Handheld ultrasound device is the future of all USG scanners. No wires, no more clutters. These devices are so user friendly, cozy and portable that any radiologist can hardly resist from getting one. We compare the best of them available in today.
1 Clarius Wireless Handheld Ultrasound Device
Clarius manufactures one of the most advanced handheld ultrasound device, which wirelessly streams data to most iOS and Android devices. You can see view live view on your iPad or Android screen with the help of a simple app. There is a cloud storage option also, and a digital library is just a touch away.
It has passed recently CE Mark approval for the commercial sale of the C3 and L7 Clarius Wireless Ultrasound Scanners for use by medical professionals. C3 Scanner is capable of multipurpose scanning of all parts of the patient’s torso, including the heart. The devices exhibit outstanding resolution with its convex array for abdominal and lung images. L7 is Linear Array Ultrasound Scanner and ideal for guiding procedures. Easy to sterilize and keep clean. One can easily get fine detail from 1 to 7 cms from L7. Both the devices come with full body metal jacket which gives a premium look. These devices have 45 minutes of active battery life and 7 plus hrs standby time.
The Doc's Rating
$6,900.00 for BW / $9,900.00 with Color Doppler
Ultimate Portability, Userfriendliness, Premium Look and feel, Cloud Storage, FDA CE Approved, Included Warranty
2 Philips Lumify App Based Handheld Ultrasound Device
Phillips Lumify handheld ultrasound probes are time tested device and connects to your tab or smartphone with a micro USB port. Its got a simple interface to manipulate and requires just an installation of the Lumify App. Lumify goes where you go, so you can start scanning without searching for equipment in the emergency department. It looks more or less like a standard ultrasound probe with a micro USB on the far end. Lumify doesn't need to be charged. Once connected, It is powered by your Android device. The Lumify app enables users to store scans, images and has the ability to share via email. It also has cloud based storage ability. The app only recognizes Lumify probes, and during first set up device registration is required. Unfortunately Lumify doesn't support iOS.
Lumify has three types of probes, S4-1, L12-4 and C5-2. Lumify S4-1 is suitable for Lung, Echo, Abdomen, Ob Gynae and FAST. Lumify L12-4 is meant for soft tissue, superficial, MSK and Vascular in addition to Lungs.
The Doc's Rating
Flexible pricing options starting at $199/month, with 12 & 24 month subscriptions
Portable Design, Flexible Pricing
Wired Connectivity, No support for iOS, Only available for distribution in the USA
3 Fujifilms Sonosite iViz Handheld Ultrasound Device
Unlike Claurius and Lumify, Fujifilm Sonosite is not compatible to Tab or Smartphones via apps. It comes with a 7 inch display system. The high-resolution touch screen and innovative thumb operated user interface helps the doctor quickly go through various modes and enables quick diagnosis. iViz supports a range of clinical applications, interchangeable transducers, and optimization controls allowing accurate assessment. The display unit can be easily held on left hand enabling the user operate with his thumb, while his right hand scans through the transducer.
Integrated Wi-Fi and Bluetooth connectivity allows iViz to connect to Hospital Medical IT Systems, Cloud Solutions or Patient Vital Sensors. There is a remotely diagnosing capability via secure cloud-based telemedicine solutions where patient information can be accessed iViz and send reports to the EMR, Other connectivity like Micro USB, HDMI ports, and audio ports allow iViz fully compatible to any other medical Info systems.
The Doc's Rating
Cloud Strage,Connectivity, Flexible Pricing, Telemedicine Functionality
Comes with a display unit, cannot go really mobile
4 Healcerion SONON 300L Handheld Ultrasound Machine
Healcerion’s SONON 300L, 300C and 300MC are another FDA approved product line in mobile ultrasound device compatible with iOS and Android technology. Quite a small to fit in your pocket and light enough to operate with two fingers. Just like Clarius it has Wifi (2.4GHz) connectivity and can be paired with an existing smartphone or tablet to conduct scans. The device has a 2600 mAh Li ion Rechargeable battery, which delivers amazing scan time of 1.2 hrs. The SONON mobile application supports both iOS and Android device and providers can scan patients and transmit images and recordings securely to any hospital via Wi-Fi, 3G, or LTE networks. SONON 300L is for MSK(Muscular-skeletal), Orthopedics, Vascular, Pediatrics, Sports medicine, Point of care, and Ultrasound-guided procedures. 300MC is basically designed for Veterinary, Pediatrics, Neonatal, Point of care, while 300L is only suitable for general and Ob Gyne.
