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Max H. Epstein, MD
@MaxEpsteinMD
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Spine and Pain Medicine Physician w/ an interest in Orthobiologics and Neuromodulation | Type 1 Diabetic |
Salt Lake City, UT
Joined April 2019
@JayKarriMD @DrJN_SportsMed Much like my case from today with patient presenting with T/L junction area pain on prolonged sitting and prolonged standing, without radicular features.
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@JayKarriMD Metabolic syndrome discussion is a 1st visit conversation when talking about ANY degenerative msk condition. The art is in how to have that conversation without placing blame or shame
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@Ryan_S_DSouzaMD Looks good! When image I expect doesn’t show, rotate to point towards the ear
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@JayKarriMD @Ryan_S_DSouzaMD @C_KenyonDO @nasir418 @NasirKhatriMD Agreed. I’d say I get the view I want 50% of the time, but get very similar results whether it was directly imaged or not. Likely infiltrating the region gets your block rather than needing plane spread.
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@jonhagedornmd @runliftrunlift Agreed Killens is great! But if you’re staying in Houston proper, The Pit Room is my favorite. Sit on the patio and enjoy the connected patio bar next door
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@Dr_Ankur_Patel @JayKarriMD @JSinghMD @AbdullahNewaj @Ryan_S_DSouzaMD Debating how much to lean into “spine” vs. just keeping it fun
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@Sympathy4TheDr @JayKarriMD @Ryan_S_DSouzaMD @nasir418 @JSinghMD @MihirJoshiMD @VinnyFrancioMD @benjamin_gill @MateuszGraca @DrNvSportsSpine @SounSheen @Dr_Ankur_Patel @NasirKhatriMD @AbdullahNewaj @asterkawi Sure, we both agree that epidural hematoma is a known risk of ILESI. But I fail to see how live/continuous fluoro mitigates this risk
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@Sympathy4TheDr @JayKarriMD @Ryan_S_DSouzaMD @nasir418 @JSinghMD @MihirJoshiMD @VinnyFrancioMD @benjamin_gill @MateuszGraca @DrNvSportsSpine @SounSheen @Dr_Ankur_Patel @NasirKhatriMD @AbdullahNewaj @asterkawi Of course, but that’s a conversation for AC in ILESI rather than live/continuous fluoro
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@JayKarriMD @Sympathy4TheDr @Ryan_S_DSouzaMD @nasir418 @JSinghMD @MihirJoshiMD @VinnyFrancioMD @benjamin_gill @MateuszGraca @DrNvSportsSpine @SounSheen @Dr_Ankur_Patel @NasirKhatriMD @AbdullahNewaj @asterkawi Haha not a bad idea! All the attention goes to TFESI, but rightfully so. To my knowledge, no cases of neurologic injury specifically from intravascular ILESI (excluding direct neural injury)?
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Incoming and graduating Fellows, join me with @IPSISMed tomorrow night, Tuesday 6/11, 8:30p ET. Registration:
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@MateuszGraca We gave my dachshund human gabapentin after spinal cord injury because it was so much cheaper than the doggo brand!
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