reimaging transfer patients

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PERFECT
BENILDO TAVARES md
brenildo33 at uol.com.br
RIO DE JANEIRO BRASIL
----- Original Message ----- 
From: "McSwain, Norman E Jr." <nmcswai at tulane.edu>
To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Sent: Saturday, January 10, 2009 6:09 PM
Subject: RE: reimaging transfer patients


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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