Re: ULTRASOUND digest 1158
From: Lynne W. Schreiber (Lynne_W._Schreiber@jackson.cc.mi.us)
Sun Feb 18 15:52:14 2001
ultrasound@obgyn.net writes:
> ULTRASOUND Digest 1158
Reply to request for information by
>SANTAGO RODRIGUEZ SOTO
:
Jackson Community College
Diagnostic Medical Sonography Online Programs
Accredited by the Commission for Accreditation of Allied Health Education
Programs (CAAHEP)
Medical track: prepares students for Abdominal, OB/GYN specialties, &
Physics/Instrumentation ARDMS exams.
http://www.jackson.cc.mi.us/DistanceLearning/
http://www.jackson.cc.mi.us/Search/default.asp
For additional information contact: lynne_Schreiber@jackson.cc.mi.us
All lecture material is in a PowerPoint format. Registered students are
provided a CD Roms containing all lecture materials, image files, diagram
files, etc.
Vascular Technology track: prepares students for Vascular specialty &
Vascular Physics/Instrumentation ARDMS exams.
http://www.jackson.cc.mi.us/DistanceLearning/
http://www.jackson.cc.mi.us/Search/default.asp
For additional information contact: sandra_brown@jackson.cc.mi.us
The college offers associate in applied science (AAS) degrees in
sonography and vascular technology.
The college also offers certificate programs for those individuals who
already possess an AAS in an allied health or nursing profession.
Certificates are also offered to those applicants possessing a
baccalaureate degree or higher who have completed all required
pre-requisite courses that include:
Anatomy and Physiology 5 or more credits
Medical Terminology 2 credits
Intermediate College Algebra
Introduction to Sonographic Instrumentation 3 credits
Introduction to Health Occupations or proof of equivalency
This course contains the following:
OSHA standards
Basic Cardiac Life Support and First Aid
Lifting and Moving
Therapeutic Communications
Introduction to Diagnostic Medical Imaging (Registered radiographers
(ARRT) are exempt from this course)
This course contains an overview of all diagnostic medical imaging
modalities, indications for each study, information being sought from each
modality and exams, what type of energy is being utilized, etc. The
purpose of this course is to bring those students not possessing a
background in radiology up to a literacy level that will allow them to
function with an imaging department.
Individuals as RDMS, RVT, MD or DO are allowed take the online courses
excluding the clinical courses in preparation for ARDMS examinations.
Individuals wishing to arrange a clinical education center (CEC) in their
home geographical region need to contact lynne_Schreiber@jackson.cc.mi.us
All CECs must meet the requirements of the Commission for Accreditation of
Allied Health Education Programs (CAAHEP). Hospitals &/or clinics
interested in becoming a CEC can obtain the required forms for application
from Lynne Schreiber.
>
>Topics covered in this issue include:
>
> 1) Re: biophysical profile
> by srsoto@tricom.net
> 2) Re: Online sonography education
> by srsoto@tricom.net (SANTAGO RODRIGUEZ SOTO)
> 3) Re: Ultrasound--diagnosis or treatment?
> by "Novakov" <novakov@EUnet.yu>
> 4) Current standard for AFI and determining oligo
> by WENDYWHY@aol.com
>
>----------------------------------------------------------------------
>
>----------------------------------------------------------------------
>Date: Sun, 18 Feb 2001 04:12:14 -0600 (CST)
>----------------------------------------------------------------------
>From: srsoto@tricom.net
>To: ULTRASOUND@OBGYN.NET
>Subject: Re: biophysical profile
>Message-ID: <200102181012.EAA13682@mail.medispecialty.com>
>
>At Wed, 30 Aug 2000, Terry J DuBose wrote:
>>
>>You may be correct. I was just giving the original intention of the BPP,
>>to determine when to deliver when a fetus is stressed... but you are
>>correct, there are other reasons for observing fetal activity.
