Saturday, May 16, 2015

BONES

Bone fractures occur.  I hate to say it, I am getting old, and I had a rib fracture.  It hurts to this day.  I pray for the wonderful people who fall down and injure themselves every night and day, and end up in the ED for medical care.  They are in horrid pain, I know.  I have had a fractured humerus, toe and rib.  Pain pills are not a long term answer..  I have long known a fractured rib hurts like Satan's breath.  Perhaps we can help the older people with a Sonogram of the bone.  X-Rays by Roentgen are great, but an ultrasound can be efficient.  Here is the article  TYVM  SonoWorld, andd SCIENCE 20


A study of portable ultrasound in detecting the presence of minor fractures in patients showed that 85% of patients with a fracture confirmed by X-ray had injuries detected through ultrasonography.

You'd still want a radiographer to rule out fractures but emergency clinicians could rule in fractures using ultrasound images, they conclude.

Ultrasound is a high pitched sound wave generated at a frequency of more than 20,000Hz in air, though the frequency changes depending on the density of the objects through which it passes.

THANKS Science20

Been Gone For a Few Days.

Sorry, I have a family, and I have issues.  I think everyone knows what it is like to prepare for deaths.  My Mom and Dad are in the 80's.  We have been going around with the bottom feeders (attorneys).  Enough.

Upper extremity U/S is great at ruling out CLOTS!

Shoot I have known this for years, and so have many of the great doctors I work with are great.  Here is an article from www.sonoworld.com to put this issue at rest.  Thanks Sonoworld!


Single whole-arm ultrasound can rule out upper-extremity deep vein thrombosis with a lower rate of repeat screening than a multi-step strategy using clinical scoring and D-dimer testing, researchers reported.
Ultrasonography has largely replaced venography for the diagnosis of upper-extremity deep vein thrombosis (UE-DVT), despite the absence of diagnostic management studies showing the practice to be useful for determining which patients need anticoagulation therapy, researcher Michelangelo Sartori, MD, PhD, of S. Orsola-Malpighi University Hospital, Bologna, Italy, and colleagues wrote online May 11 in JAMA Internal Medicine.

THANKS SONOWORLD, and JAMA

Sunday, March 8, 2015

GO-PRO FOR THE FAMILY

My wife bought a basic go-pro for the family.  We are debating how to use it.  My thoughts are in the washing machine for a real view of how clothing is washed.  It is water proof.  Be safe  TJW

Get a go pro for the family, at least to document any car wreck you have for the insurance adjusters.  Russians do.  :)

NURSES ARE GODS

I am usually a very scientific, dry humor blogger.  I never show my humor in my posts, but being married to a nurse I will break my Draconian rules at least once.  As a sonographer, I deal with many people who are in pain, ill, or just looking for some opiates.  I have had my share of accidents on the examination table.  Sonographers deal with the ill patient like nurses, but on a limited basis.  We do not respond to the call bells, or deal with 12 hours of "I need my PAIN SHOT".

Sonographers are in awe of the God we call a Nurse.  Here is a post I hope you all share.

Do you remember what weekends are? Are you so immune to undesirable body fluids that you no longer have a gag reflex to suppress? Can you hold in a pee for hours, if your hectic job requires it? If you answered yes to all three questions – you’re probably a nurse.
Now, everyone thinks they know what a nurse is: the romanticised versions on Grey’s Anatomy probably help form the disastrously erroneous illusion they’re all sex-mad bimbos. Let’s be straight, though – if there was one thing the nurses in TV and movies wouldn’t be interested in (if they portrayed the profession realistically), it’d be sex.

Thanks to Nina Cresswell, and www.whatculture.com

 http://whatculture.com/offbeat/13-problems-only-nurses-will-understand.php


Thursday, March 5, 2015

Sorry To Be Out

Out Of The Office

I am sorry, I have a family.  I will begin posts again after a family issue is resolved.  Many of you have kids and know what happens when we have issues with kids.  We get distracted.  For days, weeks, months.  I am beginning to come back to the blog to take care of the insatiable appetite of my buddies on this topic of sonography.  The topics are many.  I have much work to do.  I will not make posts at work because it is not allowed. Employers frown upon blogs.  So Be It.

I have a few topics to post, as a Sonographer.

The lion is a funny, but a real thing that a taxidermy person made poorly.  I l love it!

I cannot find the link to credit the person who took this picture. 



Bats.

They send out ultrasonic pulses where prey is in space. This is basically what bats do.  They use echolocation for the food with sound.  The pulses are ultrasound.  They tend to find a meal with ultrasonic waves of energy. Sound waves. Like we use our car horns to tell another person to move at a stop sign.  They have misshapen ears, and crazy noses, and they are for echo locations.  The noses and ears are for the radar of the prey they feed on.  Insects are primary, though many feed on fruit, and some on cows for blood.

” That’s how the science podcast Invisibility recently described Daniel Kish, a blind man who taught himself how to navigate by echolocation. But their description slightly misses the mark. While both humans and bats can paint visual landscapes from echoes, the pointy-eared flyers possess a stark advantage: ultrasonic sound."  

Interesting:    Many humans who are blind use clicking noise they generate with the tongue to find a way around.  Bats do it.  Humans should be able to adapt.  And they have.  This is interesting article.

Here is the link  TY
 http://www.popsci.

Blessings  TJW


Saturday, January 24, 2015

Sonographers getting Old

I have a funny.  I have met a few people that said "what is an old ultrasound machine".  Here you have an ancient Hewwlett-Packard cardiac machine which saved many lives.  Hewlett Packard was the best echocardiography machine at the time. I wonder how many echocardiographers remember this machine?  The diagnostics on this machine allowed many cardiologists to take care of patients with heart issues.  I used this wonderful machine for many years.  I also visited the place where these machines were manufactured.  I gave a lecture there.  Massachusetts  Nice place, great food.  HP has been consumed by other companies.  Sad.  TJW



Ultrasound Probes

Happy New Year all.  Here is a tip for all Sonographers.  Keep your probes clean, and do not drop them.  The ultrasound probe (transducer) is the most important element on your machine. Sonographers treat the probe like a sacred instrument the doctors do not understand.  The doctors
 that order echos, and OB examinations have no idea what we do to give them vital information for the proper care of a  patient.  Final note before the link?
Keep the probe clean.

The life expectancy of today's sophisticated ultrasound probes is literally "in the hands" of the sonographers and echocardiographers who use them every day in the course of providing patient care. Given that upwards of 70 percent of all ultrasound service calls are probe related, it pays to consider ways preventable probe damage can be reduced in order to minimize patient risks.

Here is the link.  Thank You Sonoworld

 http://www.dotmed.com/news/story/24980