Forum: iSpine
02-13-2008, 07:44 PM
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Replies: 5
Views: 3,366
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Forum: iSpine
02-13-2008, 07:19 PM
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Replies: 4
Views: 7,639
Often times, because of a patients insurance...
Often times, because of a patients insurance reimbursement, a doctor will "jack-up" the cost of a procedure to try and recoup a "reasonable" amount from the pt.'s insurer. I can not understand it if...
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Forum: iSpine
10-23-2007, 12:43 AM
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Replies: 7
Views: 12,007
response
Nortryptilline at lower doses than are administered to a pt for depression have been shown to aid sleep. It is a fact that pt's with better sleep require substantially less narcotic medication. It...
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Forum: iSpine
08-24-2007, 02:53 AM
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Replies: 16
Views: 5,117
value of epiduroscopy
Mark, a vast majority of pain docs are probably NOT advertising this as a procedure they do for the masses, not too many have trained to do them, and....insurance simply does not pay for it in most...
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Forum: iSpine
06-27-2007, 02:06 AM
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Replies: 75
Views: 17,790
response
Mark-what an impressive disc sequestration! Like I advised earlier on the phone, I agree that she should wait in the face of minimal symptoms. The first rule of spine menicine is "less is more", and...
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Forum: iSpine
06-25-2007, 08:32 PM
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Replies: 13
Views: 5,320
response
This is actually a very common problem seen particularly in patients with inguinal hernia repairs, and sometimes after spine surgery in the upper lumbar/ lower thorasic spine (the following nerves...
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Forum: iSpine
06-25-2007, 08:07 PM
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Replies: 6
Views: 3,261
response
I can't imagine putting a patient through a very risky procedure and removing a perfectly healthy disc for preemptive reasons. The theory is a good one though. If something were to go wrong, the...
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Forum: iSpine
06-24-2007, 01:49 AM
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Replies: 96
Views: 25,282
response
Sorry to hear you are having so many problems-If a patient comes to me with what you are describing, an EMG is in order to test the integrety of the spinal nerves. It can show if there are...
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Forum: iSpine
06-13-2007, 02:35 AM
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Replies: 10
Views: 4,467
reply
The Dynesys Stabilization System is great in theory...it provides a flexible fixation system that was designed to try and circumvent the problem many standard fusion patients experience with "wearing...
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Forum: iSpine
04-12-2007, 03:20 PM
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Replies: 3
Views: 4,209
Mark,
Just be careful when evaluating these...
Mark,
Just be careful when evaluating these "new" thermogenic procedures. I trained at Texas Tech' s interventional program with Gabor Racz and Prithvi Raj so we were constantly being asked to...
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Forum: iSpine
03-12-2007, 04:07 PM
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Replies: 4
Views: 3,121
golf and pumps
To answer your question about golf and pumps the off the record answer is yes, you can play. I have several patients who do. I'd let your doctor know, however, as mine seem to just mention it in...
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Forum: iSpine
01-23-2007, 03:30 AM
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Replies: 3
Views: 5,062
TF vs SNRB
SteveE-Sorry it has taken me so long to get back to you, but I did not know you had further questions. Mark usually cotacts me if there is a question, but this one I'm sure just flew under the radar....
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Forum: iSpine
11-18-2006, 01:48 PM
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Replies: 1
Views: 2,928
reply
The difference between a SNRB and a transforaminal at the same level is subtle but important. A SNRB is designed to be diagnostic whereas the TF is meant to be therapeutic. Based on your radiographic...
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Forum: iSpine
10-16-2006, 12:44 AM
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Replies: 12
Views: 6,637
reply
This is in response to equivalent doses of several of the anti-convusants used for "nerve" pain asked earlier on this thread. In my mind this is a mute point. I often try to equate these drugs to...
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Forum: iSpine
10-11-2006, 06:46 PM
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Replies: 2
Views: 2,740
reply
I would first like to say that in no way am I advocating information taken off the internet be used to supercede the information you receive from your physician. It sounds like you've had an...
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