Recent content by Painologist

I only use preservative free meds for epidural use.

Am I the only one who does hip injections with the lateral approach? Much easier and obese doesn't matter much, other than them having to lie on the side.

Henry Schein just got it back in stock. My understanding is the shortage was just until the beginning of April

I’ve never had any trouble with the 14g needle.

Pressure lol. I don’t do a skin nick like someone mentioned above. Very little bleeding.

I use 1% lido without epi to the lamina. I typically place an IV and give ancef but will occasionally give IM if they’re a difficult IV placement and don’t have my ultrasound ready. I rarely use any sedation but if needed will call in 5 mg Valium ahead of time. I also use oral antibiotics for...

Do you use nitrous often? That would be a good idea for me considering I don’t offer IV sedation. Never thought of that

I’ve done 4 in the last 6 months, and 3 of them have fantastic relief. I do not do a LESI at the end either. We will see how long the relief lasts, but it is very promising for a minimally invasive procedure that doesn’t even require a single stitch. Most of these patients did not want surgery...

Are you actually utilizing something like this?

I did a demo with deepscribe. Seemed interesting but never pulled the trigger. Was ~$750/month with 1 year commitment required. I am still looking for something to make me more efficient, but have a hard time finding anything faster than dictating to my phone for 90 seconds after every...

I think about this often as well. I do laterals for all epidurals still. Try to minimize shots otherwise. Anyone have a mobile x-ray shield they recommend?

What kind of pre-procedure videos do you have patients watch? Also, does Dr Plan sync with eCW nicely?

I’d be interested as well!

Not sure, will ask the patient. No Neutropenia.

Building off of this question. I have a patient on chemotherapy for Leukemia who is on prophylactic Bactrim 3 times/week during treatment. He needs a TFESI for severe lumbar radic. Oncologist recommended an injection. Would you proceed assuming he has no infectious symptoms? White count is...