The Doc's Rating
Wireless Connectivity, Compatible with any Smartphone or Tab, FDA approved
No Cloud, App is lacking in comparision
5 Mobisante MobiUS SP1 System Handheld Ultrasound Mobile
Mobisante's MobiUS is an irresistible deal when it comes to appearance and feel. MobiUS SP1 System comes with a 800×480 WVGA touchscreen that easily slips in pockets. Along with the probe it weighs 11.6 oz. only. It has 8GB internal storage and connects to PC or other devices via WiFi or PC sync. There is another option for 3G connectivity. The in built battery allows continuous scan time over 60 min. It supports two types of transducers 3.5 and 5.0 MHz which is for Abdominal, OB/Gyn and guidance procedures. The Second type is 7.5 and 12 MHz and suitable for vascular, guidance procedures, small organs. The product is FDA approved.
The Doc's Rating
Wireless Connectivity, Size, FDA approved
Low resolution display, No Cloud, Non compatible with other Smartphone or Tab,
LASIK is a surgical methodology that uses a laser to correct partial blindness, farsightedness and astigmatism. The LASIK surgery is done by an ophthalmologist who utilizes a laser to reshape the eye's cornea, keeping in mind the end goal to enhance visual acuity. For most patients, LASIK gives a lasting alternative to contact lenses or eyeglasses.
LASIK can likewise adjust astigmatism by smoothing an irregular cornea into a more usual shape. If you are thinking about LASIK eye surgery, your initial step is to pick a decent LASIK specialist who can assess whether LASIK is appropriate for you. Your LASIK specialist will analyze your eyes to decide their health, what sort of vision revision you need, and how much laser ablation is required.
LASIK is most like any other surgical remedial methodology, photo-refractive keratectomy (PRK). As per the year 2011, more than 11 million LASIK methods had been performed in the United States in 2009 more than 28 million have been performed around the world.
ELIGIBILITY FOR A LASIK EYE SURGERY:
LASIK surgery is a kind of refractive eye surgery. Amid the strategy, an eye specialist makes a flap in the cornea and later on uses a laser to reshape the cornea and correct the refractive issues in the eye. LASIK surgery is suitable for the individuals, who have a direct level of refractive error, causing:
Astigmatism, in which you see nearby objects, yet far off objects are hazy.
Farsightedness (hyperopia), in which you can see far things easily but nearby things is blurry.
A decent surgical result relies upon cautious assessment of your eyes before the surgery. To be qualified for LASIK surgery, potential applicants must meet the accompanying criteria:
AGE - Candidates must be no less than 18 years of age.
GENERAL HEALTH - LASIK applicants must be in good health and should not have certain medical issues, including uncontrolled diabetes, collagen vascular illness, or take any pharmaceutical.
EYE HEALTH - Candidates ought to be free of eye ailments including keratoconus, glaucoma and certain retinal and optic nerve diseases.
EYE INJURY - Patients should not have any eye diseases.
DRY EYE CONDITION - Patients should not persistently experience the ill effects of dry eyes.
STABLE VISION - The vision of the candidates must be steady for no less than one year prior to the procedure date.
CONTACTS - Prior to your LASIK surgery consultation and LASIK strategy, you should not wear contact lenses for a specific time. The exact length will be controlled by your specialist on an individual basis. This guarantees corneal soundness and precise evaluation of your prescription prior to the LASIK surgery methodology.
NURSING/PREGNANCY - Candidates should not be pregnant or nursing while experiencing the LASIK procedure. Hormones may influence the strength of your prescription, so pregnant or nursing ladies are not qualified to seek LASIK surgery until three menstrual cycles in the wake of nursing has been ceased.
