In office procedures
Just started doing them. Are you:
Checking blood sugars
Pregnancy tests
Keeping intralipid (Source: Student Doctor Network)
Source: Student Doctor Network - October 26, 2023 Category: Universities & Medical Training Authors: paindoctor2014 Tags: Pain Medicine Source Type: forums
MGMA Compensation/Collections Ratio Qs (data included)
I am middle career, partner (=minimal profit sharing, bought some equity) at medium-sized private practice in MCOL/HCOL. I am on eat-what-you-kill model. Based on this chart, I am >90%-tile in both compensation and collections, although maybe more like >90%-tile comp, >99%-tile coll. When I look at this 2016 MGMA data, my compensation/collections ratio seems low. I am historically taking home ~40% of gross collections. This dataset says comp/coll ratios for 25%-tile/median/75%-tile for All...
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Source: Student Doctor Network - October 26, 2023 Category: Universities & Medical Training Authors: paintrain Tags: Pain Medicine Source Type: forums
SDN Pain Meetup: NANS Jan 18-21, 2024 Vegas
Annual Meeting FAQ
Frequently Asked Questions about NANS Annual Meeting
www.neuromodulation.org
Stop what you're doing because this event is going to be OFF THE HOOK.
The chatter is that this conference will have something for everyone: Data Bukake, Networking, Nubile Device Comfort Workers, Venture Capitalists, and best of all...SCIENCE! So much SCIENCE. More SCIENCE than you can shake a stick at.
So, pack your favorite pointy shoes and Armani shirts; leave the wife/husband/spouse/baby-momma/friend-with-benefit/boy-toy at...
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Source: Student Doctor Network - October 25, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Hospital Employed, Making Sense of Financials
I’m hospital employed doc struggling to understand my net operating income.
I have a good sense of revenue (both top line and after-insurance amount paid).
I cannot discern my costs. My hospital can only produce for me a list of “charges.” Charges include straightforward things like lidocaine, dressings, etc. It also includes wildly inflated charges like SCS leads, up-charged at a pre-negotiated supply rate (2x-10x, depending on cost). It also charges my department for my time at a...
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Source: Student Doctor Network - October 25, 2023 Category: Universities & Medical Training Authors: Czech777 Tags: Pain Medicine Source Type: forums
Electronic Intake Data Capture in Pain Clinic
We still have patinets fill out paper charts, which is time consuming and not useful since it has to get scanned into the EMR, so not searchable. The patient is giving you the HPI basically in writing. This should be going automatically into your note, IMO, without manual input.
Is anyone here doing all electronic data capture on intake and follow up? Are you doing PROs (outcome measures) to see the efficacy of your treatments?
One of the departments here hands every patient an ipad in the...
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Source: Student Doctor Network - October 24, 2023 Category: Universities & Medical Training Authors: drg123 Tags: Pain Medicine Source Type: forums
LSD panic attack public disturbance assaults, 8 years ago. Can I practice medicine?
Nearly 8 years ago, in the first few months of freshman year at 18 years old, I took LSD with dormmates. I had a panic attack. I went around the dorm buildings screaming that I was dying. I assaulted 3 people, a young man and two young women around the dorm buildings by going up to them, aggressively grabbing them, and telling them to call 911. Campus police arrived and restrained me. Over the years I've reflected on the distress, pain or potential trauma I caused the victims including...
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Source: Student Doctor Network - October 24, 2023 Category: Universities & Medical Training Authors: hopeful4help Tags: Pre-Medical (MD) Source Type: forums
Thoracic TFESI and anticoagulation
Patient on apixaban and plavix. Would you continue for procedure? (Source: Student Doctor Network)
Source: Student Doctor Network - October 24, 2023 Category: Universities & Medical Training Authors: oneforfighting Tags: Pain Medicine Source Type: forums
Play Stupid Games, Win Stupid Prizes...
