Recent content by Bostonspine

Prestige is relative certain programs are know nation but other dominate a region so A California or Texas program will help you get a job or fellowship in those states but may not hold as sway in Philly Chicago or NYC. If you goal is to go back home but be close to you parents the go to the...

I try to avoid personal injury but workers comp is pretty straight forward if you get them early… stats show 80percent of the problem are 20% of the patients… so I avoid that 20% and see the slow pitch underhand patients from the city, GE, hospital and other relationships I’ve build… every now...

Probably has to do with the 75% of physicians that are employed and now act like an employees…

Just FYI there are other areas of PM&R beside Pain/Sports, like Peds, Cancer, TBI/stroke, inpatient, outpatient subacute setting. What I’m saying is work on you resume do a broad in both and you’ll be well positioned

So, if you are thinking of doing a fellowship, then go to the best place possible and then come back to the city or state. also, if you list the location, it can be helpful. Like getting a jab in NYC is very much about where you trained but like other top programs won't hurt where as Texas and...

Clarification it is impossible to get an appointment for outpatient Rheum or Neurology 3-6 month wait... one could start a practice with lower overhead and add ancillaries, So these are other specialties outpatient based with predictable schedules.

I would probably needle exchange from 25g to 20g then LOR no contrast the initial pinch would be the worse then it should pretty much be the same

Depends on how many spine surgeons you have in the area and how conservative(refer if they think they are a bad revision or fusion candidate) or aggressive (refer after said poor fusion revision case fails) they are

Other than getting a new job you have get a new source of patients. Every reasonable patient you get figure out the source and market directly…meet every spine surgeon, neurologist, Chiro or PT in town

So I think few people are doing pain for the money cause you can make more doing the OR or the same doing inpatient or subacute on the PMR side… still if you want a predictable work schedule with no real emergencies and light call responsibilities it’s hard to beat… outpatient neurology in My...

$1500 fist 1inch or 250pages review $750 for each additional inch for medical legal stuff I aim for $500 to $650 an hr but its what ever the market bear. When I was a fellow they were doing them for $600-900 dollars 7 yrs ago

So the want to introduce a clean needle for the 2nd one. This is what they explained when I rotated there in residency. I do the the standard way oblique the AP to the 6 o’clock. I must admit if the flow on live is picture perfect I don’t check a lateral

The AP 2 needle technique is how the do it at HSS where you bend the 2nd needle

All the single specialty pain groups in my area anesthesia only starting a bit higher for them cause they do Mac for their partners if they are not busy(pays better than EMG Monkey for Hand & foot and ankle). My group has 2 anesthesia and 1 PM&R(me) also an internist(pain fellowship trained)

PMR/Pain ortho practice do all pain stuff and MSK injects(fun for me) able to cover my overhead with pain alone can beach out in to MSK PrP as much as I want no sideline coverage. If I wanted to make more money I’d do straight pain