These are some of the points which show if you can go for a LASIK eye surgery or not.
Via Lasik Eyes Surgery
Many operational considerations for MR imaging are similar to those for CT. Differences occur because of fringe magnetic fields, radio frequency shielding, geometry of the magnet bore, and lack of known biological hazard with MR imaging. The magnet is always on, especially in an MRI that is high-filled 1.5 Tesla or higher. This is so that the cooling of the superconducting magnet can take place and maintain an effective electromagnetic field for image acquisition. If there is some sort of incident or injury that requires a "quench" or purge of the coolant in order to turn off the magnet, the liquid helium must be vented quickly and safely directly into the atmosphere. This is why MRI machines are often on upper floors of hospitals, especially older hospitals. Liquid helium is super expensive and to quench and replenish takes time and lots of money. This is why you can also find videos on YouTube and such of people trying to pry office chairs out of an MRI with two by fours and other non ferrous items.
Ignoring Standard recommendations to setup an MRI machine not only caused malfunctioning or low quality imaging, its a life hazard. There were several instances in the recent past, when people and equipment were stuck inside MRI.
Nevertheless, a patient’s condition can deteriorate during MR imaging, requiring emergency intervention. MR imaging systems can interfere with both patient monitoring and cardiopulmonary resuscitation. Appropriate architectural and administrative measures can lessen these difficulties. The long, narrow magnet bore makes it difficult to observe the patient. Locating the operating console near the axis of the magnet provides a better, although still limited, view of the patient being scanned. Fringe magnetic fields may require location of the console relatively distant from the magnet. Magnetic shielding of the video display unit in the console can allow placement closer to the magnet. The window between the magnet room and control or console room usually requires RF shielding, which is often two layers of copper screen or perforated sheet. This shielding reduces patient visibility by light attenuation and by the distracting effect of Moire patterns and reflections. These problems can be reduced by appropriate window selection and attention to lighting details. Charge-coupled device (CCD) television cameras can be operated in relatively high magnetic fields and can be quite helpful in patient monitoring. Medical personnel and/or family members can remain near the patient to monitor or reassure the patient. The magnetic field within the scanner can affect or limit the performance of patient monitoring and communication equipment. For example, the magneto-hydrodynamic effect from flowing blood distorts electrocardiograph signals. Various solutions are being developed for these problems, such as using the main magnetic field as the field for a speaker or piping in sound via airline style head phones or providing a pneumatic squeeze bulb as a call button for the patient. Interfacing these devices with external systems is sometimes difficult. The operation of patient support equipment such as respirators, and infusion pumps can be affected near some types of magnets and other equipment such as stretchers, oxygen tanks and intravenous (IV) poles may be subjected to strong attractive forces near the magnet bore. These problems and difficulties with monitoring will make some patients inappropriate candidates for MR imaging until better solutions are found. MR lmager Site Planning Page 17 Cardiopulmonary resuscitation (CPR) is severely limited adjacent to some magnets because of the possible malfunction of CPR equipment in high fringe fields and the danger of ferromagnetic objects brought by the resuscitation team being attracted toward the magnet. The screening of arriving personnel for ferromagnetic objects is, of course, impossible. The usual solution is to remove the patient, by means of a non-ferromagnetic stretcher stationed in the scan room, to an area where CPR can be carried out. This area might be equipped with an emergency cart, monitors, oxygen and suction. Coordination of this phase of the design with the hospital’s CPR committee may be helpful. Means of preventing other personnel, who have responded to the emergency, from wandering into the magnet room during the activity surrounding CPR, should be considered. Useful means include distance, doors, warning signs and administrative procedures, such as training of the CPR team or assigning a member of the MR Imaging staff to close the magnet room door. Such situations necessitate a means of emergency shut down of the magnet. Claustrophobia and other forms of anxiety may interfere with imaging as well as patient comfort. Helpful solutions include good patient preparation, communication during scanning, someone remaining with the patient during scanning, disguising the intimidating appearance of the magnet, hiding the computer room from patient view, use of warm architectural finishes, keeping the magnet room size undramatic, disguising the vault-like appearance of the RF-shielded door, and making safety procedures and warning signs as nonthreatening as possible, consistent with adequate protection. The warm appearance of carpet must be weighed against the durability and maintenance advantages of traditional floors. Controlled access to the MR lmager suite is necessary because of possible harm to people with ferromagnetic medical implants and harm to people and equipment from unrestrained ferromagnetic objects in the vicinity of the magnet. A single entrance to the suite is helpful in this regard. Provision must be made for housekeeping personnel with floor polishers, for security personnel with keys, radios and guns, and for firemen with air tanks and axes. Non-ferromagnetic mops and buckets in a special closet or a built-in vacuum cleaner with plastic implements can be supplemented by direct supervision and/or training. If a special lock on the magnet door, which is not part of the hospital master key system, is used, emergency access to the key will be required.
