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Re: Ultrasound--diagnosis or treatment? From: udaya kumar (udaya@md2.vsnl.net.in) Fri Feb 16 20:10:12 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gunjan Puri: "Re: Ultrasound--diagnosis or treatment?" Previous message: Allen Worrall: "Re: Ultrasound--diagnosis or treatment?" Maybe in reply to: Naseem Ahmad: "Ultrasound--diagnosis or treatment?" Next in thread: Gunjan Puri: "Re: Ultrasound--diagnosis or treatment?" Nice point Naseem, I make it a point to say as little as possible to the patient. Even this, is only when the queries are persistent and anxious. I do tell them what I found on the ultrasound examination, but would politely,yet firmly tell them that I am not their treating doctor and that they should get back to the referring physician who will answer all the questions. This approach has worked beautifully for me. It should work in all parts of the world. ..Udayakumar Naseem Ahmad wrote: > 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 > > Get personalized email addresses from Yahoo! Mail - only $35 Next message: Gunjan Puri: "Re: Ultrasound--diagnosis or treatment?" Previous message: Allen Worrall: "Re: Ultrasound--diagnosis or treatment?" Maybe in reply to: Naseem Ahmad: "Ultrasound--diagnosis or treatment?" Next in thread: Gunjan Puri: "Re: Ultrasound--diagnosis or treatment?"

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