Strokecast

Episode 050 — Stroke Imaging with Sound with Dr. Aaron Stayman

'I love the combination of CT Angiogram and Doppler. I think the two of those things together is a very very powerful imaging modality.' -- Dr. Stayman #stroke #neuroimaging Click To Tweet

 

My first day in the hospital was filled with MRIs and CT Scans. Okay that a little exaggeration, there was only one MRI and 2 CT scans. Still, they were unpleasant. Plus, they’re expensive, and you have to go elsewhere in the hospital.

It turns out there’s another option, that many neurologists don’t even know about. It’s called Transcranial Doppler Ultrasound, and it gives the medical team information the other scans don’t. Plus, it involves no radiation or special rooms.

It doesn’t replace the other scans altogether, but give the doctors another tool for treating stroke patients.

This week, I talk with Dr, Aaron Stayman from Swedish Medical Center. Dr. Stayman is an advocate for and expert in Transcranial Doppler Ultrasound. This week, we learn about his background, talk about aphasia, and spent the bulk of our time talking about Transcranial Doppler Ultrasound. We explore what it is, how it works, and how it benefits patients.

Aaron cites 5  benefits of Transcranial Doppler Ultrasound

  1. It’s cheaper
  2. There’s no radiation
  3. It’s portable
  4. It’s repeatable
  5. There are no issues related to magnets
'With Transcranial Doppler, not only can you repeat it everyday and do it it multiple times a day, you can take it to the OR. You can take it to the patient's room. You can take it to the ICU. ' Dr. Stayman #stroke #neuroimaging Click To Tweet

Here’s a short look at what the doctor sees in a scan:

'I think that's an important concept to internalize as a neurologist. That spoken language is only one bit of communication it's only 1 component in the whole system.' -- Dr. Stayman #stroke #aphasia Click To Tweet

Bio

Dr. Aaron Stayman HeadshotDr. Aaron Stayman attended medical school at Tufts University in Boston, MA.  He completed an internship in internal medicine and a neurology residency at Vanderbilt Medical Center in Nashville, TN.  During his vascular neurology fellowship at Emory University in Atlanta, GA, he received specific training in the performance and interpretation of carotid and transcranial ultrasound.  He is currently a neurohospitalist at Swedish Medical Center and Medical Director of the Swedish Cerebrovascular Ultrasound Laboratory.

Continuing Medical education in Transcranial Doppler Ultrasound

Are you a medical professional who wants to learn more? Swedish and Pacific Vascular have a course coming up in September of 2019.

 

Jointly provided by Pacific Vascular and Swedish CME, in collaboration with Swedish Neuroscience Institute, this program has a nationally recognized faculty with diverse areas of specialization, a comprehensive and in-depth curriculum and hands-on sessions with patient models utilizing a variety of TCD and TCD Imaging systems.  The three-day course is held at a state-of-the-art educational facility conveniently located at the acclaimed Swedish/Cherry Hill Hospital campus in Seattle WA.

You can learn more here: http://www.pvicme.com/transDoppler.htm

 

Hack of the Week

 

Today’s Tip comes from Twitter User @Nursery1994, AKA Abigail Johnson

Earlier this week, I was thinking about making pasta. My GF rightly pointed out that I will need to figure out how to drain the hot water from the pasta with one hand without spilling it and the water all over myself and the kitchen floor. Before we completed this problem solving, she went ahead and made it because she’s awesome like that.

Later on, I stumbled across a strategy on Twitter. Put a colander or wire strainer that you can lift with one hand. Fill the pot with water, and add the pasta to the strainer before cooking it. Then boil or whatever, and when it’s done, just lift out the strainer with the pasta and leave the water behind.

You know, basically the way the make French fries at McDonalds.

Facebook and Strokecast

 

Strokecast also has a presence on Facebook. Just search for Strokecast the next time you’re on Facebook for more videos where I share stroke related things that just happen to be on my mind. Sometimes they are well thought out; sometimes they are still thoughts in progress, but it’s fun stuff regardless. Click here to head over to Facebook and check it out.

Links

Role of transcranial Doppler ultrasonography in stroke

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2659960/

American Society of Neuroimaging

https://www.asnweb.org/i4a/pages/index.cfm?pageid=1

American Society of Neuroimaging on Twitter

https://twitter.com/asneuroimaging

Transcranial Doppler Ultrasound at Swedish Medical Center

https://www.swedish.org/services/neuroscience-institute/our-services/cerebrovascular-center/our-services/swedish-vascular-ultrasound/transcranial-doppler-tcd-imaging

Pacific Vascular and Swedish Course

http://www.pvicme.com/transDoppler.htm

Dr. Nirav H Shah on Strokecast

http://strokecast.com/nirav

Abigail Johnson on Twitter

http://twitter.com/Nursery19994

Strokecast on Facebook

http://facebook.com/strokecast

Star Trek Chief Engineers

https://memory-alpha.fandom.com/wiki/Chief_engineering_officer

Where do we Go From Here?

  • I’d love to hear about your experience with stroke imaging. Which scans did you get? Did you get a Transcranial Doppler Ultrasound? Let us know in the comments below.
  • Ask your medical team if they use Transcranial Doppler Ultrasound in their stroke treatment. Give them the link strokecast.com/ultrasound if they want to learn more.
  • Don’t get best…get better.
'The idea of having something that's non-invasive, that's safe, can give us real time information about a highly dynamic process is really exciting.' -- Dr. Stayman #stroke #neuroimaging Click To Tweet

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