ASHP recertification material
Is anyone completing or has completed the ASHP board recertification 3 year plan?
First time renewing this way and currently working on the reading material, (bought the BCPS plan) first topic is pain. One of the reading is over 100 pages long 😕
What are the questions like for these reading modules? I don’t want to fail and spend even more money
Greatly appreciate your input. Thank you (Source: Student Doctor Network)
Source: Student Doctor Network - January 17, 2024 Category: Universities & Medical Training Authors: pinkpharmd Tags: Pharmacy Source Type: forums
Gas Station Heroin
‘Gas-Station Heroin’ Sold as Dietary Supplement Alarms Health Officials
Tianeptine, found at convenience stores, at smoke shops and online, can mimic an opioid. It is among a growing class of substances that are difficult to control.
www.nytimes.com (Source: Student Doctor Network)
Source: Student Doctor Network - January 16, 2024 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
Trials We Cannot Trust
https://www.sciencedirect.com/science/article/pii/S1526590023004674
If you want to learn, or if you just cannot sleep. (Source: Student Doctor Network)
Source: Student Doctor Network - January 15, 2024 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
Neutropenia
Curious what people's approach is for neutropenia and injection. I couldn't find much literature out there beyond the increased risk for infection. Had a patient that was incidentally discovered to have neutropenia on blood work by family doc and they were booked for epidural. They had no infection and are healthy otherwise. My plan was to cancel any injection until it's resolved, if it doesn't resolve would you still offer injection and document increased risk of infection or just cancel...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 15, 2024 Category: Universities & Medical Training Authors: interjectionreflection Tags: Pain Medicine Source Type: forums
VertiFlex/Xstop/Mild?
Anyone recommend any of these treatments as reasonable/effective at this current point in time?
Saw a healthy, active, pleasant 60 year old with severe single level lumbar stenosis with a lot of ligamantum flavum hypertrophy today...had been offered decompression/fusion...not doing well with conservative tx. Got me thinking... (Source: Student Doctor Network)
Source: Student Doctor Network - January 13, 2024 Category: Universities & Medical Training Authors: Timeoutofmind Tags: Pain Medicine Source Type: forums
SCS Headaches
I would love to do PNS for occipital neuralgia however insurances currently do not cover for the most part. I know there’s a clinic doing them and have four leads placed (2 greater occipital nerve and 2 supraorbital). I’m not sure how they get reimbursed for this.
I’m considering placing leads in posterior occipital region and billing SCS for C2 radiculopathy.
Thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - January 13, 2024 Category: Universities & Medical Training Authors: PainBrain78 Tags: Pain Medicine Source Type: forums
SCS for depression being studied
The Spinal Cord Could Provide a Radical New Way to Treat Depression
With depression affecting around 1 in 10 of us at some point during our lives, the need for new and improved treatments is a top priority for researchers – and it appears that spinal cord stimulation could be one route for experts to investigate.
www.sciencealert.com (Source: Student Doctor Network)
Source: Student Doctor Network - January 13, 2024 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
Godfather of Regenerative Medicine Passes..
Arnold Caplan Obituary (1942 - 2024) - Cleveland, OH - Cleveland.com
View Dr. Arnold I. Caplan's obituary, send flowers and sign the guestbook.
obits.cleveland.com
Pour one out for one of the most formative and transformative figures in biomedical science...
"Recognized as the father of both basic science and clinical therapeutics of adult Mesenchymal Stem Cells (MSC's), Dr Caplan's discovered the innate ability of MSC's to modulate the immune system; inhibit both programmed cell death and scar formation; to stimulate blood-vessel formation; and to...
...
Source: Student Doctor Network - January 13, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Closed loop
Saluda rep stopped by today. I haven't spoken to them yet.
I've been interested in this system for awhile now.
Anyone have experience with this, and if so what's up?
How big is the IPG (Eterna ruined me)? (Source: Student Doctor Network)
Source: Student Doctor Network - January 12, 2024 Category: Universities & Medical Training Authors: MitchLevi Tags: Pain Medicine Source Type: forums
Bertolotti Syndrome interventional options?
(Source: Student Doctor Network)
Source: Student Doctor Network - January 12, 2024 Category: Universities & Medical Training Authors: specepic Tags: Pain Medicine Source Type: forums
MILD procedure
Who is doing MILD and seeing impressive results?
If you are getting impressive results what do you think that the “keys” to success are?
I have done 6 or 7. Half with a steroid injection at the end and half without. The 3 receiving steroids have a typical steroid type response with return of pain in 4-6 weeks The 3 without steroids had no improvement at all. The one patient who had MILD with steroid and 4 weeks of relief that was then followed with Vertiflex is the only one who has long...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 10, 2024 Category: Universities & Medical Training Authors: NJPAIN Tags: Pain Medicine Source Type: forums
Another Assistance with Job Offer Thread
New grad here trying to toggle through my various job offer options and hopefully not end up in a poor position (I understand most switch jobs early on, however I’d like to make a solid choice my first go for various personal reasons out of my control). I appreciate any and all feedback you have as I do not have a mentor to guide me through the PP realm.
Job offer through spine surgery group. Would be one of two or three pain docs brought on after previous MD left for geographic reasons...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 9, 2024 Category: Universities & Medical Training Authors: hopefulgasman Tags: Pain Medicine Source Type: forums
Pain Super-Bowl of Debates: January 10, 2024!
Prepare for hard-hitting, no-punches-pulled, intellectually rigorous, plain-speaking truth about the future of our specialty. (Source: Student Doctor Network)
Source: Student Doctor Network - January 8, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Medicare advantage trap-
I wish more seniors were aware of this trap and that they can’t go back to regular Medicare.
Older Americans say they feel trapped in Medicare Advantage plans — NPR
As enrollment in Medicare Advantage plans grows, so do concerns about how well the insurance works, including from those who say they have become trapped in the private plans as their health declines.
apple.news (Source: Student Doctor Network)
Source: Student Doctor Network - January 7, 2024 Category: Universities & Medical Training Authors: bedrock Tags: Pain Medicine Source Type: forums
Federal Opiate prescribing
Hey all! I am wondering what the exact federal laws are when it comes to what needs to be documented every time a new refill for a Schedule 2 drug is prescribed. Is it the same for Schedule 3 drugs? I tried to look up the law but it was tough to understand. The language made it seem as though it assessments should be made every month. (Source: Student Doctor Network)
Source: Student Doctor Network - January 6, 2024 Category: Universities & Medical Training Authors: donaldduck Tags: Pain Medicine Source Type: forums
