Recent content by Timeoutofmind

Midwest – major metro area No call W2 7-2pm 5 days a week 10 weeks off 50/50 supervision/Solo (Supervision 1:2 with reasonable AAs) Hospital and ASC work Hospital has some sick patients and neurosurg/vascular etc, but it’s not the big house…

Lesher, J.M., Dreyfuss, P., Hager, N., Kaplan, M. and Furman, M. (2008), Hip Joint Pain Referral Patterns: A Descriptive Study. Pain Medicine, 9: 22-25. Hip Joint Pain Referral Patterns: A Descriptive Study

Anything below umbilicus no precautions needed

Every ICD and pacer behaves differently if you put a magnet over it so I would reach out to the cardiologist to get a formal recommendation for C RF. But 90% of the time they will just tell you to put a magnet over it during the case and remove it afterwards. This will typically deactivate the...

Why not though?

Toradol intra-articular injections seem to be getting more popular in my neck of the woods with the orthopedic surgeons. Seems good to avoid steroids when possible would be the upside I think. Also, on literature review, surprisingly favorable, compared to steroid injections with no noticeable...

Thanks man I still do operating room anesthesia one day a week… and the longer I do it the more paranoid I get! Which is why I was avoiding the fentanyl and just doing versed. No one gets apneic with just versed. But your points are well taken and insightful.

Yeah. I usually give around 2 mg of versed. I used to give more, like four to eight depending… But I found a lot of these difficult patients just get disinhibited at the higher doses and move all around and the procedure takes forever and sucks.

I give everyone tons of local. Up to and at times exceeding toxic doses according to the anesthesia literature (5mg/kg lido) And I give it plenty of time to set up And I use 4% at the lesion site Still About half of my patients still complain of a lot of pain throughout the procedure and are...

Good point. Thanks for clearing that up for me! Agree that the best scenario is to overfunded the 529 by 35K and do the Roth conversion (But if you have not managed to over fund the 529 going into the college years… Then the best scenario is to use all the 529 funds for college expenses, and...

I am currently funding a 529, so either way, the money is going to be there when my daughter gets to college. So the real decision point is at that time whether I match her earned income with a 529 to Roth conversion… or whether I directly match her earned income in a Roth retirement account...

I believe the child needs earned income in the amount that you are converting to a Roth IRA from the 529 each year. In which case, once they start making some income with their first high school or college job, rather than converting their 529 into a Roth IRA, I would probably just take my own...

That is very impressive. Congratulations! Can I ask… 1. $/RVU? 2. Number of patient encounters in a clinic day? 3. Number of procedures in a procedure day?

Way to go man. Your posts are always humbling and challenging. Proud of you.

Examine hip… Carefully…. Stinchfield etc Presentation can be subtle If exam concordant and X-ray beg, get MRI Horses before zebras