>>
>>Peace, Terry J DuBose, M.S., RDMS
>>Little Rock, Arkansas, USA
>>
>>On Wed, 30 Aug 2000 08:57:20 -0500 "Mary Scarboro"
>><oneiota@bellsouth.net> writes:
>>> I'm wondering if this conclusion is rather near sighted considering
>>> the
>>> gestational age of the fetus greatly impacts the significance of the
>>> scoring. A low score at 25 weeks might be acted upon with stepping
>>> up fetal
>>> surveillance. At 36 weeks the same findings would prompt immediate
>>> plans for
>>> delivery.
>>> Mary Scarboro
>>> -----Original Message-----
>>> From: Terry J DuBose <tjdubose@juno.com>
>>> To: Multiple recipients of list ULTRASOUND
>>> <ultrasound@forum.obgyn.net>
>>> Date: Tuesday, August 29, 2000 9:22 PM
>>> Subject: Re: biophysical profile
>>>
>>> >Dr. Puri, this subject was discussed sometime ago in the J Diag Med
>>> >Sonography... to your 1st question, in general there is no reason
>>> to
>>> >perform a BPP unless the gestation is far enough along that it
>>> would be
>>> >delivered if a poor score was received. If it is too early to
>>> deliver for
>>> >a low score, then there is really no reason to do the exam.
>>> >
>>> >Peace, Terry J DuBose, M.S., RDMS
>>> >Little Rock, Arkansas USA
>>> >
>>> >------------------------------------------------------------
>>> >
>>> >------------------------------------------------------------
>>> >------------------------------------------------------------
>>> >------------------------------------------------------------
>>> >On Tue, 29 Aug 2000 20:02:27 -0500 udaya kumar
>>> >------------------------------------------------------------
>>> <udaya@md2.vsnl.net.in>
>>> >------------------------------------------------------------
>>> >writes:
>>> >------------------------------------------------------------
>>> >> Dear Gunjan Puri,
>>> >> I believe that the Ultrasound estimated fetal weight is + 0r -
>>> 10%
>>> >> of the
>>> >> actual weight.
>>> >> This difference may be more in SGA or LGA fetuses.
>>> >> If you have scanned a couple of weeks before delivery, you should
>>> >> add
>>> >> 20gms/day as interval growth correction provided the baby is
>>> normal
>>> >> size for
>>> >> dates at the time of scanning. In macrosomic babies, you have to
>>> >> add
>>> >> 40gms/day.
>>> >> .Udayakumar,
>>> >> Genesis Scans,
>>> >> Chennai, India
>>> >>
>>> >> Gunjan Puri wrote:
>>> >>
>>> >> > Hi ! When do you think the biophysical profile is best
>>> required?
>>> >> Also in
>>> >> > postmaturity fetus how much is the biophysical profile helpful
>>> ?
>>> >> > In our place , we still get many references for sonography in
>>> the
>>> >> third
>>> >> > trimester( after 36 weeks or so), for the first time in the
>>> entire
>>> >> > pregnancy,,,and during that time the fetal weight is quite
>>> >> different from
>>> >> > the actual neonate weight (being born after a few days or so);
>>> how
>>> >> much do
>>> >> > you think difference between the weights is considered normal.
>>> >> > Dr. Gunjan Puri
>>> >> > India
>>> >>
>>> >
>>>
>
>------------------------------
>
>------------------------------
>Date: Sun, 18 Feb 2001 04:18:17 -0600 (CST)
>------------------------------
>From: srsoto@tricom.net (SANTAGO RODRIGUEZ SOTO)
>To: ULTRASOUND@OBGYN.NET
>Subject: Re: Online sonography education
>Message-ID: <200102181018.EAA17390@mail.medispecialty.com>
>
>At Thu, 25 Jan 2001, Lynne W. Schreiber wrote:
>>
>>Jackson Community College in Jackson Michigan is now offering its entire
>>sonography programs via distance education. Classes include online
>>components to clinical courses whereby students conduct Virtual Case
>>Presentations (VCPs), attendance is monitored and clinical progress
>>reports via clinical instructors, coordinators, students and the program
>>director communicate as often as necessary. Students have their choice
>of
>>programs including Medical (Abdomen and OB/GYN) and Vascular Technology.
