FMVV updat weekly updste Medical Workflow and Protocols

A team member expressed satisfaction with the training program.
- Belief that significant insights were gained.
- Intention to encourage Dr. Esgravano to attend similar training due to differing understandings of procedures.
Discussion about how workflows differ between the current protocols and Dr. Esgravano's expectations.

Brady's input emphasized the necessity for everyone to understand the current workflow.
- Dr. Esgravano's documented procedures were reported to be in contrast to established practices.
Anticipated discussion with Dr. Esgravano post-vacation, facilitated by Cindy.
Goal: Align on workflow and protocols.

Current disagreements on treatment candidates were noted, especially regarding PAD (Peripheral Artery Disease) patients.
- Dr. Esgravano prefers exclusion of PAD patients from screenings.
- Dr. Sadigi has communicated with Dr. Raul, prompting thoughts on the existing patient pool and marketing strategies.
Potential complications arise from excluding PAD patients, limiting the candidate pool significantly.

Situational handling of patients until protocols are aligned:
- Specific approach delineated for patients seen by Dr. Sadiqi.
- Focus on individualized patient care based on who is treating.
Dr. Sadiqi indicated readiness to independently screen and initiate treatments for patients.

Notable contrast in perspectives between Dr. Esgravano, Dr. Sadigi, and Dr. Raul:
- Sadigi believes in addressing inflammation across multiple sites, implying treatment for several affected areas rather than targeting a single vessel.
- Dr. Esgravano trained primarily on singular problematic vessels, impacting his approach to treating genicular arthritis.
Clarified distinction of training purposes between different physicians.

Discussion on ensuring Dr. Esgravano must attend training to apply the discussed treatments.
- Assertion that understanding of effective procedures necessitates attending training seminars:
- Sadigi views Dr. Esgravano’s current perspectives as misaligned with accepted practices.
Implementation of clear rules about who can perform procedures based on training completion.

Update received regarding vendor contracts from Abbott.
- Contact person is currently on vacation, delays expected in contract finalizations.
Expectation to complete contracts by early next week.
Necessary documents to be reviewed prior to next week.

Reported concerns from Dr. Esgravano regarding medication for supervising a problematic patient:
- Mention of a mass dose of Versed.
- Request for a non-standard drug that requires a pump—none of the nursing staff have experience with it.
- Follow-up necessary to ensure safety and compliance with anesthesia protocols.
Procedure for vein cases in remote locations raised concerns:
- Direction given to avoid use of Versed at remote case sites without proper certification.

Reiteration of the importance of appropriate certification for administering specific dosages in procedures.
- Emphatic stance taken against unapproved practices without certified personnel present.
Assurance of backing up administrative decisions regarding safety measures and compliance.

Deb shared plans for a holiday trip with her granddaughter to Warner Brothers, focusing on the "Gilmore Girls" themed event.
Emphasis placed on slowing communication during her absence while remaining contactable if needed.

Expressions of goodwill and engagement among team members as the conversation concluded, with a focus on collective goals and clarity in ongoing medical practices.