[optimal] Subject of Saving Money
- From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
- To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
- Date: Wed, 13 Aug 2014 09:50:11 -0700
I have been using 2.5cc’s of 25% for two decades
Once I went SLO with the Heidelberg I noticed, usually in cases where
extravasation happened and only 1cc of dye transmitted, that the images were
surprisingly good, depending on the patient.
I still use 2cc 25% for my Spectralis angiography; however, if I only get 1cc I
know that clinically, in general, the images are still useful and do not
warrant a reinjection.
I would not have said that in the past with a conventional fundus camera.
As I have said in the past, I embrace the concept of patient management for
nausea. Using 2.5cc’s has not been an issue with us. True emesis happens
maybe 4-5 times a year. I cannot even track those statistics they are so low.
Be professional but relaxed. Keep your patient relaxed. Do some slow deep
breathing. It works!
I never purposely only use 1cc to “save money” . Frankly, the solution isn’t
that much money to slice and dice it that way. Although, LOL, I HAVE seen
practices that cut their alcohol wipes in half! I guess that would fall into
this bucket
On that same note, I always use Genteal when performing immersion biometry.
Yes it costs more, but my patient’s are worth it. And it ain’t that much more…
come on!
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Gregory Hoffmeyer
Sent: Wednesday, August 13, 2014 09:17 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: Ophthalmic Lasers
There are several different companies in the world making various iterations of
"multi-spot" lasers - the legendary Zeiss being one of them.
I don't know how to post an original thread, but what is the with trend of only
injecting 1-2 cc's (10%) of FA dye using traditional fundus cameras ? I see
this almost everywhere I go, it is refreshing to come across a handful of
photographers doing it old school - though seemingly rare.
Is it cost - digital enhancement fallback - fear of nausea - what's up with
that ? I see many-a-syringes with 2-3ccs of dye getting chucked.
Cliff from "Cheers".
https://www.youtube.com/watch?v=6SFNW5F8K9Y
Prince tribute to George Harrison's "While My Guitar Gently Weeps"...
From: Darrin Landry
<darrin@xxxxxxxxxxxxxxxx<mailto:darrin@xxxxxxxxxxxxxxxx>>
To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>"
<optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>
Date: 08/13/2014 11:40 AM
Subject: [optimal] Re: Ophthalmic Lasers
Sent by:
<optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>>
________________________________
Forgive my ignorance, but isn't the Topcon Pascal the only pascal laser?
Darrin A Landry, CRA, OCT-C
Sent from my iPhone
On Aug 13, 2014, at 11:07, CPMC Ophthalmic Diagnostic Center
<cpmceyelab@xxxxxxxxxxxxxxxx<mailto:cpmceyelab@xxxxxxxxxxxxxxxx>> wrote:
I have been charged with finding the “best” PASCAL LASER
While this is not imaging related, those of you out there in an administrative
role, perhaps you might weigh in with me about your experiences with various
vendors?
Many thanks
Denice
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
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