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Consult Request Guidelines
for Interventional Spine Treatment
Interventional Spine Treatment
Suggested Pre-Referral Evaluation and Management Guidelines
Screen for potentially serious causes
NSAIDs; opiod analagesic for severe pain
Suggested Additional Test/Management Prior to Specialty Visit
AP, lateral x-rays
CT if MRI contraindicated
Patients on coumadin will need clearance from prescribing physician to stop medication prior to procedure
PT, INR on day of procedure if on coumadin
Patient Education/Information (includes preps)
Patient information sheets
Stop asprin, plavix 7 days prior to procedure
Stop NSAIDs 5 days prior to procedure
Stop coumadin 5 days prior to procedure
NPO, driver required if sedation used
Injection contraindicated in pregnancy, active infection
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: hand carry medical records and clinic notes to visit
Clinic Contact Information
Clinic Location Sites
Burlington Building - Ann Arbor
UM Consulting Physician
Rishi Bakshi, D.O.
Anthony E. Chiodo, M.D.
Mara Mindy Isser Sax, D.O.
Daniel Leung, D.O.
John A. Yarjanian, D.O.