Osteoporosis Osteoporosis, which means “porous bones” causes bones to become weak and brittle— so brittle that even mild stresses like bending over, lifting a vacuum cleaner or coughing can cause a fracture. 

In most cases bones weaken when there are low levels of calcium, phosphorus and other minerals in the bones.

Osteoporosis often was thought to be a condition that frail elderly women developed.  However, damage from bone loss starts to begin after peak bone mass is reached at age 25!

        normal bone        osteoporosis

Some Statistics:
50% of women will  suffer osteoporosis fracture in life time
34 million in U.S at risk                                                                AIS DEXA UNIT

Osteoporosis is painless in early stages and most people are  unaware of the condition until a fracture occurs.

The osteoporosis test by AIS consists of a bone density test (DEXA) of the heel.  The heel bone is similar to the hip bone in that both bones are spongy weight bearing bone.  The Bone Mineral Density measurement is a powerful predictor of  osteoporosis.
A stroke results from the blockage of adequate blood flow to the brain.  The most common source of blockage is a significant narrowing  of the carotid arteries caused by excessive accumulation of  plaque buildup along the artery walls.  The carotid arteries  supply the majority of blood to the brain, and plaque buildup in these arteries is the leading cause of stroke.

Ischemic stroke (most common) is caused by a blood clot                                    blocking a vessel of the brain.  Hemorrhagic stroke is caused                               when a blood vessel breaks open causing blood to leak into the                             brain.

Stroke is the third leading killer in the United States, resulting
in the following statistics annually:
700,000 victims each year
275,000 deaths in U.S. in 2002  equaling 1 in 16 deaths
266,000 survivors with permanent disabilities
30,000 new permanent admissions to nursing homes

Over 4.7 million living survivors of stroke
Every 45 seconds in the USA someone has a stroke
28% of stroke victims are under 65

Carotid artery disease is the leading cause of stroke.                                            Most of stroke victims present no warning signs.  After                                         the age of 55, the risk of stroke doubles every 10 years. 

Occasionally, there are stroke warnings:
Sudden weakness or numbness on the face, arms or legs, on one side of the body
Sudden confusion, trouble speaking or understanding speech
Sudden unexplained memory loss
Sudden  loss of vision in one eye
Sudden severe acute headache
Sudden loss of balance

Save-A-Life Screenings by AIS uses non-invasive Doppler                                     color flow ultrasound technology to provide images of the                                      carotid arteries on both sides of your neck and measure                                       the velocity of the blood flow through these vessels.

If your facility would be interested in hosting a community stroke screenings event, call Rodney White at 210 684 0409!

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    “You’re fast, professional, and the quality of your service
   is superb. Thanks AIS.”  Aaron Malakoff, MD

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210-684-0409     800-931-3204

Technology Available to Look Into the Future!

AIS Has The Technology!
An Aneurysm is an abnormal ballooning or enlargement of a blood vessel.  When this happens in the abdominal portion of the aorta,  it is known as an abdominal aortic aneurysm (AAA).  Ruptured aortic aneurysm’s are the 10th largest killer of men over 50, approximately the same  number that die every year of  prostate cancer. See Video

Many cases of ruptured                                                          aneurysms can be prevented                                                     with early diagnosis and medical                                  treatment.  Because aneurysms                                            can develop and become large                                            before causing any symptoms,                                                it is important to look for them                                                 in people who are at highest risk.                                          Experts recommend that men who                                         are 65 to 75 years old and have                                             ever smoked at least 100 cigarettes in their lifetime should be checked for AAA. In fact, smoking increases the risk of AAA by 8x.  Also, atherosclerosis, obesity, family history of aneurysm  and use of stimulant drugs increases risk.

An aneurysm can rupture, producing                                       bleeding and results in a fatality  over                                         80% of the time. Most people present                                     no warning signs.

Some warning signs include:

Intense back or abdominal pain
Rapid pulse
Nausea and vomiting
Excessive sweating

Save-A-Life Screenings by AIS uses                                ultrasound imaging technology to                                       image the abdominal aorta and measure                                 its size along the course of the vessel.                                  The technologist applies an acoustic                                      gel on the abdomen. The ultrasound probe visualizes the aortic vessel.
Abdominal Aortic Aneurysm
Peripheral Vascular Disease  (PVD), is commonly known as hardening of the arteries will  affect 30-40 million Americans in the years to come.  It is a condition in which the small and medium sized arteries supplying blood to the lower extremities becomes narrowed or clogged, slowing or                              stopping the flow of blood.  It is caused                                 by atherosclerosis, which is a gradual                                  process in which cholesterol and scar                                   tissue build up in the artery, forming a                                   substance called plaque.

The effects of this condition not only                                 cause pain when walking but,  puts                               extremities at risk, it is also one of                                      the strongest risk markers available for predicting heart disease. Individuals with PVD are at an increased risk of heart attack and for stroke.

Controllable PVD risk factors:
High blood pressure
High cholesterol
Excessive alcohol use
Poor oral health
Lack of exercise

There are often no symptoms or warning signs for PVD.  But the following may occur:

Leg pain during exercise
Discoloration of toes
Poor wound healing
Ulcers of sore on your foot or heal
Pain in leg at night

Save-A-Life Screenings by AIS  uses blood pressure cuffs and Doppler ultrasound on the arms and ankles to identify the Ankle Brachial Index. The ratio between the pressures will quickly identify most cases of  PVD!
Peripheral Vascular Disease
Chronic Obstructive Pulmonary Disease (COPD) is a lung disease in which the lung airways– the tubes that carry air in and out of your lungs– are damaged, making it hard to breath.

