Thanks Doug. Flow net can be a little exasperating. The way some people jump all over a poor soul makes me crazy. I’ve actually contacted people offline and had people contact me off line because we are so  weary of the battering we sometimes take.  But it’s ok, In addition to not using slings my mother never made me wear sunscreen so I’ve got a thick skinJ

Some of us take ourselves way to serious. It’s about an exchange of information not a condemnation of practices and protocols and certainly not ideas. But different strokes I guess.


From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Doug
Sent: Tuesday, February 08, 2011 3:22 PM
To: [log in to unmask]
Subject: Re: Venous Reflux and ICAVL requirements



I feel you, but I would never agree that these are not "long or complex". The problem is, these exams if done properly, ARE long and complex. Venous insufficiency isn't just GSV and SSV.  I know I'm preaching to the choir :). You even summarized by saying "ultrasound isn’t for everyone. It is a tedious, labor intensive job. Name one in healthcare that isn’t.". 

I do agree that we have to protect our bodies in the process.. Gotta run!  Searching eBay for panus sling ;)

Regards all



Doug Marcum


*Advanced Ultrasound Consultants

*Global Vein Solutions

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Sent from my iPhone

On Feb 8, 2011, at 3:00 PM, Nancy Williams <[log in to unmask]> wrote:

And this is why you people are so tied up in knots. I would think you could tell I was trying to lighten you up a little with my panus humor. But some of you just don’t seem like jovial people to me, but you know what they say about opinions J

So  here it is- you can keep crying about injury and trying to sell us your equipment or you can be advocates for common sense. Talk to your doctors, talk to your patients, talk to your technologists. For God’s sake use your heads. I need another $6,500.00 ergonomic table like I need a panus sling!  

These studies should not be long and complex. You are looking for reflux-not gold! Find your vein, map your vein, move on! You don’t get paid anymore for leaving your vertebra on the floor. Take care of your patients and take care of yourselves. And if you’re getting career ending injuries from doing an ultrasound than you are not doing something right. You’ve got to look out for yourself because it sounds like maybe your employers are not. I am very fortunate to not have that problem. My guys are awesome.

I am not trying to make light of on the job injuries, but to the man, every person I’ve ever known who injured themselves was doing something they knew was wrong! No matter how you slice it 140 pounds is never going to move 600! And as far as chronic injury goes, ultrasound isn’t for everyone. It is a tedious, labor intensive job. Name one in healthcare that isn’t.



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