Re: The fight is being lost...

From: DuBose, Terry (DuboseTerryJ@uams.edu)
Fri Sep 24 08:50:21 2004


Your last point may be the only real issue. Not that the public is too "stupid" but they really may not understand that a missed or wrong diagnosis (false positive) does harm. As a result, they may believe that if no one says something is wrong, and then they may assume all is well, and consider that they have had prenatal care.

Also, if the professional organizations restrain the real sonographers, those who know and care about the profession, from entering this type of business on ethical grounds, will we not be abandoning the field to the "uneducated, unskilled, and unwashed?" They do not care one hoot for our ethics, or the FDA regulations, for that matter. Given enough time, these folks will develop the psychomotor skill to make "pretty faces" but will not know if the heart, kidneys, brain or another organs are normal or not... and won't care, it is "not medical." Given enough time these folks will become the "face of sonography" in the public's eye; and the real, dedicated sonographers will be the gnomes in the bowels of the hospitals giving out the bad news. I think it may be risky to stop sonographers from doing this business unless the FDA shuts down the nonmedical use COMPLETELY. We need licensure, not ethics, about which the unwashed could care less.

IMHO, Terry J DuBose

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Associate 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 DoctorJoe@aol.com Sent: Thursday, September 23, 2004 3:24 PM To: Multiple recipients of list ULTRASOUND Subject: Re: The fight is being lost...

In a message dated 9/23/04 09:20:23, jeanty@TheFetus.net writes:

http://www.nytimes.com/2004/09/23/technology/circuits/23ultr.html?th

"Women love it," said Matt Evans, a lawyer, who started his company, Baby Insight (baby -insight.com), about a year and a half ago. "They get to see their baby and have an emotional experience with their baby." Mr. Evans said his technicians have performed more than 2,000 ultrasounds at the company's only location, in Potomac, Md. Baby Insight's highest-priced package, for $260, includes a video with background music, one 8-by-10, two 5-by-7, and 10 wallet-size color photos, four announcement cards and a chance for friends and family members to view the ultrasound images as they are produced on a large screen in the company's theater room. Mr. Evans said his employees tell customers that the ultrasounds are not meant to be a substitute for a doctor's exam.

Couple of observations:

1) he's a lawyer, doing what (many) lawyers love to do - make money (not all of them, however);

2) the mother/parents are bonding with the baby - that's NOT a bad thing;

3) there IS a disclaimer that it's NOT a "medical" ultrasound.

So, in the absence of compelling reasons for DANGER of the procedure to the baby, we have three things to argue:

1) is it bad for lawyers to make money?

2) is it bad for parents to bond with feti?

3) are patients too stupid to understand the disclaimer?

Of course, if you make a case for danger to the fetus from the 'rays', then all bets are off.

Joe P.

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