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#13030 From: Jeff Dougherty <jtd247365@...>
Date: Mon Dec 7, 2009 9:47 pm
Subject: Re: user manual of philips envisor echo machine
atsjeff
Offline Offline
Send Email Send Email
 
 
 

Imaging Consultant

 

Patriot Medical Systems

101 W Argonne, # 241

St. Louis, MO 63122 USA

 

Phone: 888.828.7468

Cell: 314.504.0280

Fax: 314.965.1158

Email: Jeffrey@...

 

www.PatriotMedicalSystems.com

 

Patriot Medical Systems provides medical imaging technology, consulting and solutions to healthcare providers worldwide. Our specialties include: Ultrasound Sales and Service, Cardiology Stress and Holter systems, CT, MRI systems, and Nuclear Medicine. 

 


On Mon, Dec 7, 2009 at 5:05 AM, Leo Mat <leomatdaran18@...> wrote:
 

Hi anybody having user manual of philips envisor echo machine . Please mail me a scanned version or dgital copy



1 of 1 File(s)


#13029 From: "Hogan, Candy" <candy.hogan@...>
Date: Mon Dec 7, 2009 9:46 pm
Subject: RE: Number of Echo cases per day
candy.hogan@...
Send Email Send Email
 

1 hour per study with full digital preliminary report that turns into completed report if agreed by the Cardiologist with any change they do digitally.  We do complete study with all measurements normal or not as habit so when it is abnormal we don’t miss it.  This also helps with students learning to be in a habit of doing all measurement.  Measurements being Systolic, diastolic, Pulm veins, all valves and allows for starting of the IV, bubble study if needed for possible shunting or atrial aneruysm and/or contrast.

 

 

Candy Hogan, RDCS

Cardiology, Echocardiography and EEG Manager

6001 Norris Canyon Rd.

San Ramon, CA 94583

925-275-8287 Office

925-275-8387 Fax

925-275-8846 Direct line

925-216-4921 Cell

candy.hogan@...

 

 

 

From: echocardiography@yahoogroups.com [mailto:echocardiography@yahoogroups.com] On Behalf Of docnatraj
Sent: Sunday, December 06, 2009 18:34
To: echocardiography@yahoogroups.com
Subject: [echocardiography] Number of Echo cases per day

 

 

Hello All,

Just carrying out a survey and would like your input on How many echo cases do you do in 8 hr shift and 12 hr shift in a day in the Hospital and at a Private Clinic. How much break do you get in between the cases. What is the time allotted for each patient for a full Trans-thoracic study.
Looking forward for your response regarding the same.

Regards.

Dr. Natraj MD, RDCS


#13028 From: David Williams <davewill40@...>
Date: Wed Dec 2, 2009 7:19 pm
Subject: Re: Intraoperative TEE
Gazer99
Offline Offline
Send Email Send Email
 

I am correctly reminded by a member of this forum that my warning below about being "criminally and civially" responsible may or may not apply in this international setting.   As I mentioned in my post, "I dont know about Malyasia law", and I suppose it is certainly possible that the practice of techs performing TEE's may be entirely legal and/or even common in other countries.   I just don't know.     

 

Certainly it was not my intention to give legal advice to Shafullah without a license while, ironically, advising him not to practice medicine without a license.     My apologies for any confusion..

 

Dave    

-----Original Message-----
From: David Williams
Sent: Nov 30, 2009 1:19 PM
To: echocardiography@yahoogroups.com
Subject: Re: [echocardiography] Intraoperative TEE

 

I presume that you have talked to your medical director.   Do they expect the sonographer to both pass the scope and then acquire all the views himself?    Or is the plan to have anesthesiologist pass the scope, and then hand the probe to the tech to acquire all the pre and post images?    Or, are they just telling you that they just expect you to offer the service of being there to assist either a cardiologist or TEE trained anesthesiologist  (i.e., so called, "knobologist", as someone else here has already posted)?

Since you are asking the question here, I will further presume they are thinking option #1 or #2.   In either case, your medical director's request is inappropriate.   I dont know about Malyasia law, but here in US this amounts you you being ordered to practice medicine without a licence.    It is clearly outside the scope of practice for sonographer.    There are specific guidelines out there for TEE performance (I dont have off hand but check with ASE or ACC), and I'm quite sure that you either have to be a doctor, either a formally trained cardiologist in TEE or if an anesesiologist you may do a limited focus study but must have attended some specialized formal training also.  

They just can't pawn it off onto the tech.    If this is not understandable to them, take it to your administration (isn't there a medical credentials person there?) and if administration folds then obviously you can take it higher to whatever governing external healthcare agency(s) are applicable over there.  

Hang tough, and don't let them do this to you.   You could be held both criminally and civially responsible.

Regards,
 
Dave     




-----Original Message-----
From: Shafullah Serdari
Sent: Nov 26, 2009 2:27 AM
To: echocardiography@yahoogroups.com
Subject: [echocardiography] Intraoperative TEE

 

Dear all,

I am cardiac sonographer/ Cardiovascular Technologist from Malaysia recently Our Medical director and the head of anesthetic has decided to implement the policy that sonographer has to extend their service to do interaoperative TEE.