Although it can be difficult to accept, physicians are at risk for the same challenges and illnesses as other people, including drug addiction. Anesthesiologists, in particular, have consistently been shown to have an unusually high rate of drug abuse compared to other physicians. A survey of 260 anesthesiologists from the Medical College of Wisconsin graduating between 1958 and 1988 reported that 32 percent used drugs to “get high” and 15.8 percent had been drug dependent.
Physician health programs (PHPs), which are responsible for managing and monitoring addicted physicians, report that anesthesiologists show up in their programs with substance abuse at approximately 2.5 times the rate of other specialties. Anesthesiologists have also been reported to be similarly over-represented in substance abuse treatment centers that specialize in treating physicians. As a result of the high rates of substance abuse among anesthesiologists, some disability insurance companies have even decided to discontinue coverage for anesthesiologists.
Why are anesthesiologists particularly vulnerable to drug abuse? Studies point to the following factors:
• The proximity to large quantities of addictive drugs
• The relative ease of diverting drugs for personal use
• A high-stress work environment
• Control-oriented personality
• Workplace exposure that sensitizes the brain to substance abuse
Drug Abuse Trends Among Anesthesiologists
Dr. Gregory Skipper, the former medical director of the Alabama Physician Health Program and current Director of Professional Health Services at Promises Treatment Centers, and colleagues completed a longitudinal cohort study involving 904 physicians consecutively admitted to one of 16 state physician health programs between 1995 and 2001. They analyzed a subset of the data involving 102 anesthesiologists and compared them with other physicians. The main outcome measures included relapse (defined as any unauthorized addictive substance use, including alcohol), return to anesthesiology practice, disciplinary actions, physician death and patient harm.
The researchers uncovered a number of drug use trends among anesthesiologists:
• The primary drug of choice among anesthesiologists is opioids, such as fentanyl, sufentanil, meperidine and morphine (whereas alcohol is the primary substance of abuse among other physicians).
• Anesthesiologists had a higher rate of IV drug use compared to other physicians (41 percent vs. 10 percent).
Treatment & Monitoring Help Addicted Anesthesiologists Successfully Return to Work
Although anesthesiologists are at increased risk of drug addiction, research suggests that they respond exceedingly well to drug rehabilitation treatment and long-term monitoring. PHPs have achieved remarkable outcomes with physicians and are equally effective for anesthesiologists. Most physicians managed and monitored by PHPs have reported 75 to 90 percent success rates five or more years after completing substance abuse treatment.
Despite these statistics, controversy remains surrounding anesthesiologists’ prognoses and ability to return to the operating room. Even with strict monitoring in place, some argue that anesthesiologists should not be permitted to return to anesthesiology practice after receiving substance abuse treatment. These conclusions stem from two poorly designed surveys of training program directors regarding substance-abusing residents, which reported very poor outcomes among addicted anesthesiologists.
In contrast, according to Dr. Skipper’s research, which is the first long-term outcome study based on actual data from records of anesthesiologists, most anesthesiologists can safely return to practice if certain safeguards are in place. In his study, anesthesiologists who were treated and monitored for substance use disorders under the supervision of PHPs had excellent outcomes similar to other physicians. At the end of the five-year follow-up period, 71 percent of anesthesiologists and 64 percent of nonanesthesiologists had completed their contracts and were no longer required to be monitored.