During the screening, participants undergo a simple, non-invasive test in which they blow into a device called a spirometer.  The spirometer measures the volume of air that can be forcefully exhaled.  A participant’s results are compared to norms based on age, sex, height, weight and ethnicity.

Why is a lung screenings important?  Most people with COPD do not experience symptoms until the disease has progressed to the moderate to severe stages.  According to the World Health Organization, COPD was the 4th leading cause of death in the U.S. in 2000. By 2020 it will be #3.

The lung screening is aimed at detecting COPD in its earliest most treatable stage.  People that are currently or who have smoked in the past, have chronic bronchitis, asthma or exposure to industrial particulate pollutants would choose this screen.

Symptoms of COPD::
Chronic cough
Sputum production
Shortness of breath

Chronic Obstructive Pulmonary Disease
Wouldn't it be wonderful if we could really put a device on our heads and see the future?  It didn’t work for Doc in the movie “Back to The Future” but if we think about it, it just might work now.  That’s because medical technology has allowed us to find disease before the patient shows symptoms.  Earlier diagnosis means earlier treatment which means a longer and healthier life.

Since its beginning AIS has been first and foremost, a diagnostic medical imaging company, serving our primary market in long term care since 1992.  The market  trend is now moving to preventative care! This is exciting!!  AIS's new division:
Save-A-Life Screenings is dedicated to providing preventative testing on people who are asymptomatic for disease yet at risk and need a low cost baseline screen to look into the future with regard to their risks  for   stroke, aortic aneurysm, peripheral vascular disease, osteoporosis, and COPD. Interested in saving lives too? Host a screening at your facility!  Call Silvano Billalobos or Rodney White at:          210-684-0409  or 800-931-3204

Who you gonna call?

While Ghost Busters were
great at capturing ghostly
aberrations, they were not so
successful  in holding them in
storage and keeping mankind
safe! But AIS has come up
with a great  solution in
capturing our “ghostly images"
called radiographs, and keeping
them safe for the use of mankind (our clients)!

Now, AIS doesn’t use a non-regulated nuclear storage facility like Ghost Busters,but a powerful HIPPA  compliant Picture Archiving and Communication System (PACS) where all  radiographs are stored.

AIS keeps our most recent acquisitions  in a 90 day high use area where they are available for review by our clients and physicians on-line.  In this area we store not only the images but wave file dictations and written reports for download and review.  After 90 days, studies are deep archived where a quick call to our office will again make the study available for review.  

You may not know this but you already have a viewing account set up with AIS! The question is, are you using it?  By going on-line, your organization and physicians will always have access to radiology images and reports 24/7 without having to call AIS. Interested in viewing your "ghostly images"  on- line? Call 210-684-0409 or 800-931-3204 and ask for Steve Mayers!
AIS Successfully Captures Ghosts!
The movie “Independence Day” was good movie!
Besides the entertainment value, (3 out of 5) it
was a great lesson in what happens when
redundant systems are not in place. 

You see, the aliens didn’t have  a  redundant system of controls when they invaded the earth.  When the hero’s (Jeff Goldbloom and Will Smith) launch a computer virus into the mother ship’s controls and there was no redundancies in the alien’s computer system, the heroes were able to shut down all the invasion forces protective force fields, and well... the earthlings kicked ‘em hard!

Redundant systems are important if one wants to maintain operational integrity in all possible conditions.  AIS is an expert in this area. When dealing with the responsibilities of patient care, we always have two and sometimes three operational and personnel redundancies in place!

AIS disaster recovery planning provides complete and secure service for our clients 24/7.  From power outages to building fires and computer  failures and viruses, AIS is dedicated to providing you consistent and excellent service each time you call, everytime!

So, next time when aliens decide to invade the earth and call AIS for support… We’ll do our duty, and report them to Homeland Security!
Aliens Hiring AIS…
         Next Time!

Granville Coggs
American Hero!

One day back in the summer of 1982 a tall commanding
looking Lt. Col walked through our radiology department
at Wilford Hall Medical by the name of Granville Coggs,
giving everyone the once over, including me.  He asked
questions on protocol, met technologists and radiologists
and generally let it be known that he was going to be
working closely with us for the next two weeks.  And
what a great  two weeks it was! He brought excitement
and exuberance to everyone. 
Dr. Coggs retired from the Air Force Reserves in 1985
and I left in 1986. I saw him occasionally thereafter and
met up with him again around 1994 at Otto Kaiser
                                      Hospital in Kennedy Texas 
                                      where AIS had a contract
                                      for Ultrasound Services and
                                     he was the radiologist.
                                     It was there that I got to know                                                                                     the real Granville Coggs
                                      and  the history of his life,
                                     wealth of knowledge, his
                                      internal motivation and the kindness of his heart for his                                               fellow man.  His acceptance of the position of Medical                                                  Director for the last 13 years for AIS has been most                                                   appreciated. 
                                     Dr. Coggs quest for excellence, integrity, and pride in                                                  one’s self, have inspired all of us and been integrated                                                  into AIS’s  core value system.
                                     This small acknowledgement of Dr. Coggs can’t begin to tell this man’s fascinating life story, and what a story it is!  For those of you whose interest is piqued, click the  internet links on  Dr. Coggs!

Dr. Coggs, you’re a True American Hero, and thank you for being my friend!     
  -Phil Rathbun

Multiple Gold Medal Winner in National Senior Track and Field Events
  Tuskegee Airman &       Congressional Gold  Medal                      Recipient
Stroke Screening
Phillip Rathbun is President of Advanced Imaging Services
and has the easiest job in America!


Because he has the best employees in America!

Proudly  providing on-site radiology, ultrasound, Doppler, echocardiography, bone density testing to hundreds of clients in the greater central Texas region!
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