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Re: Keepsake 3DFrom: Allen Worrall (jworrall@alaska.net)Sun May 16 17:53:46 2004
I allow any and all in the room, of course with the patient's permission. We have a monitor on the wall for the patient and the visitors. Small children are sometimes a distraction, but when that is the case, the husband usually realizes that and leaves the room with the child. But occasionally it is a true that the child is tearing up the place, or screaming and crying constantly. This is recorded on my video documentation of the exam, of course. I have always figured that if I get sued for missing something, and this child is screaming throughout the video tape, the jury would consider that a mitigating factor. If the patient or visitors ask too many questions, I tell them that I am narrating a tape, using medical terminology (I video tape all my exams and narrate them) and I cannot explain all the terms I am using. (Actually my nurse tells them that before I even come in the room.) I reassure them that if I find anything wrong I certainly will tell them. I do not mind some questions, but it is true that occasionally a patient or the partner can be a real pain in the neck with their questions. I think the benefits to the patient and her family far out weight the annoyances to me. And there are many benefits to me. When there are abnormalities, or more often, uncertainties, I can explain and show them what I am concerned about. I think that often the patient and her family leave the exam with a more realistic idea of what to expect from ultrasound. The obese patients can see for themselves that the imaging is not very good. I have a very small volume prenatal ultrasound practice, and I schedule one hour for an exam. I realize that many situations are much different and you may not be able to tolerate any questions or any distractions because of the workload. Also I am the sonographer and the sonologist, and probably I can get away with things sometimes that the sonographer cannot. Allen Joseph A Worrall MD RDMS OB/GYN Ultrasound at the Fairbanks Clinic Fairbanks, AK 99701 http://www.obgynsono.com
>----- Original Message ----- Linda, about 10 years ago Marveen Craig published a collection of opinions on this subject in the JDMS. Of those who responded to Marveen's survey there were many opinions, but most seem to think that the spouse or anyone the woman wants with her should be allowed; assuming they could be quite and not be a distraction. Distracting questions or children seemed to be the strongest argument against. But most seem to think that if the news is good, then the woman's companion(s) could celebrate with her; and if the news was bad, she would need all the support she could get. This is also my personal opinion on the issue. This is a simple description of the many varied opinions. Hope it helps. Terry On Sun, 16 May 2004 14:55:07 -0500 "linda dipiazza" <lindad1@netnitco.net> writes:
> To All In Ultrasound
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