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Recent Brain Imaging Inquiries

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Standard Of Care

I need a nursing expert regarding whether a nurse who adjusted an icd without taking a history, physical or vital signs, in an elderly patient with a history of two prior ischemic strokes violated the standard of care, failing to evaluate the patient's right sided weakness which was increasing perceptibly during the visit, and the patient died of a massive hemorrhagic stroke a few days later. Details: november 17, 2009 – first stroke – left brain male patient age 67 found unresponsive at the rehab facility where he was recovering from an episode of cardiogenic shock. Patient was taken to nearby emergency room and received two administrations of tpa. Pre-treatment images showed several focal areas of dissection with clot resulting in loss of flow to the left pica and proximal pontine perforators, which resolved on treatment with relief of the patient’s “locked in” stroke symptoms. Images revealed acute lacunar infarct on the left side within the posterior lateral thalamus together with a 2 mm focus within the left posterior centrum semi ovale white matter no mass lesions and no midline shift. Anatomical variations revealed both anterior cerebral arteries take origin from the left a1 segment, and the right a1 segment is atretic. March 25, 2010 – second stroke – right brain slurred speech beginning yesterday afternoon with left facial droop and left sided weakness. Images show acute infarct involving the right anterolateral thalamus, posterior limb of the right internal capsule and globus pallidus with subsequent left sided weakness. History before these strokes includes uncontrolled hypertension, asthma, diabetes, coronary artery disease, chf, valve replacements, sleep apnea and coronary bypass graft. Ekg shows right bundle branch block and left anterior fascicular block. No stroke specific treatment was provided due to the passage of time before admission. June 22, 2010 – icd implantation june 30, 2010 – first follow up visit follow up of icd, not pacemaker dependent. Nursing note includes chief complaint, risk factors for cad, review of symptoms, past history, past cv history [see above], allergies, medications, vital signs, neurological/psychological work up and plan. No complaints at this time. July 13, 2010 – urgent visit this patient was sent to a different office of the midwest heart specialists due to his regular heart doctor’s office not having a nurse trained in icd interrogation in attendance on tuesdays. His wife was with him, and she observed increasing weakness on his right side during the time between arriving at the office and leaving there about half an hour later. Patient complained the device was shocking him, which the nurse recorded in her two line note as “c/o lv stim.” the nurse attempted to adjust the icd settings but ultimately returned them to their pre-visit settings. The interrogation printout shows an episode of pmt occurring same day at 1:44 p.M. And an earlier one at 4:02 p.M. On 7/6, but the nurse denies that this was “real pmt.” she took no history, relying instead on the earlier 6/30 chart entry, which only included a notation of “cva” to indicate the two prior strokes. She performed no physical exam and no neurological signs were checked. No vitals were taken by her. Patient’s right leg was so impaired he could barely walk out of the office, even with his wife’s assistance, when this busy nurse sent him home. This visit was at a medical office building attached to a hospital. There were physicians in the office where the patient saw the nurse who could have seen him had the nurse requested it. The hospital had all necessary facilities for brain imaging with and without contrast, to find and identify a brain bleed if there was one, but no images were taken, the patient and his wife were sent home by the nurse. July 17-19, 2010 – death from massive brain bleed during the evening, the patient collapsed at home in his kitchen, and was rushed to the hospital er by ambulance where imaging studies showed an intraparanchymal hemorrhage centered within the left superior thalamus extending superiorly into the periventricular white matter and then extending into the left ventricle, with a small amount of blood crossing into the right ventricle. The bleed was so large by this time that the point or points of origin could not be identified. Dnr orders were given and comfort care was provided. By 7:28 the morning of july 18, the bleed had enlarged from 2.5x2.9 cm to 3.9x5.9cm. The patient died july 19 at 4:50 a.M.

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    Bert |CEO/CMO

    While ***** this seriously, chronically I'll *****ered yet a third, ***** C...

    3.9 Hours Later
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    Anita |Patient Advocate

    You have essentially answered your own question in the first line of your inquiry. If a nurse adjus...

    4.8 Hours Later
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    Katherine |Registered Nurse

    This is a no brainer. It is grossly obvious this is ***** the standard of care....

