Re: Ultrasound--diagnosis or treatment?
From: Dr Fazeel uz Zaman (fazeel@atd.hazara.net.pk)
Thu Feb 22 10:34:08 2001
You are right Art. ........but experience can make you confident in diagnosis.
Also know your referring doctor and his/her temper........if your suggestions are
valued....give them, otherwise just give findings.
Fazeel
"art fougner, md" wrote:
> actually this brings up a more important issue - ultrasound, or any
> imaging modality for that matter, is pretty good at telling you that
> something's there. it doesn't tell you what it is. that's why reports
> are couched in delphic oracle modifiers - "most likely, consistent
> with", etc. and often end with the infamous "clinical correlation is
> recommended."
>
> just my opinion - i could be wrong.
>
> art
>
> At Wed, 21 Feb 2001, DuboseTerryJ@uams.edu wrote:
> >
> >I care to differ, starting with the fact that I am not a "technologist". I
> >am a sonographer, and many times have had Emergency Room physicians ask me
> >"what do you see."
> >
> >Sorry, you are still operating in the paridigm that there is no difference
> >between a technologist and a sonographer... Sonographers are properly, much
> >closer to a physician's assistant than to a technologist.
> >
> >Please go to the SDMS web site and read the definations:
> >http://www.sdms.org/membership/default.asp
> ><http://www.sdms.org/membership/default.asp>
> >
> >Terry J. DuBose, M.S., RDMS, Assistant Professor
> >Director, Diagnostic Medical Sonography Program
> >CHRP, University of Arkansas for Medical Sciences
> >Little Rock, Arkansas, USA
> >501-686-6510
> >http://www.io.com/~dubose/ <http://www.io.com/~dubose/>
> >http://www.uams.edu/CHRP/dmshome.htm <http://www.uams.edu/CHRP/dmshome.htm>
> >
> >http://www.obgyn.net/us/panel/panel.htm
> ><http://www.obgyn.net/us/panel/panel.htm>
> >
> >-----Original Message-----
> >From: AKJENNINGS@aol.com [mailto:AKJENNINGS@aol.com]
> >Sent: Wednesday, February 21, 2001 12:38 PM
> >To: Multiple recipients of list ULTRASOUND
> >Subject: Re: Ultrasound--diagnosis or treatment?
> >
> >Ultrasound technologists should ONLY describe what they see when making a
> >written report. For example, a report should say "Inhomogeneous, solid
> >appearing mass seen without increased blood flow. The measurements are ..."
> >
> >instead of "Fibroid". We are not physicians, and we open ourselves up for
> >liability when we over step our position. If the physician ask what we
> >think, then I would tell the doctor what I think the diagnosis and follow up
> >
> >should be. I would not put it in writing. They are the doctors, and we are
> >
> >the technologists.
> >
> >Anita Jennings RDMS
>
> --
> art fougner, md
>
> A series of 1000 cases begins with but a single anecdote.
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