Archive For The “Daily Blog” Category

In Search of the Best Pain Clinic in Burbank: The Diagnosis of Cancer

By | June 3, 2015

I apologize for the long absence of new blogs, but I am not a professional author and turning out a regular blog is not easy for me. In addition we have bee very busy here at Schlesinger Pain Centers and I probably would not be posting today were it not for a patient who came […]

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EMG/NCV: The Value of Physiologic Testing

By | May 26, 2015

Margie was seen by Marty Levine a very good neurologist and electrophysiologist in Encino. To my surprise and from rereading his report to Marty’s surprise as well the test showed minimal radicular abnormalities and severe slowing of conduction in the distal median nerve in the area of the carpal tunnel. An electromyogram and nerve conduction […]

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Localizing the Lesion

By | May 22, 2015

I have been meaning to do a blog on the value of physiologic testing for some time now and Tuesday the perfect patient walked into the Burbank office of Schlesinger Pain Centers. Marcy Peters (not her real name) is an 85-year-old woman whom I have been treating for radicular back pain and neck pain for […]

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The Making of the Medical Mindset: Osler’s Law

By | May 21, 2015

As we near the end of our long series of blogs on the making of the medical mindset and its impact on decisions related to surgery of the lumbar spine, there are a couple topics that remain to be discussed. Today I would like to discuss Osler’s Law, a diagnostic maxim taught to medical students […]

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Big Game in Calabasas

By | May 20, 2015

There will be no regular blog today. There will, however, be a big golf game in Calabasas with my favorite neurosurgeon and good friend Pablo Lawner. I am reminded of a quote attributed to Bertrand Russell, “Play is an activity without purpose, but with intense meaning. I will return with the regular Schlesinger Pain Centers […]

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Continuous Mathematics vs. Discreet Human Experiences

By | May 19, 2015

As complicated as all of the mathematics that we have been looking at for the past several days is, the problems of trying to apply any of what we have learned to individual patients here at Schlesinger Pain Centers are even more daunting. The central philosophical problem is the unique and discrete nature of human […]

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Risk Reward Analysis III

By | May 18, 2015

In this blog we will look at the last major variable, the personal response to either therapeutic success or failure. We will look at it in terms of risk tolerance and we will see that although it may be hard to quantify its effects can be huge. Risk Tolerant   Treatment Outcome Pain Level Reward […]

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Commencement 2015

By | May 15, 2015

Sorry, but there will be no regular blog today. All of you game theory enthusiasts who were sitting on the edge of their seats to see me complete the analysis of the second utility matrix we were going to add will just have to wait a little longer. I am down in San Diego today […]

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Risk Reward Analysis II

By | May 14, 2015

Now that we have mastered the basics of risk reward analysis we can begin to question the effect of the major variables on decision-making. In today’s blog we will look at the effect of changes in the likelihood of different outcomes in making decisions and tomorrow we will look at the effect of changes in […]

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Risk Reward Analysis I

By | May 13, 2015

We will start by presenting a very simple utility analysis table for a fairly risk tolerant patient. Treatment Outcome Pain Level Reward Risk Average Surgery Success No Pain 1 84% 0.68 Adjacent Segment Severe Pain -1 15% Post-Laminectomy Severe Pain -1 1% Intensive PT Success No Pain 1 10% 0.09 Status Quo Moderate Pain 0 […]

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