Recent content by MJB

Interestingly enough, I have the tough conversation with literally every pain patient taking anything but the occasional Norco. I have successfully weaned every person from chronic long acting, high dose narcotics that has come to me (not a lot) in the last 2 years. My worry is being inundated...

I in no way intended to offend. I'm just relaying what we are facing in our area with the folks that offer themselves up as pain management. That's all. As for what I've done in the past? I wean, and have been fairly successful. That said, I'm not sure how I'm going to do that for 400...

Next question. We have an anesthesiologist that does ESI, but that's it. If we were trying to get a multi-disciplinary pain center going, I was thinking fellowship trained pain med and Addiction med, with psych. Still researching Addiction Psych to see if that would work. Thoughts?

And, oh by the way, I work in the ONLY state (that I know of) that doesn't have a Prescription Drug Database program.

I sincerely appreciate the responses. I'm in a rather difficult situation. I work in an area where there are very few docs in a 30 mile radius, and I have patients that range from having no indoor plumbing and struggle with ANY transportation, all the way to retired Wall Street guys, etc...

I work rural primary care in an outpatient only setting as part of a mid-range sized health system. I'm in a very underserved area, and am about to be the sole provider so only getting busier. That said, I work 4 days a week in that clinic 8-5 and one day a week in our wound healing center...

I'm curious as to how many fellowship trained Pain Medicine physicians actually prescribe medications, or if what we are seeing in my area is the norm? Basically, referral to a "Pain Management" physician is futile, as unless the patient is wanting a procedure, they are refused any treatment...

I'm specifically wondering what trends are out there with regard to physician compensation for oversight of NP's. If you are willing to share, I'd certainly appreciate it. I've avoided being a collaborator to this point due to lack of incentives, but my hand may be forced sooner than later...

Just another example I started at 200 base and now am at just over 220 on production and headed to 240. That's in addition to full benefits. Work 40-45 hrs a week 45 weeks a year m-f from 8-5. See 16-20/day Not quite 2 years into practice Sent from my iPhone using Tapatalk

30/rvu for a conversion factor is very low unless your base is somewhere around 210-215. Then I might understand it What's a 99211 or 99212? Never billed one of those. :) I see all INR checks 99213 Sent from my iPhone using Tapatalk

AMEN! I chose this path for many reasons, but chief among them was the fact I could work M-F with basically banker's hours and be home every night, not carrying a pager and have dinner with my family and help out with the kids. Time with my kids cannot be bought, and I'm quite pleased with my...

I'll just say I'd personally rather see someone with physical disabilities to help me make healthcare decisions. Testing accommodations for learning disabilities for docs? Really?

I think I'd try to do it honestly. Not like you get accommodated for patient care.

Get a Maxwell's, Pocket MD, etc... Wash Manual?

I would love to meet all these nurses making over 100K. Hell...even 80K. I'm married to one, and the most she's ever made is in the 60K range. Sure, if you work two jobs plus overtime, I could see it, but I see this referenced often (often by pre-meds) on here, but have no personal knowledge...