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Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more... From: Diane Castellanos (tdrcaste@yahoo.com) Sat Mar 12 12:26:35 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Brickster0@aol.com: "Re: Ultrasound as part of the normal exam" Previous message: rmodugno@aol.com: "Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more..." I know, I am stepping out. Please correct me if I am wrong, I'm in it to learn. Was there an obligation? was the obligation breached? Did the patient suffer an injury? and can the injury be directly attributed to the breached duty? The obligation in my eyes is the Standard of Care. Does standard of care require ultrasound? Physicians doing thier own U/S is very scary. Just to think about it: I encouraged a Co-worker of mine (hirsute, obese, with irregular menses) to get eval for PCOS. The doctor was from out of town who actually works up PCOS. She ordered lab and tests, which she had done locally (mid size town). the Ultrasonographer found uterine stripe...but didn't note size. DID NOT FIND THE OVARIES. The physician re-ordered and had done near her office. She underwent evaluation received dx and tx PCOS. The woman could not afford to continue travelling out of town for treatment, asked the doctors locally if they would follow her while on treatment with Avandia....nobody would. One time she was actually hospitalized and the doctor did q 2 hr blood sugars just to prove to this woman, she didn't have diabetes. 2 years later she just couldn't stand it anymore, and had a Hyst. She never stopped bleeding after surgery, they went back in. She had two tumors. and what the physician called Primary peritoneal cancer. She went to Tx. it is Primary ovarian cancer. Do you really want to do ultrasounds in your office? So, back to the original question...Was it standard of care to perform an ultrasound in this situation? Isn't Standard of Care, the minimum requirements for safe care, that all practitioners can do in any size town? Are all physicians SAFE in ultrasonography? -- Diane Castellanos RN,C/WHNP rmodugno@aol.com wrote: Delivery ultrasound, same as any other on-the-spot ultrasound, or physical >examination (stethescope, bimanual, etc.) for reasons related to a procedure or >delivery or whatever SHOULD BE CONSIDERED A NO-BRAINER. Joe, are you saying this as a general thought or in relation to the case that was described? Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.nyourmd.com Yahoo! Small Business - Try our new resources site! Next message: Brickster0@aol.com: "Re: Ultrasound as part of the normal exam" Previous message: rmodugno@aol.com: "Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more..."

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