How to really perform USG Doppler?
Posted: Thu Nov 05, 2009 4:23 am
Last week we managed to get the examination and USG in one of the best institutes for vascular and heart diseases in Slovakia. When I started explaining to one young doctor (angiologist) about CCSVI and showed him the report from Dr. Simka he was very surprised and decided to call all his colleagues to come down to him. (Well that was really funny, because I felt like an expert making a lecture for them, which I am definitely not). So like 4 doctors came down and after a discussion, mostly with one (probably head of the ambulance), we started the doppler examination. He was very sceptical about it. He was trying to find the same stenosis as Dr. Simka wrote in his report, that is (right jugular middle part has significant occlusion) and (left jugular in connection with branchiocephalic vein has pathologic valve).
He didn`t find anything and I couldn`t see anything neither. It was very hard at the moment to explain why, because my GF was in the same supine posititon as she was in Dr. Simka`s office and I can`t imagine what skills the doctor must have to make it right.
Dr Simka in his document says: The probe should apply minimal pressure to the skin, in order to prevent compression of a vein.
I saw that it is very easy to make a vein look compressed, but without that pressure the right jugular was ok from top to bottom.
So based on this story, for me the key to success is to find the stenosis. Is it present or not? And how can we prove that?
We won`t move further if there will be only 3 doctors on the world who can see the stenosed veins using Doppler.
He didn`t find anything and I couldn`t see anything neither. It was very hard at the moment to explain why, because my GF was in the same supine posititon as she was in Dr. Simka`s office and I can`t imagine what skills the doctor must have to make it right.
Dr Simka in his document says: The probe should apply minimal pressure to the skin, in order to prevent compression of a vein.
I saw that it is very easy to make a vein look compressed, but without that pressure the right jugular was ok from top to bottom.
So based on this story, for me the key to success is to find the stenosis. Is it present or not? And how can we prove that?
We won`t move further if there will be only 3 doctors on the world who can see the stenosed veins using Doppler.