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Pan scan

Krin135 at aol.com Krin135 at aol.com
Fri Apr 6 12:59:29 BST 2012


which, back in the day of ghostly shadows being read in the darkness, might 
 have made some sense.
 
with modern imaging, it makes less sense.
 
ck
 
 
In a message dated 04/06/12 06:57:57 Central Daylight Time,  
trauma at emergencyunit.com writes:

No, it's  a power and turf issue. "My electrons, I decide who to bestow  
them
on."

-----Original Message-----
From:  trauma-list-bounces at trauma.org 
[mailto:trauma-list-bounces at trauma.org]
On  Behalf Of Caesar Ursic
Sent: 05 April 2012 06:03
To: Trauma-List  [TRAUMA.ORG]
Subject: Re: Pan scan

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;
> &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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