Re: Keepsake 3D

From: DuBose, Terry (DuboseTerryJ@uams.edu)
Wed May 26 15:03:06 2004


That is a real possibility, and I would not blame them either. It would be worth it just to get away from Call, much less controlling your own schedule. As an educator, it is less of a concern for me... again my bias... more students for me.

On the other hand, if we restrict real sonographers from entering this kind of entertainment business on an ethical basis, are we not abandoning the field to the "uneducated, unskilled, and unwashed"? Given enough time they will develop the psychomotor skills to acquire "pretty pictures" of the face and/or genitals, but will not know a uterine synechia from an amniotic band, and won't care because it is not "medical"; and the public will believe they have had a sonogram. This is the greatest danger in my view... these entrepreneurs are not necessarily going to be very vocal about what they are or aren't telling their unsuspecting customers.

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Assistant Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm ---------------------------------------------------------------

--------------------------------------------------------------- -----Original Message----- --------------------------------------------------------------- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Allen Worrall Sent: Wednesday, May 26, 2004 2:33 PM To: Multiple recipients of list ULTRASOUND Subject: Re: Keepsake 3D

One of the potential major problems with certification and control (thus making this a legal enterprise) would be the loss of trained and skilled sonographers to the medical imaging community. It is likely, if this type of practice were more or less given approval, that many excellent sonographers would opt for the regular hours, lack of night call, and probable higher pay. I would not blame them.

Allen

Joseph A Worrall MD RDMS The Fairbanks Clinic 1919 Lathrop Street, Suite 100 Fairbanks, AK 99701 jworrall@alaska.net http://www.obgynsono.com

> ----- Original Message -----
From: DuBose, Terry <mailto:DuboseTerryJ@uams.edu> To: Multiple recipients of list ULTRASOUND <mailto:ultrasound@dns.obgyn.net> Sent: Wednesday, May 26, 2004 11:00 AM Subject: RE: Keepsake 3D

>From what I hear at SDMS & AIUM, I think most of the objections
are to those doing "entertainment" scans that are "uneducated, unskilled, and unwashed". Many of the ultrasound studios located in the malls are run by folks who do not have a clue what they are looking at, and don't care because it isn't medical.

>From the professional organizational point of view there seems
to me to be a split between those who are for a purely "free-market" and those who believe that there should be some kind of control or certifications for those using sonography.

The SDMS, AIUM, and SVU (I believe) have come out officially opposed to non-medical uses, and in most cases I think they are also against the self-referral "screening exam" traveling shows that move around the country. Their opposition, in addition to the [weak] Bioeffects argument, is due to the public believing that a sonogram is a sonogram regardless of who performs it. If the unsuspecting public goes for a baby picture session, is not told there are or are not any problems, will they then believe that all is OK and not get proper prenatal care as a result?

>From my point of view, I find the non-medical sonographic
profiteering a bit unsavory (of course I am biased, I admit). Particularly since one such entrepreneur was quoted in the Wall Street Journal saying, upon being asked about non-medical uses and the event of finding an anomaly,... "I don't care if the kid has three legs; I'll only point out two, this is not a diagnostic exam." However, I am not willing to censure experienced, ARDMS certified sonographers for going into the business as long as the FDA does not enforce their own rules and continues to allow anyone, regardless of education, experience or skill, to do the business.

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Assistant Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm ---------------------------------------------------------------

--------------------------------------------------------------- -----Original Message----- --------------------------------------------------------------- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Monday, May 24, 2004 7:07 PM To: Multiple recipients of list ULTRASOUND Subject: Re: Keepsake 3D

In a message dated 5/24/04 14:55:45, djberck@yahoo.com writes:

If such a scan makes the parents subjectively happier about the pregnancy, more bonded etc., isn't that a sufficiently good reason? Isn't that a better reason than a lot of nonsense reasons we use every day for doing ultrasound like, "doptone not in the room but scanner is", "it's easier to find the FH this way" etc.? And remember, the average german woman gets like 8 or 9 scans per pregnancy. They don't seem worse off, and their medical system isn't so market driven. . .

I would think a "bonding scan" would be more beneficial in the long run than the usual (often) "Medicaid scans" which are done for "high risk" criteria, but coincidentally just as many as Medicaid will allow, no more, no less.

I think the old lawyer's adage, "follow the money," will answer the question for you. If it's really not "dangerous," and I think we all have to agree it's really not, comparatively speaking, then who is objecting, and WHY?

Joe P.

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