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Re: Medicare rules for sonogramsFrom: DuBose, Terry (DuboseTerryJ@exchange.uams.edu)Thu Dec 18 09:41:38 1997
<snip>I think medicine will be better if everyone can use sonography...if they know what they are doing. >> Come on Terry! Be irascible!!! It's okay! Do you really think this?<snip> Only in the context that *if they know what they are doing.* My point is that sonography is not the sole turf of radiology, and ob/gyn sonography is not the sole turf of ob/gyn physicians. If they are SKILLED, and KNOW WHAT THEY ARE DOING, then it is better medicine. As Senator Pat Schroder said, "The only thing worse than not having a sonogram is having a bad one." Peace, Terry J. DuBose, M.S., RDMS; Assistant Professor Director, Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, Fellow, AIUM; Secretary, SDMS DuBoseTerryJ@Exchange.uams.edu http://www.uams.edu/chrp/dmshome.htm http://www.io.com/~dubose/ http://www.obgyn.net/CORRESP/DUBOSE.HTM http://www.obgyn.net/us/us.htm http://www.obgyn.net/women/advisors/tdubose.htm VOICE: 501-686-6510 FAX: 501-686-5613 Now is the time for all good folks to come to the aid of the Earth. -----Original Message----- From: DRoss38040 [SMTP:DRoss38040@aol.com] Sent: Thursday, December 18, 1997 3:21 AM To: ultrasound@obgyn.net; sonographers-connection@Lists.UCHSC.edu Subject: Re: Medicare rules for sonograms In a message dated 97-12-17 21:02:53 EST, Terry J. Dubose writes: <<I don't mean to be irascible, but this kind of regulation does not seem to say anything about the physician's qualifications. It only assumes that the sonographer is blind and stupid. There are the nurses who want to grab the transducers, and have put forth guidelines that requires only about 12 hours (contact hours, not college credit hours) of physics and instrumentation for Pete's sake! And we have non-medical folks doing entertainment videos at baby showers and no one seems to be regulating them. I think medicine will be better if everyone can use sonography...if they know what they are doing. >> Come on Terry! Be irascible!!! It's okay! Do you really think this? How about the patient scanning themselves? I've given the transducer to patients (for a few seconds only) when they've become overly demanding and obnoxious about wanting to see something. They are thrilled to hold the probe, too! And it shuts them up! Maybe they should take a TV correspondence course, then they could check in to rent-a-sono centers and perform the exam themselves...and it would be so much cheaper, and lots less malpractice suits. Plus they could look at the baby's sex for as long as they want and as many times as they want....and they could bring in the whole neighborhood!!! And take 8X10 glossies.... (hey, this is a good idea! I could start a franchise across the country! What do you think, Mark....Diana Ross' self-sonography center, a sono and a song!) ;-] Everyone just cannot do it! At least not very well. Let's go back to static B-mode...nobody grabbed the probe from me then! In those days, the doctors used to put the films up on the light box upside-down.... Now they want to supervise! Diana Ross, RDMS,RT
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