Recent content by melancholy

What region is this starting job located in? (Definitely not Northern California. Max vacation time per year is 5 weeks after 11 years there.). Does sound pretty chill although devil is in the details

Forgot to comment on this, but this offer (which does sound awesome btw) for starting is definitely not what one would see in Northern California Kaiser.

I've seen PRP advertised for hair loss lol. I wonder if you can treat the head w PRP for hair loss and migraines (like how some headache sufferers get cosmetic botox and notice it actually helps their migraine)

Hmm... coming to a Kaiser HMO near you... in the next 30 years?

Yah used to bring up the federal and state conflict and make patients choose to taper off one or the other. My conversations now are more towards the medical concerns and unknowns with the combination of thc and opioids so I can document the “medically significant” concerns I have despite it...

The way I interpret that is that if my patient is on COT and has an unexpected UTox for THC or reports taking THC - I need to set up an appointment and try to evaluate their medical cannabis usage for appropriateness. I assume I need to verify they have a letter or card bc the law does not...

Maybe PRP has some other mechanisms which are pain modulating rather than just trying to stimulate healing in regards to frozen shoulder? I don't do PRP, only dextrose based prolotherapy and perineural injection therapies, but the concept of "tightening" things up is oversimplified...

Not sure how many states have something like this, but they signed this bill in California AB 1954 last year which makes things trickier if patients are using concomitant THC. Documentation is important...

I guess you could say that certain lumbar dermatomes cross the region of the lateral hip.....

Not sure if fleshing out details might be helpful like how soon after the drive starts do the symptoms start, whether patient gets similar symptoms sitting in other situations like hard chairs, soft chairs. Any difference between commuting days where she spends more time in the car driving vs a...

be specific about what part of the "hip" - anterior, lateral, posterior/buttock?

I might have missed it, but you list symptoms, imaging, meds and other treatments. What's the physical exam like? Are you able to reproduce the symptoms? With any of the interventions, if you use local anesthetic, did she feel local anesthetic appropriately based on where you did the...

Assuming you are PM&R? I've been at Kaiser in the bay area for over 10 years. Pay seemed structured based on primary specialty and having ACGME fellowship at the time didn't make any difference. They have raised standards at least and now all pain specialists need to have ACGME fellowship...

Just got access to borrow a Sonosite Edge 1 (not touch screen) to start getting acclimated with. Has two probes - 2-5 MHz and 6-13 MHz. Is this only good enough for larger msk structures and easy to identify peripheral nerves?

I owe my middle finger callus to the 30g 1/2 inch needle