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David My personal feeling is that although it is now "test" time for the patient, society/technology has moved in a rapid direction. With that said, I am willing to tolerate the patient on the cell phone as long as it doesn't interfere with the exam. A carotid exam is definately out of the question. Any lower extremity exam I don't mind if they talk. I do tell the patient however that it is normally during the exam I explain to them the process, pathology, anatomy etc. And if they are on the phone that will be impossible. One thing I find hard to tolerate is a patient wanting to finish a call before we start the exam. A couple of minutes I can understand but longer than that is obviously not an emergent call. Overall, I have become more tolerant having an 8 and 6 year old. Mommy has to call daddy sometimes with emergent calls I have to take during an exam amdvi have never had a patient complain about that. I usually explain to them the vague nature of the call which normally leads to interesting and empathetic conversations about their children and grandchildren etc Gotta run ...... Phone ringing ;) D Doug Marcum RDMS,RDCS,RVT(APS) Advanced Ultrasound Consultants Elite Solutions for Vein Therapy/ Insufficiency Scanning and On-Site Education P: 321.231.2191 F: 407-971-4775 www.advancedusconsultants.com [log in to unmask] Sent from my iPhone On Apr 27, 2009, at 11:50 AM, "Williams, David M." <[log in to unmask] > wrote: To unsubscribe or search other topics on UVM Flownet link to: http://list.uvm.edu/archives/uvmflownet.html