[optimal] Re: optimal Digest V5 #113 (Away Message)
- From: "Mindy Cole" <ColeM@xxxxxxxxxxx>
- To: <optimal@xxxxxxxxxxxxx>
- Date: Sat, 02 Aug 2014 01:09:09 -0400
I will be out of the office until Monday August 11, 2014. I will reply to your
email when I return. If you need immediate assistance please call the
Department of Ophthalmology at 315-464-5253.
>>> FreeLists Mailing List Manager <ecartis@xxxxxxxxxxxxx> 08/02/14 01:08 >>>
optimal Digest Fri, 01 Aug 2014 Volume: 05 Issue: 113
In This Issue:
[optimal] Re: optimal Digest V5 #112
[optimal] Re: optimal Digest V5 #112
[optimal] From Denice Barsness reactions to fluorescein
[optimal] Re: cleaning tips
[optimal] Re: cleaning tips
[optimal] Re: cleaning tips
[optimal] Re: cleaning tips
----------------------------------------------------------------------
Date: Fri, 01 Aug 2014 09:20:20 +0100
From: Alf <alfwhyte@xxxxxxxxxx>
Subject: [optimal] Re: optimal Digest V5 #112
Butterfly? Really? Is that because of price?
We always use a cannula. If something goes wrong we need a patent IV
entry. A butterfly just doesn't cut it. We haven't had an extravasion in
years using cannulas with a saline check before the push. No matter how
bad the doc/patient is veinwise. (is that a word?). BTW, half our docs
go immediately for the back of the hand. I don't like it, the patients
don't like it. I'd prefer antecubital too. Sometimes I have to hold the
patient's hand up, above heart level, to get the "rush" of fluorescein
entry.
Alf Whyte, Cork, Ireland.
> Date: Wed, 30 Jul 2014 09:36:17 -0400
> Subject: [optimal] Re: Fluorescein
> From: Stuart Alfred<stuart.alfred@xxxxxxxxx>
>
> We have gone to using half a dose per vial here on the majority of studies.
> Specifically, I use the Spectralis, 25% AK-FLUOR, 23 or 25 gauge
> butterfly, 30 degree objective, attempt to use antecubital vein at all
> times. My observation over the last . . . two weeks of using half dose is
> 1) full dose needed with 55 degree objective or patients over 200lbs, 2)
> 1cc/mL dye dissipates much more rapidly than 2 cc, so late phase images at
> 3:30-4 minutes. If patient is possible CSR I use full dose for lates at 8
> or 10 mins.
> My opinion: Annoying having to change an established, proven combination
> makes for less than optimal diagnostics! The nuances of our angiography on
> such a wide range of patients and pathologies screams 'little room for
> variability'. Changing this recipe makes me anxious.
> Respectfully,
> Stuart
>
>
>
---
This email is free from viruses and malware because avast! Antivirus protection
is active.
http://www.avast.com
------------------------------
Date: Fri, 1 Aug 2014 09:08:23 -0400
Subject: [optimal] Re: optimal Digest V5 #112
From: Stuart Alfred <stuart.alfred@xxxxxxxxx>
Hi Alf,
At our practice I do all my own injections. I certainly understand your
thinking regarding the cannula and respect it. Cost wasn't/isn't our
consideration. I think I will look into your suggestion and re evaluate.
We are a satellite office -in the suburbs etc.- so only rarely do we have
severely sick patients. Are you hospital connected? I haven't had an
adverse reaction aside from slight hives in years. We of course maintain an
emergency kit and have IED. Our physicians are quick to arrive when need
would arise. As id do all my own injections I maintain an above average
touch when it comes to avoiding extravasation. On average I study 7-12 FAs
a day with 20 OCTs. If I relied on the docs to perform my IVs I would go
crazy.
On Fri, Aug 1, 2014 at 4:20 AM, Alf <alfwhyte@xxxxxxxxxx> wrote:
> Butterfly? Really? Is that because of price?
>
> We always use a cannula. If something goes wrong we need a patent IV
> entry. A butterfly just doesn't cut it. We haven't had an extravasion in
> years using cannulas with a saline check before the push. No matter how bad
> the doc/patient is veinwise. (is that a word?). BTW, half our docs go
> immediately for the back of the hand. I don't like it, the patients don't
> like it. I'd prefer antecubital too. Sometimes I have to hold the patient's
> hand up, above heart level, to get the "rush" of fluorescein entry.
>
> Alf Whyte, Cork, Ireland.
>
> Date: Wed, 30 Jul 2014 09:36:17 -0400
>> Subject: [optimal] Re: Fluorescein
>> From: Stuart Alfred<stuart.alfred@xxxxxxxxx>
>>
>> We have gone to using half a dose per vial here on the majority of
>> studies.
