What's in a name? and does it matter?

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jonnylingo

jonnylingo

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Providers - 43rd St. Physical Medicine & Rehabilitation: Physical Medicine Midtown West New York, NY

Find a Midtown West New York, NY provider and schedule an appointment in minutes.
www.43rdmedical.com www.43rdmedical.com

another clinic with "Physical Medicine and Rehabilitation" plastered all over, but no Physiatrists on staff. Is it worth the time to push AAPMR and governing bodies to protect "our" name, or is the effort futile?

One such effort: In Washington state, L&I forms used by PTs are labeled "Physical Medicine and Rehabilitation". Some Physiatrist are leading the charge to have Washington State L&I recognize our specialty as the only entity to use this title.
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So I sit on the specialty brand committee and the issue is that the words physical medicine and separately Rehabiliation are not unique and are descriptors. Physiatrist is correct unique Rehabiliation doctor term. Sort of like Eye doctor could be optho or optometry
 
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At my core rotation site (MS4 doing PM&R), our "PM&R" department is an NP who refers to an IR guy for pain procedures. No physiatrist or pain anes docs on site in 2+ years.
 
jonnylingo said:

Providers - 43rd St. Physical Medicine & Rehabilitation: Physical Medicine Midtown West New York, NY

Find a Midtown West New York, NY provider and schedule an appointment in minutes.
www.43rdmedical.com www.43rdmedical.com

another clinic with "Physical Medicine and Rehabilitation" plastered all over, but no Physiatrists on staff. Is it worth the time to push AAPMR and governing bodies to protect "our" name, or is the effort futile?

One such effort: In Washington state, L&I forms used by PTs are labeled "Physical Medicine and Rehabilitation". Some Physiatrist are leading the charge to have Washington State L&I recognize our specialty as the only entity to use this title.
Click to expand...

PM&R was the dream of the 1980s ---round on some THA/TKA's in the AM, write PT/OT orders, bang out a few consults and then head to the clinic in the PM and see some amputees, do some non-image guided joint injections for OA and "motor point" injections for spasticity, sign a few handicap placards and wheelchair prescriptions, do a few EMG's and disability evals and get up and do it all over again.

Now every Noctor and Chiro is doing "Physical Medicine."
 
lobelsteve said:
Won’t hurt to ask. Aapmr has never been effective. Despite some excellent staffers.
Click to expand...
they did a good job campaigning against midlevel rights to run inpatient rehab -- but agree, they need to be much better overall.
 
drusso said:
PM&R was the dream of the 1980s ---round on some THA/TKA's in the AM, write PT/OT orders, bang out a few consults and then head to the clinic in the PM and see some amputees, do some non-image guided joint injections for OA and "motor point" injections for spasticity, sign a few handicap placards and wheelchair prescriptions, do a few EMG's and disability evals and get up and do it all over again.

Now every Noctor and Chiro is doing "Physical Medicine."
Click to expand...

and Pain was the dream of the '90s?

What's the dream of the 2020s (besides passive income and retire)?
 
Disciple said:
and Pain was the dream of the '90s?

What's the dream of the 2020s (besides passive income and retire)?
Click to expand...

The 2020s will go down as the decade of innovation between industry partners and forwarding looking pain surgeons who together end the scourge of Modic-related back pain and the cluneal neuralgia epidemic.
 
Full disclosure: I am in a fairly rural area with no PM&R doc for an hour's drive, so I did set up this rotation with the NP myself to see the general flow of a PM&R office. I actually did learn quite a bit, but many things seemed... odd. One example- Elderly pt fell and had X-ray in ER 2w prior to her appt. with us. X-ray showed incidental knee OA, which was completely asymptomatic, not related at all to her chief complaint our office. She was told that she would need to get the knee replaced soon because the OA was so bad that it was "bone on bone." We sent her to ortho based 100% on imaging.

Pretty sure that's not the way many of you would have handled that. Plenty of other strange things happened, but I digress
 
Magnus Acus said:
Full disclosure: I am in a fairly rural area with no PM&R doc for an hour's drive, so I did set up this rotation with the NP myself to see the general flow of a PM&R office. I actually did learn quite a bit, but many things seemed... odd. One example- Elderly pt fell and had X-ray in ER 2w prior to her appt. with us. X-ray showed incidental knee OA, which was completely asymptomatic, not related at all to her chief complaint our office. She was told that she would need to get the knee replaced soon because the OA was so bad that it was "bone on bone." We sent her to ortho based 100% on imaging.

Pretty sure that's not the way many of you would have handled that. Plenty of other strange things happened, but I digress
Click to expand...
NP are referral coordinators which is why hospitals love them. They are cheap to pay but order a million films, any thing mentioned equals referral to that specialist
 
geauxg8rs said:
NP are referral coordinators which is why hospitals love them. They are cheap to pay but order a million films, any thing mentioned equals referral to that specialist
Click to expand...
Someone smarter than me could create an artificially not-so-intelligent program where a patient could insert symptoms into an app, which led to follow-up questions and automatically sent orders for labs/imaging/referrals.

If they can check themselves out at Walmart, they could get get x-rays pointed at the right part of their body, right??

I just saw a patient with two months of "hip" and leg pain described as tingling. She's s/p hip films, then pelvis CT, then MR pelvis. She had some labral changes, so the hip surgeon got consulted. He sent her to me for lumbar radic. :smack:
 
lobelsteve said:
Won’t hurt to ask. Aapmr has never been effective. Despite some excellent staffers.
Click to expand...
Get the fat cats at the abpmr

Tell them there’s money hidden in there somewhere. Shouldn’t the board be protecting our licenses and good name?

Tho they prefer the easier money from extorting physicians
 
“my chiro said he couldn’t believe I was still able to stand. With 3 weekly adjustments I should be able to walk just as well as I walked into the office”
 
oreosandsake said:
“my chiro said he couldn’t believe I was still able to stand. With 3 weekly adjustments I should be able to walk just as well as I walked into the office”
Click to expand...
Where was subluxation/rib out? One good neck crack to help that piriformis syndrome seen on X-ray
 
cowboydoc said:
*Kid wants to go to private college, so plan changed to include every other Saturday, too.

10% discount if you pre-pay for 40 sessions up front.
Click to expand...

12 months and younger only $30 a session.

canines and felines cost more as they may bite or claw.


there's a xxxxx born every minute...
 
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