Since it is new field for us we need opinion from you or anyone regarding this, is it  good or bad for us?

Just for your information pediatric sonographers in our hospital have performing interaoperative TEE  since 2004 it seems no problem but for us, adult sonographer we are rarely holding the TEE probe.

Please share your opinion
 
Thank you

Shafullah RDCS, RCS, RCIS
Deputy Manager
Non Invasive Lab


#13027 From: Mina Tohid <mina.tohid@...>
Date: Wed Dec 2, 2009 8:16 pm
Subject: Re: Intraoperative TEE
mina.tohid@...
Send Email Send Email
 
Does anyone do Mobile diagnostic Echo and Vascular and Ultrasound?

On Wed, Nov 25, 2009 at 11:27 PM, Shafullah Serdari <shafullahs@...> wrote:
 

Dear all,

I am cardiac sonographer/ Cardiovascular Technologist from Malaysia recently Our Medical director and the head of anesthetic has decided to implement the policy that sonographer has to extend their service to do interaoperative TEE.

Since it is new field for us we need opinion from you or anyone regarding this, is it  good or bad for us?

Just for your information pediatric sonographers in our hospital have performing interaoperative TEE  since 2004 it seems no problem but for us, adult sonographer we are rarely holding the TEE probe.

Please share your opinion
 
Thank you

Shafullah RDCS, RCS, RCIS
Deputy Manager
Non Invasive Lab



#13026 From: Poobalan Munisamy <m_poobalan@...>
Date: Thu Dec 3, 2009 2:27 am
Subject: Re: Intraoperative TEE
m_poobalan
Offline Offline
Send Email Send Email
 
Thank you for your concern.I am also a cardiac technician from one of the Malaysia private health care,when we had the JCI accredited ,it was clear that in their chapter that a person who perform the TEE must been trained and competent cardiologist.For the matter competency need follow the country healtcare giudeline because ultimately the person who perform the TEE hold the responsability.As I knew in the other country such as USA/UK competency was a difficult things in their programme..

--- On Mon, 30/11/09, dali fan <dfan1997@...> wrote:

From: dali fan <dfan1997@...>
Subject: Re: [echocardiography] Intraoperative TEE
To: echocardiography@yahoogroups.com
Date: Monday, 30 November, 2009, 7:32 AM

 
Intraoperative TEE are exclusively performed by physicians in the 4 medical centers I have worked in MA and NY.
It is difficult for people to performed intraoperative TEEs if they do not perform TEEs routinely
Dali

--- On Thu, 11/26/09, Shafullah Serdari <shafullahs@yahoo. com> wrote:

From: Shafullah Serdari <shafullahs@yahoo. com>
Subject: [echocardiography] Intraoperative TEE
To: echocardiography@ yahoogroups. com
Date: Thursday, November 26, 2009, 2:27 AM

 
Dear all,

I am cardiac sonographer/ Cardiovascular Technologist from Malaysia recently Our Medical director and the head of anesthetic has decided to implement the policy that sonographer has to extend their service to do interaoperative TEE.

Since it is new field for us we need opinion from you or anyone regarding this, is it  good or bad for us?

Just for your information pediatric sonographers in our hospital have performing interaoperative TEE  since 2004 it seems no problem but for us, adult sonographer we are rarely holding the TEE probe.

Please share your opinion
 
Thank you

Shafullah RDCS, RCS, RCIS
Deputy Manager
Non Invasive Lab




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#13025 From: Shafullah Serdari <shafullahs@...>
Date: Thu Dec 3, 2009 11:22 am
Subject: Re: Intraoperative TEE
shafullahs@...
Send Email Send Email
 

Dear Dave,

 

You have valid points and it seems very scary for us to be there. Unfortunately from my knowledge there is to clear guidelines in our country stating who has privilege to perform TEE.

Further more we are bound with the rule of our job scope where we are required to perform duties as instructed by Consultant Cardiologist/ Head Department.  

 

According to the instructions we are not actualy required to insert the TEE but only to provide images so that the anesthetics and the surgeon are able to interpret the images. 

 

In hospital, anesthetist can't perform 2 jobs in one time (TEE as well as anesthetizing the patient at the same time) therefore other person is required to do TEE. Because of the shortage of cardiologists and anesthetists the most possible is sonographers.

 

I am not sure whether in all states in the US apply same regulation, from some information given to me by the Head of Anesthetist, state like Massachusetts allows sonographer to perform TEE.

 

I read a paper published in JASE written by Mark S. Adam with the title of “The Cardiac Sonographer in Operating Room: Who’s Left Holding the Probe” and after reading this article it have an impression that Intraoperative TEE probably is one of a room of expansion for sonographers but I don know whether I am just pleasing my feeling for being “force” to do this job. Any way at the moment I don’t know whether I should accept or to not this job since there is strong base for us to reject.

