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Re: Ultrasound as part of the normal exam From: Brickster0@aol.com Sat Mar 12 13:12:54 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more..." Previous message: Diane Castellanos: "Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more..." Maybe in reply to: Garry E. Siegel, M.D.: "Ultrasound as part of the normal exam" Next in thread: RModugno@aol.com: "Re: Ultrasound as part of the normal exam" In a message dated 3/12/2005 1:02:50 PM Eastern Standard Time, garrys@mindspring.com writes: I seem to remember a thought a while ago that doing a vaginal scan during a routine pelvic exam should be commonplace. It is not in my practice, and I don't think that many others do it automatically for every exam. Do any of you do them routinely for an asymptomatic person presenting, say, for an annual examination? If you have a reason to want an ultrasound (physical findings, history, etc.), do you do it on the spot, or have them return, or send them elsewhere? If you do it on the spot, do you charge AND collect for it? Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA If there is any indication for a sonogram (pain, bleeding, dyspaurnia, etc) I do a sonogram at the time of exam. I charge for the exam regardless of the findings. In my practice each doc has there own machine and does there own scans. I was trianed by Anna Parsons, one of the vaginal sono gurus and original publisher (along with my former roommate) of sono hsg's, and I try to train my junior partners the skills requried to do the same. For gyn exams, I feel I am better than anyone else (ie radiologist) in my community. I realize this is based on an original thread re: a malpractice case here in Atlanta. It is my perception that a practicing ob/gyn >45 y/o does not have the training/ability to do a sonogram intraop or not to r/o a macerated head. The younger docs (I'm 41) may have the ability, but this is highly residency dependent. 90% of the skill in sonography is not interperting static films, it is performing a dynamic scan. We have two perinatal groups here at Northside and only one of them has the doc lay hands on the patient with a transducer. The last time I used the other group I followed Robert Modugno on call and the other perinatal group's sonographer said a induction was vertex (the obese patient later told me "that lady wasn't sure"). I was called for delivery of a frank breech that had progressed from 2 cm to complete in 30 min. That was my one vaginal breech outside of residency. Brick Bills MD Atlanta, GA Next message: DoctorJoe@aol.com: "Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more..." Previous message: Diane Castellanos: "Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more..." Maybe in reply to: Garry E. Siegel, M.D.: "Ultrasound as part of the normal exam" Next in thread: RModugno@aol.com: "Re: Ultrasound as part of the normal exam"

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