Re: Ultrasound--diagnosis or treatment?

From: Gunjan Puri (drgap@worldgatein.com)
Sat Feb 17 06:38:31 2001


Dear Dr. Ahmad,

The patients here too demand us to explain us the report. I personally tell them what I have seen, but simultaneously add that all these findings are to be correlated with clinical examination and lab findings and then a final diagnosis and further management has to be made by the referring consultant or family practioner. Many times there are pateints who want us to give our opinion saying that we must have seen similar cases in the past but I say avoid falling into the discussion with the patient. I have attached a TV monitor opposite the machine, so the patient could see the sonography simultaneously, this I thought gives great confidence to the patient in us especially in antenatal sonogrphy when they are shown the fetal face, hand ,fingers. legs and the beating heart. But very soon I received call from the referring doc that there is no need to educate our patient, write what you see and send the patient. So I had to stop it. Gunjan Puri India

>----- Original Message -----
From: "Naseem Ahmad" <dr_naseemahmad@yahoo.com> To: "Multiple recipients of list ULTRASOUND" <ultrasound@forum.obgyn.net> Sent: 16 February, 2001 10:02 PM Subject: Ultrasound--diagnosis or treatment?

> 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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