IV Sedation
At what facility are IV procedures performed?
Surgery Center (Advent Health surgery center Maitland, Park Place in Maitland, Medical Village in Tampa)
Can a patient have a concussion even if they did not hit their head?
Yes
Can we perform Symverta analysis on a Lumbar Spine?
Yes
Extremity Surgeon
Who is Dr. Christopher McLaren?
Do we perform MBB under IV sedation?
No. Effects of the MBB procedure wears off before the patient is coherent following sedation, negating the value of the test.
Will a patient ever be referred to an outside Medical Neurologist?
Yes. Depending on patient symptomatology; pre-existing neurological co-morbidities.
When is symverta performed?
Symverta is performed when spinal flexion/extension xrays are obtained and there is suspicion or obvious evidence of ligament laxity apparent on the x-rays.
Neurosurgeon
Who is Dr. Ryan Denehase?
Who calls patients for IV sedation scheduling and surgery scheduling?
surgical coordinators
Who goes over the neuro treatment plan recommendations and who does the follow up telehealth consultations?
Neuro CCPA (Dr. Jones for Coast Clinics)
When is it appropriate to perform repeat symverta studies?
Whenever there were positive findings from an initial Symverta study, repeat stress views and repeat Symverta study should be re-performed at final exam.
Interventional PM doc
Who is Dr. Sydney Swartz?
What types of procedures are currently done with IV sedation?
ESI, RFN
Does Creyos need to be completed prior to neuro consult?
Yes. To best optimize their patient's visit this should be done prior to neuro consult
What treatment may be contraindicated if Symverta positive?
traction, therapy collar, HVLA at positive levels
Our newest Orthopedic Surgeon
Who is Dr Franco Vigna?
What are the indications for procedure under IV sedation?
needle phobia, patient preference, history of poor injection tolerance, ensure patient safety
Can a patient be seen for a Neuro Consult without a Brain MRI?
Yes. (i.e. pt w/ pacemaker, other MRI contraindications
What are the benefits of getting AOMSI/Symverta scans?
Accurate assessment of the presence and severity of ligament laxity, rule out contraindication to spinal manipulation, the resultant effects on patient management/treatment method, effect on impairment rating
Our newest Interventional PM doc
Who is Dr. Miguel De La Garza?