NASS vs ACGME Fellowships: Which Makes a Better Doctor in Real World?

[GoBeers]

Just treated a lady for a failed SIJ fusion. Wish I would’ve gotten ahold of her before the functional neurosurgeon did.

what was her diagnosis and how'd you end up treating her?

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[drusso]

I'm going to the Nevro SIJ fusion class in a few weeks. Will keep you all posted.

Don't forget to push over the cluneal nerves to see if they're tender there too.

 

[bedrock]

I'm going to the Nevro SIJ fusion class in a few weeks. Will keep you all posted.

Really ? You’ve been quite opposed to SIJ fusion in the past.

 

[Ducttape]

Really ? You’ve been quite opposed to SIJ fusion in the past.

sarcasm abounds.

Yes. Not all ACGME fellows, but some.

in truth, none of you all know how to do a real physical exam. i used to.

its what internists do. before they practice medicine.

 

[lobelsteve]

Really ? You’ve been quite opposed to SIJ fusion in the past.

I’m going with an open mind. I have one patient who has a failed fusion with broken screws. I can’t get anyone to take those screws out and maybe this is something I can do to fix her problem.

 

[Ducttape]

oh you arent being sarcastic?

i stand corrected!

lobel is going to turn in to a KOL!

 

[bedrock]

oh you arent being sarcastic?

i stand corrected!

lobel is going to turn in to a KOL!

I thought Steve was serious by his post.

Steve also disparaged DRG for years….before getting DRG trained, and PRP, but he will now mention PRP sometimes.

Steve, just giving you a hard time, but glad you’re considering some newer options.

 

[bedrock]

I’m going with an open mind. I have one patient who has a failed fusion with broken screws. I can’t get anyone to take those screws out and maybe this is something I can do to fix her problem.

Is this a failed SIJ fusion?

 

[clubdeac]

what was her diagnosis and how'd you end up treating her?

Small right foraminal disc. Better temp with a SNRB. Eventually sent for foraminotomy and now much better

 

[lobelsteve]

Is this a failed SIJ fusion?

Yes. Can’t hurt to know stuff.

 

[drusso]

Yes. Can’t hurt to know stuff.

Obviously, you didn't see the Oppenheimer movie.

 

[Agast]

Nevro has SIJ fusion? I missed something

 

[BobBarker]

Nevro bought Vyrsa. They have Nevro1 (intra-articular titanium cage), Pro (a bone graft wafer) and Fix (lateral screws).

 

[nvrsumr]

Consistency is the hobgoblin….

 

[drusso]

Yes. Can’t hurt to know stuff.

 

[Taus]

View attachment 385649

When are the electrodes going in?

 

[drusso]

When are the electrodes going in?

After the SIJ fusion, obviously.