Re: Ultrasound--diagnosis or treatment?

From: Martin Necas (exiled@clear.net.nz)
Sun Feb 25 03:17:24 2001


Always an interesting discussion re: role of sonographer/sonologist in diagnosis. One comment I’d like to make: -Sonographers provide a diagnosis on a regular basis. On a preliminary report I would rather keep to the point and say: “gallstones” rather than “several echogenic shadowing mobile masses seen within the lumen of the gallbladder”, or “no DVT” rather than “all segments of the deep veins are free of intraluminal echos and demonstrate full compressibility with spontaneous augmentible flows on color and pulsed Doppler”. If it’s simple, let’s keep it simple. ; )

--
Martin Necas.

-----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net]On Behalf Of Sue Davies Sent: Friday, 23 February 2001 12:36 p.m. To: Multiple recipients of list ULTRASOUND Subject: Re: Ultrasound--diagnosis or treatment?

Well put! Surely our responsibility as a diagnostic team is to the wellbeing of the patient. A team includes all those involved in caring for the patient, including those using their skills and experience to report as requested by the referrer. Engendering a close working relationship between the members of any team will bring about a better result, so without doubt, the simple expedient of discussion and exchange of knowledge between referrer and diagnostician would give the patient the best of all of our skill. Is it not our responsibility to offer our patients the best? Sue Davies Australian Institute of Ultrasound PO Box 434, Mermaid Beach, Qld, 4218 Phone: 07 55266655 Fax: 07 55266041

-----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net]On Behalf Of Mary Scarboro Sent: Friday, 23 February 2001 5:14 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Ultrasound--diagnosis or treatment?

Hummmm....Me thinks perhaps you have not experienced the joy of learning that your patient with the hemorrhagic corpus luteum has undergone an emergency oophorectomy or how about the ectopic that has been passed off as an interesting but non-significant finding of 'tubal ring'? Try to describe a human nose without using the word 'nose'. See how in the process of assessing and documenting anatomic and physiologic information we tip toe around political boundaries, worry about covering our buns and dismiss our patient as someone else's responsibility. Sad. Mary C. Scarboro

-----Original Message----- From: AKJENNINGS@aol.com <mailto:AKJENNINGS@aol.com> < AKJENNINGS@aol.com <mailto:AKJENNINGS@aol.com> > To: Multiple recipients of list ULTRASOUND < ultrasound@forum.obgyn.net <mailto:ultrasound@forum.obgyn.net> > Date: Wednesday, February 21, 2001 2:05 PM 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




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