On Wed, Oct 17, 2012 at 4:21 PM, Bill Johnson <[log in to unmask]> wrote:
> Bill Johnson, Port Townsend, WA
> Darn you Ann Marie, do you mean we should internally and eternally validate
> our findings? I suppose you also think we should compare our findings to
> those of angiography, MRI and CT exams of not just the CCA, but our
> abdominal and extremity exams as well? I suggest you are suggesting we
> learn more when we get it wrong and nothing when we get it right? Ok, maybe
> only I think that.
> I clearly remember being asked if we, well if I, could ever achieve 100%
> accuracy compared to angiography for internal carotid stenosis. Of course
> that would mean we made the same errors with the tests we were comparing our
> results, and no test is 100% accurate. Certainly not MRI or CT, but then we
> have to explain our “mistakes” and that takes time and causes headaches.
> I do not believe “quality assurance” assures quality. But having said that,
> I do not think quality can occur without critical thinking and comparing
> results to the best correlative studies available.
> I never learned anything when I got it right, but I have learned way more
> from my (admittedly few) mistakes. Bottom line? I endorse your message,
> and no, I am not running for office.
> I hope we, all in this profession, take the time to validate our criteria,
> and focus on what we can provide our patients. The best possible care we
> can provide.
> On Wed, Oct 17, 2012 at 2:16 PM, Ann Marie Kupinski <[log in to unmask]>
>> Yeah - this is likely the situation that the IAC is trying to prevent.
>> There are tons of interpreting physicians out there who think it is ok to
>> use the ICA criteria for the CCA. This is not ok.
>> However, if any lab has the QA data to back up using a particular velocity
>> grading system for the CCA, just present everything to the IAC to validate
>> what you are doing has been proven to be correct, then you are good to go!
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