Ultrasound--diagnosis or treatment?
From: Naseem Ahmad (dr_naseemahmad@yahoo.com)
Fri Feb 16 09:29:43 2001
I am a practising gynaecologist in Karachi. We send
patients for ultrasonography for various reasons. Nine
out of ten sonologists after giving their report
prescribe some sort of treatment/management. For
instance a patient sent for follicle study comes back
with the remark: hcg today and intercourse tomorrow
without knowing what the treating physician has in his
mind. The other common example: Ovarian cyst, advised
ca125 or ovariectomy or cystectomy not advised.
Fibroid uterus: suggest GnRH agonists or myomectomy
advised. And there are hundreds of examples that not
only disturb the anxious patients but create a great
degree of conflict between the patient and her
physician as she comes back with the diagnosis and
ultimate treatment which in majority of patients is
not indicated. I have verbally spoken to several
sonologists , written about it in the medical press
but this practice continues abated. Any comments.
Dr. Naseem Ahmad FRCOG
Chief editor "The Gynaecologist" Quarterly
Karachi, Pakistan
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