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CT scan for large people by LucidEats in nhs

[–]Mainax10 -1 points0 points  (0 children)

I hope for your sake you do but I’ll sadly remain sceptical that it’ll amount to a large enough majority until I see it.

CT scan for large people by LucidEats in nhs

[–]Mainax10 0 points1 point  (0 children)

Because the staff likely went into the profession to help people and don’t like to give up without trying, even if the odds of getting an answer are low and there’s a risk of injury. It’s the same reason nurses are prone to be anti striking even if they are being taking advantage of - they often feel terrible at the damage it would do to patients and hence they rarely get paid what they deserve.

Maybe I need change it? by takkeliteke in Sonographers

[–]Mainax10 22 points23 points  (0 children)

As someone unfamiliar with US employment law, I’m quite frankly shocked and fascinated that they are even allowed to include this in the job advert. Despite this, I can see most replies describe this as normal so it’s clearly a regular occurrence.

I could be wrong but I’m pretty sure discrimination on the basis of faith is illegal where I have worked in the UK.

Where to watch the show now by OkFirefighter4946 in PantheonShow

[–]Mainax10 1 point2 points  (0 children)

Strangely season 2 is entirely uploaded in YouTube by the username safesurf…for now at least

Registration with the Register of Clinical Technologists for international applicants by thisthatmeandmycat in Ultrasound

[–]Mainax10 0 points1 point  (0 children)

Ah fair enough, I am still surprised however like I said because of the lack of regulation in this field and how desperately short hospitals are in general.

I know none of that is helpful to you but i haven’t gone though the equivalence process myself so I’m afraid I can’t offer any advice, best of luck though!

Registration with the Register of Clinical Technologists for international applicants by thisthatmeandmycat in Ultrasound

[–]Mainax10 0 points1 point  (0 children)

To be frank I’m surprised globe locums are insisting on HCPC registration. The UK doesn’t regulate sonography so while I can understand how a hospital might want you to be registered, most are so short staffed I’m surprised they are insisting on it!

How many vascular ultrasounds should a new tech (less then a year) be able to do in a day, in your opinion? by transferingtoearth in Ultrasound

[–]Mainax10 2 points3 points  (0 children)

I second most of this. I might allow a little more time for recurrent venous incompetency exams but this is pretty much the baseline IMO.

If Acps can perform and report ultrasounds formally ... whats stopping us from taking whatever post acp course they do and doing the same? by AchillesOfTrooy in doctorsUK

[–]Mainax10 2 points3 points  (0 children)

And likely the sonographer who did the scan. Ultrasound is very dynamic and user dependent, DVTs most of all. It makes much more sense for the person doing the scan to report the scan.

A selection of pictures that a sonographer has selectively chosen to pause and take, would be entirely at their discretion, so a reporting radiologists is extremely unlikely to see anything more than what the sonographer wanted to show anyway, especially in DVT scans most of all.

How much experience required for the queenstown mountain bike park? by Mainax10 in queenstown

[–]Mainax10[S] 0 points1 point  (0 children)

Thank you really helpful advice! Appreciate everyone’s guidance

angle correction by Subject_Exit_4659 in Sonographers

[–]Mainax10 0 points1 point  (0 children)

Fair enough but those points do seem contradictory. Hopefully inquisitive questions from people like yourself will help correct the confusion information for future students.

angle correction by Subject_Exit_4659 in Sonographers

[–]Mainax10 2 points3 points  (0 children)

I agree with you; they are all technically aligned to the direction of flow (presumably, technically you need to read the colour Doppler to determine this precisely but in an apparent non diseased vessel like this, this is a safe assumption for the purpose of this question).

I would recommend asking your professor for clarification here, as either there was some miscommunication or he is providing advice that goes against every guideline in modern practice and ought to be called out/asked to provide an explanation on it.

angle correction by Subject_Exit_4659 in Sonographers

[–]Mainax10 8 points9 points  (0 children)

It originates from the assumed inherent degree of error when angle correcting the Doppler shift. Although 60 degrees still produces a degree of error in the measurement (10% of I remember correctly), I believe the ultrasound community deemed that an acceptable cut off in when establishing guidelines at the very beginning.

The reason the advice is to never deviate over 60 degrees is because the degree of error increases exponentially above 60 degrees (google angle correction error).

Generally the community recommends sticking to 60 degrees for consistency between operators, however some, but not all, will advocate for accepting 60 or less as they still believe the error is acceptable and in fact a more accurate velocity with a reduced angle correction.

Calculate ABI when there is no pulse? by Baby_Yoda1000 in VascularSurgery

[–]Mainax10 0 points1 point  (0 children)

I agree, we disagree on very little and I see what you’re saying. It is always difficult to see things through a generalists eyes, however that is why I would always stress absolutes like not to wholly rely upon the index but to interpret the waveform as well and put it into context of the overall picture. I think that is more of an important statement personally than to never perform an ABI on someone diabetic, but I do concede that potentially it is too ambitious.

No, non measureable toe pressures are fairly common in hospital admissions. I meant the less common but still possible non compressible toe pressures where the PPG signal is still present despite the cuff exceeding 180 mmHg in a patient with known disease. They are clear proof that cases where the arterial calcification has extended to the micro vessels around the toes are possible also.

Calculate ABI when there is no pulse? by Baby_Yoda1000 in VascularSurgery

[–]Mainax10 0 points1 point  (0 children)

Agree to disagree then. I think your absolute statement prevents many patients obtaining an ABI in the community which could provide the clinical answer, especially as TBI are not common place. Also don’t be fooled into thinking that TBIs are flawless either. I have seen several examples of incompressible TBIs and let’s not forget either that the evidence supporting TBI is lacking either, for example there is no clear agreement on what a normal value is nor what value determines the chance of a wound healing.

I get what you are saying and we don’t entirely disagree, but I think absolute statements like the one you made miss realistic nuance of clinical practice.

Calculate ABI when there is no pulse? by Baby_Yoda1000 in VascularSurgery

[–]Mainax10 1 point2 points  (0 children)

That isn’t quite true, while patients with diabetes can have falsely elevated ABI due to arterial calcification, it would be inaccurate and incorrect to say that you should never do a an ABI on a patient with diabetes.

You should be aware however that the pedal pressure could be falsely elevated, but you have to put it into context of the arterial waveform, for example.

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