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Re: One-Hour Fetus Photo From: DoctorJoe@aol.com Sun Sep 8 09:47:55 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terry J DuBose: "Re: One-Hour Fetus Photo" Previous message: Terry J DuBose: "Re: One-Hour Fetus Photo" Maybe in reply to: Marilyn Ringstaff: "One-Hour Fetus Photo" Next in thread: Terry J DuBose: "Re: One-Hour Fetus Photo" In a message dated 9/7/02 11:27:37, tjdubose@juno.com writes: > > Skilled Sonographers are quite frustrated by the position we find > ourselves.  Ethically and professionally we have believed that sonography > should always be kept in the mainstream medical hospital/clinic setting. > Now we see these folks... many church ladies in the Bible Belt... > grabbing the transducer... including many physicians and nurses who can't > even recognize when they are scanning twins much less evaluate a fetal > heart.  At the same time the medical community is saying "Because you > know what you are doing, you will be held to a higher standard and liable > for wrong or missed diagnoses."; yet these other folks get away with > "murder" because they are ignorant!  There is something wrong with this > picture.  > You have encapsulated, in this paragraph, the history of the rise of medical malpractice activity in the U.S. There was a nice article in JAMA several years ago (I can probably find it, if anyone's interested) written by a history. It detailed the advent and rise of "medical malpractice" as a legal action in the U.S. The source of the "problem"? Doctors (with credentials) trying to keep the snake oil salesmen at bay. The legal action was secondary to the proliferation of "license' and "credentials" and "diploma" conferral, which were aimed at keeping the standards in the profession up. Basically, a European-educated surgeon had to have some legitimacy over a back-woods sawbones who never got any formal medical education. Therefore, doctors made up standards, so the patients could tell who was a "real doctor" and who wasn't. However, once you make up a "standard," then anyone who falls below the standard, even if they were educated at the best schools in Europe, then becomes liable for any injury caused by his substandard care (i.e. medical malpractice). So the "problem" of medical malpractice was born of the medical establishment making standards up for itself. A double edged sword that is ever so sharp on both sides. Joe P. Next message: Terry J DuBose: "Re: One-Hour Fetus Photo" Previous message: Terry J DuBose: "Re: One-Hour Fetus Photo" Maybe in reply to: Marilyn Ringstaff: "One-Hour Fetus Photo" Next in thread: Terry J DuBose: "Re: One-Hour Fetus Photo"

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