gjconnolly@juno.com (Janice & George Connolly): [soundadvice]

From: Terry J. DuBose (tjdubose@juno.com)
Mon Dec 29 11:55:16 1997


--------- Begin forwarded message ---------- From: gjconnolly@juno.com (Janice & George Connolly) To: mtmkdeco@capital.net Cc: SOUNDADVICE@LISTSERV.SDMS.ORG Subject: [soundadvice] Re: ob protocols

>The fetal medicine specialist has asked that we schedule his patients
>every 15 minutes and that we take limited images. He will also scan
>every fetus himself or observe while we do so.
>>I am thrilled that we now have a physician that is willing to take time
>with each patient (and he is truly a caring person which makes this
>service even better).
>
>Our concern is that we will not have any documentation of the exam
>other >than the six images he wants us to take

>Terry DeCorah
>

Terry,

Seems to me that besides caring for the patient, this doctor also cares about making lots of money an hour. How are you going to take a short patient history, prepare the patient for the study, answer questions during the study, document even the images he wants on an upside-down/backward/curled/ moving fetus, do additional images if necessary, clean up the patient, speak in a kind unhurried fashion as they exit, and do your paperwork in 15 minutes? How can you possibly be expected to do a thorough professional OB exam on a woman and her baby in what--8 to 10 minutes max? Where is the respect for the fact we are all living beings (you, the patient and the fetus) who need the courtesy of time on a study that is so important both medically and psychologically to the patient and her family?

If all this doctor wants is for you to be a waitress while you set the table for him, so be it. But he might as well perform the whole exam while he is at it. Then when he gets called into court with no documentation, it will not be your problem.

Personally, I would refuse to work that way. We are more qualified than that. I would want more time, and would want to continue to use my skills as a sonographer to do a careful exam with full documentation of the study, without the senses of urgency and "cattle-herding" that 15 minute time slots would cause.

Janice --------- End forwarded message ----------




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