Re: Keepsake 3D
From: art fougner, md (evsono@pipeline.com)
Fri May 14 16:20:11 2004
Terry
In the US as you well know, every afternoon you can channel surf and
find a court show. Americans are afflicted with lawsuit mania. If
something bad happens, even if they don't feel that way, someone in the
family or a neighbor encourages them to sue. And that is how those
cases will go to litigation. Not necessarily because we agree with the
principle but because that's the American way. Just as a woman can
place a cup of hot coffee between her thighs and get burned and then sue
McDonald's, just as folks who could read a pack of cigarettes but smoke
anyway could sue, just as folks who get fat and bloated by subjecting
themselves to supersized whoopers could sue, that is how folks will sue
the Fetal Fotomats. And the disclaimer about we don't do medical will
hold up about as well as the "Not Responsible" disclaimer in the parking
lot will hold up. It will sooner or later be up to a jury to decide.
And once that happens, the game is afoot.
Terry, I agree with you in principle but there is a dearth of FDA
inspectors for Ultrasound labs so the Fotomats can, as Monty Python
exclaimed, "Fart in their general direction." Caveat emptor will prevail
here - for better or for worse. Therefore, it is up to us to provide
for our patients our best efforts and let the chips fall where they may.
We can only hope that Karma prevails. And it usually does. Again, the
pity is that the same folks who unhesitatingly fork over a wad of cash
money for their Foto-op are the same folks who fight tooth and nail to
forgo the meager copay at your lab when you participate with their
insurance plan. To quote Yacov Smirnoff - " America - What a Country!"
At Fri, 14 May 2004, DuBose, Terry wrote:
>
>Art, will an uneducated, unskilled, & unwashed person who doesn't have a
>clue as to the difference between a uterine synechia vs. an amniotic
>band, and won't care because it isn't a "medical" exam, be held to the
>same standard as a registered sonographer or MD? This, I fear is the
>fallacy in the legal solution to this problem.
>
>Given enough time the "unwashed" will develop the psychomotor skills to
>acquire pretty pictures of faces, but won't have a clue about VSDs, etc.
>and won't care. In time the public will come to view these folks as
>the real face of sonography because that is the "fun" part; and the real
>sonographers will become the gnomes in the bowels of the hospital,
>giving out the bad news. We will be held to a higher standard because
>of our experience, while the uneducated will be able to throw up their
>hands and exclaim "gastroschisis, what is that? Who knew?"
>
>Unless the FDA actually enforces their own regulations on non-medical
>uses, then the legal system will not treat all by the same standards.
>The FDA needs to either enforce their own regs or release us all to
>compete in the "free market", and then we can beat the unwashed at their
>own game. I include registered sonographers in this issue of the "free
>market".
>
>"Just my opinion, I could be wrong."
>
>Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
>
>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/dms/default.asp
>http://www.obgyn.net/us/panel/panel.htm
>---------------------------------------------------------------
>
>---------------------------------------------------------------
>---------------------------------------------------------------
>---------------------------------------------------------------
>-----Original Message-----
>---------------------------------------------------------------
>From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
>---------------------------------------------------------------
>art fougner, md
>---------------------------------------------------------------
>Sent: Friday, May 14, 2004 11:04 AM
>To: Multiple recipients of list ULTRASOUND
>Subject: Re: Keepsake 3D
>
>i'm equally sure that there are anomalies missed at non-3D sites as
>well. the glass house has many rooms. yogi had it right - "it ain't
>over til it's over."
>
>however, the missed anomalies will come back to haunt the Keepsake
>Centers as it already has haunted us all - if you perform an ultrasound
>for whatever reason, my feeling is that you should and will be held to
>the published standards.
>
>art
>
>At Thu, 13 May 2004, David Nyberg wrote:
>>
>>Larry
>>
>>I know of a case here in Phoenix where a reputable group missed a cleft
>lip/palate that was then picked up by a commericial 3D site 2 weeks
>later. I know that's not what you're looking for, but it could work
>both ways. Of course a 3D site may be more likely to pick up facial
>abnormalities since that's where their focus is. I'm sure there are
>plenty of nonfacial abnormalities missed by 3D sites.
>>
>>Dave
>>
>>On Thu, 13 May 2004 LDPLATT@aol.com wrote:
>>
>>> Does anyone have or kno a patientw of had a keepsake video done in
>one of the
>>> "commercial"centers who subsequently had a major fetal abnormality
>??? If
>>> so would they be willing to talk about the experience? Thanks
>>>
>>> Larry Platt ldplatt@aol.com
>>>
>>--
>>David Nyberg, MD
>>10401 E McDowell Mtn Ranch Rd
>>#2-372
>>Scottsdale, AZ 85255
>>ph cell 480-797-0993
>>fax 480-512-8737
>>work 480-512-3850
>>
>--
>art fougner, md
>ich bin ein New Yorker
>
--
art fougner, md
ich bin ein New Yorker