 

 

Regards

 

 

Shafullah



From: David Williams <davewill40@...>
To: echocardiography@yahoogroups.com
Sent: Tue, December 1, 2009 3:19:06 AM
Subject: Re: [echocardiography] Intraoperative TEE

 

I presume that you have talked to your medical director.   Do they expect the sonographer to both pass the scope and then acquire all the views himself?    Or is the plan to have anesthesiologist pass the scope, and then hand the probe to the tech to acquire all the pre and post images?    Or, are they just telling you that they just expect you to offer the service of being there to assist either a cardiologist or TEE trained anesthesiologist  (i.e., so called, "knobologist" , as someone else here has already posted)?

Since you are asking the question here, I will further presume they are thinking option #1 or #2.   In either case, your medical director's request is inappropriate.   I dont know about Malyasia law, but here in US this amounts you you being ordered to practice medicine without a licence.    It is clearly outside the scope of practice for sonographer.    There are specific guidelines out there for TEE performance (I dont have off hand but check with ASE or ACC), and I'm quite sure that you either have to be a doctor, either a formally trained cardiologist in TEE or if an anesesiologist you may do a limited focus study but must have attended some specialized formal training also.  

They just can't pawn it off onto the tech.    If this is not understandable to them, take it to your administration (isn't there a medical credentials person there?) and if administration folds then obviously you can take it higher to whatever governing external healthcare agency(s) are applicable over there.  

Hang tough, and don't let them do this to you.   You could be held both criminally and civially responsible.

Regards,
 
Dave     




-----Original Message-----
From: Shafullah Serdari
Sent: Nov 26, 2009 2:27 AM
To: echocardiography@ yahoogroups. com
Subject: [echocardiography] Intraoperative TEE

 

Dear all,

I am cardiac sonographer/ Cardiovascular Technologist from Malaysia recently Our Medical director and the head of anesthetic has decided to implement the policy that sonographer has to extend their service to do interaoperative TEE.

Since it is new field for us we need opinion from you or anyone regarding this, is it  good or bad for us?

Just for your information pediatric sonographers in our hospital have performing interaoperative TEE  since 2004 it seems no problem but for us, adult sonographer we are rarely holding the TEE probe.

Please share your opinion
 
Thank you

Shafullah RDCS, RCS, RCIS
Deputy Manager
Non Invasive Lab



#13024 From: "docnatraj" <docnatraj@...>
Date: Mon Dec 7, 2009 2:34 am
Subject: Number of Echo cases per day
docnatraj
Offline Offline
Send Email Send Email
 
Hello All,

Just carrying out a survey and would like your input on How many echo cases do
you do in 8 hr shift and 12 hr shift in a day in the Hospital and at a Private
Clinic. How much break do you get in between the cases. What is the time
allotted for each patient for a full Trans-thoracic study.
Looking forward for your response regarding the same.

Regards.

Dr. Natraj MD, RDCS

#13023 From: Leo Mat <leomatdaran18@...>
Date: Mon Dec 7, 2009 11:05 am
Subject: Re: user manual of philips envisor echo machine
leomatdaran18
Offline Offline
Send Email Send Email
 
Hi anybody having user manual of philips envisor echo machine . Please mail me a
scanned version or dgital copy

#13022 From: David Williams <davewill40@...>
Date: Mon Nov 30, 2009 7:19 pm
Subject: Re: Intraoperative TEE
Gazer99
Offline Offline
Send Email Send Email
 
I presume that you have talked to your medical director.   Do they expect the sonographer to both pass the scope and then acquire all the views himself?    Or is the plan to have anesthesiologist pass the scope, and then hand the probe to the tech to acquire all the pre and post images?    Or, are they just telling you that they just expect you to offer the service of being there to assist either a cardiologist or TEE trained anesthesiologist  (i.e., so called, "knobologist", as someone else here has already posted)?

Since you are asking the question here, I will further presume they are thinking option #1 or #2.   In either case, your medical director's request is inappropriate.   I dont know about Malyasia law, but here in US this amounts you you being ordered to practice medicine without a licence.    It is clearly outside the scope of practice for sonographer.    There are specific guidelines out there for TEE performance (I dont have off hand but check with ASE or ACC), and I'm quite sure that you either have to be a doctor, either a formally trained cardiologist in TEE or if an anesesiologist you may do a limited focus study but must have attended some specialized formal training also.  

They just can't pawn it off onto the tech.    If this is not understandable to them, take it to your administration (isn't there a medical credentials person there?) and if administration folds then obviously you can take it higher to whatever governing external healthcare agency(s) are applicable over there.  

Hang tough, and don't let them do this to you.   You could be held both criminally and civially responsible.

Regards,
 
Dave     




-----Original Message-----
From: Shafullah Serdari
Sent: Nov 26, 2009 2:27 AM
To: echocardiography@yahoogroups.com
Subject: [echocardiography] Intraoperative TEE

 

Dear all,

I am cardiac sonographer/ Cardiovascular Technologist from Malaysia recently Our Medical director and the head of anesthetic has decided to implement the policy that sonographer has to extend their service to do interaoperative TEE.

Since it is new field for us we need opinion from you or anyone regarding this, is it  good or bad for us?

Just for your information pediatric sonographers in our hospital have performing interaoperative TEE  since 2004 it seems no problem but for us, adult sonographer we are rarely holding the TEE probe.

