 here just considering going into anesthesia and potentially pain, and was wondering what made you want to go into pain since I know the day to day is quite different from general anesthesia. Also, did you always plan on going into pain and you just had to get through anesthesia residency? Or was it something you realized after starting residency. If you always knew you wanted to do pain, was there a reason you went the anesthesia instead of PM&R or other route?
Thanks so much for your...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 10, 2023 Category: Universities & Medical Training Authors: Spongeman7 Tags: Anesthesiology Source Type: forums
Where can I buy a cheap but good ultrasound machine?
Budget: $5000 (Source: Student Doctor Network)
Source: Student Doctor Network - December 8, 2023 Category: Universities & Medical Training Authors: cameroncarter Tags: Pain Medicine Source Type: forums
Looking for interventional pain job in Chicagoland / open to other locations
Pain fellowship in Chicago and hoping to stay in the area; however I am open to other locations for the right opportunity. Willing to commute in the surrounding area, and am open to mix anesthesia/pain positions as well. If anyone has any openings/leads, please pm. Thank you! (Source: Student Doctor Network)
Source: Student Doctor Network - December 7, 2023 Category: Universities & Medical Training Authors: DakotaBlock Tags: Pain Management Positions Source Type: forums
Weekend only jobs - Where to look?
I'm a PP pain guy (recent grad) with the inclination to keep my foot in anesthesia and Im interested in finding a weekend only gig (1 weekend a mo). Im not having any luck. Ive been looking on gasworks and contacted my local practices. The local practices, that I can get a hold off, want full time only. I am licensed in 3 states and looking in all 3. I'm willing to travel for the weekend.
I'm not having any luck. Do you guys have any suggestions on where to look or how to go about finding...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 7, 2023 Category: Universities & Medical Training Authors: IDKwhattodoyet Tags: Anesthesiology Source Type: forums
Oral ketamine
Why isn’t oral ketamine commercially available?
I use it, although quite sparingly mostly because it seems experimental at this point. I’m using it primarily for opioid resistant cancer pain, CRPS, neuropathic pain resistant to standard anti-epileptics, etc. I use a compounding pharmacy that makes it into sublingual troche or lozenge. Usually using 25 mg up to 100 mg BID. What are your experiences with oral ketamine? (Source: Student Doctor Network)
Source: Student Doctor Network - December 7, 2023 Category: Universities & Medical Training Authors: PainBrain78 Tags: Pain Medicine Source Type: forums
2023 Oral Boards
I took the oral boards today. Did solid on 5 cases. I missed the diagnosis on a structured interview case, and the other I stumbled and missed a critical action likely. Also missed minor things like forgetting to give pain meds in one case and stating IV, O2, monitor. I feel like I could have failed. Should I start studying again now? This feels defeating. (Source: Student Doctor Network)
Source: Student Doctor Network - December 6, 2023 Category: Universities & Medical Training Authors: FutureEM17 Tags: Emergency Medicine Source Type: forums
Post RFA Neuritis
Long time SDN lurker and I appreciate the wisdom of the docs in this forum. I've been out of fellowship about 1 year. Just wanted to get everyones thoughts on Post RFA neuritis (have had a few over the past year). Prescribed some neuropathic agens such as gabapentin vs lyrica vs duloxetine with modest benefit. Haven't found a whole lot of literature on any treatment algorithm. Have spoken to a few attendings about this in the past other options po steroid dose pack, vs doing mbbs at...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 6, 2023 Category: Universities & Medical Training Authors: schmee90 Tags: Pain Medicine Source Type: forums
Expandible probes and lumbar RFA.
Do any of you do lumbar RFA with a direct (MBB approach), using an expandible probe such as venom, sidekick, cooled RFA?
If so
1- how well does it work and how long does it last compared to standard SIS technique?
2-other than cooled RFA being the largest, is there any major lesion size and efficacy differences between other expandable probes?
3- where do you aim if you do RFA with an MBB approach. Mostly I want to know if you aim directly at the center of the SP/TP junction or if your...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 6, 2023 Category: Universities & Medical Training Authors: bedrock Tags: Pain Medicine Source Type: forums
Job Search in Chicago and Surrounding Suburbs
Hello, everyone. I am currently a pain medicine fellow in Chicago. I am looking for a job in Chicago and nearby suburbs. Ideally, I would like to find a job that is a hybrid of anesthesia and pain. If that is not possible, I am open to other options as well. Please let me know if you have any leads or connections. Thanks in advance!! (Source: Student Doctor Network)
Source: Student Doctor Network - December 6, 2023 Category: Universities & Medical Training Authors: Pateln381 Tags: Anesthesiology Positions Source Type: forums
Final Countdown for CPT 27278...
(Source: Student Doctor Network)
Source: Student Doctor Network - December 5, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
another job advice post (TIA)
Hello SDN, long time lurker first time poster in this community. Current fellow with about 200k in student loans. Looking at a few jobs (all W2) that are all in decent locations and have a moderate cost of living, so these extraneous factors are all ~equivocal . Your advice is sincerely appreciated.
1. Large Hospital System Based
--position is open due to previous MD leaving. there is some room for negotiation
Pay: base 350k, ~$52/wRVU after 7000 (I know the latter isn't ideal)...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 4, 2023 Category: Universities & Medical Training Authors: ScawtyDawg Tags: Pain Medicine Source Type: forums
Nevro Acquires Vyrsa
I can't wait for the debrief on this at NANS...together, we are stronger.
Nevro Announces Acquisition of Vyrsa™ Technologies
Nevro Corp. (NYSE: NVRO), a global medical device company that is delivering comprehensive, life-changing solutions for the treatment of chronic pain, today announced that it has acquired Vyrsa Technologies ("Vyrsa"), a privately held medical technology company focused on a minimally invasive...
nevro.com (Source: Student Doctor Network)
Source: Student Doctor Network - December 2, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
CMS facet updates 12/1
Article - Billing and Coding: Facet Joint Interventions for Pain Management (A56670)
Anyone already have the cliff notes? (Source: Student Doctor Network)
Source: Student Doctor Network - December 2, 2023 Category: Universities & Medical Training Authors: Taus Tags: Pain Medicine Source Type: forums
Fluoro: flat panel detector vs image intensifier?
Does anyone see a significant advantage with using flat panel detector C-arm vs the old image intensifier unit? Apparently there is an 18k price differential based on what I was quoted, so trying to figure out if the added cost is worth it. The flat panel C-arm has better orbital range and higher resolution, but not sure how this translate to in real life application. I've only used an image intensifier setup, which the only complaint I have is the intensifier unit getting in my face/field...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 30, 2023 Category: Universities & Medical Training Authors: CarabinerSD Tags: Pain Medicine Source Type: forums
