Re: 4D IMAGING

From: Terry J. DuBose (duboseterryj@uams.edu)
Wed Nov 20 11:00:16 2002


But what about health care? True, we have found no documented harm from the sonic energy at sonographic levels and with "normal" medical usage, but what about missed and wrong diagnoses? Don't we care about that any more?

As far as the "Pro-choice" issue, I don't think anyone in sonography ever argues that >"it's just a lump of cells"
, at least not by the time we can see anything. The problem is the gray area(s)... who is willing to tell every mother with a fetal anomaly that she must carry the pregnancy and let nature take it's course... or who is willing to make the call on every case that "this one is fatal" but "this one will only have minor problems." Can our legislators write a law to deal with these issues in every case?

Eventhough I agree that we have much better, economical, safer, and humane means of birth control than elective abortion; I am still not willing to play "God" and tell the parents that they have no choice in every case.

Peace, Terry J DuBose, M.S., RDMS

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ultrasound@obgyn.net writes: -------------------------------------------------- >

--
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>In a message dated 11/19/02 22:25:24, gaperina@mindspring.com writes:
>
>As long a s there is no established harm, and the power
>levels are within FDA acceptable ranges, there should be absolutely no
>restrictions on ultrasonography.  Most of the innovations we have been able
>to make have been the result of technical improvements and those pioneers
>who were able to break new ground with them.
>
>Couple of observations:
>
>1) if there is truly no harm (in an otherwise medically nonindicated ultrasound), then there is no a priori medical contraindication for the procedure.
>
>2) if there is no medical contraindication, then you can talk about secondary "contraindications," the most debated is money.
>
>3) if money is the question, then the patient can pay for what she wants, right? Otherwise, we're practicing a bad form of paternalism. As long as you're not scamming the third-party payors, then the patient's wishes should rule.
>
>4) back to #1 above - if BONDING is a legitimate aim, then there's actually a medical BENEFIT, and the discussion SHOULD be over.
>
>Anything to add? hehe
>
>Joe P.
>
>P.S. Not to add gasoline, but how many of you have seen people, medical professionals, who have "grown up" with the development of ultrasound (when they started learning/school, ultrasound was in its infancy - as they practiced, ultrasound became 2D, 3D, 4D, technicolor, etc.), who have changed from "pro-choice" to "pro-life" by "bonding" with the babies on the screen, changing from the gut feeling of "it's just a lump of cells" to "it's a baby"? I've seen it more than once. So I think the
>"bonding" idea is valid for both the patient and the doctor. Whoosh!

Peace, Terry J. DuBose, M.S., RDMS Assistant Professor & Director, Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/CHRP/dmshome.htm http://www.obgyn.net/us/panel/panel.htm




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