Recent content by DrSpine

My favorite question from patients. "Will the disc heal or get better?" It's the one question that epitomizes this field at times. There's no clear cut answer. My response, "Well...some say no. Some say yes. Anecdotally, I've seen discs improve on MRI after 1-2 years. The bigger the herniation...

This. Younger they are, it's likely the problem will come back at some point. I have that discussion as well.

That surgeon chewing you out is an idiot. Why? Unlikely for you to refer in the future. Take your referrals elsewhere. So much for his business. That being said, if the patient prefers a permanent surgical solution with discectomy, send him off to the surgeon and explain it if you got the...

I was kidding with the lazy line. That’s what other specialties describe PM&R typically. Lol

Honest truth from a PM&R Guy: Do you like waking up at 5 am everyday during residency for cases? Do you like being on call? Do you like dealing with patients possibly crashing? Go Anesthesia. Are you a lazier person? Do you prefer to work M-F for most of residency, starting at 8 or 9...

Let me rephrase this. “The people that I have with Obamacare are generally frustrated by the costs but are overwhelmingly appreciative that they can actually see a nurse practitioner.”

The law that single handedly destroyed the American healthcare system, Physician private practices, the American dream, your health, and instead fueled the rise of healthcare conglomerates.

Get paid just to do knee injections? Count me in.

Literally said the same. The whole Vertiflex thing kind of flopped.

Nothing ever beats the time my former colleague, who is an Arab American (loved the guy, super cool), grabbed lunch with me at a public area in the middle of a busy location. And we were both going to an IPSIS Conference, but he still referred to it as ISIS. As we're eating, he unknowingly...

Inpatient Rehab means weekend calls and dealing with hospital Admin. No thanks.

I did Pain, no regrets. PMR is already sports, you get MSK skills and training, plus Concussion training via TBI. Primarily Care Sports Medicine is really a crash course of MSK for the FM guys. Pain is the more advanced aspect of PMR, allowing you to do all the injections you want...

I’m not big on TFESI or SNRB but I’ve done a small handful a year on a rare occasion. How is that the worst advice ever?

This isn’t a unique opportunity. It’s a standard hospital gig. You’ll be compensated guaranteed for a year or two probably followed by purely wRVU.

Who are these doctors and society meetings saying to stay away from CESIs because they’re dangerous? Never seen or heard that before. CFTESIs are shied away from for obvious reasons, but there are still cases where surgeons request it. If you’re running a practice, unfortunately, it’s...