Who's going to leave at this point, not do the ultrasound lab, just get a sense? That's impressive. All right. That's great. So I think the instructors will have variable experience in ultrasound, so I want to be a little bit, just be sensitive to that. So we may have to be nimble, we may have to go maybe combined at a station and so forth for where you have a knowledgeable instructor. How many instructor, we're going to go into, how many instructors in the room are pretty fast solid ultrasound? Okay. How many participants are pretty fast? Just raise your hand if you in the audience are pretty fast solid ultrasound. That's good. So if you guys are mine, let's kind of work together. That would be really, really helpful just to take advantage of one another and from a learning perspective. I've got some physician assistants here and a variety of experience that can participate. Jason's at the lab sort of making sure everything's set up, it'll be sequenced by body part, we'll kind of walk through each body region. We're going to practice some injections. Gloria Matthews has memetics, you have a, was an anhydrous or a micronized. So we'll show them how to mix it up. You want to go that far? All right. So we'll just need some saline. Okay. And does anyone have any burning questions from a process point of view? You should all have an email now about course evaluation. You know, please be very frank and tell us what you think we can do to improve it. We already have two pages of notes, what to do next year to make it even better. So I think first out of the boxes, I'm pretty pleased with the way it went, but I know we can make it even better. Anyone have any burning questions before we go into the other room? Please. I've got a quick question. In terms of publishing a literature, is it pretty much kind of standard of care net or standard of expectation that you use ultrasound for any guided injections just so the reviewers know that? So the question is the role of image guided injections at the time for research. I mean, we have uniformly done it. I would say that's a reasonable minimum criteria to do these studies to make sure the stuff is getting where you think it's going to go. So I would say that's best practice for any research study. One might argue it's best practice in general just because you're often doing things that are more expensive. And there is data to show that things like the glenohumeral joint, the elbow, knee, even up to 25 percent in some series have difficulty getting it in. So I guess I wouldn't take it for granted. But if you're doing research, much like you should be qualifying what you're putting in and quantifying what you're putting in with an aliquot, you should do the same thing to make sure the stuff is getting in. It's been interesting to me that some of the clinical trials we've been involved with in the FDA do not require it. And we as investigators have asked for it, but they're just worried about the inertia and they're saying, well, it's not consistent with clinical practice. We want to keep it the way people would do it in clinical practice. But I think that's a responsible way to do it. So if you're ever involved in research, I think that's what you should do. And that's have some type of image guidance at the time of giving the injection. Yep. Just one comment about coding for interarticular ultrasound-guided injections. If you use an ultrasound to inject a joint, there's a different code than injecting a joint without ultrasound. So the feds have figured out that they can pay us less because it's bundled. So if you inject a large joint with ultrasound, it's a different code than injecting a large joint without ultrasound. Correct. Yeah. I mean, there's no free lunch. The pie is like this. The government's not making the pie any bigger. So they're going to introduce more CPT codes. So that's fine. But it's the same pie. So they just reallocate. So you always lose somewhere else. So we fight for these new codes sometimes to get more reimbursement. And they don't exactly allocate more money for that. So it's the same amount of money that's just divided differently. So just keep that in mind. That's how the CPT codes work. Anything else? All right. Go over to the lab. Thanks, everyone.

ultrasound imaging

injections

training session

body regions

feedback