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Date: Thu, 20 Apr 2000 07:15:35 -0700
To: "Gatto, Richard RG SCC" <RG982309@MS*.SH*.CO*>
From: "Kevin Connell" <kevin@nw*.co*>
Subject: RE: Pictures of PFO's
Cc: techdiver@aquanaut.com
Oops, that wasn't what I wanted to say - I meant to say someone trained in 
it, it doesn't need to be a cardiologist specifically, and that will make 
the procedure less expensive.

Like I said about the TEE, its overkill, I got screwed.  I guess I could 
sue for malpractice, but, you, know, that isn't my style.

At 09:11 AM 4/20/2000 -0500, you wrote:
>The incorrect part is that "any knowledgeable doctor" can do it.
>
>Thanks,
>              Rick
>
>rggatto@sh*.co*
>
>         "The game consists of figuring out what the game is..."
>
> > -----Original Message-----
> > From: Kevin Connell [SMTP:kevin@nw*.co*]
> > Sent: Thursday, April 20, 2000 9:04 AM
> > To:   Gatto, Richard RG SCC
> > Subject:      RE: Pictures of PFO's
> >
> > What is incorrect?  That an MD can do it?
> >
> > At 06:52 AM 4/20/2000 -0500, you wrote:
> > >         Incorrect info... My wife does this (Echocardiograms, Doppler,
> > >Stress tests, etc) for a living at one of the largest heart
> > >centers/hospitals in Houston. The correct info would be that a good
> > >cardiologist could do it. My wife helps teach cardiac fellows the
> > technique
> > >and procedures, many will never be worth a shit at scanning. The idea is
> > to
> > >make them familiar with the technique. They are mainly taught to read the
> > >echo not perform it. While some excel and practice enough to stay
> > >proficient, most farm out the work to the people who do it every day.
> > >         Why were you given a TEE instead? This is normally a secondary
> > move
> > >after failing to get good images through the chest. That is common with
> > >mainly two groups of people, the very thin and the very fat. You can also
> > >throw some of the short stocky guys in with that group.
> > >         And to answer your next question, Yes, I do get my tests when
> > ever I
> > >want them.
> > >
> > >Thanks,
> > >              Rick
> > >
> > >rggatto@sh*.co*
> > >
> > >         "The game consists of figuring out what the game is..."
> > >
> > > > -----Original Message-----
> > > > From: Kevin Connell [SMTP:kevin@nw*.co*]
> > > > Sent: Wednesday, April 19, 2000 11:13 PM
> > > > To:   Sean M.Cary; Quest Tech List
> > > > Subject:      Re: Pictures of PFO's
> > > >
> > > > As you've probably heard me complain before, When i got mine done, I
> > got
> > > > suckered into getting a trans-esophageal echo cardiogram w/ bubble
> > > > contrast, which is done by a cardiologist, while you are an outpatient
> > on
> > > > demerol, and costs about $1100.00.  My insurance at that time did not
> > > > cover
> > > > it, but I had really cheap blue cross at the time....  I think decent
> > HMO
> > > > covereage would cover it.
> > > >
> > > > I have since found out that any knowledgeable md can do it with an
> > > > ultrasound like machine for only a couple hundred.  In the HMO
> > situation,
> > > > it is *key* to have a good working relationship with your MD so that
> > > > he/she
> > > > will be more than happy to refer you to a diving specialist .  Since I
> > > > never see the doctor, I just made the local diving doc my PCP, so that
> > > > works out good despite the fact he is more than an hour away. It all
> > comes
> > > >
> > > > down to the referral.
> > > >
> > > > Besided, didn't you read business week about a month ago?  Managed
> > Care is
> > > >
> > > > dead.
> > > >
> > > >
> >
> >
> > ----------------------------------
> >   Kevin Connell <kevin@nw*.co*>
> >
> >   NW Labor Systems, Inc
> >   http://www.nwls.com
> >
> >   *I* moved your cheese.
> >
> >
> > ----------------------------------


----------------------------------
  Kevin Connell <kevin@nw*.co*>

  NW Labor Systems, Inc
  http://www.nwls.com

  *I* moved your cheese.


----------------------------------

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