Suspended Wortham med spa doctor linked to North Texas medical facility being sued over Arlington mother's death
Recently suspended Frisco doctor, Michael P. Gallagher, was chief anesthesiologist at Integrity Medical Center where Kimberly Ray was treated, per family attorney.
www.kcentv.com (Source: Student Doctor Network)
Source: Student Doctor Network - October 20, 2023 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Spine MRI without/with contrast denials
I recently moved out East and have been ordering post-op spine MRIs without and with contrast (as I always have). I am getting pushback from insurance companies and radiologists about this - they want a plain MRI or a different Dx code. First of all, am I missing something regarding ordering post-op spine MRIs with contrast? I though we wanted to discern scar tissue from HNP. Did something change and I don't know about it? Secondly, if it is still recommended to order with contrast...
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Source: Student Doctor Network - October 19, 2023 Category: Universities & Medical Training Authors: knoxdoc Tags: Pain Medicine Source Type: forums
Pain versus cardiac fellowship?
I like both pain and cardiac, but can’t decide between the two. I know they are vastly different, but I would just like some extra training after residency and was wondering what attendings/people with more experience than me would advise? Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - October 18, 2023 Category: Universities & Medical Training Authors: Pablo94 Tags: Anesthesiology Source Type: forums
Tramadol
This report describes CDC’s updated clinical practice guideline for prescribing opioids for pain.
www.cdc.gov
So 2 tramadol a day is now a higher MME dose than oxycodone 5 BID? (Source: Student Doctor Network)
Source: Student Doctor Network - October 18, 2023 Category: Universities & Medical Training Authors: fathead88 Tags: Pain Medicine Source Type: forums
TFESI via AP approach?
I'm pain trained. I know there is supra and infraneural and the whole Kambin's triangle bit. I use oblique to get in.
However, I am wondering, why aren't TFESIs performed via the AP approach?
The spine guys do kyphos and Intracept in AP view.
Go down -> touch pedicle -> walk caudad a bit-> turn needle and go cephalad.
Obviously one shouldn't go lateral b/c there is no backstop. And one of course shouldn't go medial.
What am I missing? I'm just curious. (Source: Student Doctor Network)
Source: Student Doctor Network - October 17, 2023 Category: Universities & Medical Training Authors: CleanUp Tags: Pain Medicine Source Type: forums
SCS psych clearance delays
I've identified patients I'm considering for neuromodulation but have been getting held up by the psych clearance portion - long wait times, insurance non-coverage and patients having to pay out of pocket (even the telehealth options). I'm exploring the idea of hiring a liscensed psychologist as a contractor for the group to expedite the process on a per-eval basis. Anyone have any experience with this and Is a practice allowed cover the cost of the eval? (Source: Student Doctor Network)
Source: Student Doctor Network - October 17, 2023 Category: Universities & Medical Training Authors: ChiSox Tags: Pain Medicine Source Type: forums
OMM/OMT for AOBPMR Written Board
For those who have recently taken the AOBPMR written board, how much OMM/OMT was involved? Was it similar to having to study broad scope of OMM/OMT for COMLEX? I didn’t even think about it until now and realized because it’s the DO board it may have OMM questions, so I checked their website which groups OMM with pain and spine under the category of interventional therapeutics for 25-39% of the exam. What does that even mean :/
I’m wondering if I need to dive into the green Saverese OMT...
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Source: Student Doctor Network - October 15, 2023 Category: Universities & Medical Training Authors: milomoneepood Tags: PM&R Source Type: forums
How do you work with non-physicians (NPs/PAs)?
How do you all effectively work with NPs and PAs in your practice?
Do you have them see follow ups only?
Or initials and follow ups, and have them send you procedures so you can spend most of your time on that?
Something else?
Benefits and disadvantages of any of the above options? (Source: Student Doctor Network)
Source: Student Doctor Network - October 15, 2023 Category: Universities & Medical Training Authors: drg123 Tags: Pain Medicine Source Type: forums
