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Pan scan

Caesar Ursic cmursic at gmail.com
Thu Apr 5 06:03:17 BST 2012


Never really understood the wisdom of requiring the radiologist, a virtual
clinician, to approve emergency studies deemed necessary by the doctors who
are actually assessing and evaluating the patient in the ER.  This was my
experience while I was in Australia, and it always bugged me a bit although
usually they would listen to reason and acquiesce. It may have been a cost
containment measure, borne out of frustration with too-liberal testing by
the ER.


On Tue, Feb 28, 2012 at 8:18 AM, <krin135 at aol.com> wrote:

> Estimated Gestational Age
>
>
> Charles S. Krin, DO
> Retired FM/EM/EMS Physician; Author and Educator
>
>
>
>
> -----Original Message-----
> From: Rob Ojala &lt;Rob.Ojala at cdhb.govt.nz&gt;
> To: Trauma-List [TRAUMA.ORG] &lt;trauma-list at trauma.org&gt;
> Sent: Tue, Feb 28, 2012 12:15 pm
> Subject: Re: Pan scan
>
>
>
>
> EGA??
>
>
>
> On 29/02/2012, at 1:15 AM, "Krin135 at aol.com" &lt;Krin135 at aol.com&gt;
> wrote:
>
> &gt; and sometimes getting the radiologist to cooperate was...interesting.
> &gt;
> &gt; I've had the interesting experience of one night working where I had
> a CT
> &gt; tech refuse to do a head/neck CT scan on a 17 yo pg female (where it
> was
> &gt; clearly  indicated- MVA, starred wind shield (wind screen for our Brit
> &gt; partners), largish  lump on her temple, and about 3 hours of amnesia
> (pre and
> post
> &gt; trauma) in the  face of a 13 GCS (-1 for eyes, -1 for verbal). EGA
> was around
> &gt; 30 weeks), while  the next night, I wanted a pelvic US on a female of
> &gt; similar age (positive  history of ovarian cysts, recent unprotected
> intercourse
> &gt; prior to last menstrual  cycle, RLQ pain/tenderness, low right sided
> mass on
> &gt; manual pelvic exam,  negative Beta hCG, clean urine and WBC of 14K-
> d/dx
> &gt; appy, ovarian cyst,  Tubal Ovarian Abcess), and got harassed by the
> radiologist
> &gt; for not wanting a CT  scan.
> &gt;
> &gt; Same radiologist on call both nights.
> &gt;
> &gt; ck
> &gt;
> &gt;
> &gt; In a message dated 02/27/12 23:12:18 Central Standard Time,
> &gt; seppelt at med.usyd.edu.au writes:
> &gt;
> &gt; My  child: no scan unless indicated. I would not willingly irradiate
> my
> &gt; child  with 10 - 20 mSv radiation unless there was a very clear
> reason to
> &gt; do so.  Leukaemia in 50 years time is something we must consider every
> &gt; time we  order one of these scans.
> &gt;
> &gt; Ian
> &gt;
> &gt;&gt; On 2/27/2012 9:21 PM, Jason  Cillo wrote:
> &gt;&gt;&gt;
> &gt;&gt;&gt; Consider - suppose the patient was your  child? What would
> you want?
> &gt;&gt;&gt;
> &gt;&gt;&gt; ...Jason
> &gt; --
> &gt; Dr Ian  Seppelt FANZCA FCICM
> &gt; Senior Specialist in Intensive Care Medicine
> &gt; Nepean  Hospital, Penrith NSW
> &gt; Sydney Medical School - Nepean, University of  Sydney
> &gt;
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-- 
'Twas brillig, and the slithy toves
Did gyre and gimble in the wabe:
All mimsy were the borogoves,
And the mome raths outgrabe.


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