>>Interested parties may email: lynne_schreiber@jackson.cc.mi.us for the
>>Medical program or sandra_brown@jackson.cc.mi.us for Vascualar
>Technology.
>> Interested parties may wish to check the following web sites:
>>http://www.jackson.cc.mi.us/D\istanceLearning/
>>http://www.jackson.cc.mi.us/
>>http://www.jackson.cc.mi.us/transfer/5120 dms assoc gs[3]..htm
>>http://www.jackson.cc.mi.us/transfer/jccdegrees/5131 dms vas certif gs.htm
>
>--
>I WANT MOORE INFORMATION ABOUT THE COURSE
>
>------------------------------
>
>------------------------------
>Date: Sun, 18 Feb 2001 15:01:46 +0100
>------------------------------
>From: "Novakov" <novakov@EUnet.yu>
>To: <ultrasound@obgyn.net>
>Subject: Re: Ultrasound--diagnosis or treatment?
>Message-ID: <001a01c099b3$557b17e0$7904f0d5@pedja>
>MIME-Version: 1.0
>Content-Type: text/plain;
> charset="iso-8859-1"
>Content-Transfer-Encoding: 7bit
>
>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
>>
>> Get personalized email addresses from Yahoo! Mail - only $35
>>
>
>------------------------------
>
>------------------------------
>Date: Sun, 18 Feb 2001 11:11:23 EST
>------------------------------
>From: WENDYWHY@aol.com
>To: ultrasound@obgyn.net
>Subject: Current standard for AFI and determining oligo
>Message-ID: <3f.10d7c335.27c14e2b@aol.com>
>MIME-Version: 1.0
>Content-Type: multipart/alternative;
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>Dear Colleges:
>I currently work for a practice of 7 Ob/gyn's. Each have there own idea
>what
>our cut off should be and how to acquire the AFI. I was taught to
>measure
>the largest vertical pocket free of cord and fetus in 4 quadrants.
>Currently
>I am using the AFI under 6 as oligohydraminos and I would not give the 2
>points in the BPP. Some of the docs feel as long as there is one pocket
>2
>cm x 2 cm this is acceptable and 2 points should be rewarded. I am
>seeking
>the current guide lines set forth for determining AFI and oligo. I am
>also
>interested in the technique used for twins or multiples. I know this
>seems
>basic but I am just trying to set a standard protocol for our office.
>Thanks
>in advance.
>Wendy M. Zamkoff RDMS
>
>--part1_3f.10d7c335.27c14e2b_boundary
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><HTML><FONT FACE=arial,helvetica><FONT SIZE=2>Dear Colleges:
><BR>I currently work for a practice of 7 Ob/gyn's. Each have there
>own idea what
><BR>our cut off should be and how to acquire the AFI. I was taught
>to measure
><BR>the largest vertical pocket free of cord and fetus in 4 quadrants.
> Currently
><BR>I am using the AFI under 6 as oligohydraminos and I would not give
>the 2
><BR>points in the BPP. Some of the docs feel as long as there
>is one pocket 2
><BR>cm x 2 cm this is acceptable and 2 points should be rewarded. I
>am seeking
><BR>the current guide lines set forth for determining AFI and oligo. I am
>also
><BR>interested in the technique used for twins or multiples. I know
>this seems
><BR>basic but I am just trying to set a standard protocol for our office.
> Thanks
><BR>in advance.
><BR>Wendy M. Zamkoff RDMS</FONT></HTML>
>
>--part1_3f.10d7c335.27c14e2b_boundary--
>
>------------------------------
>
>------------------------------
>End of ULTRASOUND Digest 1158
>------------------------------
>*****************************
