Briefs: Bar Association elects 08 officers
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The Rutherford and Cannon County Bar Association officers for 2008 are Leslie Collum, president; Darwin Colston, vice president; Tim Hogan, secretary; and Tommy Santel, treasurer.
The officers were sworn in by Chancellor Robert Corlew at the annual Rutherford and Cannon County Bar Association Gala held at the DoubleTree Hotel Jan. 12.
Collum is a graduate of Oklahoma School of Law and is an assistant district attorney for the 16th Judicial District, a position she has held for four years.
MTMC adds to board of directors
Middle Tennessee Medical Center announces the appointment of Granville Sumner Bouldin Jr., Bill Jones and Dr. Mary Moss to its board of directors.
Bouldin, a native of Murfreesboro, has been involved with MTMC most of his life. His father, Granville "Buck" Bouldin, is an emeritus member of the board as he served 29 years, and his wife's father, Carlyle Jennings, also served on the board for many years.
Bouldin is an attorney and is partnered with his father at Bouldin & Bouldin. He is married to Ruth and they have two children, Ellis and Ridley. They are active members of the First United Methodist Church.
Jones is a well-known leader and innovator in Rutherford County. From 1998 to 2005 Jones served as the executive vice president and chief administration officer of Cavalry Banking, and in 2006 was named the area executive of Pinnacle Financial Partners.
Jones has been very instrumental in the success of Destination Rutherford and currently serves as chairman. He is married to Kathy, and they have two children, Alison and Sutton.
Moss is a board certified OB/GYN physician and has been practicing medicine for over 15 years. She completed her residency at UT Medical Center in Memphis and in 1993 moved to Murfreesboro and then joined the OB/GYN group at Murfreesboro Medical Clinic.
In 1999, Moss started the Women's Health Specialists which has now grown to a very busy practice of five female OB/GYN physicians, and she currently serves as the acting president of the group.
From 1997 to 1998, Moss served as chairman of the MTMC OB/GYN Department. She currently is associated with the teaching staff of Meharry Medical School, and she has served on the Staff Advisory Committee at MTMC since 1998.
She is married to Dr. Max Moss, a radiologist with Murfreesboro Radiology at MTMC. They have three children: Jared, Max III and Elizabeth.
Captain D's ribbon-cutting Tuesday
Captain D's Seafood continues the expansion of a new logo, restaurant design and expanded menu ranging from grilled seafood to pasta.
The 600-unit restaurant chain continues the comprehensive expansion and rollout of a new seafood eating experience, which started in August 2006, signaling a bold new course for the future, and it is happening now in Murfreesboro.
Captain D's franchise owners Bill and Gloria Townsend and Brian and Tammy Townsend, Captain D's executives and other local officials will cut the ribbon at 10:45 a.m. Tuesday at 239 Cason Lane in Murfreesboro.
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Day-to-day implementation of sections of the medical profession work group system, is divided into the central nervous system, chest, abdomen, bone, involved five major professional groups, each with conventional imaging findings in two all - three physicians read - , by the group professors, associate professors issued after examination. Each person is responsible for all medical follow and timely feedback. Full-read weekly routine, day-to-day work on the problems encountered in the medical records, radiology formed rigorous practical, be bold and pioneering academic atmosphere. For the convenience of patients, I opened by out-patient radiology experts, every day there are a visiting senior radiology experts, inside and outside of the hospital for emergency patients difficult to provide consultation, outpatient divided into diagnosis, the two most intervention and change only in the past Radiology look at the film, no contact with the patient s working methods, and direct-to patients, to understand history, examination of patients, the use of rich clinical experience, not typical of a lot of cases. Section I catheter room built in 1992, has so far carried out more than 2,000 passengers a variety of malignant tumors of chemotherapy and embolization can be carried out esophagus, bile duct, such as systemic vascular interventional treatment of the system. Such as the expansion of the treatment of esophageal stricture, biliary drainage, as well as within the narrow artery stenosis, such as the stent site. In recent years, a young physician Dr. contingent has grown up and is the fastest to interventional radiology into the advanced ranks in the domestic patient communication: Diagnostic Imaging in the X-ray, CT, DSA, MRI and other USG and kind of imaging technology, in various imaging technologies there are many other methods. It should be noted that various imaging technologies and the method has its advantages and disadvantages. Is not a human imaging technology can be applied to all organs of inspection and disease diagnosis. An imaging technique is not able to completely replace another kind of imaging technology, and they complement each other and complement each other verification. Therefore, in the choice of methods to repeatedly weighed, selected carefully and integrated applications. Usually in the correct diagnosis can be under the premise should use simple, patient safety, the less painful noninvasive or minimally invasive, low-cost check imaging technology and methods. Diagnosis, once established, no longer need to make multiple checks. But