ULTRASOUND Messages for July, 2002: Re: GE 4D Ultrasond and Television AD

Re: GE 4D Ultrasond and Television AD - Effect on Patients!
From: Terry J DuBose (tjdubose@juno.com)
Sat Jul 27 11:36:23 2002

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Dr. DeVore thanks again for relaying this experience. I should probably bite my tongue, but it makes me mad enough to undelete my expletives.
To the corporate greed culture that has control of the current USA administration, regulation is an anathema. Yet they want no responsibility for the unintended consequences coming from the products they manufacture and sell regardless of the skills or intensions of the buyer(s). This includes not only medical equipment, but also weapons and other products that can do harm in careless, malicious, or uneducated hands.
I like to think I am a freedom loving person; however, the unintended consequences of unskilled individuals using sonographic equipment means more wrong and missed diagnoses, which does harm the unsuspecting public. A "free market" should not imply freedom from responsibility for one’s actions or products.
Thanks again for pointing out this case.
Peace, Terry J DuBose, M.S., RDMS Little Rock, Arkansas, USA --------------------------------------------
On Sat, 27 Jul 2002 09:06:18 EDT Ajflem@aol.com writes: -------------------------------------------- She might not have been so happy had she lived in Kansas and decided to -------------------------------------------- have a GE 3D/4D entertainment video performed at Baby Waves Baby Waves which is listed on the GE website GE Baby Waves.
To me, your comments are a testament for the need of better training and standards in ultrasound. Since there is essentially no oversight on who can perform and interpret sonographic studies, major missed diagnosis will continue to happen. Having GE advertise it's wonderful pretty pictures probably will not do anything to help "raise the bar" for those performing and interpreting ultrasound. It might allow of few people to seek another ultrasound for entertainment purposes only in which a previously undetected anomaly is identified; but only if the scan is performed by a qualified, experienced sonographer/sonologist and interpreted correctly.
Audrey Fleming, RDMS
In a message dated 7/26/2002 9:08:23 PM Eastern Daylight Time:
On Fri, 26 Jul 2002 20:08:08 -0500 "Greggory DeVore" <fetalecho@fetalecho.com> writes: Last week I posted a message describing the effect of the TV ad on our practice. Many have been concerned about patients seeking ultrasond for unindicated reasons because of their desire to the the fetal face. Our policy has been that when an inquiry occurs regarding the TV ad the patient is informed that we will perform a comprehensive ultrasound study that will include the 3D and 4D study. Today a patient was seen in my office who was a self referral for 3D and 4D ultrasound. She was 24 weeks pregnant and had undergone two ultrasound studies by her obstetrician in an office setting. She was informed that th study was normal.
Today I found a complex congenital heart defect that consisted of a hypoplastic right ventricle, ventricular septal defect, and transposition of the great arteries. She underwent genetic amniocentesis. If the chromosomes are normal, then she will continue the pregnancy. Because of the prentally detected heart defect, the newborn will receive maximal care from the pediatric cardiologist and surgeon. Recent studies have reported that there is a significant improvement in outcome for coarctation of the aorta, hypoplastic left ventricle, and transposition of the great vessels when diagnosed prenatally compared to postnatally.
