Hey Danny,

Unfortunately, I have an appt with this dude on 7/2 - I need to keep rx’s for the useless Propranolol ER 60 mg and Valium 10 mg (at night) to attempt to reduce the tremors. Doesn’t work well at all, but it’s better than nothing.

Alcohol helps, and as much as I’d love to drink all day, I don’t think my patients would like to be seen by a provider who smells like a brewery!! Maybe a vodka every 1-2 hrs?!!

I’m wanting to get info on the TAPS device - it zaps afferent nerves in the forearm. It’s something that is worn on the lower forearm. It’s supposed to be >70% effective. It was just approved for coverage by MC last week. Apparently it is a 10K+ device.

If this dude even acknowledges it, the thought of having to go there to have the device calibrated, which is a several hour/days time-frame, is scary. I can’t imagine they will know anything about it.

I’ve seen him 3-4 times since moving to FL. Initially he was very anti-DBS or the MR-guided procedure. At my last visit, he gave me a referral to a Neuro-surgeon for eval of one of the above 2 procedures.

Asked how he came up w/this guy, is he an expert in this field, ‘I refer all my pts to him. He’s a good guy’!! I don’t care if he’s a jerk, as long as he is good.

Looked up the neurosurgeon’s reviews - I would not take my now dead dog to this guy!! Also has 2 med-mal suits against him!!

I don’t know whether it’s better to self-refer or get a referral from him for Mayo Jax.

Any thoughts?

Thanks again, k