Recent content by Baron Samedi

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    SIJ injection tips

    A slight medial to lateral approach helps with getting intraarticular in most patients as well. The ilium is superficial to the sacrum, so this needle trajectory helps slide under it and into the joint.
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    pars injection-technical aspects

    SDN D&D session at next big conference? I'll DM if you guys bring beers and snacks.
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    pars injection-technical aspects

    Technically, they are usually pretty easy. Scottie dog view or AP (I tend to find the oblique a little easier to see the lucency), touch down on os with a 25G quinke with a small bend in it and walk it in a mm or two. You can put a smudge of contrast there if you want. Then inject.
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    Question on HPSP

    I know people who did USU/HPSP who are in financial ruin and those who are civilian primary care docs who have well-eclipsed my own savings. The ability to save, invest, and manage debt is an individual merit and not related to mil vs civ.
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    All Branch Topic (ABT) Tricare for off duty employment during terminal leave?

    For those wondering, Tricare won't even credential you while on terminal leave. I thought I'd try and get it done early, but they told us to resubmit after my ETS date.
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    Question on HPSP

    There's a reason everyone congratulates you on your way out and not on the way in. I felt like a prisoner released for good behavior getting high fives from all the guards during my out-processing.
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    CRPS frustration

    There's been multiple RCTs showing benefits of Vit C supplementation in CRPS prevention but I have yet to see Ortho actually use it.
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    Pictures of the Week

    I agree that the GT doesn't looked quite right to me. I'm wondering if it's an osteochondroma originating from the GT that broke off.
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    Considering prescribing HRT?

    Agreed, and a whole mess of liability I want nothing to do with.
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    Fellowships Scraping the Bottom of the Barrel: Implications for Pain?

    Some of them had rotated with us before, some were bad interviews, and some we had info from their residency training.
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    Fellowships Scraping the Bottom of the Barrel: Implications for Pain?

    The biggest reason we didn't take applicants was professionalism issues.
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    Fellowships Scraping the Bottom of the Barrel: Implications for Pain?

    Our class filled 2/4. We chose to keep some slots unfilled rather than take folks who would struggle.
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    Injections for patients with movement disorders

    My apologies-- I was thinking of acute dystonia. https://www.ncbi.nlm.nih.gov/books/NBK531466/
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    Injections for patients with movement disorders

    For TD could just try some benadryl.
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    Concierge pain clinic opening

    Also, what is that thing around her neck?
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