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Re: Ultrasound as part of the normal examFrom: D. Ashley Hill (dahmd@cfl.rr.com)Sat Mar 12 17:51:34 2005
At Sat, 12 Mar 2005, Garry E. Siegel, M.D. wrote:
snip
>Do any of you do them routinely for an asymptomatic person presenting, No.
>If you have a reason to want an ultrasound (physical findings, history, Depends on whether one of our 3 probes is "soaking" in the sterilizing solution or not. If one is available then I often do it on the spot.
>If you do it on the spot, do you charge AND collect for it? Absolutely. As Brick suggested, it requires practice and skill to perform vaginal sonography (BTW, he and I learned from the same people),and the equipment is very expensive. I probably do around a thousand a year and can't imagine practicing without one in the office. Our insurers seem to pay for gyn vaginal sonograms, although many balk at paying for "OB" sonograms, even for first-trimester problems like threatened miscarriage or ectopic pregnancy. They tell us that these problems are part of the global OB package. Thanks. Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida
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