I hope everyone is doing well so far this semester! Deaconess is currently going through the process of implementing an electronic medical records system. So, there are lots of training activities going on throughout our department across all campuses. I am helping in the training, but I am also assisting in the CT and Diagnostic areas to make things a little easier while others are gone to class. I worked Friday at the Main Campus in CT. We had alot going on through the ER and also just general OP work. I worked on our 16 slice scanner and did most Emergency Room work. I had an elderly lady with a severe headache with a history of hypertension. The patient had no history of CVA, although looking at her images she definitely had a CVA in the past. The next patient was a patient who'd fallen from a ladder. We scanned her head and cervical spine with sagittal and coronal reformats. By the time I'd gotten back there, we'd finished our biopsy for the day. When our main interventionalist is gone our special procedure work tends to wane. We typically do a minimum of 2 procedures per day, but many days may do up to 5. Our latest addition that has become a little more routine for us is a CT guided liver ablation. I will try to get back there for the next one and scan for it so I can post a picture for you guys. They are extremely involved procedures that includes anesthesia and our cardiovascular short stay unit.
Susan Brumley
Saturday, September 26, 2009
Friday, September 18, 2009
Update on Clinicals 1

I hope your clinical time has been going well. I actually have a bit of a different role in my department. I am a supervisor, so I don't scan all day anymore. So, I take opportunities to actually schedule myself back in CT at either Deaconess Main Campus or Deaconess Gateway. This past weekend I worked at Gateway. It was actually a pretty routine shift. Lots of abdominal pains and stone protocols. The only thing that was of any major difficulty was a PE study on a mid-50's gentleman with stage IV lung cancer. He was not in good shape and it was a modified exam, to say the least. I've included a couple of images that might be of interest to someone. I scanned a gentleman who had a history of DVT/PE. He had an IVC filter placed. This picture is at the top of the blog. You can see the "white" around the inferior vena cava. This is one image showing the filter. Since we retro back at such thin intervals, you can get a great idea what this filter looks like. The second picture denotes a renal stone in a young female that caused a mild to moderate obstruction.
Susan Brumley
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