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Uncategorized Published - 8 January, 2015    By - Dr Clemens
CMS Notifies Practices of their Non-Participation in PQRS 2013

In recent weeks, the Centers for Medicare & Medicaid Services (CMS) sent correspondence to a number of members, practitioners and billing companies detailing how the PQRS payment adjustment may affect their covered professional services in 2015. CMS sent these letters to Eligible Professional(s) (or their billing companies and departments) noting of their non-participation in the […]

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Uncategorized Published - 7 January, 2015    By - Dr Clemens
Calcitonin for phantom limb pain in a pregnant woman.

The use of calcitonin to relieve severe, treatment-refractory phantom limb pain (PLP) is reported. After an above-knee leg amputation, a 29-year-old pregnant woman (at eight weeks gestation) reported severe PLP (consistent scores of 9 or 10 on a 10-point pain severity scale). The pain persisted for more than two weeks and was not relieved by […]

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Uncategorized Published - 7 January, 2015    By - Dr Clemens
Case report: ultrasound-guided continuous thoracic paravertebral block for outpatient acute pain management of multilevel unilateral rib fractures.

A 61-year-old man with multiple unilateral rib fractures (T3-T8) gained the ability to breathe deeply and to ambulate after ultrasound-guided continuous thoracic paravertebral block and was discharged home after being observed for 15 hours after the block. The ultrasound guidance was helpful in determining the site of rib fractures and the optimal level for catheter […]

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Uncategorized Published - 7 January, 2015    By - Dr Clemens
Spinal Corticosteroids Run Risk of Severe Neuro Effects

Epidural injections of corticosteroids to relieve pain — a widespread, off-label use — run the rare risk for blindness, stroke, paralysis, and death, the US Food and Drug Administration (FDA) announced today. The FDA is requiring manufacturers of corticosteroids to revise drug labels to include this warning. In today’s announcement, directed at anesthesiologists and pain […]

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Uncategorized Published - 7 January, 2015    By - Dr Clemens
Out-of-Hospital Cardiac Arrest: Is Brain the Cause?

I thought this was important because occasionally these patients go to the OR. Authors: Arnaout M et al., Crit Care Med 2014 Dec 8; A retrospective cohort study found neurologic causes in 2.3% of survivors. Acute coronary syndrome is the main etiology for out-of-hospital cardiac arrest (OHCA), but identification of patients who arrest secondary to neurologic causes […]

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