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Re: Abdominal versus vaginal ultrasound From: Peter V. Weston, M.D. (weston@ICSI.Net) Mon Nov 25 06:55:33 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@indyunix.iupui.edu: "Re: IUPC pressures Questions- kPaS, Montevideo or Alexandria units" Previous message: rbraun@indyunix.iupui.edu: "Re: McDonald stitches" Maybe in reply to: dahmd@gate.net: "Abdominal versus vaginal ultrasound" Next in thread: rbraun@indyunix.iupui.edu: "Re: Abdominal versus vaginal ultrasound" At 11:25 PM 11/24/96 -0600, Ashley wrote: > The radiologist on call demanded that an >abdominal scan (with foley catheter in place) be performed first, followed by >a vaginal ultrasound to "make sure that nothing is missed." Ashley, Your radiologists are not unique. I had to beat our hospital radiologists on the head and accuse them of unethical behavior by doing both scans in order to boost their fees. Before they acquiesced, on one occasion I politely dismissed the U/S tech and went over to my office, brought over my own machine and vaginal probe. Their argument MAY have some merit if one is dealing with abdominal pain and there is a torsed adnexal mass beyond the range of the vaginal probe. If the situation is one of early pregnancy bleed and one wishes to ascertain whether the pregnancy is intra or extrauterine then the delays, the risks and the discomfort do not justify the irrational insistence on first doing an abdominal scan. It gave me great pleasure to talk one insurance company out of paying them for both scans when a vaginal scan was ordered. I hope that this helps. Peter Cap'n Pete -- Peter V. Weston, M.D. <weston@icsi.net> On Clear Lake, Texas Phone (281) 334-7480 ~v~ ^ ~v~ /| ~v~ ^ / |\ /| / | \ ~v~ / | / | \ _ /__|_/____| __\_ ~^~^^^^( Pearl /^~^~^~^ For the truth is that I already know as much about my fate as I need to know. The day will come when I will die. So the only matter of consequence before me is what I will do with my allotted time. I can remain on shore, paralyzed with fear, or I can raise my sails and dip and soar in the breeze. Next message: rbraun@indyunix.iupui.edu: "Re: IUPC pressures Questions- kPaS, Montevideo or Alexandria units" Previous message: rbraun@indyunix.iupui.edu: "Re: McDonald stitches" Maybe in reply to: dahmd@gate.net: "Abdominal versus vaginal ultrasound" Next in thread: rbraun@indyunix.iupui.edu: "Re: Abdominal versus vaginal ultrasound"

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