Although the GE ad has received many adverse comments, I thought it would be important that on an individual basis patients may indeed benefit because they seek an ultrasound at centers that may identify previously unidentified malformations. Although the outcome of this pregnancy remains to be seen, I would suggest that this patient is glad that GE ran the ads on television! ----__JNP_000_6933.6be2.168a Content-Type: text/html; charset=us-ascii Content-Transfer-Encoding: quoted-printable
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML xmlns:o = "urn:schemas-microsoft-com:office:office" xmlns:st1 "urn:schemas-microsoft-com:office:smarttags"><HEAD> <META http-equiv=content-type content=text/html;charset=US-ASCII> <META content="MSHTML 6.00.2716.2200" name=GENERATOR></HEAD> <BODY> <DIV> Dr. DeVore thanks again for relaying this experience.  I should probably bite my tongue, but it makes me mad enough to undelete my expletives.  <o:p> </o:p> To the corporate greed culture that has control of the current <st1:country-region><st1:place>USA</st1:place></st1:country-region> administration, regulation is an anathema.   Yet they want no responsibility for the unintended consequences coming from the products they manufacture and sell regardless of the skills or intensions of the buyer(s).  This includes not only medical equipment, but also weapons and other products that can do harm in careless, malicious, or uneducated hands. <o:p> </o:p> I like to think I am a freedom loving person; however, the unintended consequences of unskilled individuals using sonographic equipment means more wrong and missed diagnoses, which does harm the unsuspecting public.  A "free market" should not imply freedom from responsibility for one’s actions or products. <o:p> </o:p> Thanks again for pointing out this case. <o:p> </o:p> Peace, Terry J DuBose, M.S., RDMS <st1:place><st1:City>Little Rock</st1:City>, <st1:State>Arkansas</st1:State>, <st1:country-region>USA</st1:country-region></st1:place> --------------------------------------------</DIV> style="MARGIN: 0in 0in 0pt">--------------------------------------------<<DIV> </DIV> style="MARGIN: 0in 0in 0pt">--------------------------------------------<<DIV>On Sat, 27 Jul 2002 09:06:18 EDT <A href="mailto:Ajflem@aol.com">Ajflem@aol.com</A> writes:</DIV> <BLOCKQUOTE dir=ltr style="PADDING-LEFT: 10px; MARGIN-LEFT: 10px; BORDER-LEFT: #000000 2px solid"> <DIV>She might not have been so happy had she lived in Kansas and decided to have a GE 3D/4D entertainment video performed at Baby Waves <A href="http://www.babywaveslive.com/homepage.htm">Baby Waves</A> which is listed on the GE website <A href="http://www.gemedicalsystems.com/rad/us/4d/4d_sitequest.html?address=&city=&state=KS&zip=">GE Baby Waves</A>. To me, your comments are a testament for the need of better training and standards in ultrasound. Since there is essentially no oversight on who can perform and interpret sonographic studies, major missed diagnosis will continue to happen. Having GE advertise it's wonderful pretty pictures probably will not do anything to help "raise the bar" for those performing and interpreting ultrasound. It might allow of few people to seek another ultrasound for entertainment purposes only in which a previously undetected anomaly is identified; but only if the scan is performed by a qualified, experienced sonographer/sonologist and interpreted correctly. Audrey Fleming, RDMS In a message dated 7/26/2002 9:08:23 PM Eastern Daylight Time: </DIV> <DIV>On Fri, 26 Jul 2002 20:08:08 -0500 "Greggory DeVore" <<A href="mailto:fetalecho@fetalecho.com">fetalecho@fetalecho.com</A>> writes: Last week I posted a message describing the effect of the TV ad on our practice.  Many have been concerned about patients seeking ultrasond for unindicated reasons because of their desire to the the fetal face.  Our policy has been that when an inquiry occurs regarding the TV ad the patient is informed that we will perform a comprehensive ultrasound study that will include the 3D and 4D study.  Today a patient was seen in my office who was a self referral for 3D and 4D ultrasound. She was 24 weeks pregnant and had undergone two ultrasound studies by her obstetrician in an office setting.  She was informed that th study was normal. Today I found a complex congenital heart defect that consisted of a hypoplastic right ventricle, ventricular septal defect, and transposition of the great arteries.  She underwent genetic amniocentesis.  If the chromosomes are normal, then she will continue the pregnancy.  Because of the prentally detected heart defect, the newborn will receive maximal care from the pediatric cardiologist and surgeon.  Recent studies have reported that there is a significant improvement in outcome for coarctation of the aorta, hypoplastic left ventricle, and transposition of the great vessels when diagnosed prenatally compared to postnatally. Although the GE ad has received many adverse comments, I thought it would be important that on an individual basis patients may indeed benefit because they seek an ultrasound at centers that may identify previously unidentified malformations.  Although the outcome of this pregnancy remains to be seen, I would suggest that this patient is glad that GE ran the ads on television! </DIV> </BLOCKQUOTE></BODY></HTML>
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Next message: William Hicks: "no subject received Sat, 27 Jul 2002 17:44:59 -0500"
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