    2.1 Days Later
+21 Other Responses
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Medical Video Imaging

Our multi-national firm requires experts in ip technology medical video imaging for hospital applications, for paid phone consultations. Background: recently us hospital introduces ip based medical video imaging in operating room(or), especially total integrated or and hybrid or. In this situation, ip engineering company such as av integrators is more and more important as sub-contractor of surgical or product vendor such as steris,skytron or surgical or video vendor such as stryker,karl storze interview question: 1. Or prime contractor(not sub contractor) is concentered on surgical or product vendor or surgical video vendor isn’t it? 2.As sub-contractor, which company in av integrators support .Or prime contractor for ip network integration ? Could you elaborate them? 3.While ip technology and integration is new trend for hospital, may dicom format or other equipment closed technology be obstacle for further integration? Referrals are also welcomed, thank you.

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    Neal H. |Founder

    Not my area of expertise ...

    2.1 Hours Later
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    Robert |Program Director

    Hello. This is not my area of expertise. Thank you for considering me....

    1.8 Days Later
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    J |

    I am interested and happy to support this consult....

    7 Days Later
+15 Other Responses
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Neurodegeneration In Brain Diseases

We are looking for experts in "neurodegeneration in brain diseases" to provide commentary and insights towards a startup that has developed blood testing products that monitor neurodegeneration in brain diseases. We are an angel investing platform dedicated to connecting deep-tech startups with angel investors. By deep-tech we mean startups founded on scientific breakthroughs and technological innovations that create lasting impact on mankind. As a participating expert* in this process, your involvement is limited to answering anywhere between 8-12 investor-submitted questions. This takes about 1 hour (+/-) . Once you are vetted, we send those questions via a web form for your responses. If your contribution is published, it will be view-able by potential investors in this startup, giving you an opportunity to make connections, socialize virtually, and gain bragging rights in a vibrant entrepreneurial and angel investing community. *at this point, we cannot guarantee any monetary reimbursement. You do get insights to new upcoming technologies in your field and a tremendous networking opportunity!

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    Parisa |PT Faculty

    Hello, I am interested in this project. I have been working with cells from Huntington disease patie...

    1.7 Hours Later
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    Martha |Consultant

    My work for the past 10 years has focused on the mind-body connection. One can consider it highly th...

    1.8 Hours Later
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    Rabindra |Consultant

    Hello, I am a neuroscientist specializing in neural stem cells and spinal cord injury. I worked for...

    3.7 Hours Later
+23 Other Responses
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Imaging

I am looking for an individual independent consultant (not a consulting firm) with expertise in one or more of the following areas related to imaging. This is for collaboration with my firm in pursuing business opportunities with the u.S. Federal government. Firm is based in rockville, maryland, usa a) document management systems b) image conversion c) image content management d) medical imaging, including picture archiving and communication systems e) document imaging f) workflow management for digital imaging functions g) geospatial and scientific imaging h) environmental imaging i) image analysis j) 3d immersive visualization k) imaging related to laboratory and test equipment l) security imaging m) identity and access management

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    gagan |Scientist

    Hi, I have extensive experience with image analysis and scientific imaging. If that can be of help ...

    8 Minutes Later
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    Clinton |Applications Scientist and Product Speci

    I have experience with 3D *****cal imaging analysis as well as the programming, design a...

    39 Minutes Later
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    Rajat |Expert in diverse areas of applied mathe

    Hi Robert I have extensive experience in some of the areas listed above. I am interested in workin...

    42 Minutes Later
+50 Other Responses
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Imaging Technology

We are looking to speak to a few experts in imaging technology preferably experienced with below companies: flir systems, elbit systems, sagem (safran reosc), thales optronics, opgal, itl optronics. A. Companies b. Scale c. Target market d. Business model and medium (video, game etc.)

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    Martin |CEO

    Hello I have an extensive background in scientific imaging, dealing with many of the companies you l...

    8.6 Hours Later
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    Ellen |Technology Development

    I have considerable experience in this field and would be happy to discuss the technologies...

    9.1 Hours Later
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    William |Business Consultant

    I am interested in learning more. I am a remote sensing SME and there is more ***** https:...

    10.2 Hours Later
+7 Other Responses
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Ip Technology Medical Video Imaging

Our multi-national firm requires experts in ip technology medical video imaging for hospital applications, for paid phone consultations. Background: recently us hospital introduces ip based medical video imaging in operating room(or), especially total integrated or and hybrid or. In this situation, ip engineering company such as av integrators is more and more important as sub-contractor of surgical or product vendor such as steris,skytron or surgical or video vendor such as stryker,karl storze interview question: 1. Or prime contractor(not sub contractor) is concentered on surgical or product vendor or surgical video vendor isn’t it? 2.As sub-contractor, which company in av integrators support .Or prime contractor for ip network integration ? Could you elaborate them? 3.While ip technology and integration is new trend for hospital, may dicom format or other equipment closed technology be obstacle for further integration? Referrals are also welcomed, thank you.

