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Re: Ultrasound--diagnosis or treatment? From: Dr.Naseem Ahmad (dr_naseemahmad@yahoo.com) Sun Feb 18 13:00:32 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lynne W. Schreiber: "Re: ULTRASOUND digest 1158" Previous message: WENDYWHY@aol.com: "Current standard for AFI and determining oligo" At Sun, 18 Feb 2001, Novakov wrote: >Dear Dr Nvkow; Thanks for your comments. I do not for a minute doubt the expertise and skill of most of the sonologists and I know all these doctors try to help their patients. My original complaint was the final verdict and prescription of the sonologist which definitely never goes in fovour of patients' welbeing. I strongly feel that the top governing body of sonologists in the world, if there is such a thing, should lay down strict guidelines for their members or fellows to avoid giving advice regarding the treatment no matter how accurate the advice may be.A sonologist surely enjoys full rights to satisfy his or her patients but does not have the liberty to "instruct" the treating physician to undertake a certain line of management. Thanks for your reply. Naseem Ahmad FRCOG Karachi Pakistan >Dear Dr Ahmad, >I am a gynecologist and fetal medicine specialist, which means I do a lot of >scanning, but not only my own patients, also many other women...I explain >them what I have seen and write that down as guidelines for their doctors, >and I always tell them that the best would be to go back to their doctor and >DISCUSS everythinh, for they know them well and, taking into account my >findings, may act in their best interest. I always tell them that I will be >there for them and their doctors should they need further investigations or >opinions...I think that solves things nicely. >Best regards, >Aleksandra Novakov Mikic, MD, PhD >>----- Original Message ----- >From: Naseem Ahmad <dr_naseemahmad@yahoo.com> >To: Multiple recipients of list ULTRASOUND <ultrasound@forum.obgyn.net> >Sent: Friday, February 16, 2001 17:33 >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 >> Next message: Lynne W. Schreiber: "Re: ULTRASOUND digest 1158" Previous message: WENDYWHY@aol.com: "Current standard for AFI and determining oligo"

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