Saturday, April 26, 2014

Point Of Care Ultrasound Revisited

We have discussed this topic before.  I have found an article which is well written and explains the logic regarding ultrasound testing to be performed in a physicians office, or clinic at the time a patient presents with symptoms in which diagnostic ultrasound will benefit.  The time when a doctor refers a patient to a large hospital for testing is seeing dusk.  There are many great points in the article regarding the value of  diagnostic ultrasound on site.  I will let the author discuss them.  I must mention the quality of these sonograms are very much influenced upon training and experience on the part of the sonographer and interpreting physician.

In today's medical practice environment where quality, patient care, cost and profitability are critical factors for success, physicians and practice managers are looking for different ways to deliver new and existing services to enhance practice performance and offer more value to patients. While there is no one silver bullet to improve performance, medical practices are investigating the service and economic benefits of onsite imaging.  Many have chosen to adopt onsite ultrasound imaging for the advantages offered to their practices and patients.

http://www.beckershospitalreview.com/hospital-physician-relationships/the-value-of-onsite-ancillary-imaging.html

Thank You Beckar Hospital Review

Tuesday, April 15, 2014

Healing Bones With Ultrasound

Here is a great article, and something I have prayed for a long time.  Healing broken bones.  Let me be specific:  speeding the healing of broken bones.  In 2004 I tried something stupid.  I tried to learn along with my family the precarious art of roller blading.
I failed.  I fell and broke the surgical neck of my left humerus, and required 3 surgeries, including bone grafts from my pelvis.  Needless to say the recovery was full of the usual drooling in an arm chair watching day time TV which is why our cats and dogs go crazy when you are at work.  No wonder they like the fuzz toys we bring them home from the store to cut down on the Prozac we medicate them with.  My wife and son were great in coddling Daddy while he healed.  I had a non-union fracture though,and required surgery to harvest bone from my ischium (Part of the pelvis bone rich in hemopoetic tissues).  This required further convalescence, as you may guess, and the physician finally ordered a "TENS unit".  This awkward magnet was strapped on my shoulder for weeks and was advertised to deliver magnetic waves to heal the bone.  Though I have no scientific evidence  it did not work, it was a hassle.  Bulky and uncomfortable, I am convinced my surgeon did better work than this device.  Perhaps the article I will post a header to will show us what ultrasound will do in the next few years.  I do not condone this device, nor am I being paid to promote it because I have not used it. It looks promising.

TJW

MISSISSAUGA, Ontario--()--Bioventus, a global leader in active orthopaedic healing, today announced that the next generation of its market-leading1 EXOGEN® Ultrasound Bone Healing System – including new compliance features and a healing progression Performance Guarantee – is now available in Canada.
“The release of the new EXOGEN device is exciting news for those of us who treat fractures on a regular basis. This technology has become a very useful tool for fracture treatment. The new Performance Guarantee is unprecedented and provides reassurance that Bioventus stands behind its product”
EXOGEN® – the clinically proven treatment for indicated* bone fractures – is a medical device that helps fractured bones heal.
  • EXOGEN uses safe, effective low-intensity pulsed ultrasound to help stimulate the body’s natural healing process2
  • It has an 86% heal rate for fractures not healing on their own3
  • EXOGEN offers 38% faster healing of fresh fractures4
Thanks Sonoworld and Exogen