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Re: Ultrasound as part of the normal exam From: art fougner, md (evsono@pipeline.com) Mon Mar 14 12:00:16 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: FRI:Exam lights and GC question" Previous message: RModugno@aol.com: "Re: FRI:Exam lights and GC question" In reply to: DoctorJoe@aol.com: "Re: Ultrasound as part of the normal exam" Next in thread: Dr Eberhard W Lisse: "Re: Ultrasound as part of the normal exam" Joe in scenario #1 the radiologist in question has little familiarity with gyn path ... in scenario #2 the gynecologist has little experience with ultrasound ... both need more practice. art At Sun, 13 Mar 2005, DoctorJoe@aol.com wrote: > >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 mor “skilled� >> every year – but –IMHO- we will not replace the radiologi ts… >> >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. he >radiologist measures it (3X4, or 5X3 or whatever) and describes it >(multiloculated, primarily cystic) and THEN finishes with: CLINICAL CORRELA ION >RECOMMENDED. So the GYN has to, guess what, laparoscope the lady, since it' 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 r 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 ets >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. Eve >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. -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: Charlie Chambers: "Re: FRI:Exam lights and GC question" Previous message: RModugno@aol.com: "Re: FRI:Exam lights and GC question" In reply to: DoctorJoe@aol.com: "Re: Ultrasound as part of the normal exam" Next in thread: Dr Eberhard W Lisse: "Re: Ultrasound as part of the normal exam"

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