• Shutting it Down

    The time has come for me to discontinue writing for the NeurologicLabs website and work toward shutting it down. So, this will be my final blog post. The reason why I have to stop writing is actually good news. I’m going to start writing for the ASNM’s new blog. In ...

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  • Is Neuromonitoring Really Questionable?

    Two papers recently published in SPINE argue that neuromonitoring is questionable in ACDF¹ and lumbar fusion² surgery. The papers are written by a group out of UCLA, and these authors have previously published at least one other paper³ questioning the utility of neuromonitoring. Clearly, these spine surgeons don’t like neuromonitoring. There ...

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  • The Dark Side of Neuromonitoring

    In the Star Wars movie franchise, the force is an energy field created by all living things that binds the universe together. There are two sides to the force, the light side and the dark side, respectively representing good and evil. The light side of the force is used by individuals who draw ...

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  • Neuromonitoring for Monsters

    Contrary to what your parents may have told you in an effort to calm your midnight fears in the sweaty aftermath of a childhood nightmare, I regret to inform you that monsters are real and they’re everywhere! In so many hospitals across the country, and perhaps around the world, monsters ...

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  • The Economics of IONM Expertise

    In a recent blog entry, I reviewed a paper by Canadian Neurophysiologist Jonathan Norton, PhD. The paper addressed the question: Who would surgeons (in Canada) prefer to interpret their IONM data? The review that I wrote was short and to the point, but it got a ton of traffic. Over the ...

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  • Challenging the Status Quo in Neuromonitoring

    On March 20-21, 2015, there was a fantastic conference on neuromonitoring at Overlook Medical Center in Summit, NJ. If you didn’t attend, you really missed out! Not to worry, though…I’m writing today to tell you a little about the conference. We had a truly outstanding group of speakers, including: Drs. Chuck ...

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  • Who is Qualified to Interpret Neuromonitoring Data?

    There is a great deal of controversy in the field of Intraoperative Neurophysiology regarding what makes one qualified to interpret neuromonitoring data. Must the interpreter be a physician? A neurologist? What about an audiologist? Are you qualified with a PhD in neurophysiology? Does professional board certification matter? If so, which one? In the ...

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  • Filling the Void of Neuromonitoring Knowledge Base

    At the ASNM 2015 Winter Symposium there was a block of talks examining the future of IONM and the emergence of Expert Systems. The ensuing panel discussion acknowledged the demand for high-level and mid-level practitioners in light of the increasing lack of expertise in the OR. I just returned from the ASNM ...

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  • How Many IONM Cases Per Year?

    Neuromonitoring industry analysts estimate that the number of surgical procedures that we monitor in the USA each year ranges from 600-800 thousand. I’ve been wondering, is this accurate? Before you jump to an answer, consider some additional stats: According to some of these same industry analysts, the average number of cases ...

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  • A Question About ‘Quality’ Neuromonitoring

    As 2014 comes to a close, I’m starting to look ahead to 2015 and plan topics that I’d like to cover on this blog. One such topic, which I think will cause quite a stir, has to do with quality. In my opinion, the field of neuromonitoring has been watered-down, pulverized to the ...

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  • Meeting the Standard of Care

    Last week on the UNPA website, someone posted a link to a Prezi entitled “Do I Meet Standard of Care? A Critical Look at a Charles Yingling Presentation.” [NOTE: this Prezi has been removed from the web by its author.] Basically, the prezi reviews a malpractice lawsuit in which judgement was made ...

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  • Look No Further: Worst Neuromonitoring Paper Ever

    Have you ever wondered what’s the worst academic paper ever published on the subject of neuromonitoring? I ponder this question sometimes as I review the literature because I read so many awful papers. I can’t help but wonder how some of these papers ever get published, and especially in high-profile ...

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  • Neuro-what…?

    Avoidance… I love what I do for a living, but I can’t stand talking about it in mixed company. Neuromonitoring is a profession that very few people have ever heard of. It isn’t like other professions, the names of which spark an immediate understanding of responsibility and purpose. People just get ...

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