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The Mayo Clinic Proceeding has an article this month on how carotid artery ultrasound can assess the amount of generalized atherosclerosis.
No question that the science indicates it is very good and could be utilized to check the risk of stroke and the amount of generalized atherosclerosis.
I tried to do it in many institutions of health care. Hospitals, free standing radiographic facilities and Stanford University Department of Radiology.
Every single one had no idea what I was after and none did it correctly despite telephone conversation with radiologist prior to the exam.
This test is useless because despite all the science behind it no one has yet told the radiologists.
Thursday, March 05, 2009
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8 comments:
So you're saying the Radiologists are not using correct tech nique? Or are the carotid ultrasounds being prescribed in patients likely to be positively identified with more advanced easily detectable athersclerosis? Wouldn't earlier markers detectable by abnormal lipid tests, homocysteine, Crp, etc., be more predictive and allow for earlier treatment this being preventative of the result of atherosclerosis?
This doesn't surprise me. As well educated and as many studies as Dr. Joe has been involved in, it is time people take note and start listening. There is a wealth of information to be had from Dr. Joe. Pay attention.
Sherry COLORADO
My physician in Canada ordered a carotid ultrasound for me twelve years ago to measure general atherosclerosis. I was retested last year and at 70 years of age now, my results were exactly the same--less than 50% plaque.
I had this test done about 6 months ago by in a cardiologist's office - he reported that there was no blockage.
Are you saying this test was not valid?
What actually is the problem with the carotid ultrasound testing? Is it the administrator of the ultrasound or the test itself? Could you share with us just how patients can try to appeal to the radiologists for an accurate outcome of the test? Any help is appreciated.
Dawn
The radiologists are not interested in the procedure or the outcomes. They are neither trained in it nor willing to learn.
Dr. Joe
I just had a carotid ultrasound and the results showed 25 to 50% blockage in one artery. Should I be concerned and find what course of action to take next or just keep a close watch on this over the next year or so?
Dan
The presence of atherosclerosis of that degree needs treatment.
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