Game Changer: Urgent Care Pain Clinics the Wave of the Future!

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I was sure it would have been a chiro/lawyer setup but it's actually a fellowship trained pain doc.

I don't think it's possible to pay for 10 staff and a fluoro suite with just "acute" pts without opening the candy jar.

 
There are so many things wrong with this concept. This seems like a shop that patients will go to knowing/assuming they will get opioids. I see no legitimate need for a “pain urgent care” as it seems to me that any acutely painful condition that urgently needs to be worked up can be worked up at a normal urgent care. Calling something an urgent care for pain is only going to attract opioid seekers. I am sure this place won’t be hurting for business, but it will open that doc up for a lot of liability the first time they miss something serious. In my reasoning, true acute pain is a marker of an actual injury and pathology. Focusing on the pain aspect rather than what is actually wrong is a backwards way of dealing with the underlying issue, in my opinion. Sure they can see lumbar strains, ankle sprains, etc, but what does this place really add? Are they doing to do a nerve block for an ankle sprain and send them home? Any nerve blocks that I see them doing for acute injuries I see opening them up to liability (masking neurovascular compromise, etc.).

What if someone is having back pain because they are having an aortic dissection? This place isn't equipped to deal with that. The patient could have wasted valuable time going to this "urgent care" because of the pain rather than going to a real ER and getting a CT.
 
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As if urgent care centers weren’t already enough of a money grabbing scheme with very little value add for the patient, this idea is taking it to another level.

bad idea and likely to be a failure in the long run.
 
This won’t last. It makes NO SENSE. It’s like someone opening up an urgent care gen surgery centers. Without a full work up, what are they exactly trying to accomplish? Also, how about blood thinners? How will they get approval for some interventional procedures immediately? Too many questions. I figured pill mill at first but they’re emphasizing interventional pain.
 
Ortho urgent care I get. Xray, brace, cast, meds, mri rx, etc, refer as indicated for appropriate follow up. Pain urgent care... I guess if you’re just calling it that but it’s really just ortho. Interventional pain procedures in an urgent care setting..... I can’t see how that fits/makes sense on many levels.
 
I actuallly think this is a potentially genius idea and am going to go against the grain here and say this will be very successful and doesn’t have to necessarily mean pill mill or bad medical care. We’ll see how it turns out.
 
If you build it, they will come

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I agree that it will likely be successful in that they will have a lot of patients showing up, but I don't think it is an appropriate model. Like I mentioned in my previous post, I think this opens them up for liability for doing procedures for not yet fully worked up conditions, among other reasons. Having some PAs and a pain doctor in an urgent care doesn't in my opinion equal comprehensive and safe treatment of any injury or pain complaint. For better or for worse, emergency medicine/urgent care is a CYA game. This seems like a recipe for disaster for missing a truly emergent condition when as far as I can tell, none of the people working at this place have emergency medicine training. Just my opinion.
 
It is probably just an ortho urgent care in disguise like @Taus said. They want acute pain but not if it is not spinal, joint, or routine migraine.
 
I just assume this is like all the others that preceded it.

Back strain without radiation: TPI vs facet steroid inj.
Radicular pain -> LESI
Painful joint -> steroid inj
None of the above -> meds and/or referral

This kind of clinic model is all about how to get paid without getting arrested or sued or causing death

I would assume it's cash only.

We could all open a clinic like this. Chiros have been doing it for decades.
 
He used to work at a different practice and this is a new venture for him on his own.
 
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