A Nurse Practitioner and a Chiropractor walk into a procedure room and...stellate ganglion block
This nurse practitioner is doing a stellate ganglion block while her chiropractor operates the ultrasound machine. San Diego.
This NP lists herself as the "Lead Provider" in the clinic.
About Us - Regenerative Medicine | San Diego | Joy Wellness Partners (Source: Student Doctor Network)
Source: Student Doctor Network - November 18, 2020 Category: Universities & Medical Training Authors: Ligament Tags: Pain Medicine Source Type: forums
ATSU SOMA v CUSOM v ATSU Kirksville
Background info: I have HPSP scholarship so the cost of school and the cost of living is not a factor. Entering med school I am leaning towards residency in orthopedics. My strengths are clinical; my weakness is pure sciences.
ATSU SOMA:
Pros:
-Early clinical cycle, would like to work in a CHC 1 day a week as a break from academics
-location of the school and my top 3 CHC choices.
-small group learning 2nd year at CHC
Cons:
-No established ultrasound program
-Minimal international...
ATSU SOMA v CUSOM v ATSU Kirksville (Source: Student Doctor Network)
Source: Student Doctor Network - November 16, 2020 Category: Universities & Medical Training Authors: medic2doctor22 Tags: Help Me Decide: X vs Y Medical School Source Type: forums
Mindray ultrasound with passive magnet for needle steering
does anyone have experience with the Mindray TE5/7 ultrasound units?
it supposedly has magnetic sensors in the probe for needle visualization and steering in 4D.
here is the promo ad I came across.
I think they may use this at the UC Davis pain fellowship.
anyone there have any insight? (Source: Student Doctor Network)
Source: Student Doctor Network - November 2, 2020 Category: Universities & Medical Training Authors: myrandom2003 Tags: Pain Medicine Source Type: forums
Butterfly IQ+ Ultrasound
So I received an email from Butterfly stating that they had a new and improved model of their ultrasound device. Their website though doesn't actually have any details about how image quality compares to the first generation device. Anyone know anything about the IQ+ or have links to any reviews and comparisons to the original IQ? (Source: Student Doctor Network)
Source: Student Doctor Network - October 19, 2020 Category: Universities & Medical Training Authors: Guillemot Tags: Anesthesiology Source Type: forums
Arterial line - no flash
CA3 here - Have had a few instances now where I’ve done arterial lines either by palpation or ultrasound where i don’t have any flash. The times when I use ultrasound i clearly see I’m in the artery, there’s no flash, but i continue to follow my needle tip into the vessel and then thread the wire, slip in the catheter, and I have a great arterial waveform on the monitor. No flash or very minimal flash. Pressure is totally normal and they’re usually not really on pressors. Thoughts on why...
Arterial line - no flash (Source: Student Doctor Network)
Source: Student Doctor Network - October 12, 2020 Category: Universities & Medical Training Authors: Propofool123 Tags: Anesthesiology Source Type: forums
Reimbursement in endocrine
I've been looking through some of the threads on this forum re: endocrine average annual base salary which can range between 200-250k for typical outpatient only practices (4-5 days/week). I had a few additional questions regarding reimbursement in this field
1) For endos comfortable with incorporating official neck ultrasounds and thyroid biopsies into their actual practices, how much more on average can this add to annual salary? (realizing that there are RVU limitations and not all...
Reimbursement in endocrine (Source: Student Doctor Network)
Source: Student Doctor Network - September 13, 2020 Category: Universities & Medical Training Authors: prithvi123 Tags: Other Subspecialties Source Type: forums
sedation/ brachy logistics
We are looking into our work flow/policies on cervix brachy and other procedures and I wanted to get some input.
For first cervix brachy I prefer full OR/full sedation and often suture in a Smitt sleeve and use ultrasound guidance for. For subsequent implants (assuming tandem/ovoid or tandem/cylinder), what type of sedation are you all using? Do you have a CRNA there to help administer sedation? Do you have a procedure room where you do brachy?
For spaceOAR similar question - do you do...
sedation/ brachy logistics (Source: Student Doctor Network)
Source: Student Doctor Network - August 28, 2020 Category: Universities & Medical Training Authors: BobbyHeenan Tags: Radiation Oncology Source Type: forums
M4 here -- would really appreciate any guidance on my dilemma between choosing EM vs Rads
DO student here. 243 Step 1. Taking CK on October 2nd but likely to score 230-240 realistically. No red flags on my app, but my app has so far been EM-oriented as I have a SLOE and one LOR from an Ultrasound rotation ready. The thing is, lately I have been reflecting on my EM rotation and experience so far and worry about career longevity but also frankly how much of my attraction to working up "undifferentiated patients" in the ED may have been misplaced. To put another way, almost every...
