I went through the process with Amber Stitt. Overall, excellent and knows her stuff inside and out. Multiple quotes from multiple carriers.
https://www.mddisabilityquotes.com/team/amber-d-stitt-acp-chfc-gallup/
I worked with a group where the owner did those. Bone marrow aspiration kits and a cheap centrifuge. $5000 per joint injection and $10,000 per spinal injection. Government stepped in and told him to stop...he fought it and lost then was forced to stop. Did he go back to work making...
https://www.cnbc.com/amp/2024/04/22/meet-the-private-doctor-to-the-wealthy-at-40000-a-year.html
Come to think of this, it always felt awkward to be reimbursed $50 for a Stellate block with fluoro or less than $20 for an intercostal block with fluoro. Risky procedures with difficult patients for...
I give them a small dose of prop, bad side up, and do the spinal in lateral. I never saw the benefit of the mixtures some of my partners gave prior to or after the spinal like fent/versed/ketamine.
I worked at a busy practice where ortho nearly always insisted on spinals for hips/knees and below navel traumas and fractures.
Cardiac and pulmonary cripples, age>90 did quite well with isobaric bupi spinals and prop gtt. Rare hemodynamic changes and never called to pacu for postop confusion.
Has a clinical indication for refractory anginal pain. Worked with a neurosurgeon who did get insurance to cover for that indication.
https://www.sciencedirect.com/science/article/pii/S2352906723000258
https://iview.abc.net.au/show/four-corners
Just finished watching the documentary, nothing I outright disagree with. Their citing of the reported complication rates mirrors that of the medical literature.
Wait, you mean little gremlins in fancy suits who specialize in hostile takeovers of multinational corporations should not control the levers of medicine, insurance, and government oversight bodies?
I call it the only foreseeable conclusion.
We all know the most effectient killers are floor nurses. Can we hire that girl who gave vecuronium instead of versed to that poor lady and got a slap on the wrist?
Tell her another patient needs versed, only 10 machine over-rides away.
Cost< $2. With the cost savings, buy her a coffee.
Never experienced someone who truly couldn't tolerate good localization and time in a busy, take all comers private practice. Everyone got Iv fentanyl and midazolam in fellowship and we had multiple issues with patients coming in for the buzz and demanding heavy iv sedation on repeat injections...
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