Please share your opinion
 
Thank you

Shafullah RDCS, RCS, RCIS
Deputy Manager
Non Invasive Lab


#13021 From: "Conrad F" <ultra1066@...>
Date: Mon Nov 30, 2009 4:38 pm
Subject: Re: Intraoperative TEE
ultra1066
Offline Offline
Send Email Send Email
 
In the hosptital that I work at, the Anestesiologist performs the intraoperative
TEE. The tech is there to work the machine (we are the nobologists) just as in
normal TEE's. I don't believe you could do a TEE without proper traning. It is
completely different than a surface echo. The manuvering of the probe should be
handled buy someone who is trained, you don't want an untrained hand putting a
probe down someone's throat, there's a lot of damage that you could do. Only a
properly trained person should be performing a TEE. Hope this helps.




--- In echocardiography@yahoogroups.com, Shafullah Serdari <shafullahs@...>
wrote:
>
> Dear all,
>
> I am cardiac sonographer/ Cardiovascular Technologist from Malaysia recently
Our Medical director and the head of anesthetic has decided to implement the
policy that sonographer has to extend their service to do interaoperative TEE.
>
> Since it is new field for us we need opinion from you or anyone regarding
this, is it  good or bad for us?
>
> Just for your information pediatric sonographers in our hospital have
performing interaoperative TEE  since 2004 it seems no problem but for us, adult
sonographer we are rarely holding the TEE probe.
>
> Please share your opinion
>
> Thank you
>
> Shafullah RDCS, RCS, RCIS
> Deputy Manager
> Non Invasive Lab
>

#13020 From: dali fan <dfan1997@...>
Date: Mon Nov 30, 2009 3:32 pm
Subject: Re: Intraoperative TEE
dfan1997
Offline Offline
Send Email Send Email
 
Intraoperative TEE are exclusively performed by physicians in the 4 medical centers I have worked in MA and NY.
It is difficult for people to performed intraoperative TEEs if they do not perform TEEs routinely
Dali

--- On Thu, 11/26/09, Shafullah Serdari <shafullahs@...> wrote:

From: Shafullah Serdari <shafullahs@...>
Subject: [echocardiography] Intraoperative TEE
To: echocardiography@yahoogroups.com
Date: Thursday, November 26, 2009, 2:27 AM

 
Dear all,

I am cardiac sonographer/ Cardiovascular Technologist from Malaysia recently Our Medical director and the head of anesthetic has decided to implement the policy that sonographer has to extend their service to do interaoperative TEE.

Since it is new field for us we need opinion from you or anyone regarding this, is it  good or bad for us?

Just for your information pediatric sonographers in our hospital have performing interaoperative TEE  since 2004 it seems no problem but for us, adult sonographer we are rarely holding the TEE probe.

Please share your opinion
 
Thank you

Shafullah RDCS, RCS, RCIS
Deputy Manager
Non Invasive Lab



#13019 From: James Hodovan <hodovanjm@...>
Date: Mon Nov 30, 2009 3:07 am
Subject: Re: Is Echo and Vascular technology still a career worth persuing ?
hodovanjm
Offline Offline
Send Email Send Email
 
I think these jobs are still worthwhile. You must be able to get to an area that has jobs. Another thing is, don't just hit the web. Call offices and find out about future openings and talk to the sonographers and not just the HR department. Remember the biggest advantage to a job seeker is networking. Networking, networking and then networking. The web is only a small part of what is actually out there. Lastly, it is timing. Many jobs and employers are waiting to see how the health care bill and the Medicare reimbursement all pans out until they decide to hire more technicians. Everywhere you go and everyone you will talk to will say the same thing about the number of procedures have increased so that is a good sign.

Hope this helps. I say to go ahead and pursue echo and/or vascular.

JIM


From: echo262 <echo262@...>
To: echocardiography@yahoogroups.com
Sent: Fri, November 20, 2009 7:54:08 PM
Subject: [echocardiography] Is Echo and Vascular technology still a career worth persuing ?

 

I have been doing a lot of research in forums and the web and It looks as though the Sonography field is being saturated by so many schools churning out new students.

I keep hearing about new students passing their registries and still not finding worthwhile full time employment.

Can anyone in the field now elaborate on this subject ?

Thank you,

JC



#13018 From: Shafullah Serdari <shafullahs@...>
Date: Thu Nov 26, 2009 7:27 am
Subject: Intraoperative TEE
shafullahs@...
Send Email Send Email
 
Dear all,

I am cardiac sonographer/ Cardiovascular Technologist from Malaysia recently Our Medical director and the head of anesthetic has decided to implement the policy that sonographer has to extend their service to do interaoperative TEE.

Since it is new field for us we need opinion from you or anyone regarding this, is it  good or bad for us?

Just for your information pediatric sonographers in our hospital have performing interaoperative TEE  since 2004 it seems no problem but for us, adult sonographer we are rarely holding the TEE probe.

Please share your opinion
 
Thank you

Shafullah RDCS, RCS, RCIS
Deputy Manager
Non Invasive Lab


#13017 From: Charles Lloyd <lloydce53@...>
Date: Wed Nov 25, 2009 2:46 am
Subject: RE: Re: Is Echo and Vascular technology still a career worth persuing ?
lloydce53
Offline Offline
Send Email Send Email
 
Typically I would stay out of this conversation but, I wanna say don't expect a job to come knocking on your door. I graduated from a CAHEp program where I drove two hours and 45 minutes to get to class three days a week. ANd yes in areas where there are programs there is saturation. I took a job that is 206 miles from my house. I rent a placethere during the week and go home on the weekends. es there is jobs out there but you have got to be willing to go them because they won't come to you. Get a year or so experience and just wait for something you desire to open up. But, JUST GO TO WORK so at least you keep amnd perfect your skills.
Good luck to all.

 

To: echocardiography@yahoogroups.com
From: gershomsl@...
Date: Tue, 24 Nov 2009 06:17:39 +0200
Subject: Re: [echocardiography] Re: Is Echo and Vascular technology still a career worth persuing ?

 
Addition:

If you are able to relocate and get a quality education from a properly accredited school, you should have no trouble finding work.

Gershom Lichtenberg, RDCS
Echocardiographer
Rambam Healthcare Center
Haifa, Israel


On Sun, Nov 22, 2009 at 10:40 PM, krisbrummitt <krisbrummitt@yahoo.com> wrote:
 

the job markets for the most part are only saturated in the areas with the schools. the people having trouble finding work are generally ones unable or unwilling to move from their current locations. i see job postings for sonographers all the time, and as more dr's offices and outpatient clinics start to do them, even more jobs are opening. if you are able to relocate you should have no trouble finding work.



--- In echocardiography@yahoogroups.com, "echo262" <echo262@...> wrote:
>
> I have been doing a lot of research in forums and the web and It looks as though the Sonography field is being saturated by so many schools churning out new students.
>
> I keep hearing about new students passing their registries and still not finding worthwhile full time employment.
>
>
> Can anyone in the field now elaborate on this subject ?
>
>
> Thank you,
>
>
> JC
>





Bing brings you maps, menus, and reviews organized in one place. Try it now.

#13016 From: Sean Voss <ssv15760_2000@...>
Date: Tue Nov 24, 2009 11:58 pm
Subject: How much does medicare now pay per echo?
ssv15760_2000
Offline Offline
Send Email Send Email
 
I heard that Medicare went to a single payment/fee for echos and I was wondering 2 things:
 
How much do they pay now
How much will they pay next year?  Thanks Sean
 


--- On Fri, 7/24/09, pdigrazi <pdigrazi@...> wrote:

From: pdigrazi <pdigrazi@...>
Subject: [echocardiography] Re: Health Care reform effect on Echocardiograms
To: echocardiography@yahoogroups.com
Date: Friday, July 24, 2009, 8:30 PM

 
I suppose Doctors will get paid less because of socialized health care. Why will anyone want to become a doctor? Well, yes there's the humanitarian reason to help people. But not everyone can be Mother Theresa. Doctors have to eat too.

How is socialize health care working in Canada?

President Obama......Got to love him.

--- In echocardiography@ yahoogroups. com, akory99@... wrote:
>
> I think the government wants to push all imaging/diagnostic services back
> to the hospitals. That's why Medicare is cutting reimbursements to the OP
> office echo labs.
>
> I also think that most of the smaller hospitals will be absorbed by the
> larger local hospitals. We will see a lot of mergers. Bigger hospitals are
> more likely to survive and grow by acquiring smaller ones.
>
> I can see many cardiology OP offices doing these 3 things:
>
> 1. Make their sonographers to perform more studies, increase
> productivity
> 2. Reduce sonographers salaries
> 3. Layoff sonographers
>
> There are some tough times ahead of us. I wish everyone lots of luck. Andre
>
>
> ************ **An Excellent Credit Score is 750. See Yours in Just 2 Easy
> Steps!
> (http://pr.atwola. com/promoclk/ 100126575x122237 7105x1201454426/ aol?redir= http://www. freecreditreport .com/pm/default. aspx?sc=668072& hmpgID=62& bcd=Jul
> yExcfooterNO62)
>



#13015 From: Gerson Lichtenberg <gershomsl@...>
Date: Tue Nov 24, 2009 4:17 am
Subject: Re: Re: Is Echo and Vascular technology still a career worth persuing ?
gershomsl
Offline Offline
Send Email Send Email
 
Addition:

If you are able to relocate and get a quality education from a properly accredited school, you should have no trouble finding work.

Gershom Lichtenberg, RDCS
Echocardiographer
Rambam Healthcare Center
Haifa, Israel


On Sun, Nov 22, 2009 at 10:40 PM, krisbrummitt <krisbrummitt@...> wrote:
 

the job markets for the most part are only saturated in the areas with the schools. the people having trouble finding work are generally ones unable or unwilling to move from their current locations. i see job postings for sonographers all the time, and as more dr's offices and outpatient clinics start to do them, even more jobs are opening. if you are able to relocate you should have no trouble finding work.



