As with even our diagnostic criteria's, all aspects of ultrasound should be
re evaluated and allowed a fresh look. Where would we be if the original
results (using the original equipment) for carotid duplex held the existing
judgment..... We would still be doing angio's on EVERY patient.
I agree with Dinah, before making a blanket judgment on previous history,
visit the environment for yourself.
As for the advertisement...
Marketing is a tricky business with very thin lines between truth and
imagination. Take the Philips big screen TV ad. At face value would lead you
to believe all those three people need in life is a couch and TV in a 8x5 ft
room. Give people credit for common sense. And if the practice has improved
the way Dinah describes, the ads just get them there, it sounds to me like
ample council regarding follow up is given to every patient.
Insurance companies do not pay for exams of asymptomatic patients, therefore
screenings would identify patients with disease, that with follow up by
conventional vascular labs COULD possibly save someone's life.
But, Out of curiosity Dinah, what equipment is currently being used by your
company? And I would suggest that the credentialing certificates of your
people be posted for the patients you scan to view.
Just my opinion,
Catherine Thomas, RDMS, RVT
From: UVM Flownet [mailto:[log in to unmask]]On Behalf Of Kelly
Sent: Saturday, August 12, 2000 9:11 AM
To: [log in to unmask]
Subject: Re: vascular screening company
I was asked to respond on camera to a news segment for a Charlotte
evening news program in 1998. They had attended one of the "screenings" and
videotaped the equipment and "technologists". The person performing the
screenings stated that they were registered on camera, however under further
prodding they admitted to being registered in another modality, not
vascular, however, they were REGISTRY ELIGIBLE. The manager (not sure if
that was his actual title) also stated when I called him pretending to be a
potential customer, that all persons were registered.......... by Ultrasound
Diagnostic School in Tampa, FLA. Now.......I don't think I am wrong, but I
don't believe that UDS is in the Ultrasound registry business. I think this
was a direct and intentional misleading statement to gain business.
Also, the examinations were performed with an ATL model which I had
never seen. Carotids were being performed with a 5MhZ sector cardiac
transducer. I timed one examination....from the start of gel on the neck,
the technologist exclaimed in all of 5 seconds that the patient was free of
disease since his number was under 100.
I had the pleasure of working with another sonographer who worked for
the company also prior to joining our facility, she joined our
echocardiography laboratory with NO registries. She obtained her RCS while
working with our facility. Her wishes were to cross train into our vascular
laboratory, so we obliged. Now this person had WORKED screening pts with
Life Line Screening. She had no idea what she was doing. We trained her for
a few months until she realized all that she did not know and gave it up.
She currently performs echo only.
As I stated earlier, most of this was in 1998. You stated that new
management has taken over and that the service is much better now. I think
that what you do could be a positive endeavor under proper management and
PROPERLY credentialed persons.
Our lab had also performed followups on clients that had attended Life
Line Screening examinations. At first the results were not correlating at
all (carotid only is what we were referred) but towards the end it was about
50/50. I haven't seen one in over a year now to comment on at this time.
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