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Re: Ultrasound as part of the normal examFrom: DoctorJoe@aol.comSun Mar 13 20:22:25 2005
In a message dated 3/13/05 8:13:45 PM, eramirezt@coqui.net writes:
> Our specialty – as general Ob-Gyn’s will be certainly more “skilled†Okay, so since someone talked about adnexal masses: 1) The GYN thinks he feels a mass in one adnexa. The lady is too fat or too tender or something to adequately delineate the mass, so he orders an u/s. The radiologist measures it (3X4, or 5X3 or whatever) and describes it (multiloculated, primarily cystic) and THEN finishes with: CLINICAL CORRELATION RECOMMENDED. So the GYN has to, guess what, laparoscope the lady, since it's a mixed mass and that's what you do. 2) The GYN thinks he feels a mass in one adnexa. He pulls his little U/S machine in on rollers and whips up his own u/s and figures it's about 4 cm or so and there are cysts in it but some septae. So, since it's not a simple cyst, he decides to laparoscope the lady. Now, simplified though it is (for sake of internet discussion), the above scenarios make the perfect point - the only difference is, the radiologist gets paid for a fancy test that was not necessary and the patient was frantic waiting for the results of this test on her "mass" (is it cancer??? what is it???). (And yes, I've witnessed that kind of angst about u/s, mammograms, etc. Even ONE DAY can make someone hysterical. I hate that when it's my wife, and I'm really uncomfortable with it when it's my patient, too!) Joe P.
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