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Regardless, health care providers who speak ill of epidurals are uninformed and I have to ask what they are really afraid of? A unmedicated delivery is not better in any medical sense it’s simply a choice. To make an informed choice you need facts not fear. To put this post in perspective the pain of […]
Read MoreThis allows us to compare our income to our colleagues. Between the new value-based care models, M&A activity and innovations in healthcare, it is valuable to track compensation to evaluate and compare how changes will affect physicians. Especially as fewer physicians strike out on their own and hospitals look to attract new recruits, compensation data […]
Read MoreRecent findings indicate that symptoms persist throughout adolescence and young adulthood for the majority of fibromyalgia patients. Recommended treatments continue to be interdisciplinary and may involve parental guidance and family support for lifestyle changes. By Susan T. Tran, PhD, Tracy V. Ting, MD, MSc and Susmita Kashikar-Zuck, PhD Juvenile fibromyalgia (JFM) is a chronic rheumatologic […]
Read MoreThis review article highlights current knowledge on the association between low back pain and smoking, with an emphasis on the role of nicotine. By Bilal F. Shanti, MD and Ihsan F. Shanti, MD, PhD An estimated 1 in 5 adults in the United States uses tobacco products every day or some days. This equates to […]
Read MoreEpidural injections of steroids may have only a small effect in preventing or delaying the need for spinal surgery for low back pain when compared to other treatments, according to a review and meta-analysis of several randomized controlled trials (RCT). The results were mixed: Injections reduced the need for surgery in some patients, but this […]
Read MoreA patient whom I’d been treating with opioids for chronic back pain the family claimed they tried to call me to tell me about my patient’s drug addiction but that I’d refused to talk with them. The fact is, I did decline to take the phone call, and it was because the patient hadn’t given […]
Read MoreOrthopedic surgeons are best, and anesthetists worst, at predicting operating theater time, according to orthopedic surgeons from New Zealand. “Our hypothesis going in was that the anesthetic time would be longer than they expected, as surgeons have become very good at predicting the time they require in recent times, potentially as a results of the […]
Read MoreNew Controversies Published in Br J Anaesth. 2014;113(6):906-909 Authors: P. Aldam, N. Levy, G. M. Hall Introduction The prevalence of diabetes mellitus (DM) is increasing rapidly. In 2011, it was estimated that 366 million people worldwide had DM with a projected increase to 522 million by 2030. Diabetes is one of the most common non-communicable […]
Read MoreA 34 year old morbidly obese stiff person syndrome (SPS) patient was scheduled for a permanent catheter placement. SPS is a rare neurologic condition with a suspected autoimmune etiology. SPS most common manifestations are progressive, including severe muscle rigidity or stiffness affecting the spine and lower extremities more than other muscle groups. SPS have superimposed […]
Read MoreA 53-year-old male with peripheral sensorimotor neuropathy suffered an intracerebral hemorrhage resulting in right hemiparesis and hemisensory loss. Three months later, he developed constant and burning pain within the entire right side of his body. He was diagnosed with central pain syndrome and treated with antiepileptics and tricyclic antidepressants. Minimal analgesia was achieved, which was […]
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