Recent content by DistantMets

Isn't there pretty solid anesthesia literature that hanging drop has a higher incidence of wet taps than saline LOR? I just finished training with Furman and helped him with a couple chapters of his Atlas. It is coming out in a few months and is OUTSTANDING for doing SAFE procedures. The...

My advice with UNE (as with all of EMG/NCS) is to err on the side of undercalling, or at least choose your words carefully. For example, If I get a ~10m/s drop in CV on the motor at the elbow with normal amplitude throughout on both the ADM and FDI study, with normal sensory and normal needle...

Thanks for the post. I am starting my practice soon and was looking for a good template. Now I have one template to cover several procedures. It's perfect!! Thanks, SDN!!!!

Just remember that doing a DO internship affect licensing in 5 states. You have to do what's best for you. Besides, no program I looked at required ACGME. I had one program encouraged me to do an ACGME internship (theirs) but I got a bad vibe from them anyway. The program will rank you if...

I just graduated from the residency at VCU and decided to do fellowship elsewhere. VCU's program is really solid, I agree. I learned a great deal from the attendings as a resident. I was a little more in the Spine/sports mold than Pain though. Currently there are 4 fellows in the newest...

Anyone seen any courses being offered this year? Didn't see much from my internet search. I'm guessing I may have to get in touch with a rep.

One of our pain fellows gave us a great grand rounds on this topic last year. It's very interesting. It appears from this article that the endo dysfunction reversed after coming off opioids. However, another interesting question is whether we should screen these labs in patients with...

If the fracture is at or above the level of the ankle mortise (Weber B or C) the syndesmosis may have been affected making the ankle unstable. These usually need surgery. I agree with the CT and would not do PT until you've ruled out a non-union. If she's elderly, her healing time might be...

I think I'm going to play Food, Inc., SuperSize Me, and Fast Food Nation on a continuous loop in my waiting room.

Osteopathic Manipulative Treatment I plan to incorporate it into my practice. I agree with Ligament, it's a tool in the bag to offer to patients, and probably better for the acute reaggravations in the chronic pain population. There are a techniques like counterstrain that are easily taught...

In med school, I helped deliver a 14 y/o girl's baby...she named her Candida. Don't know if there was a significant "yeast" issue in her life or not...

Thanks for your feedback everyone. I guess I just need to keep in mind the gastroc can have some L5 in it. The more I do these, the more I realize I need to work quickly through the NCSs to leave time to needle a couple extra muscles to confirm my Dx.

We have recently had 2 residents here at VCU that transferred from ortho to our program (completed 1 and 2 years of ortho). You will fit right in with PM&R. I think those guys were way ahead on anatomy and procedural confidence. One is a current pain fellow and the other will start in July...

I routinely needle TFL, VMO, TA, PL, Med Gastroc. If paraspinals + TFL + TA + PL neuropathic with nl MG then I would normally call L5 If paraspinals + TFL + PL + MG neuropathic with nl TA then I would normally call S1 The question would be if TA, PL & MG are positive...is it L5 and S1...

Funny thing is that the inpatient attending and the consult attending were the same person. He at least apologized to me about it. I find it funny how the criteria for IP rehab changes based on how many beds are available :rolleyes: