Re: consulting
From: Allen Worrall (jworrall@alaska.net)
Wed Aug 10 22:45:08 2005
Hi Nirvi. Well said. Good to hear from you.
Allen
>----- Original Message -----
From: nirvi@vsnl.com
To: "Multiple recipients of list ULTRASOUND-HISTORY"
<ultrasound-history@dns.obgyn.net>
Sent: Wednesday, August 10, 2005 6:31 PM
Subject: Re: consulting
>
> We have been doing 3D/4D for four years too and I agree with Jeanty that
> it cannot be ignored. Infact we are on the threshold of discovering and
> implementing 3D centric clinical applications. Those of us who do fetal
> echo regulary have seen the evolution of the STIC application. It only
> gets better each year.Yes, it saves scanning time because if I have got
> few good loops stored as 3D STIC my patient can move out of the room,
> however my diagnostic time may stay the same since I will have to review
> the information later. Non Ob applications have also evolved. The use of
> 3D ultrasound in assessing congenital anomalies of uterus has been
> accepted. We have worked on vitual cystoscopy using 3D ultrasound and I
> think that is an area which will only get more recognition with time.
> Finally I do agree that while all this may save time for the sonographer,
> since its all about storing volume loops - in the present format the
> radiologists review time may not decrease.
>
> I was also there at the AIUM dinner meet, with Allen, and I remember that
> question Terry had mentioned -"what about the patient?" I personally think
> that the patient is getting the best deal since every bit of extra
> diagnostic information will help us give a better diagnosis. CT and MRI
> applications have become faster every year and have only improved patient
> care.
>
> Nirvikar Dahiya, India
>
>> ----- Original Message -----
> From: "Philippe Jeanty, MD, PhD" <jeanty@TheFetus.net>
> Date: Thursday, August 11, 2005 2:37 am
> Subject: RE: consulting
>
>> We have been doing 3-4D for 4 years. It does not add much time to
>> normalexams (it does not add much diagnostic info either) but they
>> are cute and
>> fun in normal patient. 1 minute of 4D shows a lot about the baby.
>> From time
>> to time 3/4D shows something that could not be seen without. In
>> difficultcases 3/4D add info and time. The ability to review
>> something that was
>> either missed or not well interpreted originally is very important
>> (see Case
>> of the week on http://www.TheFetus.net of tomorrow).
>>
>> I assume just about everyone checks the number of umbilical cord
>> vesselswith color Doppler along the bladder. Who would have
>> thought of this as a
>> common application when color Doppler was introduced ?
>>
>> New tools are always clumsy at first, just persist, this is not a fad.
>> Remember how Ken Taylor famously said that ?realtime was an
>> unnecessarygimmick?? Don?t make the same mistake with 3D.
>>
>> _____
>>
>> From: ultrasound-history@medispecialty.com
>> [ultrasound-history@medispecialty.com] On Behalf Of Allen Worrall
>> Sent: Wednesday, August 10, 2005 2:53 PM
>> To: Multiple recipients of list ULTRASOUND-HISTORY
>> Subject: Re: consulting
>>
>> No, I am sure you are not wrong. I am sure it takes more time when
>> you both
>> do and interpret the scan, as you and I do. I am not sure how
>> experienceinfluences the time - I have heard that after 6 months
>> or so one does become
>> faster.
>>
>> Of course the Doctor from Boston who gave the lecture at the GE
>> eveningevent may have said that it takes the sonographers less
>> time to acquire
>> volumes than to take separate images. Maybe she was not including
>> the time
>> it takes the radiologist to work with the volumes.
>>
>> I tried to get my colleagues here at the clinic interested in a 3D/4D
>> machine. It went over like a lead balloon, so I will have to wait
>> longer.
>>
>> Allen
>>
>>> ----- Original Message -----
>>
>> From: ACF <')" >evsono@pipeline.com>
>>
>> To: Multiple recipients of list <')" >ultrasound-
>> history@dns.obgyn.net>ULTRASOUND-HISTORY
>>
>> Sent: Wednesday, August 10, 2005 7:38 AM
>>
>> Subject: Re: consulting
>>
>> Allen
>>
>> I also attended that event ... and as you, I do my own scans, many
>> involve3D. Here's my experience to date - NO net time-savings.
>> Actually, for some
>> studies, it takes more time - the time normally spent with the
>> patient AND
>> the time manipulating volumes for additional views. Also, while
>> I'm at it -
>> the ultrasound manufacturers need to get together on a uniform
>> standard for
>> volume storage to facilitate second opinions, etc. Hopefully,
>> these details
>> will get ironed out ASAP - especially if the mavens insist on it.
>>
>> Just my opinion - I could be wrong.
>>
>> Art
>>
>> Allen Worrall wrote:
>>
>> Terry, I think I saw you at that lecture in Orlando, a GE supper
>> event, in
>> which a young woman radiologist from Boston,(I think) related that her
>> ultrasound department was bogged down with too many cases, and one
>> of the
>> things that helped them was 3D ultrasound. The volumes can be obtained
>> quickly, and looked at later by the radiologist.
>>
>> Has this speaker published her lecture anywhere? I thought it was
>> very good
>> and very thought-provoking.
>>
>> Allen
>>
>>> ----- Original Message -----
>>
>> From: Terry <')" >terrydubose@sbcglobal.net> DuBose
>>
>> To: Multiple recipients of list <')" >ultrasound-
>> history@dns.obgyn.net>ULTRASOUND-HISTORY
>>
>> Sent: Tuesday, August 09, 2005 6:27 PM
>>
>> Subject: Re: consulting
>>
>> Dr. De Lancer, you ask a question that many have asked. In general
>> sonography (Abdomen and OB/GYN) usually no more than two an hour
>> in peak
>> rush times. It depends on how detailed the studies are, but at
>> bottom line,
>> two an hour average is too much if it is all day every day. This
>> is based
>> on my experience of 29 years and not on any scientific study.
>>
>> For you second question I would say anytime the sonographer is
>> rushed enough
>> to not be able to focus on the diagnosis, that is too many. There
>> needs to
>> be a bit of flexibility to allow for the unexpected twins or other
>> detailedstudy.
>>
>> Also do not forget that over work, continuously over a period of
>> months or
>> years can injure the sonographer. Repeated Stress Injuries are well
>> documented now. See:
>>
>> <" target="l">http://www.sdms.org/msi/default.asp>
>> http://www.sdms.org/msi/default.asp
>> Hope this helps. Terry
>>
>> jose de lancer <')" >josedelancer@yahoo.com> <josedelancer@yahoo.com>
>> wrote:
>>
>> Hi, i am Dr. Jose De Lancer from Dominican Republic.
>>
>> I am obstetrician, gynecologist and sonologist.
>>
>> We have troubles in our hospital sonografy department for the
>> "overdemand"in ultrasound studies.
>>
>> What is your opinion in the following isues:
>>
>> 1-How many studies are reasonable for each sonographer in one day?
>>
>> 2-How afect the excesive number of patients in the individual and
>> departmentquality?
>>
>> Thanks for your cooperation!!
>>
>> "DuBose, Terry" <')" >DuboseTerryJ@uams.edu> <DuboseTerryJ@uams.edu>
>> escribió:
>>
>> Congratulations to everyone on another landmark event. Good
>> work. Terry
>>
>> Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
>>
>> Associate Professor & Director
>> Diagnostic Medical Sonography Program
>> University of Arkansas for Medical Sciences, CHRP
>> 4301 West Markham St. Mail Slot #563
>> Little Rock, Arkansas, 72205 USA
>> 501-686-6510
>> DuBoseTerryJ@UAMS.edu
>> http://www.io.com/~dubose/ <"
>> target="l">http://www.io.com/%7Edubose/>
>> http://www.uams.edu/chrp/dms/default.asp
>> http://www.obgyn.net/us/panel/panel.htm
>> ---------------------------------------------------------------
>>
>> ---------------------------------------------------------------
>>
>> ---------------------------------------------------------------
>> _____
>>
>> From: Dale R. Cyr [cyr@ardms.org]
>> Sent: Tuesday, August 09, 2005 7:18 AM
>> To: ALL STAFF; BOARD MEMBERS; All EDTF Committees
>> Cc: Thomas Magallanes; steve_tapp@promissor.com
>> Subject: Success in Hong Kong ARDMS Exam Delivery
>>
>> Hello Everyone:
>>
>> ARDMS began delivering examinations at the University of Hong Kong
>> on August
>> 8th. Two candidates sat for ARDMS examinations (Neuro and CPI),
>> which were
>> routinely and securely delivered with all data safely transmitted
>> back to
>> Promissor as per normal procedure. The ARDMS Hong Kong
>> examinations and
>> processes are exactly the same as here in the United States and
>> Canada.Several other Candidates are scheduled to sit for ARDMS
>> examinations in Hong
>> Kong over the next couple of weeks.
>>
>> Congratulations everyone as ARDMS continues to increase the number of
>> credentialed individuals to promote quality and patient safety through
>> credentialing and continuing competency of ultrasound
>> professionals.
>>
>> Also, a big thank you to Promissor who has been a great partner in
>> assistingARDMS in meeting our strategic initiatives, particularly
>> in the global
>> expansion program.
>>
>> Regards,
>>
>> Dale
>>
>> Dale R. Cyr, MBA, CAE
>>
>> Chief Executive Officer/Executive Director
>>
>> ARDMS and the Breast Ultrasound Foundation
>>
>> 51 Monroe St., Plaza East One
>>
>> Rockville, Maryland 20850-2400
>>
>> 301-738-8406, x223
>>
>> cyr@ardms.org, <')" >ardms.orgcyr@breastultrasound.org>
>> cyr@breastultrasound.org
>>
>> www.ardms.org <" target="l">http://www.ardms.org/>
>> http://www.breastultrasound.org<"
>> target="l">http://www.breastultrasound.org/>
>>
>> You should always make sure. Verify the Registry status of
>> employees ?
>> current and potential. ARDMS offers an online directory of
>> <" target="l">http://www.ardms.org/statusverification/index.htm>
>> its Registrants.
>>
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>
