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Re: Ultrasound as part of the normal exam From: Henry Gregor (henrygregor@yahoo.com) Fri Mar 18 09:06:47 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: interesting case, twins, 19 weeks, PPROM etc" Previous message: art fougner, md: "Gen: Fat Suits and Medicine" Maybe in reply to: Garry E. Siegel, M.D.: "Ultrasound as part of the normal exam" Next in thread: rmodugno@aol.com: "Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more..." Appreciate your post. The opportunity to sample observations and viewpoints from so many folks of so many different backgrounds makes this listserve probably the best aspect of all the myriad capabilities the internet brings to the office. Hank "Garry E. Siegel, M.D." <garrys@mindspring.com> wrote: >Hank, as always an excellent post. Well thought out, intellectual yet sufficiently homey. I bet you are a good people person and relate nicely to your patients. However, I've snipped a couple of things: I.E., if its so good, why isn't that modality making a dent in ovarian ca detection and treatment result? Um, because the biology of the process doesn't lend itself to early and/or easy detection? Cadillac equipment on hand, if the providor's got a Cheverolet mind. (Maybe I should say Lexus and Honda.) LOL. I use the Ford versus Chevy analogy when speaking about why I might use a Gomco for a circumcision*, versus others who might use a Mogan. I also tell mature gravidas that Nuchal Translucency/PAPP followed by MSAFP and level 2 scanning at 19 weeks is the "Lexus" approach to testing. Do know I'm reluctant to make the "paradigm shift" (love that phrase...pretty high falutin' language for a boy originally from Archie Bunker's NY neighborhood and now hanging out in the mountains of western NC, lol) to such ready reliance on a tv sono as an indicated uptodate substitute for a hands on exam of the patient.... Dinosaur #2, who was not brought up with transvag sono and just does enough to be dangerous with early Ob patients, agrees. Let's not lose sight of the forrest--we must lay on hands!! Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Tired of spam? Yahoo! Mail has the best spam protection around Next message: Henry Gregor: "Re: interesting case, twins, 19 weeks, PPROM etc" Previous message: art fougner, md: "Gen: Fat Suits and Medicine" Maybe in reply to: Garry E. Siegel, M.D.: "Ultrasound as part of the normal exam" Next in thread: rmodugno@aol.com: "Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more..."

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