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Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more...From: Brickster0@aol.comSat Mar 12 13:52:04 2005
In a message dated 3/12/2005 3:33:54 PM Eastern Standard Time, DoctorJoe@aol.com writes: I think for this PARTICULAR case, it's standard of care to insure that you evacuate the uterus completely. A rather large body part left in utero, to me, presents a presumptive breach of the standard of care. The practitioner involved would have the burden of rebutting the breach (mitigating circumstances, etc.). As far as all physicians "safe" with ultrasound, my original question was: what's different NOWADAYS about physicians being "safe" with a stethescope, a microscope, etc.? And why is that different than U/S? I posed that as a discussion item. Joe P. Joe Sonography as a diagnostic test entails a certain amount of skill as does auscultation of a patient's cardiac sounds. I guarentee I have missed more than one aortic stenosis, but I am not held to the standard that a cardiologist would be held to. It is also my perspective that if a cardiologist makes a qualatative diagnosis of aortic stenosis, they have an echocardiogram performed to quantitate the pathology. I believe that sonography does take an certain amount of training and a considerable investment in quaility machines (my last stethescope cost $50 which explains why I miss the aortic stenosis, but the ultrasound machines I consider purchasing are in the range of $100K.) I read two journals a month of sonography to keep up and I'm still concerned I miss things. I do not believe that is the norm for physicians that employ a sonographer to do there scans. I understand the European concept of a "sonologist" is to have a clinician ie gyn supervising each exam. Brick Bills MD Atlanta, GA
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