Recent content by specepic

you misunderstood my post (or I needed to reword) the compounded steroids did not have the labeling from the FDA saying "not rec'd for epidural use", correct? The FDA incorrectly labeled some name brand name steroids, which led to docs looking for other options Some docs also concerned about...

I think a lot of this was driven by the FDA labeling and some of the inappropriate frenzy about preservatives and spine steroid. As I used to tell patients...you may not want preservatives in some of your food but is not necessarily a bad idea in something going in your spine When I started at...

I do supine only for both USGI or fluoro pillow under knees for comfort large curved probe in parasagittal plane for USGI. 22G 3.5". visualize anterior circumflex artery to avoid it (AVN risk). Lido with 25G 2" first if BMI > 40 then most likely fluoro although I have done many USGI hips...

Suspect operator error

Thank you. Steve when you come to Boston in September we should go to Legal Seafoods, one of my favorites. Technically a chain but IMO one of the best run restaurants and very high quality seafood and preparation anyone done the Oakstone course?

part of our NEW PATIENT triage involves finding out whether they are on opioids from somewhere else, and they have to agree they understand we are consulting not rx'ing. This is documented by triage staff prior to appointment the few times we takeover RX from PCP it almost always goes sideways...

Has anyone done the Oakstone cme titled comprehensive review of pain medicine? I need to make up on some CME I missed during Covid, I will be doing some live courses this year but this seems like a good one to bang out about 36 hours of CME Just want to hear some feedback about the quality/content

1 Consult 2 MBB 1 3 phone call to discuss log 4 if + MBB #2 occurs 5 then OV or TH for "RFA discussion", this is a newer process and I really find it helpful for pts (used to be phone call with staff and RFA order from that) 6 RFA 7 f/u in 2-4M

I got an $80 bottle of red wine

Ultrasound and laser gets them in the door, oxycodone keeps them coming back ;)

Trying to revive this thread. Thinking about looking more into Sprint PNS Any updated impressions? I watched the video above on YouTube. The woman physician says she is placing a medial branch nerve location, but it looks to me like she’s almost doing an interlaminer so either I am really...

My Pain NP is on maternity leave this summer. Looking for someone to see f/u's, post mbb/esi, simple consults. We do RX opioids although we are very structured and conservative in this regard. She is working on minimizing opioid duties while she is away. Candidate could be NP/PA, maybe even...

What mg range?

I have seen several patients over the years who claimed to have a local anesthetic allergy. I have also had patient's claim to have a steroid allergy. In almost every case, and I cannot think of any exceptions at this time, these allergies ended up not really being allergies. The way we...