Hi All so 3 or 4 vials of dye times 22.25.that is 89.00 dollars new
reinbersment in NY is 108.00 for a pt so the office makes 18.00 per pt
how are you the photographer getting paid ? So now we make
5.00 per hour who can live on that, let me know.
Jonathan Wilder
On Wed, Mar 08, 2017 at 03:31 PM, Paul Paquette wrote:
It's ironic that more than 1 thread on Optimal right now is expressing
concerns of the increase of NaFl costs & you guys are suggesting 3 or 4
vials for oral FA's. That's more than whats being reimbursed right
there!!
Also, Akorn & the other FORMER dye companies have done the math for you.
1 vial (2cc) of 25% is EXACTLY the same as 1 vial of (5cc) 10%
i.e. 2ml x 25% = 50, 5ml x 10% =50
So it doesn't matter if you use 3 vials of 25% or 3 vials of 10%, It's
the same.
Paul Paquette
-----Original Message-----
From: Sandor Ferenczy <sandorferenczy@xxxxxxxxx>
To: optimal <optimal@xxxxxxxxxxxxx>
Sent: Wed, Mar 8, 2017 9:13 am
Subject: [optimal] Re: Denice's cocktail for oral administration of
sodium fluorescein
25% concentration sodium fluorescein is a 2.5x higher concentration that
10% concentration sodium fluorescein.
so to get the same dose, 25% would be a volume 2.5x less than 5 cc.
5/2.5 = 2 cc
the actual dose you find appropriate for your camera can differ from
there.
-sandor
On Wed, Mar 8, 2017 at 6:03 AM, Patti Kish <photohomer@xxxxxxxxxxx
<mailto:photohomer@xxxxxxxxxxx> > wrote:
Thank you for response. We have a Optos California and I use 2.5cc of
10%, up the contrast and have excellent results.
If we would convert to 25%, how many cc's would be standard? We also
have an old Topcon.
Respectfully submitted,
Patti Kish, COT
From: optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx>
<optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx> > on
behalf of CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx
<mailto:cpmceyelab@xxxxxxxxxxxxxxxx> >
Sent: Tuesday, March 7, 2017 7:23 PM
To: optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Denice's cocktail for oral administration of
sodium fluorescein
You can read the literature
Personally, I haven’t used 10% in two decades
I prefer the higher concentrate 25% and lesser volume
I believe amongst imagers, this is the concensus
From: optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx
<mailto:optimal-bounce@xxxxxxxxxxxxx> ]
On Behalf Of Patti Kish
Sent: Tuesday, March 07, 2017 4:03 PM
To: optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Denice's cocktail for oral administration of
sodium fluorescein
Sorry 10% and definitely a "heavy" patient. Do you suggest that we use
25% instead?
Sincerely,
Patti Kish, COT
From:
optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx>
<optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx> > on
behalf of CPMC Ophthalmic Diagnostic Center <cpmceyelab@xxxxxxxxxxxxxxxx
<mailto:cpmceyelab@xxxxxxxxxxxxxxxx> >
Sent: Tuesday, March 7, 2017 6:59 PM
To:
optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Denice's cocktail for oral administration of
sodium fluorescein
Two or three vials! That must be a very heavy patient
Particularly if you are using 25%
I had my FIRST case of oral FA, impossible venipuncture, with 5 ML of
25% , well over the dosage required with a cSLO.
However, given her severe diabetes and no doubt compromised absorption
and/or blood barriers absolutely no dye at 45 minutes or even out to one
hour!
D.
From:
optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx
<mailto:optimal-bounce@xxxxxxxxxxxxx> ]
On Behalf Of Patti Kish
Sent: Tuesday, March 07, 2017 3:52 PM
To:
optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Denice's cocktail for oral administration of
sodium fluorescein
Greetings,
In our office we put two or three vials of sodium fluorescein in Pepsi
or diet Pepsi and shoot at about 15 minutes. Definitely would use a
straw or two to make the experience a better one.
Sincerely,
Patti Kish, COT
From:
optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx>
<optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx> > on
behalf of
lguerette@xxxxxxxxxxxxxxxxx <mailto:lguerette@xxxxxxxxxxxxxxxxx>
<lguerette@xxxxxxxxxxxxxxxxx <mailto:lguerette@xxxxxxxxxxxxxxxxx> >
Sent: Wednesday, March 1, 2017 4:32 PM
To:
optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Denice's cocktail for oral administration of
sodium fluorescein
Don't recommend orange juice - looks really bad in that.
what else is anyone using?
