Fall, 2009

Fall, 2009

President’s Message

Hello everyone! It is hard to believe that the holidays are around the corner.  With so many of us traveling this holiday season, enjoy the time with your families and be safe.

As you can probably tell our website has a new look. We are excited about the member login, this will allow you to register and pay online. The fall meeting was wonderful. I would like to thank all the attendees, vendors and speakers who made this meeting a success. Also, thank you to Christy Britt and Wendy Barnhardt for your hard work in planning the meeting.  The planning for the Spring Meeting is underway. We will be at the Sheraton Imperial in RTP, March 26th-28th   , 2010. We are going to be having some great lectures that are located locally. We are very fortunate to have such amazing medical facilities in the area. Please, come and join us.  Check the website for registration information after the New Year. Everyone have a great rest of 2009 and we will see you at the Spring Meeting!

As always, encourage your co-workers to join the society if they have not. Our success is dependent upon you. 

Allison Grant B.S.,RDMS 
North Carolina Ultrasound Society President 

The North Carolina Ultrasound Society is very proud to announce that we are “Going Green!”  We are keeping the society informed through our website and now through our on-line newsletter.  We as a society want to promote environmental protection and move forward with a “new” energy efficient project.  It’s all about a choice, and our society has chosen to make choices that are sustainable. We need to conserve resources for two reasons.  First of all we rely on many of them to survive, like trees, not only for shelter, but to create oxygen, and secondly we are running out of places to bury the waste. We have new landfills being built every year and we are limited on where they can go. On the East coast where the population is denser many states have two options, burn it and contribute to more air pollution or ship it to another state and pay a lot more for waste removal.  So, with all that said, we are letting you know that we are here to make a difference.  We are going to make changes in the world of ultrasound, with you the members, and we are going to make a difference in our world, with the conservation of our resources.
You’re a sonographer working through a typical day and you’ve just called for your next patient. You begin in your usual fashion; explaining the exam, providing instructions and asking questions pertaining to patient history when you notice your patient has a somewhat perplexed expression and you quickly realize your patient speaks little or no English. This is a scenario sonographers in the United States are finding themselves in more frequently as immigrant populations of various backgrounds, Hispanic in particular, continue to grow in this country. The United States Census Bureau survey of 2007 indicates that more than forty-five million Hispanics reside within the United States; making Spanish the second most commonly spoken language after English. With the number of Spanish-speaking patients increasing in medical facilities across the nation the need for medical professionals to have some basic Spanish language skills has also increased.  As a medical sonographer you have a responsibility to provide quality patient care, but how do you achieve this aim when a language barrier impedes communication?
Hypothyroidism is disease in which there is an imbalance in the thyroid hormones. This is imbalance is due to decreased production of TSH, which causes decreased production of thyroid hormone, this produces a number of signs and symptoms that the patient presents with. The cause of hypothyroid is varied from a diet deficiency of iodine to imbalance in pituitary glands hormones. The disease is treatable in most cases, however if left untreated it may produce problems that will not be treatable, and the patient will have to live with them for life. Ultrasound plays some role in the diagnosis hypothyroidism since the normal thyroid has a homogenous appearance any little abnormality can be seen on a sonogram. The final diagnosis is however made by putting the clinical picture together with the labs and sonographic images. Surgical intervention is needed for medically untreated disease.
Hashimoto’s Thyroiditis is an auto immune disease in which the body’s immune system attacks the thyroid gland and treats it like a foreign tissue. It is characterized by a number of characteristic signs, symptoms and laboratory tests which make a whole picture that helps make the diagnosis. The sonographic images are characteristic for Hashimoto’s thyroiditis and aid in the diagnosis. The disease is not life threatening and the hypothyroid symptoms can be controlled by medicines. (Rennet, 2004).
Color Doppler ultrasound is one of the most popular non-invasive procedures used to evaluate the flow volume in the vertebrals.  Other procedures include invasive or radionucleotide techniques (Hurcan et al. 2004 p.1484).  The article “Color Doppler Analysis of Vertebral Arteries Correlative Study With Angiographic Data” from The Journal of Ultrasound in Medicine compares Color Doppler data to angiography data in patients with flow restrictive stenosis at the carotid bifurcation.
Two-dimensional versus three-dimensional imaging, is one better than the other when assessing for mitral valve repairs?  The article “Three-dimensional Versus Two-dimensional Transesophageal Echocardiography in Mitral Valve Repair” found in the Journal of American Society of Echocardiography compares the effectiveness of diagnosing and identifying mitral valve regurgitation severity, location, and origin using both two-dimensional and three-dimensional transesophageal probes.  I chose this article because the use of three-dimensional echocardiography seems to be a hot topic not only in echocardiography labs but also in operating rooms throughout the medical world.
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