Edible glitter?
Hi all,
I moderate over in the pain forums and am scheduled Friday for my 3 year colonoscopy.
Hoping to brighten the day of my GI doc and was wondering if edible glitter (maybe a teaspoon) would ruin the scope?
It will be our third scope together and I see him regularly in my office (as a colleague) as we have a GI ASC down the hall from my procedure suite.
Thanks. (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2023 Category: Universities & Medical Training Authors: lobelsteve Tags: Gastroenterology Source Type: forums
LA pain doc recs
I have a patient who will be in LA until next spring. She's staying near Long Beach. Any recs on a doc who can finish up her MBBs/RF? (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2023 Category: Universities & Medical Training Authors: powermd Tags: Pain Medicine Source Type: forums
Dr. Death (again)
Nothing new here.
But I just watched the re-enactment of the podcast staring Alec Baldwin and Christian Slater.
It was very good and I encourage you all to watch.
It is such a fascinating story that leaves the listener/watcher with so many questions.
The podcast was not fresh on my mind since I had listened to it years ago.
But my own take - it was the drugs couple with narcissism, sprinkled with Dunning- Kruger.
Interesting but in the show, a co-medical student said he was the...
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Source: Student Doctor Network - November 17, 2023 Category: Universities & Medical Training Authors: epidural man Tags: Pain Medicine Source Type: forums
Kyphoplasty with 2 C arms
Guys,
Has anyone done a kyphoplasty with 2 C-arms. Fixed for AP and Lateral. ?
If so do you have any pics / diagrams / visuals ?
I have 3 kyphos tomorrow and was hoping for some guidance on Carm and monitor placement.
Any and all help is appreciated.
Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2023 Category: Universities & Medical Training Authors: bronchospasm Tags: Pain Medicine Source Type: forums
How do you manage patient expectations?
Every so often, I may get a referral from a PCP as their patient gradually became a chronic opioid user for various conditions I wouldn't necessarily prescribe opioids for. The expectation that I run into often times revolves around the patient coming with the idea they will be getting opioids from me (at equivalent dosing or higher), but unfortunately what they are met with is optimizing non-opioid options along with the offering to down-titrate opioids. Understandably, this is often met...
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Source: Student Doctor Network - November 17, 2023 Category: Universities & Medical Training Authors: Slowpoke Tags: Pain Medicine Source Type: forums
Full time position - Norman, OK
Looking to bring on a full time associate. Office based, private practice. You can choose to participate in a local ASC or physician owned hospital in the future if that is of interest to you. You will hit the ground running as I am overbooked. I am personally seeing over 1000 encounters per month. I do medical management (reasonable and this is a shrinking part of the practice) as well as all advanced and basic interventions with the exception of pumps. Income potential is unlimited if you...
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Source: Student Doctor Network - November 17, 2023 Category: Universities & Medical Training Authors: BobBarker Tags: Pain Management Positions Source Type: forums
National Spine and Pain
Looked through the old posts at not much since 2021.
Talked to one of the docs in the group about a job opening with NS and P.
20-25 patients a day. Base 300 but you get that or 20% of gross collections, facility fees, pro fees, UDS and DME.
Does this make any sense? Anyone currently working with them? (Source: Student Doctor Network)
Source: Student Doctor Network - November 16, 2023 Category: Universities & Medical Training Authors: blockstar Tags: Pain Medicine Source Type: forums
Why the hell does Medicare not cover bupe?
Got this lovely message today, in regards to an 86 year old woman, whose 2 tramadol per day are not helping anymore: Buprenorphine 5mcg/hr patch - Drug not on formulary - Plan does not cover the medication - We cannot do PA. She provided the preferred alternative: Morphine Sulfate ER tablets and Oxymorphone HCL ER tablets, and she submitted a test claim for both medications, stating that it was paid and that no PA was required.
In the midst of the "opioid epidemic" that everyone is...