--- In echocardiography@yahoogroups.com, "echo262" <echo262@...> wrote:
>
> I have been doing a lot of research in forums and the web and It looks as though the Sonography field is being saturated by so many schools churning out new students.
>
> I keep hearing about new students passing their registries and still not finding worthwhile full time employment.
>
>
> Can anyone in the field now elaborate on this subject ?
>
>
> Thank you,
>
>
> JC
>



#13014 From: Krystal Shen <ksechotech@...>
Date: Mon Nov 23, 2009 7:04 pm
Subject: Cuts
ksechotech
Offline Offline
Send Email Send Email
 
I'm a little concerned about independant contractor wages being cut. Techs getting paid per study vs. per hour may be seeing steep cuts. I know at least one doctor that is cutting his per study fee that he pays his tech. I'm hoping that other doctors don't follow. We'll have to wait and see. 

Krystal RT (R) RDCS


#13013 From: YUAN FANG <yf11421@...>
Date: Mon Nov 23, 2009 5:12 am
Subject: Philips CX50 Manual
yf11421
Offline Offline
Send Email Send Email
 
Hi folks,
 
Can anybody send me a copy of manual for Philips CX50? Thanks!
 
Yuan


#13012 From: Thomas Kusant <leftytck@...>
Date: Mon Nov 23, 2009 2:32 pm
Subject: Re: Is Echo and Vascular technology still a career worth persuing ?
leftytck
Offline Offline
Send Email Send Email
 
Gerson,
    Very wise of you and a good reply! I use to worry about getting another job as a traveler but I don't worry now.
   By the way, I will take the pediatrics registry test the beginning of December and have great expectations for work in the future!
                                                            Shalom,
                                                            Tom RDCS

--- On Sat, 11/21/09, Gerson Lichtenberg <gershomsl@...> wrote:

From: Gerson Lichtenberg <gershomsl@...>
Subject: Re: [echocardiography] Is Echo and Vascular technology still a career worth persuing ?
To: echocardiography@yahoogroups.com
Date: Saturday, November 21, 2009, 9:27 AM

 

And this has been heard for a very long time. Yet there have been many good opportunities in many areas.

How many times do people write to discussion boards to say that they finished school, took the exams and got a job? These are not likely to be the people whom you hear from.

So this is what you might find on the internet, but I suggest that you talk to the people in your area. Ask supervisors of echo labs whether they are saturated with applications from qualified echocardiographers. Ask them which programs they will hire from in your area. Then determine whether the field meets your requirements.

Gershom Lichtenberg, RDCS
Echocardiographer
Rambam Healthcare Campus
Haifa, Israel


On Sat, Nov 21, 2009 at 5:54 AM, echo262 <echo262@yahoo. com> wrote:
 

I have been doing a lot of research in forums and the web and It looks as though the Sonography field is being saturated by so many schools churning out new students.

I keep hearing about new students passing their registries and still not finding worthwhile full time employment.

Can anyone in the field now elaborate on this subject ?

Thank you,

JC




#13011 From: "Conrad F" <ultra1066@...>
Date: Sun Nov 22, 2009 3:44 pm
Subject: Cuts to cardiology
ultra1066
Offline Offline
Send Email Send Email
 
I want to open up a discussion about this so that we can be better prepared for
whats to come, so my question is this: With the cuts that are coming to
cardiology, has anyone been told that their salary is being readjusted or cut?

   How do we preserve our salary's? I myself have not been told to expect cuts, I
don't think we deserve to get our salarys cut. We provide a high level of
service and should be compensated fairly.

Does the group have any opnions?


Conrad Fernandez RDCS RVT

#13010 From: "krisbrummitt" <krisbrummitt@...>
Date: Sun Nov 22, 2009 8:40 pm
Subject: Re: Is Echo and Vascular technology still a career worth persuing ?
krisbrummitt
Offline Offline
Send Email Send Email
 
the job markets for the most part are only saturated in the areas with the
schools. the people having trouble finding work are generally ones unable or
unwilling to move from their current locations. i see job postings for
sonographers all the time, and as more dr's offices and outpatient clinics start
to do them, even more jobs are opening. if you are able to relocate you should
have no trouble finding work.

--- In echocardiography@yahoogroups.com, "echo262" <echo262@...> wrote:
>
> I have been doing a lot of research in forums and the web and It looks as
though the Sonography field is being saturated by so many schools churning out
new students.
>
> I keep hearing about new students passing their registries and still not
finding worthwhile full time employment.
>
>
> Can anyone in the field now elaborate on this subject ?
>
>
> Thank you,
>
>
> JC
>

#13009 From: echotechdennis@...
Date: Sat Nov 21, 2009 5:21 pm
Subject: Is Echo and Vascular technology still a career worth persuing ?
echotechdennis
Offline Offline
Send Email Send Email
 
In the NY/NJ area, there are no jobs. NYU grads can't even get part time. Maybe
in other parts of the country it's better but not here. Also, you have to make
sure you. An take your ARDMS after grad or you won't get hired without you
registry.

