Re: Threatenad abortion and usg
From: art fougner, md (evsono@pipeline.com)
Sun Dec 23 11:20:37 2001
Terry
what i would like to know is whether Dr. Hossain witnessed the comments
by the sonographer or whether this represented his patient's account.
that is the "telephone" phenomenon to which i was alluding. i have had
refeering docs calling to relay their patient's account of conversations
during the exam which in no way represented those actually said. i tend
to regard all hearsay commentary with the same skepticism regarded by
the courts.
as for the possibility that abdominal transducer pressure resulted in
miscarriage - preposterous. in that case, termination of pregnancy by
ultrasound would be an accepted technique. additionally, at least at
term, the full bladder tends to delay delivery, not facilitate it.
i hope i've answered your question for i have many about such a patient
encounter. when things don't seem right, they usually aren't.
just my opinion - i could be wrong.
art
At Sun, 23 Dec 2001, Terry J DuBose wrote:
>
>Dr. Fougner, thanks for the feedback. You have peaked my curiosity, and
>would like to follow this thread of discussion a bit longer. Knowing
>your diagnostic, sonographic, and skills of logic, Art, I certainly do
>not want to get into a debate; however, I would like to understand at
>what point "jumping to conclusions" occurred. This kind of discussion
>can be very instructive and raise the level of discourse here on
>Ultrasound@OBGYN.net .
>
>Do you mean that I was "jumping to conclusions" because the age of the
>gestation is unknown? You are correct, I assumed that it was an early
>pregnancy; and if it were late in pregnancy, then the possibility of
>endovaginal exam resulting in cervical massage starting labor is logical
>a caution. Actually, I was not only assuming early pregnancy, but also
>transabdominal scanning since it was indicated in the message that
>endovaginal was not performed.
>
>Is this the point where you perceive "thin ice"?
>
>peace, Terry J DuBose, M.S., RDMS
>
>--------------------------------------------------------------
>
>--------------------------------------------------------------
>On Sat, 22 Dec 2001 16:34:24 -0600 evsono@pipeline.com (art fougner, md)
>--------------------------------------------------------------
>--------------------------------------------------------------
>writes:
>--------------------------------------------------------------
>
>--
>--------------------------------------------------------------
>> Terry -
>--------------------------------------------------------------
>>
>--------------------------------------------------------------
>> as i opined on the og list - what we have here is a case of playing
>> telephone where she said that he said that she said that he said
>> etc.
>> should take this kind of history with more than a single grain of
>> salt.
>> careful before jumping to conclusions on thin ice - the inevitable
>> reception can be quite chilly indeed.
>>
>> just my opinion - i could be wrong.
>>
>> art
>>
>> At Sat, 22 Dec 2001, Terry J DuBose wrote:
>> >
>> >Dear Dr. Hossain... I do not believe that a full bladder or
>> "normal"
>> >transducer pressure could cause "expulsion".
>> >
>> >Many thousands of sonograms have been done in cases like these and
>> I know
>> >of none that were suggested to cause an abortion.
>> >
>> >Please let us know how the case turns out.
>> >
>> >Peace, Terry J DuBose, M.S., RDMS
>> >
>> >-------------------------------------------
>> >
>> >-------------------------------------------
>> >-------------------------------------------
>> >-------------------------------------------
>> >On Sat, 22 Dec 2001 11:21:37 -0600 "Belal Hossain"
>> >-------------------------------------------
>> <bhossain@msn.com>
>> >-------------------------------------------
>> >-------------------------------------------
>> >-------------------------------------------
>> >writes:
>> >-------------------------------------------
>> >
>> >-------------------------------------------
>> >-------------------------------------------
>> >-------------------------------------------
>> >--
>> >-------------------------------------------
>> >> Hi,
>> >-------------------------------------------
>> >-------------------------------------------
>> >-------------------------------------------
>> >>
>> >-------------------------------------------
>> >> A case of threatened abortion was advised usg in morning,reported
>> >-------------------------------------------
>> >> viable fetus,cervical status satisfactory; Product expelled at
>> >-------------------------------------------
>> >> evening.Usg guy's comment to the party was full bladder togather
>> >> with pressure by transducer is the key factor to initiate the
>> >> expulsion-so it shouldn't be advised.I suppose exploration per
>> >> vagina is more risky.Let me know what you say on his suggestion
>> 'not
>> >> to do it'.Should the usg guys comment clinically?
>> >>
>> >> Dr Belal Hossain MD
>> >> Kolaghat.IndiaGet more from the Web. FREE MSN Explorer download
>> :
>> >
>>
>> --
>> art fougner, md
>> ich bin ein New Yorker
>
--
art fougner, md
ich bin ein New Yorker
