04-22-2020, 04:02 PM
The notion that DBS is burr holes only is funny. I've done >20 revision surgeries on community and academic surgeons who viewed the procedure that way. Their patients suffered immensely for it. Yeah, technically it's an easy case. But in actual practice, a lot of people scrimp on the planning, MER, and clinical testing. I'd wager that non-fellowship trained practitioners throwing in leads have an accuracy worse than 2mm which is atrocious in 2020. I've seen more than enough scans to base this on.
Flip side, there are good people in private practice that do a great job on these cases. If you know what you're doing and use a Mazor, the case can take 2h. It pays >60 RVUs total. Certainly not a lumbar fusion, but the same as a crani for aneurysm clipping.
Some people find functional cases boring. Others hate watching glioma get sucked up. Care less about what other people like to do and find what you care about.
Flip side, there are good people in private practice that do a great job on these cases. If you know what you're doing and use a Mazor, the case can take 2h. It pays >60 RVUs total. Certainly not a lumbar fusion, but the same as a crani for aneurysm clipping.
Some people find functional cases boring. Others hate watching glioma get sucked up. Care less about what other people like to do and find what you care about.