 |
Louuisiana BPI Specialists/Clinics
David G. Kline, M.D.
Robert L. Tiel, M.D.
Response to UBPN questionnaire:
NOTE: Only questions answered are included here
When was your Brachial Plexus Injury Clinic established?
1967
Identify what specialties related to brachial plexus injuries are represented by practitioners working in your clinic including
physical/occupational therapists, if any.
Neurosurgeon (2), Neurologists (2), EMG (3)
What do you/your clinic specialize in treating?
- adult brachial plexus injuries
- trauma or other brachial plexus injuries
Indicate the total number of brachial plexus patients you/your clinic has evaluated since your establishment:
Number of children (Obstetrical brachial plexus injuries):
300
Number of children (Trauma or other brachial plexus injuries):
75
Number of adults (Obstetrical brachial plexus injuries):
40
Number of adults (Trauma or other brachial plexus injuries):
2400
State your clinic philosophy regarding evaluation, referral and treatment of obstetrical brachial plexus injuries in children.
Tend to be conservative but if substantial improvement not present by 7 to 9 months of age may offer operation.
State your clinic philosophy regarding evaluation, referral and treatment of trauma or other brachial plexus injuries in children.
As for adults sharp to acute -- operation. Blunt -- delay for several weeks. Gunshot wound and stretch -- after 4 months if no improvement.
State your clinic philosophy regarding evaluation, referral and treatment of obstetrical brachial plexus injuries in adults.
Only for evaluation and referral to reconstructive surgeries.
State your clinic philosophy regarding evaluation, referral and treatment of trauma or other brachial plexus injuries in adults.
As above. Also see article on "Outcomes of surgery in 1019 brachial plexus lesions treated at Louisiana State University Health Sciences
Center" published in the Journal of Neurosurgery, Volume 98, May 2003, pages 1005-1016.
State your clinic philosophy regarding pain management and brachial plexus injuries.
See article referred to in preceding question.
Indicate research efforts (include dates please) conducted by your clinic specific to brachial plexus injuries.
Multiple papers, several texts. Over 150 articles.
Indicate any other facts that you feel would help families and individuals understand your practice/clinic.
Adult and pediatric nerve injuries, entrapment and tumors, "Erb palsy" management more conservative than some.
Do you accept any national/governmental payment for services or are you enrolled in any state medicaid plans? Please provide information on these plans and include
which states you are enrolled in for medicaid services.
Yes.
|