Sent from my Verizon Wireless BlackBerry

#13008 From: Gerson Lichtenberg <gershomsl@...>
Date: Sat Nov 21, 2009 3:27 pm
Subject: Re: Is Echo and Vascular technology still a career worth persuing ?
gershomsl
Offline Offline
Send Email Send Email
 
And this has been heard for a very long time. Yet there have been many good opportunities in many areas.

How many times do people write to discussion boards to say that they finished school, took the exams and got a job? These are not likely to be the people whom you hear from.

So this is what you might find on the internet, but I suggest that you talk to the people in your area. Ask supervisors of echo labs whether they are saturated with applications from qualified echocardiographers. Ask them which programs they will hire from in your area. Then determine whether the field meets your requirements.

Gershom Lichtenberg, RDCS
Echocardiographer
Rambam Healthcare Campus
Haifa, Israel


On Sat, Nov 21, 2009 at 5:54 AM, echo262 <echo262@...> wrote:
 

I have been doing a lot of research in forums and the web and It looks as though the Sonography field is being saturated by so many schools churning out new students.

I keep hearing about new students passing their registries and still not finding worthwhile full time employment.

Can anyone in the field now elaborate on this subject ?

Thank you,

JC



#13007 From: "echo262" <echo262@...>
Date: Sat Nov 21, 2009 3:54 am
Subject: Is Echo and Vascular technology still a career worth persuing ?
echo262
Offline Offline
Send Email Send Email
 
I have been doing a lot of research in forums and the web and It looks as though
the Sonography field is being saturated by so many schools churning out new
students.

I keep hearing about new students passing their registries and still not finding
worthwhile full time employment.


Can anyone in the field now elaborate on this subject ?


Thank you,


JC

#13006 From: "lorigreen1234" <learn@...>
Date: Fri Nov 20, 2009 7:59 pm
Subject: 2 Live Echo Webinars in December. No Need to Travel.
lorigreen1234
Offline Offline
Send Email Send Email
 
Dear colleagues,

You no longer have to travel to expand your sonography skills. You can do it all from the comfort of your home or office via Gulfcoast Ultrasound's Live, Interactive Webinars.
Live Webinar are the online versions of events that take place at our facility in St. Pete Beach, FL.
  • See and hear everything that is taking place at the live seminar!
  • Submit questions to the instructor as the seminar takes place!
  • Experience the lecture in high-quality video and audio!
------------------------------------------------
Live Webinar: Introduction to 3D Echocardiography
------------------------------------------------
Wednesday, December 9, 2009 - 6:00 pm - 7:00 pm E.S.T.
This webinar provides participants with 1.0 AMA PRA Category 1 Credit
Presented by: Lynn Weinert, BS, RDCS
 
------------------------------------------------
Live Webinar: Adult Echo Evaluation of Congenital Heart Disease
------------------------------------------------
Thursday, December 10, 2009 - 12:30 pm - 1:30 pm E.S.T.
Presented by: Lynn Weinert, BS, RDCS

For more information, please call us toll free at 1.800.619-1900 or (727)363-4500 or visit us at http://www.gcus.com.

Thank you very much,

Lori Green, BA, RT, RDMS, RDCS, RVT
President and Program Director
Gulfcoast Ultrasound Institute, Inc.
http://www.gcus.com 


#13005 From: seasideponee@...
Date: Thu Nov 19, 2009 9:46 pm
Subject: Looking for a Cardiac Sonographer full time position
poneewitch
Offline Offline
Send Email Send Email
 
JR,
    The best places I have found to look for a position are these two websites.
                 www.ultrasoundjobs.com
                  www.asecho.org
     You can set up job alerts for the areas of the country you are interested in. Good Luck!
                                                                                           
                                                                                                  Joni

#13004 From: Marika Klesic <mrklessic@...>
Date: Thu Nov 19, 2009 5:10 pm
Subject: Re: Looking for a Cardiac Sonographer full time position
mrklessic@...
Send Email Send Email
 
Try UMC in Tucson, AZ

--- On Thu, 11/19/09, upnorthgal <kel49783@...> wrote:

From: upnorthgal <kel49783@...>
Subject: [echocardiography] Looking for a Cardiac Sonographer full time position
To: echocardiography@yahoogroups.com
Date: Thursday, November 19, 2009, 9:20 AM

 
Hello Group,

Does anyone have any leads on a job opening?

Thanks!
JR



#13003 From: "upnorthgal" <kel49783@...>
Date: Thu Nov 19, 2009 3:20 pm
Subject: Looking for a Cardiac Sonographer full time position
kel49783
Offline Offline
Send Email Send Email
 
Hello Group,

Does anyone have any leads on a job opening?

Thanks!
JR

#13002 From: Randy VanCoughnett <randyvanc@...>
Date: Tue Nov 10, 2009 4:19 pm
Subject: Re: Indications
randyvanc
Offline Offline
Send Email Send Email
 
There is no national coverage policy for echo for Medicare.
 
and select LCD by state or contractor. Find the echo policy for your state, most are listed under transthoracic echo, and in the policy is a list of covered indications by ICD-9 code.
 