M4 here -- would really appreciate any guidance on my dilemma between choosing EM vs Rads (Source: Student Doctor Network)
Source: Student Doctor Network - August 24, 2020 Category: Universities & Medical Training Authors: AHRATHORE12 Tags: Radiology Source Type: forums
Pointers for central lines
So recently I have been having a hard time placing central lines (IJ with ultrasound) on non-intubated/paralyzed patients. Obviously most of these patient are ill/hypotensive but still alert enough to thrash around while I'm trying to place the line, making it much more difficult. Given their low blood pressure and crappy vitals, nurses are understandably uncomfortable giving sedating medication. Any thoughts or tips. (Source: Student Doctor Network)
Source: Student Doctor Network - August 16, 2020 Category: Universities & Medical Training Authors: agr285 Tags: Emergency Medicine Source Type: forums
Butterfly IQ Ultrasound for MSK and Neuromuscular Applications
Does anyone have experience with the Butterfly IQ US? Handheld portable ultrasound machine | Butterfly iQ
Is the image quality good enough to make it diagnostically useful? I know it's not a Sonosite or GE, but it would be very useful to have it for learning/practice. But if I can't really define anatomy (nerves, joints, tendons), then it's not really worth it, IMO.
What are people's thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - July 20, 2020 Category: Universities & Medical Training Authors: drg123 Tags: PM&R Source Type: forums
Using Butterfly IQ for injections
Has anyone tried using the Butterly IQ ultrasound probe to perform nerve blocks or joint injections?
I have done shoulder and hip joint injections using this probe, and while the anatomy showed up reasonably well, the needle (a regular BBraun 22g spinal needle) did not. I was able to get the injections done, but I am not sure how useful this device is for anything besides scanning.
Anyone else have any thoughts on this probe for regional blocks and/or interventional procedures? (Source: Student Doctor Network)
Source: Student Doctor Network - July 10, 2020 Category: Universities & Medical Training Authors: witothewi Tags: Pain Medicine Source Type: forums
Opinions on ultrasound machines- Sonosite xporte vs ge venue
We're looking to buy another ultrasound machine for the ICU. Anyone with experience to compare the x-porte and the venue?
No need to support TEE. Planning to get linear and phased array probes. Intended use would be vascular access and focused echo exams. (Source: Student Doctor Network)
Source: Student Doctor Network - July 8, 2020 Category: Universities & Medical Training Authors: CUBR Tags: Anesthesiology Source Type: forums
BRCA1/2 mutation positive, doesnt want surgery
Have you guys ever had a patient in their 40s, rich family history of breast and ovarian cancer, tested positive for the mutation, but does not want any prophylactic surgery. How would you proceed with surveillance? Obviously routine mammography is needed. Would this be an indication for routine pelvic ultrasound (q 1 year)? I read somewhere that sometimes CA 125 is checked as well? (Though i thought tumor markers were more relevant in post diagnosis and prognostic situations) (Source: Student Doctor Network)
Source: Student Doctor Network - July 6, 2020 Category: Universities & Medical Training Authors: DrMetal Tags: Internal Medicine and IM Subspecialties Source Type: forums
How can you know if you like EM because you like the specialty or because you just get to do a lot as a med student?
I posted this question several months ago, but wanted to get some more responses from fellow med students who are interested or will be pursuing emergency medicine. In a nutshell: I've been ruminating if my interest in the specialty has been a function of the fact that I have been able to do a lot during my shifts (have done 20 shifts), such as H&Ps, present to attendings, updating patients on results, and helping with ultrasound or some minor procedure -- basically being useful and involved...
How can you know if you like EM because you like the specialty or because you just get to do a lot as a med student? (Source:...
Source: Student Doctor Network - May 21, 2020 Category: Universities & Medical Training Authors: Doctor_Strange Tags: Medical Students - MD Source Type: forums
Ultrasound resources
Hello guys, I just started by radiology electives this month and will be beginning my R1 soon. What I noticed just now is how difficult of a modality ultrasound actually is. Especially on board style questions where you don't have much information given, ex: the tech sheet. I noticed that alot of senior residents struggle on ultrasound as well. We are expected to start ultrasound reads before CT abdomen and pelvis. So I was wondering what are your guys best resources for resident level books...
Ultrasound resources (Source: Student Doctor Network)
Source: Student Doctor Network - May 1, 2020 Category: Universities & Medical Training Authors: ashar008 Tags: Radiology Source Type: forums