>> Specifically, I use the Spectralis, 25% AK-FLUOR, 23 or 25 gauge
>> butterfly, 30 degree objective, attempt to use antecubital vein at all
>> times. My observation over the last . . . two weeks of using half dose
>> is
>> 1) full dose needed with 55 degree objective or patients over 200lbs, 2)
>> 1cc/mL dye dissipates much more rapidly than 2 cc, so late phase images
>> at
>> 3:30-4 minutes. If patient is possible CSR I use full dose for lates at 8
>> or 10 mins.
>> My opinion: Annoying having to change an established, proven combination
>> makes for less than optimal diagnostics! The nuances of our angiography
>> on
>> such a wide range of patients and pathologies screams 'little room for
>> variability'. Changing this recipe makes me anxious.
>> Respectfully,
>> Stuart
>>
>>
>>
>
> ---
> This email is free from viruses and malware because avast! Antivirus
> protection is active.
> http://www.avast.com
>
>
>
--
Stuart Alfred, CRA, OCT-*C*
*
cell 317 517-9455
528 N. Bauman St.
Indianapolis, IN 46214-3618
*
------------------------------
From: CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx>
Date: Fri, 1 Aug 2014 08:44:53 -0700
Subject: [optimal] From Denice Barsness reactions to fluorescein
Have been using 25% with straight 25g needle for years
No problems, great FA's
Spectralis exceedingly sensitive, often entire 2.5cc's not necessary
Our hospital PREFERS we not have crash kit= we have a code blue team on our
floor
Haven't had even emesis for years
Lucky me
Someday, someone will do a truly retrospective/prospective study to answer the
question at last
Why the variance in experiences, reactions
The last one done as old as my gray hair- even then, it was a very small
sampling done under less than scientific criteria
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 Stuart Alfred
Sent: Friday, August 01, 2014 06:08 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: optimal Digest V5 #112
Hi Alf,
At our practice I do all my own injections. I certainly understand your
thinking regarding the cannula and respect it. Cost wasn't/isn't our
consideration. I think I will look into your suggestion and re evaluate.
We are a satellite office -in the suburbs etc.- so only rarely do we have
severely sick patients. Are you hospital connected? I haven't had an adverse
reaction aside from slight hives in years. We of course maintain an emergency
kit and have IED. Our physicians are quick to arrive when need would arise.
As id do all my own injections I maintain an above average touch when it comes
to avoiding extravasation. On average I study 7-12 FAs a day with 20 OCTs. If
I relied on the docs to perform my IVs I would go crazy.
On Fri, Aug 1, 2014 at 4:20 AM, Alf
<alfwhyte@xxxxxxxxxx<mailto:alfwhyte@xxxxxxxxxx>> wrote:
Butterfly? Really? Is that because of price?
We always use a cannula. If something goes wrong we need a patent IV entry. A
butterfly just doesn't cut it. We haven't had an extravasion in years using
cannulas with a saline check before the push. No matter how bad the doc/patient
is veinwise. (is that a word?). BTW, half our docs go immediately for the back
of the hand. I don't like it, the patients don't like it. I'd prefer
antecubital too. Sometimes I have to hold the patient's hand up, above heart
level, to get the "rush" of fluorescein entry.
Alf Whyte, Cork, Ireland.
Date: Wed, 30 Jul 2014 09:36:17 -0400
Subject: [optimal] Re: Fluorescein
From: Stuart Alfred<stuart.alfred@xxxxxxxxx<mailto:stuart.alfred@xxxxxxxxx>>
We have gone to using half a dose per vial here on the majority of studies.
Specifically, I use the Spectralis, 25% AK-FLUOR, 23 or 25 gauge
butterfly, 30 degree objective, attempt to use antecubital vein at all
times. My observation over the last . . . two weeks of using half dose is
1) full dose needed with 55 degree objective or patients over 200lbs, 2)
1cc/mL dye dissipates much more rapidly than 2 cc, so late phase images at
3:30-4 minutes. If patient is possible CSR I use full dose for lates at 8
or 10 mins.
My opinion: Annoying having to change an established, proven combination
makes for less than optimal diagnostics! The nuances of our angiography on
such a wide range of patients and pathologies screams 'little room for
variability'. Changing this recipe makes me anxious.
Respectfully,
Stuart
---
This email is free from viruses and malware because avast! Antivirus protection
is active.
http://www.avast.com
--
Stuart Alfred, CRA, OCT-*C*
*
cell 317 517-9455
528 N. Bauman St.
Indianapolis, IN 46214-3618
*
------------------------------
From: "Steffens, Timothy" <tjsteffe@xxxxxxxxxxxxx>
Subject: [optimal] Re: cleaning tips
Date: Fri, 1 Aug 2014 19:48:02 +0000
Treat it with hair spray.