sometimes takes a combination of several imaging technologies and methods to clear diagnosis. Although there has been a CT and MRI imaging and other advanced technologies, but they can check the daily number of cases is limited, the high cost of inspection, but not in all parts of the human body are applicable, we can not replace the large and effective X-ray diagnosis. Generally speaking, in the central nervous system, diseases of the brain and spine, X-ray diagnosis of more than solve problems. Of intracranial and spinal diseases, such as cancer, cerebral vascular accident, while CT or MRI is better. Diseases of the heart and great vessels with ordinary X-ray examination and echocardiography diagnosis can be made more. If the observation of complex heart, vascular diseases, such as Tetralogy of Fallot, often required angiocardiography. Inspection of the coronary artery, coronary angiography is the most effective, and the application of CTA and MRA growing. Diseases of the lung and mediastinal it appropriate to use X-ray examination and, if necessary, use CT or MRI. In the abdominal and pelvic organs with X-ray examination is limited, and the USG and CT is more reliable, more applications. The gastrointestinal tract examination, barium contrast is effective and reliable diagnostic methods. But on the walls of the gastrointestinal observation and lymph node increases, the USG and CT more intuitive. Bone and joint diseases, X-ray inspection, in most cases the problem can be solved diagnosis. However, CT and MRI lesions could be observed in detail. Therefore, we should fully understand, master various techniques and methods of advantages, scope, value and the limits based on the patient s symptoms, signs and other clinical examination that the initial diagnosis. In an effective, safe and economical, simple principle, the proposed imaging sequence.
X-ray inspection harmful?
Along with the development of science and technology, X-ray has been widely used in clinical diagnosis and treatment. Perspective such as chest X-rays, photographs, abdominal plain film, gallbladder contrast, gastrointestinal imaging and angiography examinations. It should be said that X-ray of the body have certain influence on the role of anti-sabotage. Excessive exposure can cause life-threatening. However, the general diagnostic tests, such as a chest X-ray, as an X-ray dose less (in a safe dose), the body will not have any adverse reaction, so there should not be any concerns, but also to refrain from photographs, like as sick on the X-ray, X-ray as often as on health will be a certain degree of damage. Patients should follow the guidance of a doctor, to avoid unnecessary X-ray examination. People do not check onlookers inspection, so as to avoid unnecessary exposure.
2, abdominal plain film should pay attention to those?
In the X-ray, the abdominal organs are soft tissue and difficult to differentiate. But when the organ which occurred due to illness and calcification, or impenetrable X-ray of stones, abdominal gas in the free, sometimes because of the differences in density show. Abdominal plain film can check the disease are: gastrointestinal perforation, obstruction, peritonitis, abdominal abscess, and abdominal mass, stones, such as abnormal calcification.
3, what do abdominal X-ray examination need clean enema?
Abdominal plain film in general do not need to do anything prepared, but some, such as ureteral stones as the impact of the stool may enhancement unclear, making it easy for misdiagnosis, it should be clean enema photos to make clear background.
4, What is performed?
In the conventional X-ray examination, it is close to the density of many organs, are not easily distinguishable from, this can be higher or lower than the organizational structure of the material density in the introduction, in the image contrast with the surrounding tissues, which are performed, the introduction material known as contrast agents.
5, contrast agent harmful to the body?
CT venography or applied to the inspection of water is an organic iodine contrast agents, divided into ionic or non-ionic, the former to meglumine diatrizoate represented, can cause blood vessel dilation, such as venous hypertension reaction, neurotoxicity, is not currently I applied to hospital. Non-ionic and low toxicity, low permeability, Diniandu characteristics, the key distinctions are significant dimension, the EU is more common Pike, the general drug reaction does not occur. Will not cause poisoning.
6, What is barium enema?
Barium enema examination is mainly used for a method of colon lesions. That is inserted into the anal canal from the anus, and barium poured further X-ray examination. Diagnosis of colon cancer, polyps, inflammation, tuberculosis, diseases such as intestinal obstruction.
7, B-Why did abdominal angiography to do?
Both gallbladder disease screening method. B-cholecystectomy is safe, simple and reliable without injury characteristics, can be used as a check biliary diseases preferred method. Contrast gallbladder is the most common method of oral and intravenous method, the contrast agent gathered in the gallbladder and bile duct to the developer. Both had their own strength and clinical integration. Because of the extensive application of USG, gallbladder, in contrast has taken a back seat. But in typical ultrasound performance, with the gallbladder should be to test and CT angiography
8, gallbladder oral contrast Why should serve fat meal?
Oral gallbladder contrast, in order to understand the function of the gallbladder, eat two eggs. (0 fat meal after eating cholecystokinin, the degree of shrinkage could reflect its function.
9, why the CT scan after scan enhancements to?