Although they face greater stigma, the research shows that anesthesiologists:
• Were less likely to fail a drug test during monitoring
• Were as likely to complete treatment and return to practice
• Experienced suicide risks, relapse rates and disciplinary rates that were no higher than other physicians
• Did not put their patients at risk of significant harm from relapse
Addiction Treatment for Addicted Anesthesiologists
Treatment for addicted anesthesiologists typically involves specialized drug rehabilitation programs that provide comprehensive assessments, intensive individual and group therapy for professionals, 12-Step support, and extensive aftercare and relapse prevention planning. Certain long-term monitoring measures have proven particularly effective in deterring substance abuse among anesthesiologists:
Long-acting natlrexone administration
Regular periodic hair testing (which is more accurate, particularly in detecting opioid abuse, than urine testing)
Enhanced security measures in and around the operating room (e.g., using witnesses for drug access and disposal, automated distribution devices, monitoring cameras, and spectrometric scanning of waste)
There is a growing body of evidence that the stigma against anesthesiologists returning to work is unwarranted. Although any incidence of overdose, suicide or patient harm is unacceptable, and re-entry must be handled on a case-by-case basis, studies show that addicted anesthesiologists who receive substance abuse treatment and are managed by PHPs have good long-term outcomes, on par with other physicians.
Image Source NurseTogether.com
Medical Miracles in Indian movies a common appearance. One in every 10 Indian movies patients are cured by super power, miracle medicines and God's blessings. But this one surpassed all the limits. Doctors, please brace yourself, many doctors have already 'committed suicide' and several left medicine forever after watching this. So, watch it at your own risk.
Hrudaya Kaleyam is a 2014 Telugu spoof action comedy film directed by Steven Shankar. It stars debutant Sampoornesh Babu in the lead role. The film revolves around Sampoornesh Babu, a petty thief who robs parts in electronic shops and why he robs electronic shops and departmental stores.The movie was considered a hit at Box Office.
Learn How to Make an Artificial heart:
Yes, you heard me.. An artificial heart is not tough to design. First you have to assess patients vitals by putting the stetho on forehead. Keep your tools ready before proceeding further
Human Anatomy Book
Physiology Book on Circulatory System
An true size heart image for measuring the dimensions
Other equipment like hex blade, knives, paints, welder, colors and chemicals
Once you are ready with these please follow the procedure as shown on this video:
Heart Implantation is Easy:
Transpiration or more correctly implantation part is rather easy. In the movie, the leading character couldn't perform it himself. However he assisted the doctors by throwing the heart accurately on to patients chest. Doctors did only the suturing and closure of the thorax. Don't miss the suturing procedure.
By : Mohit Khare
Deep within the bones, a place there was,
Small and packed, made for a cause.
My fathers, forefathers, had all worked here,
Leaving behind no chance for flaws.
I came to life on one fine night
And saw a huge megakaryocyte.
He said to me in his heavy voice,
‘Welcome! You are a leucocyte!’
In my home, marrow, I could see,
So many cells looking just like me.
All waiting on the brink of
A big pool of wandering RBCs.
Oh boy! I sure was scared to fight,
Those frightful bacteria and parasites.
But alas! I realised I had no choice,
For I was born a leucocyte.
So off I swam with all my friends,
In plasma, traversing loops and bends.
Along the path that was set for us
Giggling singing right till the end.
But one fateful day, things weren't fine.
Someone had smelt a cytokine.
Vigilant interleukins apprised us
‘Few bacteria have crossed the line!’
We braced ourselves, for it was time,
To unleash our powerful lyzozymes,
Which had been hungry for far too long,
All brimming with their lytic enzymes.
We scanned the blood from head to toe,
Searching for our deadly foe.
Ripping their bodies apart,
Till they had just no chance to grow.
We celebrated our Herculean win
But the bacteria had done their sin,
For I realised I had been hit
By their lethal endotoxin.
And thus ended my glorious fight
I knew I did my duty right
But limited time was all I had
For I was but a leucocyte