jdumoch Posted December 27, 2012 Share Posted December 27, 2012 hi all, I was considering getting certified in botox and possibly some other cosmetic procedures to switch things up and make a little extra money. I have an SP who wants to join me. Does anyone know laws pertaining to PA's doing this? I'm wondering if she would need to be present while I'm doing the procedures, or if it's like I normally practice, individually with a cosigner on at least 25% of my charts. Lemme know if anyone out there has any experience with this. Thanks Quote Link to comment Share on other sites More sharing options...
jmj11 Posted December 27, 2012 Share Posted December 27, 2012 I do Botox all the time (for migraine headaches) and my SP has never seen a single patient in my office. Of course, you should have good training in the procedure. I've only done cosmetic Botox once. We, PAs, can now order Botox. This was after my 6 month battle with Allergen that took me all the way to a meeting with the CEO and several meetings with their lawyers. 2 2 Quote Link to comment Share on other sites More sharing options...
GingersHuman Posted December 27, 2012 Share Posted December 27, 2012 Wow, jmj11 where do you inject the botox for migraines? I am pre-PA (accepted, yay!) and only have experience in emergency medicine, so although I help a kazillion patients who come to the ED for migraines, I haven't had any exposure to long term migraine management. I'm intrigued! And to jdumoch (again just curious) do you work in a primary care office, or in dermatology, or something else? Quote Link to comment Share on other sites More sharing options...
jdumoch Posted December 27, 2012 Author Share Posted December 27, 2012 I'm actually in emergency medicine/urgent care, just looking to do something on the side. Quote Link to comment Share on other sites More sharing options...
jmj11 Posted December 27, 2012 Share Posted December 27, 2012 go to mychronicmigraine.com Hopefully, haven't checked in a while, type in my zip 98221 and I should come up. Quote Link to comment Share on other sites More sharing options...
MedicinePower Posted December 27, 2012 Share Posted December 27, 2012 go to mychronicmigraine.com Hopefully, haven't checked in a while, type in my zip 98221 and I should come up. You certainly seem to have a ton of HA experience. How does Botox assist with the treatment of migraine? Quote Link to comment Share on other sites More sharing options...
mackjacks Posted December 29, 2012 Share Posted December 29, 2012 Just a PA-S with no neuro in school yet but I'd guess that the botox is to stop basilar artery spasm migraines? If the artery doesn't spasm, no migraine (theoretically). Heading off to Google it... Quote Link to comment Share on other sites More sharing options...
jmj11 Posted December 29, 2012 Share Posted December 29, 2012 Just a PA-S with no neuro in school yet but I'd guess that the botox is to stop basilar artery spasm migraines? If the artery doesn't spasm, no migraine (theoretically). Heading off to Google it... Sorry, basilar artery spasm has nothing to do with migraine, not even so called "basilar migraine." The current theory is that Botox blocks the release of substance P from the nerve endings both in the scalp and even possibly in the dura through tiny (until recently unknown) nerve fibers the run from scalp muscles through the skull suture lines. But no one knows for sure. Quote Link to comment Share on other sites More sharing options...
d2305 Posted December 29, 2012 Share Posted December 29, 2012 I've done decadron and lidocaine injections for trigger points, but never botox. ' Quote Link to comment Share on other sites More sharing options...
mackjacks Posted December 29, 2012 Share Posted December 29, 2012 Sorry, basilar artery spasm has nothing to do with migraine, not even so called "basilar migraine." The current theory is that Botox blocks the release of substance P from the nerve endings both in the scalp and even possibly in the dura through tiny (until recently unknown) nerve fibers the run from scalp muscles through the skull suture lines. But no one knows for sure. No need to say sorry! I was just repeating a tidbit the professor mentioned in patho and extrapolating on it. Thanks for the explanation and info! Quote Link to comment Share on other sites More sharing options...
PAPrincess7 Posted October 20, 2017 Share Posted October 20, 2017 Hi, How do PAs go about ordering botox? Quote Link to comment Share on other sites More sharing options...
jmj11 Posted October 23, 2017 Share Posted October 23, 2017 We now order it through the patient's insurance pharmacy plan ( so we don't loosing money if we are not reimbursed for it ). I use to order it directly. I had to create an account and then I just ordered it from Allergan on a routine basis and it was shipped to me. Quote Link to comment Share on other sites More sharing options...
UpRegulated Posted November 7, 2017 Share Posted November 7, 2017 On 10/20/2017 at 0:39 PM, PAPrincess7 said: Hi, How do PAs go about ordering botox? Go to amazon.com, search for Botox, click on the product you want, then click "Add to Cart" then click "Proceed to Checkout." ;) Quote Link to comment Share on other sites More sharing options...
skyblu Posted November 7, 2017 Share Posted November 7, 2017 OP: it depends on your state legislature. I am taking the class in the next few weeks and will have a plastic surgeon as my SP on my license, but he won't be physically present at the medspa or Botox parties where I will provide services. Before I am out on my own, I am required to complete a certain number of injections as part of my competency. And the SMD will come to the medspa (actually just a room in a beauty salon) and inspect the setup and facilities. And for the record, I am in EM/UC too. Sent from my iPhone using Tapatalk Quote Link to comment Share on other sites More sharing options...
PA-C Posted October 24, 2019 Share Posted October 24, 2019 On 10/23/2017 at 5:06 PM, jmj11 said: We now order it through the patient's insurance pharmacy plan ( so we don't loosing money if we are not reimbursed for it ). I use to order it directly. I had to create an account and then I just ordered it from Allergan on a routine basis and it was shipped to me. Are PAs able to have their own Allergan account to place orders or do they require you to name your CP to order shipments? Quote Link to comment Share on other sites More sharing options...
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