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Source: Student Doctor Network - November 16, 2023 Category: Universities & Medical Training Authors: drrosenrosen Tags: Pain Medicine Source Type: forums
Workers compensation
I am currently an employed physician (interventional pain medicine ) at a hospital setting in California.
A friend of mine (is a lawyer) does a lot of workers compensation. He sees the patients and sends them out to the doctors he knows.
He told me if I started my own practice he could easily refer 75 (if not closer to 100) patients a month.
I am trying to understand the sort of compensation I will get from just 75 workers comp patients a month till the rest of the practice picks up...
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Source: Student Doctor Network - November 16, 2023 Category: Universities & Medical Training Authors: Smokeydoc Tags: Pain Medicine Source Type: forums
RFA frequency
Straight Medicare insurance. I did a medial branch RFA for a patient one year ago at THREE levels (billing told me I could) that worked well, >50% pain relief for over a year. Later came to find out that we did not get reimbursed for the third level.
Fast forward a year, I repeat the RFA but only at two levels given our prior denial. Patient reports unsatisfactory pain relief. I looked over the previous and current fluoro images and the needle placement is nearly identical.
My question is...
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Source: Student Doctor Network - November 15, 2023 Category: Universities & Medical Training Authors: Greenbayslacker Tags: Pain Medicine Source Type: forums
Experience from the other side
Today I had a glimpse of what urgent care is like and, maybe, what the PAs/NPs I used to supervise in the ED were up to. (There are some good ones out there, I know. But many are not.) I'm an emergency physician. Retired a few years ago, moved to a new state, so no doctor friends here that I could bug for a quick x-ray. I had a dumb hand injury this morning while trying to get some things done around the house, and by mid-day, there was enough pain and swelling that I gave in and decided to...
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Source: Student Doctor Network - November 14, 2023 Category: Universities & Medical Training Authors: bky3c Tags: Emergency Medicine Source Type: forums
Recommended RFA setup?
I have an old Stryker Multigen RF generator (the original version) that's dying. I inherited the machine from the previous setup and really hate the interface lag / non-responsiveness. Wondering what is the recommended vendor/RFA setup now? I'm in private practice (paying for this machine) so expense is definitely one of my priorities (no cool RF since it's so costly for supplies). What do you guys use and do you like your setup? (Source: Student Doctor Network)
Source: Student Doctor Network - November 14, 2023 Category: Universities & Medical Training Authors: CarabinerSD Tags: Pain Medicine Source Type: forums
Buying into ASC
Have a job offer to work with an Ortho group where they are offering buy in to their surgery center. What are the appropriate questions to ask? Never dealt with anything like this before so I appreciate any input! Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - November 13, 2023 Category: Universities & Medical Training Authors: PMRorBUST Tags: Pain Medicine Source Type: forums
Regional variation in reimbursement
Working up in the Northeast. A frequent complaint I've heard about the area, particularly the state I am in, is that insurance reimbursement for all medical services (not just pain) is significantly lower here than in other adjacent states, or even other parts of the country. If this is true, is there any resource or way to determine which regions may offer the best rates for service, or is this just a matter of contacting insurance companies directly.
While I have a job I can tolerate for...
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Source: Student Doctor Network - November 13, 2023 Category: Universities & Medical Training Authors: agolden1 Tags: Pain Medicine Source Type: forums
Remaining intubated post op
Case scenario as follows: 70 yo M with hx of DM and HTN who has a left hip replacement at an outside hospital three weeks prior presents with neck pain, inability to ambulate, fever and lethargy. Work up shows a large cervical epidural abscess, new hip is aspirated and shows pus and he reports several joints that are tender. The neurosurgeon books a multilevel posterior decompression, washout and fusion to start at 11pm. The patient arrives in the PACU AOx1, somnolent and febrile...
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Source: Student Doctor Network - November 11, 2023 Category: Universities & Medical Training Authors: PainDrain Tags: Anesthesiology Source Type: forums