--- On Tue, 11/10/09, Mina Tohid <mina.tohid@...> wrote:

From: Mina Tohid <mina.tohid@...>
Subject: [echocardiography] Indications
To: echocardiography@yahoogroups.com
Date: Tuesday, November 10, 2009, 6:31 AM

 
Dear Colleagues
 
What are the indications of  resting Echocardiography?


#13001 From: Clifford Thornton <cmt51597@...>
Date: Tue Nov 10, 2009 2:20 am
Subject: Re: CMS final rule
cmt51597
Offline Offline
Send Email Send Email
 
Thanks for that.  Will the below link provide information relevant to the hospital outpatient setting?  

Thanks,

Cliff

--- On Mon, 11/2/09, Mark Harry <mharry@...> wrote:

From: Mark Harry <mharry@...>
Subject: Re: [echocardiography] CMS final rule
To: echocardiography@yahoogroups.com
Date: Monday, November 2, 2009, 10:57 AM

 

Cliff,


Here is the web site.


Mark
On Nov 1, 2009, at 11:57 AM, Clifford Thornton wrote:

 

Where can I find more information regarding the specifics around the conversion factor (ideally related to non-invasive cardiac tests)?  

My initial thoughts on this are -- more time, potentially less reimbursement -- well that makes a lot of sense!  I don't want to see where this road is leading..... ..

Thanks,


Cliff

--- On Sat, 10/31/09, Mark Harry <mharry@...> wrote:

From: Mark Harry <mharry@...>
Subject: [echocardiography] CMS final rule
To: echocardiography@ yahoogroups. com
Date: Saturday, October 31, 2009, 1:46 PM

 

I thought the group might be interested in the just released CMS rule that effects private practice reimbursement.

No more billing for consults.

"CMS is also finalizing its proposal to stop making payment for consultation codes other than the G codes that are used to bill for telehealth consultations, and to redistribute the resulting savings to increase payments for the existing evaluation and management (E/M) services.  CMS will adjust the payment for the surgical global period to reflect the higher value of the office visits furnished during the global period."


Things stay the same for practice expense for echo except there has been an increase from 42 minutes to 63 minutes for the time allowed per study.

"For CPT code 93306, we stated that the AMA RUC did not 
recommend any changes to the PE direct inputs for the 
related echocardiography codes 93307, Echocardiography, 
transthoracic, real-time with image documentation (2D), 
includes M-mode recording, when performed, complete, 
without spectral or color Doppler echocardiography, 93320, 
Doppler echocardiography, pulsed wave and/or continuous 
wave with spectral display (List separately in addition to 
codes for echocardiographic imaging); complete, and 93325, 
Doppler echocardiography color flow velocity mapping (List 
separately in addition to codes for echocardiography) .  We 
asked the AMA RUC to review the PE inputs for CPT codes 
93307, 93320, and 93325 to ensure that they are consistent 
with the recommended direct inputs for CPT code 93306.

For CPT code 93351, we stated that the AMA 
RUC-recommended PE inputs included three new equipment 
items.  These items included an ultrasound machine, an 
echocardiography exam table, and a dual image viewing and 
reporting system.  We did not accept the recommended 
ultrasound machine valued at $325,000 but used a model in a 
similar procedure priced at $248,000 in the PE database.  
We also did not accept the echocardiography exam table 
($11,095) because we did not believe it was a typical 
equipment item found in the physician’s office.  Instead, 
we assigned the PE input typical for a similar service -– a 
$1,915 stretcher.  We included the “dual” echocardiography 
image viewing and reporting system but we accepted the base 
unit price of $85,000 in place of the $173,000 price 
provided by the specialty.

For CPT code 93351, we stated that the AMA 
RUC-recommended PE inputs included three new equipment 
items.  These items included an ultrasound machine, an 
echocardiography exam table, and a dual image viewing and 
reporting system.  We did not accept the recommended 
ultrasound machine valued at $325,000 but used a model in a 
similar procedure priced at $248,000 in the PE database.  
We also did not accept the echocardiography exam table 
($11,095) because we did not believe it was a typical 
equipment item found in the physician’s office.  Instead, 
we assigned the PE input typical for a similar service -– a 
$1,915 stretcher.  We included the “dual” echocardiography 
image viewing and reporting system but we accepted the base 
unit price of $85,000 in place of the $173,000 price 
provided by the specialty.

For CPT code 93306, we do not agree that 
use of an echocardiography room is typical, nor do we 
believe higher equipment costs are justified at this time.  
However, we do agree with commenters that equipment times 
should be increased to 63 minutes from 42 minutes to 
accurately reflect the use of this equipment during the 
procedure and have adjusted the PE database to reflect 
this."

There could be a slight increase in the relative value work unit (RVU) for echo which is currently 7.42 (don't hold your breath).  This is good, but if there is a significant decrease in the conversion factor (its all very complicated) then overall private practice reimbursement for echo will go down.

I am very interested in the groups thoughts regarding these issues and the above mentioned numbers being used by CMS.


Mark Harry RDCS
Cardiac Ultrasound Consulting






Mark Harry RDCS
Cardiac Ultrasound Consulting






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