That is an impressive number! I am at near 40K in almost 15 years myself (actually have kept some loose track), and you have me beat by a mile! -j ________________________________ From: Eric Kegley <ekegley@xxxxxxxxxxxxxxxxx> To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx> Sent: Fri, June 10, 2011 11:55:08 PM Subject: [optimal] Re: When to remove needle I do ALOT!! :-) Eric Kegley, CRA, COA Retina Consultants of Houston 6560 Fannin St., #750 Houston, TX 77030 Sent from my Palm Pre on AT&T ________________________________ On Jun 10, 2011 9:57 PM, Michael R. Turano Jr. <turano@xxxxxxxxx> wrote: Or 20 for 9.25 years Or 40 for 4.625 years Math is fun. Michael R. Turano, Jr., CRA, OCT-C Imaging Specialist C 917.826.9506 F 917.591.1841 turano@xxxxxxxxx Sent from my iPhone On Jun 10, 2011, at 9:49 PM, Medphoms@xxxxxxx wrote: > Is that the right math? 60,000 is roughly 10 FA's every day for 18.5 > years. > > In a message dated 6/9/2011 3:16:25 P.M. Central Daylight Time, >ekegley@xxxxxxxxxxxxxxxxx writes: > > We typically "deneedle" the patient after the early phase of the angiogram, >approx. 1 minute after the start of the injection. I personally have done >close >to 60000 FA's without complications in the last 18.5 years. > > > EK > > > > Eric Kegley, CRA, COA > Retina Consultants of Houston > 6560 Fannin St., #750 > Houston, TX 77030 > Sent from my Palm Pre on AT&T > > On Jun 9, 2011 2:46 PM, Peterson John C <JPeterson@xxxxxxxxxxxx> wrote: > > You remove a butterfly needle once the syringe is empty because a butterfly >needle is not intended for extended placement. Two minutes seems not >unreasonable. We've had no problems taking it out right away, and our skittish >patients are happy to hear us say "needle's out!". Flinching has never been an >issue > > > Just my inflation-adjusted 3 cents.... > > ******** > John C. Peterson, BS, CRA > Director of Ophthalmic Photography Services > UW Health Eye Clinic > 2880 University Ave., Rm. 246 > Madison, WI 53705 > (608) 263-7163 > > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On >Behalf Of Ethan Priel > > Sent: Thursday, June 09, 2011 1:49 PM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] Re: When to remove needle > > Follks, > > We have been using metal butterflies for decades. Thousands a month. > > We use the plastic catheters for all first-timers, anyone with history of >allergy or serious medical conditions. > > > We NEVER take the needle out 'immediately' for the highly-intelligent reasons >listed earlier – > > > - Secure open vein in case > - Discomfort that can cause patient to balk (I guess the Bostonians > are >hardier stock) > > - If it ain't broke, don’t fix it. > > > Now, I think that the sharp is in the other court – > > WHY take the needle out right away ? > > Ethan > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On >Behalf Of Cavicchi, Robert > > Sent: 09 June, 2011 17:32 > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] Re: When to remove needle > > We use the same procedure as John describes below… > > Removal of the needle immediately following the injection and we don’t have > any >patient complaints about stinging/pain. > > > No problems acquiring the A-V phase either. > > bob > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On >Behalf Of Peterson John C > > Sent: Thursday, June 09, 2011 10:27 AM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] Re: When to remove needle > > We always remove the needle right away. I believe that some of the "ouch" you >describe is the sting from FA dye left in the needle. We routinely draw back a >bit of blood to clear the dye out of the needle bore. > > > No complaints from our patients so far. > > ******** > John C. Peterson, BS, CRA > Director of Ophthalmic Photography Services > UW Health Eye Clinic > 2880 University Ave., Rm. 246 > Madison, WI 53705 > (608) 263-7163 > > > From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On >Behalf Of Richard Morrone > > Sent: Thursday, June 09, 2011 9:14 AM > To: optimal@xxxxxxxxxxxxx > Subject: [optimal] When to remove needle > > Hello all, > > After decades of performing FA's I have recently received resistance from >nursing at one facility regarding my request that the nurse not >remove >the butterfly during the first minute or two so as not to distract the patient >during the rapid sequence of flashes in an FA. > > > I have had patients look down at the arm or be startled or even say "ouch!" >when the needle is pulled. Nursing does not believe that that would occur >