Patient-351
No Medical Care and None of His Prescription Medications for 8 days at Sunrise Hospital
Patient-351 went to Dr. Kevin Golshani at Nevada Orthopedic. Rude and disrespectful and forced the patient to pay numerous copays. Dr. Golshani did not seem to care what the patient had to say. Another guy came in to give the patient an injection and caused him severe pain. It seemed that he intentionally harmed the patient (based on the interaction that occurred). Patient says this is NOT how a doctor's office is supposed to conduct themselves.
Patient-351 went to Dr. Kevin Golshani at Nevada Orthopedic & Spine Center.
Rude, disrespectful and forced the patient to pay numerous copays.
Patient says:
The office called to let me know my $100 copay test was in and made an appointment for me to see Dr. Kevin Golshani.
Rudeness from the start!!
The reception person rudely told me that I should have been there at 9:30. My appointment was at 10:20. No one told me I was supposed to be there early.
I paid another $60 copay.
Doctor says they did not finish my testing, so I have to go back for another test, and that will be another $100.
If the doctor did not have all of the tests available, why did they call me to make an appointment?
Then, after that test, I will have to pay another $60 to see him again.
The doctor did NOT seem to care too much about what I had to say about what was going on.
He insisted I take a shot and got clearly irritated when I started to refuse, so I decided to get the shot to see what would happen.
The guy who came in to give me the shot asked if I had ever had these kind of shots before. I said NO.
As he is preparing to give me the shot, I was texting my wife.
The guy asked if I was ready, and I said YES.
I was thinking it was just a regular shot, so to keep myself distracted, I continued to text my wife to let her know what was going on.
THIS SHOT HURT!!!
I asked him why he didn't tell me it wasn't a normal shot and that it would hurt. He said he didn't thank I wanted any instructions since I was on the phone. (I was sending a text, not talking).
I reminded him that I told him that I had never had this type of shot previously.
He tells me to stay off my phone. He was very rude and disrespectful.
I told him his whole office is disrespectful.
They have a sign posted stating they will not tolerate rudeness or disrespect.
Apparently, that means they can be disrespectful (toward patients), but the patients are not allowed to give what they get.
This is NOT how a doctor's office is supposed to conduct themselves.
Just say NO to Nevada Orthopedic & Spine Center.
Another reminder that Nevada Orthopedic gives "blind" injections (without using an ultrasound for guidance).
DO NOT allow them to do this to you.
If you walk into a physician’s office who wants to give you a "blind" injection, politely ask for your chart and walk out.
As a patient, THERE IS SIMPLY NO REASON TO TOLERATE A BLIND INJECTION.
Patient--351 went to Dr. Kevin Golshani at Nevada Orthopedic. Rude and disrespectful and forced the patient to pay numerous copays. Dr. Golshani did not seem to care what the patient had to say. Another guy came in to give the patient an injection and caused him severe pain. It seemed that he intentionally harmed the patient (based on the interaction that occurred). Patient says this is NOT how a doctor's office is supposed to conduct themselves.
Note to readers: This is another reminder that "blind" injections are NOT acceptable.
Just say NO to Nevada Orthopedic
and just say NO to Dr. Kevin Golshani
Injecting a Knee Blind is Associated with Worse Health Outcomes
A blind injection means that the needle is inserted without any type of imaging guidance.
We’ve known for a while now that blind knee injections are a bad idea.
For example, in a 2012 study, using ultrasound imaging to guide the needle and make sure it was in the joint increased the accuracy of injecting into the joint capsule from 84% to 96%.
Why is that a big deal? Because things like hyaluronic acid won’t work well if injected into the soft tissues rather than inside the joint.
In fact, there are now so many studies on how the use of ultrasound imaging makes knee injections more accurate, that there’s an entire systematic review on the subject.
This “study of studies” reviewed data from many other research papers (12 in this case). A systematic review is therefore considered the highest level of evidence. This one, published in June of this year concluded:
“This study showed that ultrasound-guided knee injections were more accurate across every anatomical needle injection site compared with blind injections. Injections made by a blind/anatomically guided method had inconsistent accuracy rates that seemed highly dependent on the portal of entry.”
Pretty definitive.
Using ultrasound to make sure you’re inside a knee joint is a no brainer in and that courses for this skill are plentiful and ultrasound machines are cheap.
The researchers wanted to see whether blind (or “landmark guided”) HA injections produced any more or fewer eventual invasive surgeries. What did they find?
Over a decade, 46% of the patients who were injected blind needed a knee replacement versus only 33% of those who got their HA injections done with ultrasound.
More patients remained surgery-free in the ultrasound group over time and this difference widened as the years went on.
The upshot? We know that injecting a joint blind is a bad idea. We also now know that it’s likely also associated with harm.
Hence, if you walk into a physician’s office who wants to inject your knee blind, then politely ask for your chart and walk out.
As a patient, there is simply no reason to tolerate a blind or “landmark guided” injection.