Recent content by powermd

I don't have data to back this up, but to me it seems the risk of infection from compounded steroids would be way greater than the risk of arachnoiditis from whatever timy amount of benzyl alcohol is in the preserved kind. I'll take the latter six ways to Sunday.

Posted on FB Physician Community.

This is the paper that got me started on LDN for CRPS: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661907/

Low-dose naltrexone trial. 4.5 mg x 7 days, 9 mg x 7 days if no better. I have way more success than I deserve with this strategy. A few days ago I did a follow up with a patient who started this 8 months ago. Ortho PA with wrist CRPS x 2 yrs after falling on outstretched hands and spraining...

I asked Chat GPT to rewrite that in the style of Bill Burr: "Alright, so, listen up. First, they're comin' for the nurses, right? These folks who hold it all together in the medical world, with their healing touch and all that jazz. But then what happens? Boom! They get replaced by some...

Sadly, I have to factor in what the market will bear. It sickens me that my vet can charge $600 for a BS ultrasound, and people will IMMEDIATELY pull out their card, but try charging a pain patient $200 cash for something and they can't find their wallet. For services that have a high rate of...

On the subject of trigger points- I have a weird one right now. Referred to me for possible "T12 rib syndrome", I did an intercostal block which did nothing. Then I got the guy on the fluoro table, marked his point of maximal tenderness, and found it was located over the tip of the L4 transverse...

Until now, I just charge for the ultrasound, do the injection (that doesn't meet their ridiculous guidelines anyway) for free, and charge for a visit. Now, that's going to expand to Medicare and by extension Medicaid, since they follow MDC rules. Don't like it? Off to PT you go.

If you're just blindly stabbing the muscle, I would agree. I do fascia plane hydrodissection, which needs US to do it well. Does it work? Well, last August I went biking 14 miles which was apparently beyond my conditioning level. I began having pain in my left gastroc that wouldn't go away. It...

I've been charging $100 cash for US guidance on most of my soft tissue injections for a year now (if ins won't pay 76942). For the odd fluoro-guided TP, I'll do the same for that. My TPs are not true trigger points anyway, it's fascia plane hydrodissection. I can't remember the last time I...

Sometimes it's that easy, many times not. That's your opportunity to compete.

I knew Kiran back in residency. Nice girl. It doesn't surprise me she's trying to make a name for herself. I didn't know she broke from Chapman.

Ha... my Stryker rep was unwilling to go below like $1750 last time we talked. I have a deal with the Merit Medical rep in my area for some kits for $1350, which include two introducers. They have an interesting all-in-one no-mix cement system. It has a super long working time too. I haven't...

$50/mo.

I started using GetFreed AI scribing and love it. I just flip it on, and out pops a good note at the end of the visit. It catches things the patient said that go in one ear and out the other. My assistant reviews the patient's intake and imaging with the AI before the patient comes in, that way...