Hospitals are charging unsuspecting patients "facility fees" for routine medical care...
Hospitals are charging unsuspecting patients "facility fees" for routine medical care, raising the price of healthcare by hundreds of dollars
https://www.wsj.com/health/healthca...=e7atpq02oxbeprw&reflink=share_mobilewebshare (Source: Student Doctor Network)
Source: Student Doctor Network - March 25, 2024 Category: Universities & Medical Training Authors: pastafan Tags: Pain Medicine Source Type: forums
GLP-1 Meds for Pain, Addiction, Obesity, Neurogenic Inflammation...
Top U.S. addiction researcher calls GLP-1 data for addiction 'very, very exciting'
An addiction expert says drugs like Wegovy are showing exciting results for addiction, but adds that “the pharmaceutical industry has never spontaneously embraced us and said, ‘We want to help develop treatments.’"
www.statnews.com (Source: Student Doctor Network)
Source: Student Doctor Network - March 22, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
The C/L Bashing Thread
I've posted variably in the depths of this forum my disdain for C/L.
Applause for Glaucomflecken again. This skit encapsulates the pain of C/L, and when a resident the attendings telling you to just please the primary services and just go do the consult. The time I wasted in residency with consults for "patient cried" etc. This skit just brought flash backs.
"patient is schizophrenic" <--stable, no symptoms, regular med compliance, in hospital for surgery or something...
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Source: Student Doctor Network - March 21, 2024 Category: Universities & Medical Training Authors: Sushirolls Tags: Psychiatry Source Type: forums
CT or MRI
I sometimes am not sure whether to get a CT or MRI.
I not infrequently see post traumatic acute neck pain patients. I know CTs are more sensitive for acute bony injury but less sensitive for stenosis or cord changes. Often times I’m not sure the best modality to get in these situations
Also in any of my post fusion patients who fall and come in with worsening pain, I debate whether to get a CT for better visualization of the hardware and bones or MRI for the soft tissue structures. Often...
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Source: Student Doctor Network - March 21, 2024 Category: Universities & Medical Training Authors: clubdeac Tags: Pain Medicine Source Type: forums
VA occlusion
Have a patient with moderate cervical stenosis and clear radicular pain. Had planned to do a CESI.
His c spine MRI and later CT angiogram revealed a major blockage of the entire left VA as it passes through the neck.
He didn’t have any CN deficits when I saw him last month.
Thoughts on him ? No acute neurological deficits so I was thinking of sending him to neurology but they have a 2 month wait.
Maybe just send him to ER in major city so he can get a same day neurology consult? (Source: Student Doctor Network)
Source: Student Doctor Network - March 20, 2024 Category: Universities & Medical Training Authors: bedrock Tags: Pain Medicine Source Type: forums
Leg cramps
Have a patient with moderate lumbosacral stenosis that I did bilateral S1 tfesi about 6 weeks ago with good relief of radic symptoms but consistent cramping throughout legs after the procedure. Encouraged hydration and after two weeks symptoms persisted. EMG was normal, started low dose neurontin without much benefit. Any thoughts on this? More time? Referral to neurology? (Source: Student Doctor Network)
Source: Student Doctor Network - March 20, 2024 Category: Universities & Medical Training Authors: Dr. Ice Tags: Pain Medicine Source Type: forums
No thoracic facet procedures per Carelon guidelines
First time I’ve run into this
I’m fairly certain the patient has thoracic facet joint pain. However all MBB/facet joint procedures are considered experimental at the thoracic level per the guidelines his insurance uses. Does that mean cash pay only or is there some way around this (Source: Student Doctor Network)
Source: Student Doctor Network - March 19, 2024 Category: Universities & Medical Training Authors: Agast Tags: Pain Medicine Source Type: forums
Tenex/TenJet
Anyone doing Tenex/TenJet/other percutaneous tenotomy?
What’s the most common pathology you treat with it?
For those who do it for hip: how do you identify the right patient? (Source: Student Doctor Network)
Source: Student Doctor Network - March 18, 2024 Category: Universities & Medical Training Authors: gaspasser127 Tags: Pain Medicine Source Type: forums
Kypho cost of kits in asc and office.
Hello. How much are you paying Stryker or Medtronic for your kypho kits in office or asc? (Source: Student Doctor Network)
Source: Student Doctor Network - March 17, 2024 Category: Universities & Medical Training Authors: TheJuice Tags: Pain Medicine Source Type: forums
KOL vs DOL: Implications for Pain...
This article discusses the changing role of KOLs to DOLs and defines what roles each group has in influencing behavior among healthcare providers.
journaloei.scholasticahq.com
DOLs have emerged as a new breed of influencers in healthcare, leveraging digital platforms to quickly and widely share information while being more relatable and measurable than traditional KOLs. However, it remains crucial for both DOLs and KOLs to disseminate evidence-based information to responsibly maintain public trust in healthcare.
Reach...
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Source: Student Doctor Network - March 16, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
spinous process pain
I see a few patient's a year who have very focal pain over their spinous process. Imaging is clean so as best as I can tell it is a myotendinous injury. Any of you all see this? Treatment recs? (Source: Student Doctor Network)
Source: Student Doctor Network - March 13, 2024 Category: Universities & Medical Training Authors: ED50 Tags: Pain Medicine Source Type: forums
RIP Greg Lutz, MD
We say Goodbye to a pioneer and leader in interventional spine, pain, and regenerative medicine.
HSS Doctors: Book an Appointment Online Today (Source: Student Doctor Network)
Source: Student Doctor Network - March 12, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
VIV TMVR with Sapien 3
80 y/o s/p cabg 20 years ago. Redo sternotomy for severe Mitral regurgitaiton 15 years ago.
Other hx: Bil Fem-pop bypass, h/o stroke, severe COPD and severe pulm htn on ATC O2.
Chronic pain, CKD, etc.
Presented at valve conference for failure of mitral bpv. Mean gradient of 15 mmHg.
It was decided that we would proceed with VIV TMVR with a Sapien 3.
On paper, it sounded like a bad idea. Once I met the patient, it was clear to me she wanted this done as her severe MS was going to...
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Source: Student Doctor Network - March 12, 2024 Category: Universities & Medical Training Authors: sevoflurane Tags: Anesthesiology Source Type: forums
Culture of medicine and time off
I’m wondering if this is just something personally engrained in me or if others can relate.
I’m in my last year of psychiatry residency, recently had abdominal pain, vomiting and went to the ED. Had elevated LFTs, bili, lipase, WBC. Ended up with a 3 day hospital stay, ERCP with 2 stents placed and a cholecystectomy.
I’ve taken no FMLA or extended time off my entire residency and asked for 2 weeks to recoup which ended up being granted.
I’m 3 days out and feeling so incredibly guilty. I...
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Source: Student Doctor Network - March 12, 2024 Category: Universities & Medical Training Authors: samac Tags: General Residency Issues Source Type: forums
Post Cervical mbnb HA/dizziness
I have a patient who I did bilateral c3-5 medial branch blocks approximately 2 weeks ago. Procedure was relatively uncomplicated. He had some dizziness/nausea afterwards which got better by the time I saw him a few days later. 2 days after this visit (6 days ago) he is endorsing intermittent mild to moderate fronto-occipital headaches worse in posterior upper neck with occasional nausea. States it’s somewhat positional, no fevers, neuro deficits. Have any of you seen this before and had any...
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Source: Student Doctor Network - March 9, 2024 Category: Universities & Medical Training Authors: googlemister Tags: Pain Medicine Source Type: forums
