PAs doing injections now?

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soxman

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Probably not a good idea for these folks to blast this on LinkedIn ....

www.linkedin.com

#vapain #painmanagement #vipsc | Virginia Interventional Pain & Spine Centers

Targeting pain at its source for lasting relief! PA Tyler Kemp’s precision with steroid injections helps reduce inflammation and restore mobility—often without surgery. Take the first step toward feeling better today. Call 540-777-0090 to schedule your appointment or visit vapainsc.com to...
www.linkedin.com www.linkedin.com
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soxman said:
Probably not a good idea for these folks to blast this on LinkedIn ....

www.linkedin.com

#vapain #painmanagement #vipsc | Virginia Interventional Pain & Spine Centers

Targeting pain at its source for lasting relief! PA Tyler Kemp’s precision with steroid injections helps reduce inflammation and restore mobility—often without surgery. Take the first step toward feeling better today. Call 540-777-0090 to schedule your appointment or visit vapainsc.com to...
www.linkedin.com www.linkedin.com
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This is the future. Most busy pain surgeons are drowning in the OR and can't keep up with shots in the clinic.
 
drusso said:
This is the future. Most busy pain surgeons are drowning in the OR and can't keep up with shots in the clinic.
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No way even the busiest of pain surgeons are doing implants all day everyday.

This goes back to anesthesia. Hire midlevels to do your job so you can sit back and count the money.

CRNAs will be opening pain practices by the dozens in all states for years to come.
 
Members don't see this ad :)
A radiology practice in my town has their PAs do all their LPs, solid organ biopsies, thoras, and paras etc
 
Sheesh, these people are just down the street from me. I had no idea they hired a PA to do procedures. This dude isn't even listed among their providers.

"All our physicians are double board certified in both anesthesiology and pain management through the American Board of Anesthesiology to give the distinction of being truly board certified." .....except when you see our PAs.
 
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knoxdoc said:
Sheesh, this people are just down the street from me. I had no idea they hired a PA to do procedures. This dude isn't even listed among their providers.

"All our physicians are double board certified in both anesthesiology and pain management through the American Board of Anesthesiology to give the distinction of being truly board certified." .....except when you see our PAs.
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Report them before everything is run amok
 
knoxdoc said:
Sheesh, this people are just down the street from me. I had no idea they hired a PA to do procedures. This dude isn't even listed among their providers.

"All our physicians are double board certified in both anesthesiology and pain management through the American Board of Anesthesiology to give the distinction of being truly board certified." .....except when you see our PAs.
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If people in our specialty don’t start getting serious about protecting our turf, there won’t be any left in 10 years.

Cardiologists aren’t letting PAs do diagnostic caths
 
I've probably told this story before, but when I was interviewing PA candidates, I had a conversation with a PA who was the sole proceduralist for a NS group. He just did procedures all day, 5 days per week. I told him he won't touch the patient's spine, but knees and shoulders and things of that nature he can have at it.
 
I feel sorry for all the CRNAs shelling out cash for their dummy fellowships, and a PA can shadow a doc and be anointed a pain associate
 
Members don't see this ad :)
I know at least 5 pain docs that dabble in cosmetics and anti aging. Most are PI/stem cell types and would have zero problem sitting at home doing IMEs while a PA does spine injections and nurse does botox. I dont think any are super successful but hard to know.
 
nvrsumr said:
I know at least 5 pain docs that dabble in cosmetics and anti aging. Most are PI/stem cell types and would have zero problem sitting at home doing IMEs while a PA does spine injections and nurse does botox. I dont think any are super successful but hard to know.
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Having your vicosomaxanaxiacs share a waiting room with your microblading crowd seems like a great way to be unsuccessful at both. Sure, share a centrifuge in the back with adjoining storefronts. Have 2 websites at least.
 
MitchLevi said:
I've probably told this story before, but when I was interviewing PA candidates, I had a conversation with a PA who was the sole proceduralist for a NS group. He just did procedures all day, 5 days per week. I told him he won't touch the patient's spine, but knees and shoulders and things of that nature he can have at it.
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No BS, I am seeing a guy from NYC tomorrow who underwent bilateral L4-S1 TFESI with dexamethasone 20mg + 8cc bupivacaine 1% last month. God as my witness that PA I mentioned in my post that I'm quoting did the procedure.

WTF is bupivacaine 1%, and if I did a bilateral L4-S1 TFESI with 8cc bupivacaine 1%, your ass isn't walking out of the building because I'm knocking out the L3, L4, L5 and S1 nerve roots, potentially catching L2 as well.

1733364797686.png
 
MitchLevi said:
No BS, I am seeing a guy from NYC tomorrow who underwent bilateral L4-S1 TFESI with dexamethasone 20mg + 8cc bupivacaine 1% last month. God as my witness that PA I mentioned in my post that I'm quoting did the procedure.

WTF is bupivacaine 1%, and if I did a bilateral L4-S1 TFESI with 8cc bupivacaine 1%, your ass isn't walking out of the building because I'm knocking out the L3, L4, L5 and S1 nerve roots, potentially catching L2 as well.

View attachment 395929
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Please please get a copy of the fluoro images I’m dying to know what it looked like
 
Agast said:
Please please get a copy of the fluoro images I’m dying to know what it looked like
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I can't get them. Trust me, I want them so bad my veins itch. All I have are the clinic notes.


Mods - Can someone explain why my account keeps locking on me?
 
MitchLevi said:
No BS, I am seeing a guy from NYC tomorrow who underwent bilateral L4-S1 TFESI with dexamethasone 20mg + 8cc bupivacaine 1% last month. God as my witness that PA I mentioned in my post that I'm quoting did the procedure.

WTF is bupivacaine 1%, and if I did a bilateral L4-S1 TFESI with 8cc bupivacaine 1%, your ass isn't walking out of the building because I'm knocking out the L3, L4, L5 and S1 nerve roots, potentially catching L2 as well.

View attachment 395929
Click to expand...
Don’t worry, the needle tips were probably a safe distance of several inches away from the epidural space.
 
callmeanesthesia said:
Don’t worry, the needle tips were probably a safe distance of several inches away from the epidural space.
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Surely bupivacaine 1% is a typo right? I've never heard of it. It must be 0.25%, but even then we're not walking out of the building for awhile with 8cc of bupi injected at consecutive levels bilaterally.
 
MitchLevi said:
No BS, I am seeing a guy from NYC tomorrow who underwent bilateral L4-S1 TFESI with dexamethasone 20mg + 8cc bupivacaine 1% last month. God as my witness that PA I mentioned in my post that I'm quoting did the procedure.

WTF is bupivacaine 1%, and if I did a bilateral L4-S1 TFESI with 8cc bupivacaine 1%, your ass isn't walking out of the building because I'm knocking out the L3, L4, L5 and S1 nerve roots, potentially catching L2 as well.

View attachment 395929
Click to expand...
15 cc lido at each site for local, too? About to be the first case of LAST from an ESI. Though the language sounds it's written for billing more local, so they get $0.02 instead of $0.01
 
Probably just a bunch of typos, which is odd considering that looks like a pre formatted note.

I want it to be real though, and I want the patient to have laid around in the PACU with lower extremity anesthesia and gait dysfunction like, "WHAT IS HAPPENING TO MY BODY!?!?!?!?"
 
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