Recent content by Ducttape

this article just posted on cnn: https://www.cnn.com/2024/05/24/world/thomas-midgley-jr-leaded-gas-freon-scn/index.html

a lot of possibilities. 1, these are all legitimate businesses with different purposes. 2. he is hiding something, using them as tax shelters. 3. he fell asleep on the keyboard and his forehead kept pressing ENTER

seems appropriate to try after they have failed the first and second line treatments. these patients did fail first and second line treatments, right? and btw, the lancet article as you correctly posted was a review. id be less likely to use that as basis for decision making than RCTs and...

it should be noted in your meta-analysis that there were 6 botox studies, total 137 patients, significantly lower than any of the other treatments, and this was the only interventional treatment. like lobel stated: that NNT is only for the smaller studies, did not include the large...

only 1 MBB is required in someone who had RFA>2 years ago. the LCD in my area is not at restrictive, btw. Evicore states this:

there were pretty clear guidelines set by the CDC. and they were updated to reflect the risk of spread of disease and severity. whether your institution or government chose to follow them is a separate issue. technically it could be the steroid effect... between disc or nerve compression...

this might be a rare indication for long term opioids. sacral fractures can take a year to get better. butrans patch for a year. suggest Relistor or Movantik for the constipation if that is due to OIC. SQ if you feel the need to initiate faster...

so why did they not purchase the even higher cost of the drug company produced preservative free depomedrol? this system did look at pricing of preservative free depo, and we decided (hugely influenced by "a situation" in 2002) that preservative free depo was too expensive and too risky.

the system is broken but i dont think this is the main problem. didnt someone say something about teaching monkeys how to read an EKGs? your clinical assessment and monitoring of patients on opioids is much more time consuming, intellectually challenging and nuanced than any SI injection or...

a large part was due to cost concern. because most docs bought the preservative free formulations from compounding pharmacies as a cost savings measure. the drug implicated was preservative free methylprednisolone. previously, you could purchase "preservative free" methylprednisolone...

thats extremely generous. so the system is basically funding the NP...

you should not be able to bill for the NP patients unless you directly see the patients themselves. you can negotiate and get a percent of the billing that the NPs generate. you should be seeing as many new patients as possible and setting up initial injections. NPs should be for follow ups...

um not really. the FDA did not put out warnings about eliminating preservatives in medications. the FDA focused on the evils of epidural steroids and specifically particulate steroids. doctors were concerned about preservatives for one main reason - sites like arachnoiditis.co.uk and others...

there definitely are a few of them. but most, i can see an actual auth number.

again, we get prior auth beforehand, and as far as i am aware, from what they tell me, we are getting reimbursed for all those who we get prior auth. those we cannot get prior auth arent getting the injections. thats about 10% of the cases.