Phorest
& Trees
Sharing the things I’m reading (for better or worse) Hope you enjoy the new look! |
AANEM Guidance on the upcoming 2021 CODING
CHANGES
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Some of you are probably already aware of the
upcoming changes to E&M office visit coding. If you’re interested in
their take on it, there is a comment by them from earlier this month and this recent Q&A by AANEM. That article led me to this link at the AMA. I plan to do a summary of the new
coding in the future but for now, if you’re wondering how it will affect your
electrodiagnostic coding, heeeeere’s Carrie! |
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Physiatrist’s Coding Cheat Sheet
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And even though the timing couldn’t be worse (see above),
I’ve finally completed a coding cheat sheet that I’ve been slowly putting
together. It’s weird because the front is bifold and the back is trifold. So
you will have to pick how many folds are important to you. Also, it’s not
super easy to understand without some explanation but I offer it anyway. See
attached |
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Pulley my Finger
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I know everyone gets jazzed about seeing things on ultrasound, but how cool is it when you can see things intra-operatively… Attached are pictures of the A1 pulley (often attributed to triggering) and the tendon after release. Just for fun. |
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Goodbye Dr. Weinberger
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Those of you who have rotated at the VA may remember
Dr. Larry Weinberger, neuropsychologist who performed many of the
comprehensive TBI evaluations. He’s been a close friend of us physicians and
we are going to miss him as he leaves for retirement. Attached are a few
pictures of us (temporarily removing our masks) posing for pictures. |
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Injectology stuff |
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This study of PRP + HA is making the Doximity rounds. I really
liked what they measured and found but can’t say I totally agree with the
conclusions This
study on PRP for RTC disease did not show superiority to
corticosteroid injections. It’s always interesting to me that most of these
studies have some form of “steroids don’t offer long-term benefit.” I
personally never expect them to do so but rather use them as a way of
offering temporary relief so that the patient can fully enroll themselves in
the therapy which will actually address the underlying issues. We already
know that muscle, tendon, and even ligament will remodel if forces are
applied through them. I suppose the advocates of “PRP vs steroid” want to
kickstart that process. |
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MILESTONES & BOARD Scores
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I remember when my good friend/mentor, Susan
Garstang was tasked with coming up with milestones as mandated by the ACGME.
Personally, I thought it was an upgrade from what we had before. A recent publication by some reputable names in our field
tell us that they do have some predictive value for board scores. |
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AANEM Meeting 2020
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it was fantastic. They set a high bar for what a
virtual meeting can be. Residents were asking for the link where is here. I believe you have till the 9th or you
can purchase 3 years of access to the lectures. Devin Rubin’s “You make the
call” series has everything you need to know about needle emg. I attended a
session with Larry Robinson where I directly got to ask him questions that
are going to change my practice. (Ben Levy, let’s talk about inching
again!) |
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MUSCLE ULTRASOUND
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Other than MSK, there is a lot of research into
muscle in various conditions. Attached is an early look at a review from
Muscle and Nerve |
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Natural Medicines
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After watching a 1 hour info session on this, the
bottom line is this website. |
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Trees
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