Toes, Foot, Ankle, Calcaneus positioning

Posted on


Advertisements

11 thoughts on “Toes, Foot, Ankle, Calcaneus positioning

    group investing club said:
    August 14, 2014 at 10:56 am

    I cannot thank you enough for the blog.Really looking forward to read more. Want more.
    group investing club

    click here now said:
    August 7, 2014 at 3:59 pm

    Major thanks for the blog article.Thanks Again. Want more.
    online banner advertising

    research institute said:
    August 7, 2014 at 10:36 am

    Major thankies for the blog.Much thanks again. Fantastic.
    research institute

    utorrent free download The Expendables 3 said:
    August 6, 2014 at 5:05 pm

    Enjoyed every bit of your post.Really thank you! Really Cool.
    utorent.com free The Expendables 3 download

    click here said:
    July 31, 2014 at 4:27 pm

    Major thanks for the blog article.Much thanks again.
    click here

    happy friendship day sms said:
    July 31, 2014 at 2:39 pm

    I am so grateful for your blog.Thanks Again. Really Cool.
    Friendship Day SMS in Hindi

    what is the best tablet said:
    July 30, 2014 at 11:45 am

    Hey, thanks for the blog post.Thanks Again. Keep writing.
    what is the best tablet

    Tybash said:
    May 11, 2014 at 5:28 am

    Great blog.Much thanks again. Awesome.

    Expert Radiologist Ontario said:
    November 21, 2012 at 10:08 pm

    Thanks for the video! But the video quality is poor. Anyways, i could learn useful info. Keep posting more!

    Afton Pirone said:
    July 21, 2012 at 11:28 am

    Warning ! This message is for the webmaster , i see you have a great blog . But beleave it or not this site wont get you any cash i learned it the hard way . You Probably heard of this “Google spnipering thing” (not in BLogging) . I know Blogging is not bad if you are a great writer but wont it be better if you make 10x , 20x or maybe 50x more ! i cant give you all info here , if you are interrested join me here NOBODYSDEAD.COM feel free to contact me 😉

    Medical Radiology News said:
    July 20, 2012 at 11:19 am

    Spin the Wheel of Radiology Protocols

    By Eric Postal, MD | July 20, 2012

    ——————————————————————————–

    “The ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition.”

    Gosh, that sounds nice. I wonder how many clinicians out there know and/or care about this resource.
    Some are downright hostile to the notion of radiologists having input into the studies they order. They’ll tell you they know their patients, and shouldn’t have to explain themselves when they order what appears to be a particularly unhelpful protocol for the purported clinical history. Some of them will try to explain how “ER throughput” trumps the importance of performing the right exam for individual patients.

    They’ll further add that you, the radiologist, should have no problem making or ruling out the diagnosis of interest, no matter how their imaging choices have hamstrung you. Some will try to get academic, citing a study conducted by non-radiologists. I even had one try to tell me that the ACR’s criteria didn’t hold water because they were consensus statements, and not backed by rigorous, double-blinded claptrap.

    I’ve seen enough noncontrast chest CTs for “R/O PE” and pre/postcontrast full-body scans on preteens for “pain” to start wondering whether there’s any conscious decision making going on at all. At times, it seems downright random. Basic physics (about which, as radiologists, we know a thing or two) tells us that trying to impose order on entropy is an uphill battle. Instead, I suggest introducing a different type of randomness.

    Courtesy of roulette, the (fortunately) last Mad Max movie, and certain game shows, I propose the Wheel of Protocols. There can be a wheel for each body part. Sections on the Abdomen-CT wheel can be allocated for Noncontrast, PO only, IV only, PO/IV, etc. Not all sections need be equal; for instance, since even ER docs will agree that the need for a multiphasic liver scan is rare, that can be a thin sliver of the pie. Meanwhile, since noncontrast scans are really popular with clinicians, they’ll accept the wheel much more readily if that section is nice and thick, maybe a one-fifth section of the thing.

    To make things interesting, there can be a couple of sections like “Radiologist’s choice” and “Spin again.” Maybe even a “Jackpot” which grows a buck or two each spin. An overworked clinician might be willing to give up some perceived autonomy if there’s a chance of having his lunch paid for. (At least, that’s what we were told when reps stopped being allowed to give us meals or even pens.) The inducement might not be all that necessary — people like games. Especially if you dress things up with flashing lights and carnival tunes.

    Much like carnival attractions, of course we’d quietly give ourselves an edge. The wheel could have an adjustable bias to make it land on Radiologist’s Choice a little more frequently than it otherwise might. Not too much — mustn’t get caught. Maybe the bias could be adjusted based on which clinician was on-shift that day; if you see it’s going to be a particularly dopey NP, you might crank it up to get away with more chicanery.

    Even with a conservative setting, you might be able to pull off choosing the protocols on one in 10 of the studies coming to you from the ER. If you’re currently deciding on none of them, that’s a step in the right direction.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s