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. 


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

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

Saturday, January 3, 2015

Small Hospitals Are Dyying Under Obama-Care

Yes, that is a praying mantis.  Ugly and hateful.  To be proper, here is the WIKI definition of the mantis:

Mantodea (or mantises, mantes) is an order of insects that contains over 2,400 species and about 430 genera[1] in 15 families worldwide in temperate and tropical habitats. Most of the species are in the family Mantidae.

I post this because I have had a bad year.  Many of you have also had a bad year.  This post is long coming and spiteful towards people who believe in proper and caring health care.  I hope people realize they have a voice in health care.  Many medical institutions who profit from medical imaging are fat guppies.  Hospitals are seeing profits soar because of the over use of CT scans and MRI's.  Most small hospitals are in self defense mode.  The bulk of the profits are from medical imaging.  The current president wants to remove the the genitals of rural hospitals.  Our country hospitals are dying.  Many doctors and nurses and sonographers are losing jobs because of big hospitals metastasizing into small communities to make a profit.  We love our small communities.  We love our patients that come in to small hospitals to get a shot, or a breathing treatment, or just a hug.

Our hospital system is a great place for acute and chronic disease.  People think small hospitals are nursing homes.  I hate this.  I reminds me of a revolting film starring Chuck Heston.  Our small hospitals are not a parking place for re-cycle machines.  They are a place of dignity.  The reference to the mantis is one of a species of insects that recycles it's own.  Very nasty, and totally-false for humans.

Let's support the hospitals in the small communities.  A small hospital is very much capable of providing care that is effective, efficient, and with human caring.  Please support your small hospital.  They are a place of dignity, respect, and humans who LOVE others.  Happy New Year.


Clot Buster Machine Is Coming!

I have blogged about the use of ultrasound and medications before.  I am happy to report some new tech is in the testing phase.  You saw it first here on SB.  We will use a combination of clot busting medications, and ultrasound to break up clots in the brain before a stroke can disable a person.  We all know that we hate to see a loved one go comatose.  Perhaps this will be a new tool to prevent the long term effects of stroke to manifest.  I am hopeful.

They say that with a stroke, “time lost is brain lost” – so when a stroke happens, each second counts to stave off further brain damage. Seattle-area startup Cerevast Therapeutics is developing a device that emits ultrasound waves meant to quickly dislodge stroke-causing blood clots in the brain.
And company just raised $10 million, according to a regulatory filing.
The company’s head-worn device, called the ClotBust ER, is made up of a number of ultrasound transducers that are placed in regions where the majority of vessel occlusions in the brain are known to occur, Cerevast says.

Credit:  Med city news

Sunday, November 16, 2014

Ultrasound On A Chip?

WHAT?  and how do you propose to have the images interpreted?  What Idiot would fund something like this?  Most people in medical imaging would call radiologists  very professional in looking into the human body.  They get paid to interpret images. Most of them know what they are doing.  Not all.  (giggles).  Go to any medical imaging website and know that medical imaging is a profession.
Here I will give you a partial list:  ASRT, AIUM,SDMS ARDMS just copy and paste in your browser.  People who support this person are just stupid, or have more money than I do. 

Here is a snip.  Thanks Technology Review

A scanner the size of an iPhone that you could hold up to a person’s chest and see a vivid, moving, 3-D image of what’s inside is being developed by entrepreneur Jonathan Rothberg.
Rothberg says he has raised $100 million to create a medical imaging device that’s nearly “as cheap as a stethoscope” and will “make doctors 100 times as effective.” The technology, which according to patent documents relies on a new kind of ultrasound chip, could eventually lead to new ways to destroy cancer cells with heat, or deliver information to brain cells.
Rothberg has a knack for marrying semiconductor technology to problems in biology. He started and sold two DNA-sequencing companies, 454 and Ion Torrent Systems (see “The $2 Million Genome” and “A Semiconductor DNA Sequencer”), for more than $500 million. The profits have allowed Rothberg, who showed up for an interview wearing worn chinos and a tattered sailor’s belt, to ply the ocean on a 130-foot yacht named Gene Machine and to indulge high-concept hobbies like sequencing the DNA of mathematical geniuses.

Gosh with geeks like these, we may not have use of a toilet in the future.

Gizz, with Blessings.

Obama Care Scares Diagnostic Medical Procedures

The image is from Doctor Wolfgang Morodor.

Obama care is hurting health care providers and patients.  We people in health care a trying to do our best with less resources.  I work in a small hospital now that I have retired from teaching, and our department cannot ask the ADMINS for money.  We have no money for upgrades for our imaging equipment.  How can we keep a Toshiba CT  chugging 24 hours a day without a service contract?  How can I keep my GE ultrasound machine going without some help?

Our imaging department is going to grind to dust if we cannot maintain a revenue stream.  Medical imaging is the back bone of any hospital.

Obama care is destroying health care for many reasons:  Number one is confusion.

Most Americans do NOT understand health care insurance.  It is too complex.  I agree.  co-pays etc, and Tier One Versus Tier Two.  They  sound like a Bill Cosby interview about rape.  Goorrroppsteryyerdrop.

Number two:  Health care is Expensive:

When you come to the ED, expect a hefty price.  Regardless of what your ailment is. Remember the first thing you do when you arrive in the ED with a sniffle is fork out your credit card.  Really sick people are just taken in and treated.  But the bill can cause a patients family horrible financial strife.

Number Three:  the Doctor treating you may not be a good doctor.

This is true in many settings.  There is no real good rating system for doctors. Many are slime molds festering under a gurney out to make a buck.  At your expense.  Many are great physicians willing to put a finger in your left ventricle where the bullet went, to keep you alive until the heart surgeon shows up.  ED Doctors are hard to judge, unless you work with them.  Some are morons who call CPS if you deny an expensive procedure, or drug for your child that is not necessary.   I work with one of those.  She is a terror.

Number four:  Medical imaging is expensive

Indeed.  Most hospitals rely on medical imaging to survive.  Ask the doctor why you need a CAT scan, when you fell down after you tripped on a rock.  Ask the doctor why you need an ultrasound when your gall bladder was removed 30 years ago.

Bless you all,  Here is a link for more information on how we all can better take care of our selves.

Health care reform and the shift from the fee-for-service to a value-based payment model will have a negative impact on the diagnostic imaging market in the U.S., according to a new report conducted by Decision Resources Group. Even though the elderly population is increasing and creating a greater need for diagnostic procedures, the market will only grow "modestly" through 2023.

The new payment model is transforming the radiology department from a profit center to a cost center for health care facilities, according to the report. Facilities will be taking a lot more consideration into what imaging procedures are appropriate, which means there will be a reduction in the number they perform.

Thanks Dot Med