Brian Joves MD

🎙️ New episode alert! Had an incredible conversation with Dr. @ScottPritzlaff on the Spine & Nerve Podcast. We dove deep into the challenges and future of #PainMedicine. A must-listen for anyone in #MedTwitter or curious about the field’s evolution! youtu.be/DltPmwHsbrM

@dromarselod Enjoy!

Who is ready? #AAPMR24

Give the episode a listen to dive into these critical topics, and join us in shaping the future of pain medicine. Big thanks to Dr. Pritzlaff for sharing his insights and sparking a crucial discussion. open.spotify.com/episode/3jpq64… #MedEd #PainManagement #painmedicine #physiatry

Recruitment is a hot topic, too. #Fellowships are going unmatched, and Fewer applicants overall and specifically from #anesthesiology are joining pain medicine, driven by high demand and pay. How can we reframe our field to attract people passionate about holistic patient care?

@DrNvSportsSpine @jeubanksMD @Ryan_S_DSouzaMD @Niggle_MD @JayKarriMD @JSinghMD @MihirJoshiMD @VinnyFrancioMD @benjamin_gill @SounSheen Sciatica means that means that my residents are getting an earful when they make that presentation

I would like hear people explain the difference between "Sciatica" and "Lumbar Radiculopathy"" I have my own, but interested in hearing others @jeubanksMD @Ryan_S_DSouzaMD @Niggle_MD @JayKarriMD @BrianJovesMD @JSinghMD @MihirJoshiMD @VinnyFrancioMD @benjamin_gill @SounSheen

@rkh_md Both. Every time.

When you do a joint injection/aspiration, do you have the patient complete a written consent form, or do you get verbal consent and document it in the chart?

@MVGutierrezMD @TheDrROBO Agreed. But a willingness to partner with industry has to be there as well. There is a lot of technology flowing into our worlds (I know my corner of pain is a bit of an outlier) that has financial backing to help with education and offsetting costs for physician attendees

@BrianJovesMD @TheDrROBO We need more sponsor relationships! But steroids don’t pay. Therapy doesn’t pay. Toxins: yes. Devices: yes (but pain devices go to pain conferences). We need more Biologics for PM&R. That’s where the money is. (Ever been to a Rheum conference. Wow)

The fact that I just had to pay $1,045 just to register for the AAPMR meeting is ridiculous. This is in addition to cross country flight and hotel. This is not sustainable. If I wasn’t speaking at the meeting, there is no way I would pay for this.

@MVGutierrezMD @TheDrROBO I know the costs are high for conference space (I help my wife throw a dental conference), but that likely means they aren’t optimizing their sponsor relationships.

@BrianJovesMD @TheDrROBO They don’t make money on this. The cost is exorbitant to do both an inperson and virtual conference (and in general, membership is down across societies).

@hjluks It’s also hard to talk them back into activity when the MRI doesn’t show anything 🤷🏽‍♂️

Why?

I thought this was a fantastic discussion from some very bright minds in our field.. I highly recommend a listen #painmedicine #physiatry

@DrNiravPandya High level knowledge

With all the talk about Lauri Markkanen, it's important to note the Warriors would be potentially trading for a player that has never played more than 70 games in his 7 seasons (and has played 55 or less games in 4 of them).

@DrPayItBack Welcome to middle age!

At a conference and realizing that I’m networking to help younger docs instead of anything to do w my career

@dr_rajgupta @EMARIANOMD @nelkassabany @NarouzeMD For neuromodulation, the rep team is integral in the programming/reprogramming/patient support process. They become extensions of the team, optimizing patient outcomes. And some devices are too expensive to stock and risk them expiring 🤷🏽‍♂️

@BrianJovesMD @EMARIANOMD @nelkassabany @NarouzeMD Why not? If necessary, shouldn’t they just be stocked like any other supplies? Doesn’t the presence of a rep during the use of these devices influence how things are used. Again, I don’t mind their presence during the learning phase, but at some point, are they still needed?

#MedTwitter - Help me understand something. Why do some surgeons need implant or device reps with them in the operating room for every case? Don’t they just need to be there for the initial training? Isn’t the rep in the room a COI? @EMARIANOMD @nelkassabany @NarouzeMD

Let me know if anyone doesn’t have access and needs the full article.

Just published today. Our review discussing why platelet poor plasma is a better injection option than #PRP for muscle injuries. Included is a case series of baseball players I successfully treated with PPP. Hope this helps. @GeorgeRaumDO @C_KenyonDO journals.lww.com/acsm-csmr/abst…