From: Darrin Landry <darrin@xxxxxxxxxxxxxxxx<mailto:darrin@xxxxxxxxxxxxxxxx>>
Reply-To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>"
<optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>
Date: Thu, 31 Jul 2014 19:06:00 -0400
To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>"
<optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>
Subject: [optimal] cleaning tips
So here's a thread that hasn't been started in a while.
What do you use to clean fluorescein and/or ICG out of clothing? I was so
excited to have ICG again today that I made a made a mess.
I've used a combination of detergent/baking soda/goo-gone/cold water in the
past, with mixed results depending on the fabric.
What have you tried, or what works for you?
[cid:D8D17C63-FF46-4A4B-8A0D-5C7A06CB84B4@maine.rr.com]
Cheers,
Darrin
Darrin Landry, CRA. OCT-C
Ophthalmic Consultant
Bryson Taylor Inc.
www.brysontaylorpublishing.com<http://www.brysontaylorpublishing.com>
**********************************************************
Electronic Mail is not secure, may not be read every day, and should not be
used for urgent or sensitive issues
------------------------------
From: "Sanchez, Andres" <sancheza6@xxxxxxxxxxx>
Subject: [optimal] Re: cleaning tips
Date: Fri, 1 Aug 2014 21:30:04 +0000
There you go. photoshop did the trick!!
Andy Sanchez, COA
Ophthalmic Photographer
210-358-7631
Eye Clinic-TDI
701 S. Zarzamora
San Antonio, TX 78207
Sancheza6@xxxxxxxxxxx
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Steffens, Timothy
Sent: Friday, August 01, 2014 2:48 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: cleaning tips
Treat it with hair spray.
From: Darrin Landry <darrin@xxxxxxxxxxxxxxxx<mailto:darrin@xxxxxxxxxxxxxxxx>>
Reply-To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>"
<optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>
Date: Thu, 31 Jul 2014 19:06:00 -0400
To: "optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>"
<optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>>
Subject: [optimal] cleaning tips
So here's a thread that hasn't been started in a while.
What do you use to clean fluorescein and/or ICG out of clothing? I was so
excited to have ICG again today that I made a made a mess.
I've used a combination of detergent/baking soda/goo-gone/cold water in the
past, with mixed results depending on the fabric.
What have you tried, or what works for you?
Cheers,
Darrin
Darrin Landry, CRA. OCT-C
Ophthalmic Consultant
Bryson Taylor Inc.
www.brysontaylorpublishing.com<http://www.brysontaylorpublishing.com>
**********************************************************
Electronic Mail is not secure, may not be read every day, and should not be
used for urgent or sensitive issues
------------------------------
Subject: [optimal] Re: cleaning tips
From: Michael Turano <turano@xxxxxxxxx>
Date: Fri, 1 Aug 2014 18:14:08 -0400
Best post on optimal in months.
Michael Turano
C 856.340.5675
C 917.826.9506
F 917.591.1841
Sent from my iPhone
On Aug 1, 2014, at 5:30 PM, "Sanchez, Andres" <sancheza6@xxxxxxxxxxx> wrote:
There you go. photoshop did the trick!!
Andy Sanchez, COA
Ophthalmic Photographer
210-358-7631
Eye Clinic-TDI
701 S. Zarzamora
San Antonio, TX 78207
Sancheza6@xxxxxxxxxxx
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Steffens, Timothy
Sent: Friday, August 01, 2014 2:48 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: cleaning tips
Treat it with hair spray.
From: Darrin Landry <darrin@xxxxxxxxxxxxxxxx>
Reply-To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Date: Thu, 31 Jul 2014 19:06:00 -0400
To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
Subject: [optimal] cleaning tips
So here's a thread that hasn't been started in a while.
What do you use to clean fluorescein and/or ICG out of clothing? I was so
excited to have ICG again today that I made a made a mess.
I've used a combination of detergent/baking soda/goo-gone/cold water in the
past, with mixed results depending on the fabric.
What have you tried, or what works for you?
Cheers,
Darrin
Darrin Landry, CRA. OCT-C
Ophthalmic Consultant
Bryson Taylor Inc.
