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Local only in OR?

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I am tired of people getting ridiculous hospital bills for stuff that j could have done under local. We do it plenty of times for amps on super unhealthy people, why not on elective for healthy? No reason can't do some basic hammertoes under local only. Then saves patient from visit to PCP to be cleared, cxr ekg, anesthesia bill. I have even done a few other simpler cases with just having some conscious sedation in pre op to knock patient out so I can get a good ankle block then gone...

Local only in OR?

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