SCS Utilization Sky-Rocketing: Implications for Pain?

[drusso]

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[lobelsteve]

It's not me, it's you.

 

[buddababa]

View attachment 341643

The amount of failed scs systems, and incorrectly placed systems I've had to explant over the years, is one too many. Most of them really didn't even have an ablation. Just a single LESI and then straight to stim.

 

[lobelsteve]

The amount of failed scs systems, and incorrectly placed systems I've had to explant over the years, is one too many. Most of them really didn't even have an ablation. Just a single LESI and then straight to stim.

40+ batteries

 

[Ducttape]

but we have all but eliminated chronic pain as a disease entity with stims!

and they paid for these fancy pointed shoes...

 

[lobelsteve]

but we have all but eliminated chronic pain as a disease entity with stims!

and they paid for these fancy pointed shoes...

And my old man / dad NB 1080s

 

[painfree23]

If a patient fails a stim trial with boston , do you retry with another company later?

 

[buddababa]

but we have all but eliminated chronic pain as a disease entity with stims!

and they paid for these fancy pointed shoes...

Just saw a patient treated by one of those fancy pointed shoe men; had a stim trial after 1 lesi, no other treatments, wanted $$$$ down up front before perm and extra $$$$ for occipital neuralgia treatment (main concern) - patient couldn't afford it so came to me.
This is why utilization is up.

 

[deleted472101]

We need to come together in this field better.

this isn’t a humility race.

If someone wants to wear New balance, great.

if someone wants to wear something else cool.

Let’s come together as a field and not care where people want to spend their money.

 

[Ferrismonk]

Well, Medicare increased 63650 by 21% last year alone. I'm sure that has nothing to do with it...

 

[drusso]

Just saw a patient treated by one of those fancy pointed shoe men; had a stim trial after 1 lesi, no other treatments, wanted $$$$ down up front before perm and extra $$$$ for occipital neuralgia treatment (main concern) - patient couldn't afford it so came to me.
This is why utilization is up.

What brand of shoes?

 

[ateria radicularis magna]

What brand of shoes?

View attachment 341702

These shoes are also popular amongst narcos in Mexico

 

[painfree23]

What brand of shoes?

View attachment 341702

The pointier the shoes , the further I stay away

 

[Multimodal]

The pointier the shoes , the further I stay away

ah, i know a terrible doc who stims anyone/thing with a heartbeat. his shoes are equally if not more pointy. the math checks out

 

[gaseous_clay]

The amount of failed scs systems, and incorrectly placed systems I've had to explant over the years, is one too many. Most of them really didn't even have an ablation. Just a single LESI and then straight to stim.

I’m shocked commercial insurances would cover this. Are these postlami patients?

 

[gaseous_clay]

View attachment 341647

40+ batteries

You should start a recycling program.

 

[buddababa]

I’m shocked commercial insurances would cover this. Are these postlami patients?

It was a pure medicare plan

 

[Orin]

This is why Medicare's doing PA's for SCS now I assume.

 

[drusso]

This is why Medicare's doing PA's for SCS now I assume.

Alpha Mid-Levels doing trials while pain surgeons do implants. #WelcomeToTheFuture #You'veGotThis #YOLO

 

[nvrsumr]

Pain surgeon. Local guy has advertised as such for years.

 

[SeniorWrangler]

What brand of shoes?

View attachment 341702

I’ve been skeptical of SCS till now but I do like those shoes.