To: Bradpalm1 who wrote (2180 ) 5/16/1998 10:48:00 AM From: JanyBlueEyes Read Replies (2) | Respond to of 5736
Subject: thoughts on post from SI Date: Sat, May 16, 1998 1:40 AM From: FRANKIE13 I read, but do not post to SI. However, the last post is particularly dumb and deserves a response. Perhaps someone could repost this response there. Evaluation of the color of the skin is a time honored practice. It is included in every textbook or manuscript on physical examination, even today. It is included in the CRAMS trauma score. It is included in all ICU and RR nurses notes. However, until recently there has not been a way to quantitate it. I point out that the diagnosis of cyanosis is based on color. Ten years ago Dr. New of Stanford (later Nellcor) developed a device to measure that particular color (blue) and thus serve as a monitor for cyanosis. This technology is now used in every operating room and every ICU in the US, Canada, and most of Europe and Asia. It is almost unthinkable to sedate or anesthetize patients without monitoring this 'aura'. It is even used by vets in their OR's when operating on Fifi. At least 2-3 dozen companies make use of this 'chromatic' finding and incorporate it into almost every bedside monitor made. Dr. bradpalm1 - have you ever heard of the oximeter? If not, you should not make disparaging remarks about alternative medicines as your practice would seem to be behind theirs. Many chem panel tests are based on measurment of color. Look in any clinical pathology text on the actual techniques used. It is very old technology. The only catch is that the blood must be removed and processed before reading the color. If it can be done, noninvasive testing is surely better. While the market for bili testing is controversial, I am intrigued by the anemia aspects of this technology. Measurement of the hematocrit is easily the most common lab test performed. It CCSI could pull this off, it would be remarkable. Anyone have more info on this? frankie13