esta wrote:...i know it's a simple blood flow ck, they don't have to have the zamboni protocal do they?
I do not believe that the Zamboni protocol is critical for follow-up. What we want to see is a) is there flow? b) is there stenosis? (if you familiarize yourself with DUS, you can see the stenoses. Engage the technician to show and tell, they love to share) c) is there turbulence? (very obvious on colour Doppler US). There are also above line/below line graphs that show direction of flow, and speed of flow.
I had a pretty concise DUS (twice) at local ER and hospital, to rule out possible clotting (there was no clot). On the disc provided (FOIA - your right to your records), stenoses, funky valves, reverse flow, turbulence, are clear. The difference is that the "Zamboni" DUS was 93 images, the hospital/ER was 18 images. Qu'elle difference? I know I have CCSVI, and don't need diagnosis. I know that I am re-stenosed - my symptoms tell me that.
I am not entirely sure of what follow-up should be. Is it to check for clots?, Re-stenosis? Flow? I can see that it might be less straight-forward if you have a stent, like esta, and others,, but if it has just been angioplasty, I don't see the requirement for a specialist follow-up, other than for database information, and that can easily be shared electronically. Even with a stent, what specific examinations are needed by US? Flow and re-stenosis, I presume. The Zamboni protocol would not provision for stents in any case, as he does not use them. Surely, one does not need to travel for follow-up ultra-sound examinations. and False Creek charged $500 for it. Try getting your GP to Rx US, or go to ER and say that you think you have clots. They should/will take it seriously.
My name is not really Johnson. MSed up since 1993