Procedure Numbers

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Give us an example...

Happy to once this is in the private forum, the list is long😎

 

[PinchandBurn]

I have surgeons ask for interlaminar ESI at C3-C4, interlaminar ESI at levels where they previous did a lami.
Had them request a C1-C2 RF, and C4-C5 TFESI with kenalog....
a SCS on patients with moderate to severe thoracic stenosis..........etc..

I wouldn't do any specific procedure based on what a surgeon is asking for

they actually requested kenalog?

wow...i didn think thye knew what that was.

 

[Kwijibo]

I think that every one on here should stop talking trash about this guy's practice which we know nothing about and use the opportunity to say, wow how can I see more patients, do more procedures,and in the end get paid more for the same amount of time that you are working. In the end it comes down to efficiency. 120 injections a week is very doable. There are several factors that build a practice this size, the first and foremost is patient volume, especially new patients per day. You constantly need to bring in new patients if you want to maintain volume. The second is you need an efficient setup in regards to someone seeing the patients. You cannot do 120 injections alone, many many people are needed. From OR staff, to recovery room, to medical assistants, to front desk. I would imagine that this doctor would have 2 or 3 midlevel practitioners screening patients.
Small things make a difference in regards to ability to see high volume. We brought in a consultant to optimize our practice and the best thing I got from that 5K was rearranging the recovery room so we can add two recovery room chairs and that allowed us to do an extra 5-10 injections per day alone.
The second piece of advice he had was to sell to a private equity group but that hasn't happened yet...

 

[neuropathic]

Blocker doctor, you asked us whether you should add a 4th day to do 160 procedures a week? I say why not go all out and do procedures everyday and make it 280 procedures a week.

I believe we should create a TROLL forum for you and your peers to enjoy.

 

[Ducttape]

I think that every one on here should stop talking trash about this guy's practice which we know nothing about and use the opportunity to say, wow how can I see more patients, do more procedures,and in the end get paid more for the same amount of time that you are working. In the end it comes down to efficiency. 120 injections a week is very doable. There are several factors that build a practice this size, the first and foremost is patient volume, especially new patients per day. You constantly need to bring in new patients if you want to maintain volume. The second is you need an efficient setup in regards to someone seeing the patients. You cannot do 120 injections alone, many many people are needed. From OR staff, to recovery room, to medical assistants, to front desk. I would imagine that this doctor would have 2 or 3 midlevel practitioners screening patients.
Small things make a difference in regards to ability to see high volume. We brought in a consultant to optimize our practice and the best thing I got from that 5K was rearranging the recovery room so we can add two recovery room chairs and that allowed us to do an extra 5-10 injections per day alone.
The second piece of advice he had was to sell to a private equity group but that hasn't happened yet...

the problem with your comments boils down to this: patients in chronic pain need more than an injection. 120 injections in exactly 3 days of work is not providing the patients with appropriate multidisciplinary care to help patients manage their chronic pain, understand their underlying pain process, learn coping skills and continue to be as functional as possible in order to achieve the highest possible quality of life.

 

[SSdoc33]

Blocker doctor, you asked us whether you should add a 4th day to do 160 procedures a week? I say why not go all out and do procedures everyday and make it 280 procedures a week.

I believe we should create a TROLL forum for you and your peers to enjoy.

reminds me of this conversation:

Telegraph Lady: You actually want to send this?
Semmi: Why? What is wrong? Read it to me.
Telegraph Lady: To His Majesty, King Jaffe Joffer, The Royal Palace, Zamunda. Sire, Akeem and I have depleted our funds. Kindly send 300, 000 American dollars immediately, as we are in dire straits. Your humble servant, Semmi.
[mispronounces "Semmi"]
Semmi: Semmi
[corrects her]
Telegraph Lady: Semmi
[pronounces it correctly]
Semmi: Should I make it 400,000?
Telegraph Lady: You think that'd be enough?
Semmi: You are right. 500,000.
Telegraph Lady: As long as you're asking, why not go for a cool million?
Semmi: You do not think that would be too much?
Telegraph Lady: Naah.

 

[Kwijibo]

the problem with your comments boils down to this: patients in chronic pain need more than an injection. 120 injections in exactly 3 days of work is not providing the patients with appropriate multidisciplinary care to help patients manage their chronic pain, understand their underlying pain process, learn coping skills and continue to be as functional as possible in order to achieve the highest possible quality of life.

You are 100% correct that it takes more than that, but with the appropriate support it can be done. Obviously if it takes you 30 minutes to do an epidural it is not feasible, but if you can decrease that time to 10 minutes and have the capability to have two rooms running at the same time you free up the time to help whatever midlevels you have working for you.

I am just saying that we should all take pointers from others to make your practice better rather than just hating on someone who is doing more than you.

 

[Ducttape]

You are 100% correct that it takes more than that, but with the appropriate support it can be done. Obviously if it takes you 30 minutes to do an epidural it is not feasible, but if you can decrease that time to 10 minutes and have the capability to have two rooms running at the same time you free up the time to help whatever midlevels you have working for you.

I am just saying that we should all take pointers from others to make your practice better rather than just hating on someone who is doing more than you.

you should probably read his previous comments with regards to his practice before making blanket statements about how the rest of us should emulate his practice patterns. i am envious that he makes much more money working fewer days, but i dont think he is helping the image of pain physicians as anything other than a needle jockey.

i admit that i am very slow, and need help being more efficient. but i do talk to people, see patients who do not need injections, and follow up post-procedure.

 

[Jcm800]

you should probably read his previous comments with regards to his practice before making blanket statements about how the rest of us should emulate his practice patterns. i am envious that he makes much more money working fewer days, but i dont think he is helping the image of pain physicians as anything other than a needle jockey.

i admit that i am very slow, and need help being more efficient. but i do talk to people, see patients who do not need injections, and follow up post-procedure.

I have just identified your major inefficiency. see above. That will be a $1000 for consultant fee.

 

[Ducttape]

I have just identified your major inefficiency. see above. That will be a $1000 for consultant fee.

oh carp....

ill work on that starting today!

 

[imfrankie]

you should probably read his previous comments with regards to his practice before making blanket statements about how the rest of us should emulate his practice patterns. i am envious that he makes much more money working fewer days, but i dont think he is helping the image of pain physicians as anything other than a needle jockey.

i admit that i am very slow, and need help being more efficient. but i do talk to people, see patients who do not need injections, and follow up post-procedure.

Thank you for being a doctor.