Lori
-----Original Message-----
From: "Michael Turano" <turano@xxxxxxxxx <mailto:turano@xxxxxxxxx> >
Sent: Wednesday, March 1, 2017 4:27pm
To:
optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Denice's cocktail for oral administration of
sodium fluorescein
Sprite is the best tasting soda mixed with NaFL.
Mike
__
Michael Turano
c. 917.826.9506 <tel:917.826.9506>
f. 917.591.1841 <tel:917.591.1841>
e. turano@xxxxxxxxx <mailto:turano@xxxxxxxxx>
Sent from my iPhone
On Mar 1, 2017, at 4:12 PM, Sara Morales <sjmorales13@xxxxxxxxx
<mailto:sjmorales13@xxxxxxxxx> > wrote:
Lori,
Two straws? We're a one straw office.
Sara
On Wed, Mar 1, 2017 at 4:04 PM,
lguerette@xxxxxxxxxxxxxxxxx <mailto:lguerette@xxxxxxxxxxxxxxxxx>
<lguerette@xxxxxxxxxxxxxxxxx <mailto:lguerette@xxxxxxxxxxxxxxxxx> >
wrote:
There's a great dosing guide for the 10% in Marshall's book - but most
generally my docs have me mix four vials into juice (somewhat disguises
the color
& taste) and two straws to really drink down fast.
Most times I'll try taking a base at 10 minutes (some of the young ones
have showing that early), but generally not until after 15 minutes.
Oral FAs are fine for the diabetics/AMD/..., but not for occlusions (no
earlies)
disco time!!!
Lori
-----Original Message-----
From: "Sara Morales" <sjmorales13@xxxxxxxxx
<mailto:sjmorales13@xxxxxxxxx> >
Sent: Wednesday, March 1, 2017 3:13pm
To:
optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: Denice's cocktail for oral administration of
sodium fluorescein
Denice,
Thanks for the cocktail recipe, I'll try it with fireball at my next
black light party. We have been using 4ml of 25% Fluorescein for oral
FA on the Optos. I like the idea of using
only 2ml. Any other opinions out there?
Sara Freeman Morales
On Wed, Mar 1, 2017 at 1:01 PM, CPMC Ophthalmic Diagnostic Center
<cpmceyelab@xxxxxxxxxxxxxxxx <mailto:cpmceyelab@xxxxxxxxxxxxxxxx> >
wrote:
I have been using oral FA for years- so many of our patients have
impossible venipuncture
Particularly, with the new cSLO instruments, the oral works particularly
well
25% 2cc ( or more, or less per weight of patient) into diet coke (
diabetics) or root beer ( non diabetics) hides the taste very well
Use a straw- the dye stains the teeth. Better yet, chug it like a shot
of whiskey. Hey, perhaps mixing it with Fireball is the answer!
Wait about 15 minutes ( less if younger, more if older) and you can get
very decent information.
Denice
From:
optimal-bounce@xxxxxxxxxxxxx <mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx
<mailto:optimal-bounce@xxxxxxxxxxxxx> ]
On Behalf Of wgraham6@xxxxxxxxxxxx <mailto:wgraham6@xxxxxxxxxxxx>
Sent: Wednesday, March 01, 2017 9:53 AM
To:
optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx>
Subject: [**External**] [optimal] Re: [optimal] AccuVein
WARNING:
This email originated outside of the Sutter Health email system!
DO NOT CLICK links if the sender is unknown and never provide your User
ID
or Password.
We have a few patients a year that are extremely hard or impossible to
stick. We will get out the vein finder but usually not very helpful. So
not
to torture these diabetic patients with more than my limit of sticks
oral FA is a great option. We use the Optos California and get amazing
images.
BJ Graham, CRA
Bjgrahamphoto@xxxxxxxxx <mailto:Bjgrahamphoto@xxxxxxxxx>
336-469-4951 <tel:(336)%20469-4951>
Sent from my Verizon HTC Smartphone
----- Reply message -----
From: "Sara Morales" <sjmorales13@xxxxxxxxx
<mailto:sjmorales13@xxxxxxxxx> >
To: <optimal@xxxxxxxxxxxxx <mailto:optimal@xxxxxxxxxxxxx> >
Subject: [optimal] AccuVein
Date: Wed, Mar 1, 2017 12:00 PM
Our department is looking to purchase a vein finder for those seemingly
impossible patients. I can't believe how expensive they are and need to
make sure
that they actually work on the difficult patients. Easy patients are
easy and I don't need a $5,000 device for them.. Do these devices work
well for the obese, dialysis patients, severe diabetics etc.
Sara Freeman Morales, CRA, OCT C
Scheie Eye Institute
Philadelphia, PA
