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(Going through these mental exercises is where I found it useful to take the position of different people in the OR, which is why I use the cartoon characters on my presentations and this website.) Case: Cervical Intramedullary Tumor
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There’s only so much you can learn at one time, so instead of asking Day 1 questions on Day 1 (like “what modalities should we run for this case?”) I was able to jump ahead of schedule.Įven though you might not see a D-wave and dorsal column mapping case on the schedule often, you should still go through the process. It took forever to do it, but I really think it cut my learning curve down significantly. common technical problems that could happen and how to troubleshoot them.
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make a list of what modalities I would run.Here’s what that exercise would look like: One thing that helped me be able to quickly broaden my scope of neuromonitoring cases quickly was to look a the company schedule and prepare for every case we had on the board for that day. Part of that is going through textbooks and research articles, but there is more to it than that. That being said, there are ways to prepare that will shortcut your learning curve. You really need to be in there to train appropriately. It’s difficult to provide operating room experience from outside the operating room. Please do not attempt these cases if you’re experience level is not yet there. These are very high-risk surgeries where neuromonitoring and mapping play a crucial role in the surgical planning and outcomes. That means that you’re going to have to go in with a firm understanding of overall neuroanatomy and neurophysiology and be able to apply that knowledge to the case in front of you. Unless you are the exception and work at a facility that just knocks these out, you’re not going to get too many of these requested. It is not provided or authorized for marketing use.Here’s the reality for people that want to get trained on doing d-wave and dorsal column mapping on spinal tumors… you most likely aren’t going to have the luxury of seeing 30 of these before you start doing these yourself. This material reproduces information for reference purposes only. In addition, the customer should note that laws, regulations, and coverage policies are complex and are updated frequently, and, therefore, the customer should check with its local carriers or intermediaries often and should consult with legal counsel or a financial, coding, or reimbursement specialist for any questions related to coding, billing, reimbursement, or any related issues. This includes the responsibility for accuracy and veracity of all coding and claims submitted to third-party payers. The ultimate responsibility for coding and obtaining payment/reimbursement remains with the customer. Similarly, nothing in this document should be viewed as instructions for selecting any particular code, and Abbott does not advocate or warrant the appropriateness of the use of any particular code. Abbott makes no express or implied warranty or guarantee that the list of codes and narratives in this document is complete or error-free. It is not intended to increase or maximize payment by any payer. Furthermore, it is not intended to and does not constitute a representation or guarantee of reimbursement, payment, or charge, or that reimbursement or other payment will be received. This material and the information contained herein is for general information purposes only and is not intended, and does not constitute, legal, reimbursement, business, clinical, or other advice.