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    Dr Venkat |Global Consultant

    My knowledge is not enough to answer your queries ,but can refer to my colleagues who have created H...

    1.6 Hours Later
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    Joseph |Managing Director

    I have 35 years of experience working in the Medical Device industry with experience in Domestic & I...

    1.7 Hours Later
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    Gaurav |Pharmaceutical Quality Systems Consultan

    I have twenty years of industry experience and can help you with this topic.i have hands on Knowledg...

    1.8 Hours Later
+20 Other Responses
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Agricultural Imaging

We are an agricultural imaging company using aerial platforms such as drones or planes to do imaging for agriculture and other purposes. We need help getting in front of co-ops, agronomists, large farms, small farms, and other consumers of imagery for use in agriculture. We are looking for someone who already has relationships with these entities and can help us get meetings with them and refine our pitch. Even better is if you can help us get non-binding letters of intent to purchase or sales. We are an innovative startup - taking a new approach to imaging and are privately funded. Keywords: mapping, ndvi, map, maps, crop, crops, crop health

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    Ghulam Nabi |Owner

    I can help you ...

    3.8 Hours Later
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    Torsten |Consultant

    I am an experienced, *****, freelance, crop agronomist at MSc to near PhD level with B2B sal...

    4 Hours Later
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    Pedro |Projet Manager

    We have a lot of contacts that can help You, depending on the country where You want them. Our conta...

    4.1 Hours Later
+35 Other Responses
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Brain-computer Interface

I have brain mind computer interface probes that are being accessed wirelessly and i need to disable either them or the connection ... The ones in my ear have been moving around and the ones in my pelvis have been going off and ive been bleeding, the local hospitial has done ct scans,x-rays, ultrasounds without seeing anything. Please help or the phone number to someone who can

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    DB |CTO

    If you have a temperature, sensitivity about the site (redness or tenderness), going to an emergency...

    2.6 Hours Later
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    Aureli |Program Manager

    Starlab and Neuroelectrics ***** Barcelona commercialize Enobio EEG/ECG/EMG acquisition device ...

    12.7 Hours Later
+3 Other Responses
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Camera Imaging Sensors

We are presently conducting a study on the camera imaging sensor industry, preferably an expert that has worked with sony.

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    Alex |Network Operations Engineer

    I am available. Please let me know what do you need....

    2.3 Hours Later
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    Martin |CEO

    Hello I have worked with Sony sensors as well as a broad range of other manufacturers. I have worked...

    3.1 Hours Later
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    rajat |owner

    been using there product for a while like 7 years now...

    3.6 Hours Later
+7 Other Responses
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Medical Imaging

I need a community consultant for a senior project . I am doing my project on medical imaging, basically ultrasound

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    Cartik |Medical Device, Practice Lead

    I'd be willing to help with the project. Please see my profile and experience for description of my ...

    2 Hours Later
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    kathleen |Principal, ComalliWrites; Diagnostic Med

    I'm a diagnostic medical sonographer and medical writer/ editor. Your project sounds interesting; I...

    7.8 Days Later
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    Russell |President/Owner

    May I inquire as to the ***** Medical Imaging that you are targeting in your senior project? 'I...

    23.5 Days Later
+10 Other Responses
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Post-acute Brain Injury Rehabilitation

Acquired/traumatic brain injury rehabilitation we are interested in learning more about: - post-acute treatment options for high severity acquired brain injury patients - existing companies that provide these treatments - insurance dynamics (e.G., reimbursement trends, length of stay trends, authorization process)

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    Joscelyn |Assistant Director

    I have 11 years experience as a physical therapist and am currently regional ***** rehab se...

    3.6 Hours Later
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    Michael |CEO and President

    I am aneuropsychologist with extensive experience with assessment and ***** brain trauma and ...

    7.1 Hours Later
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    David |Consultant Neurologist

    I am a board certified neurologist and certified life care planner with experience *****n in...

    8.4 Hours Later
+9 Other Responses
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Medical Imaging

Looking for medical imaging distributors

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    joseph |VP

    I have 22 years of Medical imaging experience include sales and engineering. Proficient in all modal...

    1.5 Hours Later
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    AHAMAD |consultant

    please specify ...

    2 Hours Later
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    Krishnamurthy |Country Manager

    As you would observe from my profile, I can offer my expertise to help you identify Medical Imaging ...

    14.3 Hours Later
+16 Other Responses
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