CT after intravenous injection is scanning can lesions and normal tissue density differences further widened, thus further lesions more clearly extremely beneficial in the diagnosis, therefore, for those plain nature of the disease to be identified, we suggest that you enhanced scan.
10, multi-slice spiral CT perfusion technique of clinical diagnosis of those help?
Many cerebral vascular diseases such as cerebral hemorrhage, cerebral infarction, the rapid onset, the process faster, but early in the disease development, is still unable to ordinary CT diagnostic imaging, and multi-slice spiral CT perfusion technique can be applied, according to the patient s cerebral blood flow Preliminary diagnosis, treatment with a view to race against time
11, the working principle of DSA
DSA (Digital Subtraction Angiography, digital subtraction angiography) is a computer for image processing of X-ray diagnosis of advanced technology, is the CT, X-ray diagnosis of a major breakthrough in technology
12, the clinical application of magnetic resonance
MRI images and CT images are very similar, both are digital image , and Gray show different in different anatomical structure of the cross-section image and pathology. And CT, magnetic resonance imaging are almost applicable to the whole system of different diseases, such as cancer, inflammation, trauma, degenerative disease, as well as congenital diseases such as inspections.
13, the concept of Interventional Radiology Interventional Radiology (interventionao radiongy)
In recent years is the rapid development of a financial and medical imaging in the clinical treatment of subjects on the verge of one. Involving human digestive, respiratory, cardiovascular, neurological and urinary tract, bone, and so almost all systems in the diagnosis and treatment of diseases. In the imaging methods adopted under the guidance of percutaneous catheterization, angiography of the patients, collected pathology, physiology, Cytology, chemistry check, drug perfusion, or blood clots formation and expansion of the cavity drainage, and other non-surgical Operation approach diagnosis and treatment of various diseases. Its characteristics are simple, safe, effective, minimally invasive and less complication. Many intervention methods become the main method of treatment, or even to replace or eliminate the original surgery. Interventional radiology clinical medicine and medical imaging is the result of combining. Interventional radiology and the development of universal, not only caused great concern to the medical profession and many patients welcome, but also greatly stimulated electronics, physics, chemistry, lasers, computers, biological medicine, and many other subjects of mutual infiltration and promote each other, and constant development more equipment to meet the interventional radiology development needs, as well as interventional radiology in the development of continuous improvement. Interventional radiology is the scope of the interventional radiology scholars history dating back to the ancient Egyptians catheterization with a reed pipe, stomach double imaging, angiography and knee simple puncture technique also involved in the release, inclusive of the areas, but the majority Scholars think that interventional radiology is the medical imaging-guided catheter technology for the diagnosis and treatment characteristics, and its vascular interventional radiology is divided into technical and non-vascular interventional radiology technology two categories:
(1) vascular interventional radiology vascular disease include: percutaneous transluminal angioplasty, heart valve forming, vascular stents, asked at the open, thrombolytic therapy, non-thrombotic ischemia, control of hemorrhage (acute and chronic trauma, production , inflammation, varicose veins, etc.), patent ductus arteriosus embolism, vascular malformations and arteriovenous fistula with hemangioma embolization treatment, the inferior vena cava filters, TIPSS, vascular be built, all kinds of angiography in the diagnosis of venous blood diagnosis, etc. . Neoplastic diseases include: feeding the tumor embolization and drug infusion, arterial irradiation, radiation injury prevention, chemotherapy and preoperative embolization of vascular tumors, vascular effects of alcohol and other drugs and reperfusion. Other aspects include: Hypersplenism treatment and the treatment of hormone imbalance.
(2) percutaneous biopsy chest include: lung, heart, pleura, mediastinum, chest wall, and other mass organizations or pathology. Abdominal include: abdominal mass, liver (abdominal or neck). Retroperitoneal mass, pancreas, lymph nodes, kidneys, adrenal gland. Musculoskeletal: including limbs, skull, spine, ribs, chest and other bone and soft tissue mass. Other: including thyroid, breast, Orbital.
(3) suction drainage abscess: Kaneyuki lung, liver, abdominal (or at the liver), the retroperitoneal. - Hsiang swollen include: kidney, liver, pancreas false-hsiang, swelling, breast, thyroid gland. Biliary drainage. Renal stoma.
(4) Other stones include: urinary tract, bile Road from foreign bodies. Endovascular Therapy: Kidney-hsiang, including swelling, swollen liver-hsiang, bone-hsiang swelling, eosinophilic granuloma, abscess. Brush seized include: lung, urinary tract, biliary tract, gastrointestinal tract. Volvulus the pressure of the whole complex. Intussusception the pressure of the whole complex. In short, it is an image diagnostic instruments under the guidance of percutaneous catheter treatment technology, and after intubation or percutaneous injection of contrast agent for the diagnosis of technologies should be interventional radiology areas. As the scope of the interventional radiology wide, the new intervention methods and equipment have continued under the different instruments and the development of the disciplines have different classifications. With ultrasound-guided technique in the diagnosis and treatment has been the establishment of a domestic categories, the development of ultrasound to become involved. Endoscopic interventional treatment of the development of a large, evolving endoscopic intervention therapy. In addition, interventional radiology in some disciplines, rapid development has become obvious advantage of the basic formation of a more independent disciplines of science, such as nerve interventional radiology, cardiac interventional radiology.
