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El Nov 29, 2003 10:54 am, Text-conference November 26 dijo:
[22:42] (balas> shall we start with the paper
[22:42] (|> RENAL DOPPLER IN EVALUATION OF ACUTE RENAL FAILURE (ARF)- A
PROSPECTIVE STUDY
[22:42] (|> Balasubramaniam Jeyaraj, Shanthi Balasubramaniam
[22:42] (|> and Palaniappan Nainar
[22:42] (|> Nephrology, Kidney Care Centre, Tirunelveli, Tamilnadu, India.
[22:42] (|> ABSTRACT
[22:42] (|> Basis: ARF is a medical emergency where the outcome depends on early
diagnosis and intervention. Diagnosis based on clinical,
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[22:48] (|> ________ resume is over________
[22:48] (SCigarran> plas plas, plasDear friends
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[22:49] (gtorres> any question ?
[22:49] (balas> Gist of the paper is that one can get an idea of the underlying cause of arf using usg doppler
[22:51] (balas> nobody has used doppler for arf before
[22:51] (gtorres> no butthe dopamine infusion can alter the Resistive Index (RI) and Pulsatile Index (PI)?
[22:51] (balas> I got into this simply by the fact we use doppler for transplant situation
[22:52] (SCigarran> Dra Balas, Congratulations for your interesting paper
[22:52] (Anon953> Congrats Bala for both presentations
[22:52] (perico> in our hospital doppler is made by radiologists and we are said by them that the technique is not useful
[22:52] (perico> so we do not ask for doppler
[22:52] (balas> my finding was that howevwr severe was the arf in glom disese - doppler was normal
[22:52] (balas> whereas indices high in ain and atn
[22:52] (ralcazar> Thanks for your results. Do the doppler results change your attitude and treatment to the patient? I mean, do you perform a kidney biopsy earlier with the doppler results?
[22:52] (balas> so one can make a differentiation
[22:53] (balas> Yes
[22:54] (SCigarran> Dr Balas I have a question about how much time needs to assess the acurate diagnosis?
[22:54] (balas> I readily opt for biopsy and steroids if doppler is nornmal
[22:55] (SCigarran> Dopler is an observer dependent tool
[22:55] (balas> ofcourse clinical setting also counts
[22:55] (balas> Doppler of interlobar art is not difficult
[22:55] (balas> it is difficult to access the main renal art i agree
[22:56] (balas> interlobar vessels are easily reached and reproducible
[22:56] (balas> In fact Ido the study myself
[22:56] (MJesus> Dr. Balas, what about reproducibility of doppler?
[22:56] (balas> yes it is as the interlob vessels are easily reachable
[22:57] (balas> Plus there may be differences in Vmax and Vmin
[22:58] (balas> but RI and PI dont change
[22:59] (balas> because they are ratios
[22:59] (balas> plus if you take the mean of three readings reproducibilty is very good
[23:00] (SCigarran> Dr Balas, However RI and PI depends of so good the window be
[23:00] (balas> Vmax and Vmin only vary with the window
[23:00] (gtorres> two balas are family?
[23:02] (balas> DDont we find ri and PI in tx kidney reproducible?
[23:02] (balas> Yes. Shanth is my wife and she is a sonologist
[23:04] (balas> I HOPE MORE OF YOU TRY THIS AND VALIDATE MY FINDINGS
[23:04] (SCigarran> Thanks alot Dr Balas. Be sure of that!
[23:06] (balas> So I think I have done my job
[23:06] (Anon953> nicely done
[23:06] (balas> Where did maria go for a while
[23:06] (MJesus> more questions or commentary ?
[23:06] (MJesus> I lost the conection
[23:06] (MJesus> but only a minut
[23:07] (MJesus> have any of the present more commentaries ?
[23:07] (balas> Thank you everybody for the patient hearing
[23:07] (MJesus> thanks you Dr. Basasubramanian!
[23:07] (MJesus> As always, your presnetation are excellent!
[23:07] (BMNlog> thanxs Dr. Balas
[23:07] (MJesus> now the log of this talk, will place in the website, and the people couls ask o write here more questions and commentary
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