Schedule

[Ferrismonk]

Tuohy still has a cutting tip unless you approach from a steep angle so the rounded part is parallel to the dura. A pencan/pencil point will reduce PDPH but those obviously don’t work for ESI because the opening is quite a bit back from the tip. I tried to get the ER on board with using pencil points for their LPs in residency so we wouldn’t get so many calls to blood patch their meningitis rule outs a day or two later.

ER loves their 22G quinke's with 10+ pokes. Tough to change that.

---

Members don't see this ad.

 

[drusso]

Back on topic of schedule:

Today, for some reason, I have 27 on my schedule. I like 30-32 scheduled so I can see 27-28 with no shows and cancellations.
Only 5 office visits. Rest are new patients or procedures. COVID ramping back up and either we don't care or we are getting all of it done before apocalypse.

There is NO WAY you're not a Million-Dollar-Baller with 30 injections per day! How are you outcomes compared to those working only 1/2 as fast? @Ducttape

 

[lobelsteve]

There is NO WAY you're not a Million-Dollar-Baller with 30 injections per day! How are you outcomes compared to those working only 1/2 as fast? @Ducttape

15 injections wed. 15 inj thursday. Mostly mbb/rf

Today was euflexa, orthovisc, genicular block, lumbar Rf, T11 kypho. 4 new. 8 follow up. Friday is half day unless i have cases in OR.

 

[drusso]

15 injections wed. 15 inj thursday. Mostly mbb/rf

Today was euflexa, orthovisc, genicular block, lumbar Rf, T11 kypho. 4 new. 8 follow up. Friday is half day unless i have cases in OR.

The euflexxa and orthovisc work better if you mix it with PRP. Just sayin...


Exp Ther Med. 2018 Sep; 16(3): 2119–2125.
Published online 2018 Jul 6. doi: 10.3892/etm.2018.6412
PMCID: PMC6122407
PMID: 30186448
Clinical therapy of hyaluronic acid combined with platelet-rich plasma for the treatment of knee osteoarthritis
Wenxing Yu, Peng Xu, Guiling Huang, and Lin Liu
Author information Article notes Copyright and License information Disclaimer
This article has been cited by other articles in PMC.

Go to:
Abstract
Knee osteoarthritis is the most common degenerative disease of the joints caused by articular cartilage injury, degradation of the joint edge and subchondral bone hyperplasia. Various treatments are used to alleviate the symptoms of patients with knee osteoarthritis, including analgesics and intra-articular injections. Platelet-rich plasma (PRP) is an autologous and multifunctional platelet concentrate of the blood, which stimulates the cartilage healing process and improves the damage caused by articular disease. Hyaluronic acid (HA) is an effective treatment for patients with knee osteoarthritis. In the current study, the effectiveness of PRP and HA combination therapy administered via intra-articular injections for patients with knee osteoarthritis was analyzed. A total of 360 patients with knee osteoarthritis were randomized into four different treatment groups as follows: Double-blind treatment with PRP (2–14 ml); double-blind treatment with HA (0.1–0.3 mg); combination therapy of PRP and HA; and placebo groups. Following treatment, all patients were evaluated using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Common Toxicity Criteria. The most common treatment-emergent adverse events were hypertension and proteinuria. The current study demonstrated that PRP and HA treatment significantly improved arthralgia, and PRP treatment was determined to be significantly more effective than HA treatment using the WOMAC pain score (P<0.05). PRP and HA combination treatment significantly improved arthralgia, reduced humoral and cellular immune responses and promoted angiogenesis, which improved the patients' histological parameters compared with PRP or HA treatment alone. These results suggested that PRP and HA combination treatment may be a potential treatment option for patients with knee osteoarthritis in the future.
Keywords: platelet-rich plasma, hyaluronic acid, keen osteoarthritis, arthralgia

 

[SommeRiver]

Friday halfday here too...16 clinic visits and a stim trial.

Monday - Full clinic
Tuesday - AM procedures PM clinic
Wednesday - AM clinic PM procedures
Thursday - AM procedures PM clinic or procedures
Friday - AM clinic PM only stim cases

 

[Laryngospasm]

I like pm procedures because I like to do what I like at the end of the day. Nothing like a really crappy patient at the end of the day to ruin your evening

 

[Ducttape]

yeah unfortunately i only see 21-24 patients per day.

im not a million dollar baller.

but i never wanted to be.

personally, i have not found good unbiased evidence that highly expensive interventional procedures (ie ITP, DRG) provide any additional or better clinical benefit than a more holistic approach sprinkling run of the mill interventions with a lot of lifestyle modification and a heavy dose of what your wife does.....


and id have to give up on all those older folk who dont have high end insurance...