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Sat Jan 10 20:09:27 GMT 2009

Sometimes they do and sometimes they do not, but a surgeon should never operate on a patient without reviewing the radiographs him(her) self. It is very helpful to do this review with a radiologist to be sure that everything is discussed

Norman

Norman McSwain Jr, MD FACS
Trauma Director Charity Hospital
Professor of Surgery
Tulane University School of Medicine
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Doc Holiday
Sent: Saturday, January 10, 2009 2:05 PM
To: .Trauma List
Subject: RE: reimaging transfer patients

From: joe.nemeth at mcgill.ca> What do people do regarding transferred patients coming in with imaging on CD and radiology refusing to read (cannot double dip, hence no pay, hence no read)...

--> Sorry. This might be a stupid question, so forgive a foreigner...
Don't the radiologists from the institution which created the images report them? Why not get them to send the report on the same CD?

> Do you rescan the patient only to have it now read by the happy radiologist?

--> I'd think that this would be criminal, as it amounts to irradiating a patient for money and no other benefit to the patient. If your system is so "lovely" that your radiologists will refuse and you are even thinking of this, then you should put the patient through a "dummy" scan without irradiation, bill it as a proper scan and THEN get the radiologist to report the original images and bill as if he's reporting new ones...

Then go take whatever you take to keep sane working in such a system...

> Do you have a system in place where imaging from outside can be accessed by your own radiologist, i.e. function on a same database system

--> I am not aware of ANY system which is unable to store images on CD for patient transfer. All modern ones are capable of image transfer via network, but your institutions must be properly connected and interfaced to receive these images, i.e. they need to be linked. But you could not buy a system nowadays which cannot be linked.
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reimaging transfer patients