Re: CAN WE BE HONEST ABOUT HYSTEROSONOGRAPH RESULTS?
From: art fougner, md (evsono@pipeline.com)
Tue Mar 27 13:03:56 2001
sounds as tho you might have enough data to publish - why not have a go
at this. sounds as tho yours is important info for all clinicians.
art
At Tue, 27 Mar 2001, Dr.Naseem Ahmad wrote:
>
>Dear Sonologists, please dont get upset if I try to call a spade a
>spade! The problem is, especially in my part of the world that if you
>express your unbiased opinion about any medical issue the relevant
>people tend to oppose it no matter what.I am a gynaecologist and have
>special interest in Infertility. Being a male gynaecologist in a
>country where male gunaecologists are deemed odd and 'out of bounds'
>unless the patient is driven to them in search of better management. I
>think I am the only gynaecologist in the world who performs his own
>hysterograms and these number more than 10000!This vast personal
>experience has educated me immensely and because of my personal
>intervention let me say very modestly that hundreds of patients who were
>wrongly diagnosed and were therefore being treated differently were put
>on the right track and successfully conceived .Briefly ,being very much
>involved in this diagnostic modality I have very carefully, logically
>and tactfully observed and compared the results of hycosy which is
>getting popular recently in my city. The sonologists are over the moon
>and a lot of patients are going thru this test. Sadly a lot of my
>patients whom I subjected to conventional hysterograms without any
>financial damageto them were wrongly diagnosed by the hycosy even though
>they were tested by otherwise very competent sonologists. I believe
>that any diagnostic test if proved inconclusive is not worth the bother
>no matter how many theoretical plus points may have been enumerated in
>its favour. I have very hot debates with the representatives of a
>company who are intensively promoting the use of hycosy. I feel in my
>part of the world no matter how discrete the attending physicians may be
>there is a very good chance that the test is likely to fall into wrong
>hands causing damage sometimes irreversible to the patients as far as
>the fertility potential is concerned. Every sonologist cant be as good
>as Campbell or Dubose Terry and every machine cant be what it should be
>like hence the ultimate diagnosis is bound to be unreliabel. Also even
>if the test is carried out correctly the picture on which the referring
>gynaecologist is going to depend on is least likely to unveil the actual
>pathology. I can go on for ever but for the time being this may be
>sufficient to generate realistic and HONEST opinions. Sorry for this
>long letter. Naseem Ahmad FRCOG
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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