Re: CAN WE BE HONEST ABOUT HYSTEROSONOGRAPH RESULTS?
From: Dr Fazeel uz Zaman (fazeel@atd.hazara.net.pk)
Mon Mar 26 12:42:38 2001
there must be some data comparing radiological HSG and ultrasound
HSG........
Dear Naseem .....are u aware of the work being done by Dr. mussarat hassan?
his data may be valuable here if u can get hands on it......he lives in your
town
Dr. Fazeel
"Dr.Naseem Ahmad" wrote:
> Dear Sonologists, please dont get upset if I try to call a spade a
> spade! The problem is, especially in my part of the world that if you
> express your unbiased opinion about any medical issue the relevant
> people tend to oppose it no matter what.I am a gynaecologist and have
> special interest in Infertility. Being a male gynaecologist in a
> country where male gunaecologists are deemed odd and 'out of bounds'
> unless the patient is driven to them in search of better management. I
> think I am the only gynaecologist in the world who performs his own
> hysterograms and these number more than 10000!This vast personal
> experience has educated me immensely and because of my personal
> intervention let me say very modestly that hundreds of patients who were
> wrongly diagnosed and were therefore being treated differently were put
> on the right track and successfully conceived .Briefly ,being very much
> involved in this diagnostic modality I have very carefully, logically
> and tactfully observed and compared the results of hycosy which is
> getting popular recently in my city. The sonologists are over the moon
> and a lot of patients are going thru this test. Sadly a lot of my
> patients whom I subjected to conventional hysterograms without any
> financial damage to them were wrongly diagnosed by the hycosy even
> though they were tested by otherwise very competent sonologists. I
> believe that ant diagnostic test if proved inconclusive is not worth the
> bother no matter how many theoretical plus points may have been
> enumerated in its favour. I have very hot debates with the
> representatives of a company who are intensively promoting the use of
> hycosy. I feel in my part of the world no matter how discrete the
> attending physicians may be there is a very good chance that the test is
> likely to fall into wrong hands causing damage sometimes irreversible to
> the patients as far as the fertility potential is concerned. Every
> sonologist cant be as good as Campbell or Dubose Terry and every machine
> cant be what it should be like hence the ultimate diagnosis is bound to
> be unreliabel. Also even if the test is carried out correctly the
> picture on which the referring gynaecologist is going to depend on is
> least likely to unveil the actual pathology. I can go on for ever but
> for the time being this may be sufficient to generate realistic and
> HONEST opinions. Sorry for this long letter. Naseem Ahmad FRCOG
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