Why would this be more sensitive, Terry? It is a longer transit time for the bubbles so there should be less bubble survival? Also, even if more sensitive it...
granted it would be less specific, but for a quick screening it is much easier. as far as bubble survival, if close to properly done there are plenty of...
This may be a silly question, but what should expect to see on echo if the LV is underfilled? I have had physicians ask me this question, but haven't felt...
Michelle, Â Â Â Just a guess but I would think that the under filling might be connected to the lack of compliance or stretchability. (Starlings law). It...
Thomas Kusant
leftytck@...
Aug 1, 2008 9:42 pm
11538
Jeff, Â Â I got out what use to be the quintessential "Bible" on stress echo put together by Larry Debord in the fourth edition put out in 1993. Â Â Under...
Thomas Kusant
leftytck@...
Aug 4, 2008 12:59 pm
11539
Actually, if I understand your question Michelle, you are asking what happens if the patient's intra-vascular volume is low. I sometimes see this in situations...
I work in the operating room using TEEs during open heart surgery and we deal with volume status frequently in a dynamic setting. When looking at volume status...
Tom, I agree. I have worked both ways and I find the timing, flow and data collection are improved with a well trained team. To:...
Jeff Greer
uplandco@...
Aug 5, 2008 1:32 pm
11544
Ed, no one is questioning the quality of your exams, and it sounds like you are very industrious. I have performed SE without help and I am still of the...
Jeff Greer
uplandco@...
Aug 5, 2008 1:32 pm
11545
In the 1980s-1991 I did approximatly a gazillion stress echos between myself and my partner, the patient. With proper room setup, even with mobile equipment,...
I've just started out of school as an independent with a group of Doctors and I feel like as the weeks go on I'm being more and more taken advantage of. In...
I see what you mean by chaos. You need to lay some ground rules ASAP. Doing 30 exams a day is just crazy. Trust me, you will not last long doing this kind of...
Krystal is correct--your job is not taking advantage of you they are abusing you! You must define what you do and what you will be paid for--I believe they...
... Sounds like you're working in some kind of Medicare patient mill. Doing an echo, carotid and LE arterial exam on every single patient seems a bit...
can you say fraud and abuse? do any of these patients have symptoms of any kind? ... -- To handle yourself, use your head. To handle others, use your heart....
Actually, we've found a really good system with VidiStar (www.vidistar.com) in that it has the fastest download speed and it's easy to use. We reviewed...
We have a 2007 SonoSite Micromaxx ultrasound and do basic echos with it and it performs surpisingly well since it is rather inexpensive. We do our digital...
Hi Guys. Im new to the group and sorry to bother you. I wanted to know if anyone knew of any book or anything that I can use to study for the science echo...
I,m sure our nuc.med friends will tell us all the reasons a stress/nuc med,cariolite etc needs to be done before an echo but.Our lab has about 4 or 5...
James Schrimsher
jschrim102@...
Aug 7, 2008 12:52 pm
11555
I want to respond to one of the comments here about jobs being hard to find. This is true, but I have always found it easier to find a job in the U.S. when I...
No offence but I hope your just doing screening exams and not full exams because i have to agree with what others have said if you are doing all three exams...
It doesn't sound like you have a contract, it just sounds like you work for greedy docs that don't care too much about quality. You should refuse to work like...
You are being used....period! In addition, Medicare Officials might be very interested in the rationals used by these Physician's in the heavy ordering of...
I would be. I have not had success yet with Syngo really being operational to a level that our practice needs. We have many remote sites and have had all...
Regarding EF..How do you tell the difference between 40 and 42 % OR +1 -1 +2 -2 or +3 -3 or +4 or -4 If I have an EF of 42% I usually report as 40% or 40-42%...
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