Recent content by Taus

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    Nimbus RFA Needles

    One needle per nerve Lesion 1 tight to sap/tp junction, medial/lateral Retract, reposition slightly up base of sap ceph/caudal for lesion 2 For cervical I retract slightly and reposition ceph/caudal on lateral pillar for each respective target zone. At least one needle width between 2nd burn...
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    Help me choose between two jobs?

    3 days week of 21-23 clinic/day for me. About 50:50 new vs follow-up. 8a-5:30p including all dictations, messages, procedure prep, etc. No scribe, no midlevel. 2 days/week of office fluoro 25-30 procedure/day. Mixture of my own patients, partners who don’t do cervicals/rfa and direct esi from...
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    Help me choose between two jobs?

    Reasonable # patients per day…..I think it depends upon % new consult vs follow-ups and somewhat of practice setting, I.e. primarily procedural, med management, versus “comprehensive pain“. Straightforward problems vs more complex chronic pain issues.
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    Nimbus RFA Needles

    Depends on if you think the extra cost is worth the time savings on the case. If you get a big enough lesion with a perpendicular approach, single lesion (not certain on that), you can cut the procedure time way down compared to doing traditional parallel placement with two 18g lesions. What...
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    Pictures of the Week

    Potentially, but worth trying before sending to surgeon imho. Already did interlam w depo.
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    Pictures of the Week

    T1-2 tfesi. foraminal hnp. Min relief with interlam. Mapped path/angle carefully on mri to avoid ptx…. Love my new c arm…. Oec 9900
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    Understanding facility reimbursement

    Phew…. Sounds exhausting. Do you have a fluffer to take care of all the pre/post bs to allow you to go room to room and just do procedures most of day? Ie not having to see patients in pre-op, have them sign consent, mark side, computer orders pre, dictate and dispo stuff after? I do 30/day in...
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    Understanding facility reimbursement

    Unlikely to top busy total joint and spine docs…. All else is fair game and doable.
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    Intra-Articular Hip Injections in Obese Patients

    If I can stick a needle 100% in the joint under fluoro on AP, oblique, lateral, and not get an clearcut 100% arthrograms with contrast every time…… Ultrasound can shove it That said, does it make a difference in clinical outcome intra versus peri….?
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    Intra-Articular Hip Injections in Obese Patients

    Not as bad as sij
  11. T

    Intra-Articular Hip Injections in Obese Patients

    Yep, looks same
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    Intra-Articular Hip Injections in Obese Patients

    All joking aside…. Prone approach is very easy on these patients. Target same as in AP. Lateral head/neck junction. Granted, I send most hips to sports med to do under ultrasound and my practice is 99% spine. You lose money every time you displace a spine injection from your schedule if...
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    Intra-Articular Hip Injections in Obese Patients

    I’d rather press down to hub a 7 inch posteriorly than retract a pannus and wipe away cottage cheese.
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