www.brysontaylorpublishing.com
**********************************************************
Electronic Mail is not secure, may not be read every day, and should not be
used for urgent or sensitive issues
<PastedGraphic-1.jpg>
------------------------------
From: Sandee McLaughlin <SMcLaughlin@xxxxxxxxx>
Subject: [optimal] Re: cleaning tips
Date: Fri, 1 Aug 2014 22:37:18 +0000
"w^yØ-Á«ÿEë(–÷¬y鬶‹Z‘騲ׯz¼-†)à¢ëÿ'k¢§=êèÆ'^µ©²+hºÚqªézÜ"¶.¶«š)àr‰h®Šßiºâsñòvº
zs*®ŒbuëZ‘ë(ºÖ墇m¢„š*×*I©*yã-«
†X§ü$@ü#“*D‘¡É22‹§µ¨§'‚z{^¬8«yËh®‡Ò¥ç"jSë¡Ç*º*¬ïMzËJz{LŠË(ºVÿ2*}óMÿãNÿç*ÿß*6º&*ŠmŠf¥*º.*Çÿ~**–+-³ú+ƒùšŠ[h*ŠmŠf¥*º.*Çÿ~**–+-³ú+ƒó§èZ*ó*2'!iéSº¶§¡'§*ñk‰Ö²ü
ºËt×*´×*ÿ׃ÌN*è|Ø|j_ß-祊Ël*ŠàJæãyËÿ*ŠmŠf¥*ÿrWš*)à¶*lë-|‹-¢z)¶)š–)æ¢{a³ó"r**;«jzó*ÿß*ÿç®ù*{ÿͺÿ*tè_uï*}×*|ãT**×ë¢i²*øh*ã§è5ÿm5ãö-ç*ô<ÏÿI©Ü…ìÿwkzÏÿ±©Ü…ìÚëû-†Ç,k÷*»ùšŠ[h*Ƨr³k¯î¶±¯*vïÿº-{ôáz*²¢è(*˜h¶‹!¢—bvØ^¶*œ“ÿÀ*Ü’jw!{?Â8©†ØZ–hœ>-¢
Ú|«Û]ÿß*ÿï-õ'‚–)âsôÃ#½5KöZ¯6|¢¶’jp'¶‰â£ô×ïÍ´í&§r³k¯î¶±¯*vïæj)m£ôš*È^Í®ÿºØlrÆÿyÛÿº&*ŠmŠf¥*º.*Çÿ~**–+-³ú+ƒùšŠ[h*ŠmŠf¥*º.*Çÿ~**–+-³ú+ƒÿæj)m£ú)¶)š—öèºw*ú*zX¬¶Ïè®Îœ¡jWÎ}+^}÷§³ôâš‹aÉ'§*ñk‰Ö²ü
ºËt×*´×*ÿãÃÌN*è|Ø|j_ß-祊Ël*Šà*f¢–Úÿ¢›b™©ÿ~**–+-³ú+ƒô®n7œ*ÿè|Ø|j_Ñ{÷%y©â*b|Äëy«b*-†¢®Êkk/Å®‰ÿªëŠrÚ*Úò*Ö«®)ÿn¼¬¢{ZÊZ+*Ê&*f¢–ÚÿuªëŠÛ¯+(*Ö²–Šÿr‰ÿ*©—/Ó£ÿè|Ø|j_ß-祊Ël*Šà*f¢–Úÿ¢›b™©ÿ~**–+-³ú+ƒÿÿ¢›b™©ÿ~**–+-³ú+ƒùšŠ[h*ŠmŠf¥*ú*zX¬¶Ïè®ÿ«^*8nÿ}Iº]´×*}ÿNÿÓOôãM£ÿè|Ø|j_ß-祊Ël*Šà*f¢–Úÿ¢›b™©ÿ~**–+-³ú+ƒÿÿ¢›b™©ÿ~**–+-³ú+ƒùšŠ[h*ŠmŠf¥*ú*zX¬¶Ïè®ÿJæãyËÿ*ŠmŠf¥*É^jx§‚Ø©±*!z*ÿ±«a-æ*¶-…«'*Ö*z{-j»^v)ÚÂ¥{õ¡j×hÊ‹®±ëhrWš*ùn¢*¬qè§jw¢²‹-¡÷%¢Øb*ÈÁ«,¡ì\Š×*¶*Z½â¨Š{hu¬-…«H™§^jf*y©*²ÏÈ*÷®±çZr‰›Šv-Š‰è}×-z**ßÛjH§‚Êkø(£ø(*ïÜ¢Wpj׫Š{az–¬*ü"¶¢ÅçkzË¥¶Ç^¥é*Šx(*Ø^}|ë‰ÏÖ…«aj÷²¢ëk‰çÿ¢¼!jÜ(®K¢¼¨»*¡yêìü6«®)Ãjºâœ¶§v¼ÿ
ÿ8$ÿêa¶¥š'¢{.–Ö§´ò²‰Ók)h¬‰Üÿ
0*ºò²‰ík)h®››–+!Šxÿr‰ÿ†Ûiÿÿ*ÃÛ¯+(*Ö²–Šé¹¹b²§ƒ÷(›ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿWœ¶º'‰ÃŠX¬*‹lyË«{ùšÊz-mê*iׯz¼*k/Ú*Û!¢é]*‹[zëuú+º**Ú+±éìŠØ¯z+
,¹ëÿ=«-yÑ«j˜bs*ÿ*˜ÿ
------------------------------
End of optimal Digest V5 #113
*****************************
Other related posts:
- » [optimal] Re: optimal Digest V5 #113 (Away Message) - Mindy Cole
