Its been my experience here in the States, California specifically, the ED docs
are generally using a hand held general Ultrasound with an 8 MHz probe which is
pretty useless for ophthalmology. You can get a general picture.
Also those Tegaderm patches would cost me 95.00 here in SF. Far more than the
procedure reimburses!
Denice Barsness, CRA, COMT, CDOS, FOPS
CPMC Dept of Ophthalmology/ The Eye Institute
Ophthalmic Diagnostic Services
711 Van Ness Avenue Suite 250
San Francisco CA 94109
415-600-5781
FAX 415-558-7011
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On ;
Behalf Of C VandenHoven
Sent: Thursday, January 09, 2020 5:40 PM
To: optimal@xxxxxxxxxxxxx
Subject: [**External**] [optimal] Re: Genteal Lubricants
WARNING: This email originated outside of the Sutter Health email system!
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The ER department tapes Tegaderm over the patients lid and uses regular
ultrasonic gel.
My guess is many of the ERs teach this technique at their joint meetings. Our
ER dept offers a fellowship in specifically Pediatric Emergency Medicine
Ultrasound and they all do this. Our radiology dept is none too impressed with
the ER POCUS (Point of Care US) performing us that is within their scope of
service.
IMO, the ER POCUS ultrasounds are redundant and delays the patient getting
what they really need...an ophthalmic assessment by a pediatric ophthalmologist
with an indirect etc.
Cynthia
On Tue, Jan 7, 2020 at 1:36 PM Camilo Martinez
<camilovmartinez@xxxxxxxxx<mailto:camilovmartinez@xxxxxxxxx>> wrote:
I’ve heard of some emergency departments using tegaderm on a closed lid so that
they can use aquasonic ultrasound gel. Does anyone here do this? Why/ why not?
Camilo Martinez
On Jan 7, 2020, at 12:34 PM, CPMC Ophthalmic Diagnostic Center (Redacted sender
cpmceyelab for DMARC)
<dmarc-noreply@xxxxxxxxxxxxx<mailto:dmarc-noreply@xxxxxxxxxxxxx>> wrote:
Ah, the mystery is solved. Genteal TEARS gel is not the same as GenTeal
Lubricant Eye Gel. For Ultrasound, the Tears Gel, while better than just
water or tears, is not the viscosity we have come to love and use.
D.
Denice Barsness, CRA, COMT, CDOS, FOPS
CPMC Dept of Ophthalmology/ The Eye Institute
Ophthalmic Diagnostic Services
711 Van Ness Avenue Suite 250
San Francisco CA 94109
415-600-5781
FAX 415-558-7011
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>] On
Behalf Of Cory Mangham
Sent: Tuesday, January 07, 2020 5:55 AM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>
Subject: [optimal] Re: [**External**] Re: ultrasound gel
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
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https://www.walmart.com/search/?query=genteal%20gel<https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.walmart.com%2Fsearch%2F%3Fquery%3Dgenteal%2520gel&data=02%7C01%7Cbarsned%40sutterhealth.org%7C87b0b76f139740751f9b08d7956e1c8b%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C637142172464698773&sdata=DTyf%2BeZ8nncU9Ti2b%2BTM1GQlL48mRnHBtuiBt1Gdywc%3D&reserved=0>
-cm
On Mon, Jan 6, 2020 at 6:51 PM Barsness, Denice
<dmarc-noreply@xxxxxxxxxxxxx<mailto:dmarc-noreply@xxxxxxxxxxxxx>> wrote:
Two cases of Genteal Gel, not expired, would be a unicorn. If someone has a
lead, I’m all ears
Denice Barsness, CRA, COMT, CDOS, FOPS
CPMC Dept of Ophthalmology/ The Eye Institute
Ophthalmic Diagnostic Services
711 Van Ness Avenue Suite 250
San Francisco CA 94109
415-600-5781
FAX 415-558-7011
From: optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>
[mailto:optimal-bounce@xxxxxxxxxxxxx<mailto:optimal-bounce@xxxxxxxxxxxxx>] On
Behalf Of Rob Winter
Sent: Monday, January 06, 2020 4:45 PM
To: optimal@xxxxxxxxxxxxx<mailto:optimal@xxxxxxxxxxxxx>; Barnett, Cullen
<Cullen.Barnett@xxxxxxxxxxx<mailto:Cullen.Barnett@xxxxxxxxxxx>>
Subject: [**External**] [optimal] Re: ultrasound gel
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.
Hi All I work for Natus - Sr.Int'l Clinical Specialist-RetCam/Vision.
Funny to see that you state Genteal Gel is on B/O as my wife ordered me 2
cases from her practice and I received them within
10 days of ordering...
RetCam Rob..
On January 6, 2020 at 4:24 PM "Barnett, Cullen"
<Cullen.Barnett@xxxxxxxxxxx<mailto:Cullen.Barnett@xxxxxxxxxxx>> wrote:
Hi Optimal,
My pharmacy is unable to order ANY gel for ultrasounds. Does anyone have any
suggestions as to where I might be able to order more? Otherwise, I think I may
have to go local pharmacies and buy any stock they might have.
Genteal Gel = “back order” (per our pharmacy)
Refresh liquigel = in stock but not viscous enough (personal preference)
Goniovisc = discontinued (per our pharmacy)
I’m reaching out to you because when I ask my pharmacy department has no
contingency. Your thoughts?
C.
--
<image002.jpg>
Cory Mangham CRA
Clinical Supervisor
801 West 38th Suite 200
Austin, TX 78705
www.aust<https://nam02.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.austinretina.com%2F&data=02%7C01%7Cbarsned%40sutterhealth.org%7C87b0b76f139740751f9b08d7956e1c8b%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C637142172464708764&sdata=HHoy1i4Yvy8FJmnfjvPmZJdvqkN6WLcfH9ZW%2BueR80Y%3D&reserved=0>inretina.co<https://nam02.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.austinretina.com%2F&data=02%7C01%7Cbarsned%40sutterhealth.org%7C87b0b76f139740751f9b08d7956e1c8b%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C637142172464718757&sdata=7G5V4NkMhlOdZq16c6ei8VW0NquGY6MJsBKso%2Bo9qPE%3D&reserved=0>m<https://nam02.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.austinretina.com%2F&data=02%7C01%7Cbarsned%40sutterhealth.org%7C87b0b76f139740751f9b08d7956e1c8b%7Caef453eadaa243e0be62818066e9ff63%7C0%7C0%7C637142172464728752&sdata=7PI89j4nFC7RoD2sB7jShAWnIM4HBiwQN0%2FaXwtqfMI%3D&reserved=0>
Tel: 512-451-0103 x 4163
Mobile: 512-299-0988
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