Back in the day we would standardly do all FA injecions on all patients with the arm elevated to or above heart level. I think because the incidence of 'pooling' -and subsequent no/poor tranist- is so low, we have gotten away from this practice over the years. ________________________________________ From: optimal-bounce@xxxxxxxxxxxxx [optimal-bounce@xxxxxxxxxxxxx] on behalf of Joe Warnicki [warnickij@xxxxxxxxxxxxx] Sent: Monday, October 14, 2013 10:59 AM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: No infiltration...no Fluorescein Sorry this is late. Been out of town. This happen to me twice both with obese patients. At mid phases I spoke to the referring physician about it. With out a pause he said try raising the arm the dye might be pooling. I raised the arm and had a good early phase several minutes after the injection. With repeat tests we starting raising the arm if we saw any indications of poor early phases. Joe On 10/9/2013 9:39 AM, Egnatz, Thomas James wrote: > Thanks for posting those links, Tim. > > Tom > > Quoting "Bennett, Timothy" <tbennett1@xxxxxxxxxxx>: > >> Both of the mentioned JOP articles can be found here: >> >> http://www.opsweb.org/forums/posts.asp?topic=657644&; >> >> tim >> >> > >