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Uncategorized Published - 21 August, 2014    By - Dr. Clemens
Novel National Registry Measures Lumbar Surgery Effectiveness

Lumbar surgery is effective 12 months after in all but 13.8% of patients—a statistic obtained, along with predictors of poor outcome, from the National Neurosurgery Quality and Outcomes Database (N2QOD), a two-year-old, nationwide, prospective, longitudinal outcomes registry that spans 43 sites. For this study, N2QOD provided data on 12-month surgical outcomes for patients with lumbar […]

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Uncategorized Published - 21 August, 2014    By - Dr. Clemens
5 ways to face your business problems head-on

Sometimes, when negatives seem to outweigh the positives for your budding business, you feel like you’ll never crawl out of your rut. What’s the best way to push forward? Face the problem head on. Here are five ways to take action on your problems today: 1. Set smaller goals You’re capable of conceiving incredible, detailed […]

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Uncategorized Published - 20 August, 2014    By - Dr. Clemens
Fluid Responsiveness: An Evolution of Our Understanding

Authors: P. E. Marik, J. Lemson Published in Br J Anaesth. 2014;112(4):617-620. Decisions regarding fluid therapy, whether this be in the operating theatre (OT), intensive care unit (ICU), emergency department (ED), or general ward, are among the most challenging and important tasks that clinicians face on a daily basis. Specifically, almost all clinicians would agree […]

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Uncategorized Published - 20 August, 2014    By - Dr. Clemens
Stipend Analysis

Most hospital administrators do not understand anesthesia economics very well, so convincing them of the need for financial support is an uphill battle.  Unfortunately at the same time anesthesia groups often do not have a very good handle on their own financial situation.  The two sides enter negotiations with very different ideas about the level […]

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Uncategorized Published - 20 August, 2014    By - Dr. Clemens
How Important Is Evidence-Based Medicine in Epidural Injection for Low Back Pain?

New study sheds light on day-to-day practice versus guidelines, with variations in practice related to indications, the duration of conservative treatment before initiating injections, and the time between injections. There are several evidence-based (EB) guidelines that address the use of epidural injections for the treatment of low back pain. But how influential are these guidelines […]

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