Re: Keepsake 3D

From: linda dipiazza (lindad1@netnitco.net)
Sun May 16 14:53:53 2004


>----- Original Message -----
From: "DuBose, Terry" <DuboseTerryJ@uams.edu> To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net> Sent: Friday, May 14, 2004 2:17 PM Subject: Re: Keepsake 3D

> 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
>

To All In Ultrasound

I would really like to know just what the majority consensus is on allowing spouses in the ultrasound suite with his wife to watch the ultrasound be it only a survey , etc. Should we make them sit out and then if there is nothing wrong allow them in; or let them in the room from the start, and if there is an abnormality or worse a demise. Let the couple in retrospect take comfort in the fact that;( even if at the time of actual scanning they weren`t informed untilafterward from the attending physician that there was a problem with baby); at least they were together and as a couple found out together? i know this an area of disagreement among the Ultrasound community, but when we take into account that this really a time of when Fathers` have more legal rights to their own biological children than ever before, it is an issue that deserves consideration; and not just "this is the way it has always been."

Thank you all - I will be looking forward to any comments .




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