Re: Abdominal versus vaginal ultrasound

From: dahmd@gate.net
Mon Nov 25 09:26:11 1996


In article rbraun@indyunix.iupui.edu writes:

>We do not do Abdominal US on these patients.
>We also do not use the Radiologist, we do our own scans. If you threaten
>to do the same, they might agree to change their protocol. However, I feel
>that the best person to interpret a pelvic ultrasound is the person who
>has felt the pelvis already.

I completely agree, and having been burned by abdominal (and vaginal) scans done by someone else I always try to do my own scans. The person doing the pelvic exam can correlate this with the ultrasound findings. We cover an academic and private practice, and sometimes a patient will show up in the ER and have a workup done before the ER doctors realize that she is "our" patient. In these cases, I usually have the patient brought to the women's unit where I perform my own vaginal ultrasound. This causes no small amount of consternation from the ER doctors and radiology staff. Usually this is a free scan, since what insurance company will pay for an abdominal and vaginal ultrasound (by the radiologists), and then *another* vaginal ultrasound by me?

It is really priceless, however, since it makes my decision-making easier.

Thanks,

Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL





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