14, CT you know?
CT (computed tomography) is the early 1970s diagnostic radiology of a major breakthrough, not CT X-ray photography, but with X-ray scanning of the body, access to information, the computer processing and electronic access to the reconstructed image. It enables traditional X-ray examination showed that the organs and difficult lesions imaging, and image fidelity, clear anatomical relationship, in order to expand the scope of the inspection body, greatly increasing the detection rate of early lesions and diagnostic accuracy. Such inspection is simple, safe, non-painful, non-invasive, non-hazardous, it has promoted medical imaging diagnosis of the development of inventors received the Nobel Prize in 1979. Initially used only for head CT examination, 1974 appeared body CT. In a short span of more than 10 years, CT has been around the world, from the first generation to the development of the fifth generation. China s major cities by the use of the hospital more than a third generation CT. CT has higher water and soft-tissue resolution, it can make a head, chest, abdomen, pelvis transverse scanning, but also can be used for the thyroid, spine, joints and soft tissue and facial features, such as small parts of the region scanning. CT is most suitable for identifying space-occupying lesions such as tumors, cysts, increased lymph nodes, hematoma, abscess and granuloma size, shape, number and scope of violations, it may decide certain organs of tumor staging and whether for surgical resection. In some cases, the CT can distinguish between pathological lesions of materiality, cystic, vascular, inflammatory, calcium, fat, etc.. CT scans are three ways, first, plain, ordinary scan routine is the second is enhanced scan, intravenous injection of water-soluble organic iodine and then scanning, certain lesions can be more clearly; Third, it is imaging, first organ or structure contrast, re-scanning.
15, what is the magnetic resonance imaging (MRI)?
Magnetic resonance imaging (MRI) was used to collect the magnetic resonance phenomenon generated by the signal and image reconstruction imaging technology. CT showed that MRI can not be lesion enhancement, in the field of medical imaging is another major development. It is the early 1980s, before the clinical application of new diagnostic imaging technology. Compared with CT, it is no radiation damage, no bone artifact can multidimensional, multi-parameter imaging, a high degree of ability to distinguish soft tissue, without the use of contrast agents to display the vascular structure of the unique advantages. Almost apply to the whole system of different diseases, such as cancer, inflammation, trauma, degenerative disease, as well as congenital diseases of the screening test. On the brain, spine and spinal cord disease showed superior to CT. It can not angiography agent, has showed that the vascular structure, so the blood vessels, tumor, lymph node, and the interaction between the vascular structure identification, has its unique feature. It also is several times higher than that of CT s ability to distinguish soft tissue, sensitive detection organizations components of the change in water content, thus often more effective than CT and earlier discovery of lesions. MRI can clearly demonstrate full chamber, cardiac muscle, heart, pericardium and other small structures, is the diagnosis of heart disease and heart function tests a reliable method. In the MRI examination, the patient should be iron-free zone, such as magnetic items, such as watches, metal necklaces, dentures, metal buttons, metal coil, and so on, so as not to affect the uniformity of the magnetic field, resulting in image artifact, adverse lesions show. Fitted with pacemakers, is prohibited for MRI examination. Shrapnel in a silver holder, metal plate, such as pseudoarthrosis of retention, to seriously engage in, to check, should be strictly observed to prevent inspection of metal moving at high magnetic field and adjacent vascular injury and important organization. Incompatible with the inspection of the child or of insanity is to be the appropriate use of tranquilizers. For upper abdominal (liver, pancreas, kidney, adrenal gland, etc.) MRI examination to fasting.
Related: Briefs: Bar Association elects 08 officers
Additional information:
From dnj.midsouthnews.com:
The Board conducts examinations and offers professional certification for medical specialists in Radiology. The site contains information.
Explains radiologic science and procedures. Public information provided by the American College of Radiology and the Radiological Society.
A nonprofit medical society with an international membership. Includes database of funding opportunities, radiology and radioGraphics.
Radiology at Massachusetts General Hospital offers state of the art imaging.
Part of the Washington University School of Medicine, St. Louis, Missouri. Descriptions of the activities, programs, faculty and staff, useful.
The site describes the residency and fellowship programs, faculty and staff links with selected profiles, online continuing medical education.
Dedicated to the closely related fields of oral radiology and head and neck imaging. Offers searching.
Radiology is the medical specialty directing medical imaging technologies to diagnose and sometimes treat diseases. Originally it was the aspect.
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