Recent content by DOctorJay

typically just AP without any tilt or oblique. If I can see a medial line that's what I go for and walk in lateral a bit or the needle will bend that way. very rarely I'll ask for some oblique to see that medial line better.

Skin marker over the target, no skin numbing, 25 gauge 3.5” needle, drop into joint, contrast, inject, done. Edited by Lobel: Placed thumbnail showing needle trajectory medial to lateral as first picture and then arthrogram without needle as second picture.

you get what you negotiate for. I believe some of the docs here are in a model where they get credit for all their midlevel's wRVUs. I'll be interested to see the responses. my group gets no additional value from the midlevels (aside from increasing our procedure volume), yet we have to...

What’s everyone’s limit for lifetime joint injections? say in someone whose BMI is too high for surgery and they want to just keep getting knee injections every 3-6 months?

2 99214s are now worth more than a 99244 or 99204 in wrvu crumb land

Joints get double booked with an RFA or something else in my practice. Would rather do it myself than have the pt get an injection with the PA in IR.

I got a branded toiletry bag

Google a bunch of nonprofit health care networks in your region. Find out who their CMO is. Look up the 990 tax documents for these nonprofits and find the CMO name and their listed salary.

this patient followed up with my PA today, 90% relief. must say I'm surprised with this one.

yes, the hospitals always get more

good point, do you have a BMI cutoff for procedures? do I make her lose weight before offering a procedure that seems like it would help?

I had a very large patient recently who I had no choice but to do perpendicular and even with that approach, hubbed the 150mm needles at each level. I did get a nice multifidus twitch and am crossing my fingers it helps but if not I won't do it again. would anyone have simply said no even...

you see all this stuff on social media about contacting government representatives to fight against physician fee decreases and lack of at least inflationary increases- and I think about it and figure that even if they did increase the physician fees the hospitals would find some way not to...

1. we made this adjustment a couple years ago now although I'm not paid on a straight $/wRVU (we're based on productivity percentiles). the increase value of follow up visits has decreased our bonuses as the percentile benchmarks we use have gone up significantly along with total wRVU numbers...