Re: The fight is being lost...
From: art fougner, md (evsono@pipeline.com)
Sat Sep 25 11:44:44 2004
Some insurance companies are taking care of the office ultrasound
situation by only paying for services offered by accredited practices.
art
At Sat, 25 Sep 2004, Dave Berck wrote:
>
>I totally agree!
>
>--- "DuBose, Terry" <DuboseTerryJ@uams.edu> wrote:
>
>> " This just doesn't seem like such a big deal when
>> most ultrasound in
>> the US is being done by jokers who wouldn't know a
>> nuchal fold from a
>> fig newton."
>>
>> This is the best argument for mandatory licensure
>> and ARDMS
>> certification for all using sonography... even the
>> RNs and MDs.
>>
>> 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
>>
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>> -----Original Message-----
>---------------------------------------------------------------
>> From: ultrasound@obgyn.net
>> [mailto:ultrasound@obgyn.net] On Behalf Of
>> Dave Berck
>> Sent: Friday, September 24, 2004 8:48 AM
>> To: Multiple recipients of list ULTRASOUND
>> Subject: Re: The fight is being lost...
>>
>> I'm not a big fan of fetal foto, but the only strong
>> argument against them is that
>>
>> 1) it's bad for the baby.
>>
>> But
>> Does anyone really think that this is true? Is
>> there any ultrasound professional who uses any
>> genuine
>> restraint in indications for ultrasound in order to
>> abide by ALARA principles? If not, it's time to get
>> off the high horse. I don't think the prohibition
>> analogy holds here -- diagnostic u/s isn't bad for
>> babies.
>>
>> 2) the techs won't know what to do with an anomaly
>> (e.g. cleft lip or anencephaly).
>>
>> But
>> Does anyone familiar with the quality of
>> ultrasound
>> in the US (i.e. low) think that the overall quality
>> of
>> fetal fotos could possible be worse than what
>> general
>> ob/gyns generate in their offices? Who's done a
>> worse
>> job -- the radiologist who misses anencephaly at 20
>> weeks, or the fetal foto tech who misses it at 30
>> weeks?
>>
>> This just doesn't seem like such a big deal when
>> most ultrasound in the US is being done by jokers
>> who
>> wouldn't know a nuchal fold from a fig newton.
>>
>> -- Dave Berck, MD, MPH, RDMS
>>
>> --- Allen Worrall <jworrall@alaska.net> wrote:
>>
>> > I am afraid it is going to be like Prohibition:
>> > there are some things that the people want and you
>> > can pass all the laws you want, but it will not
>> stop
>> > even law-abiding folks from doing whatever it is
>> > (drinking alcohol or having prenatal sonos.).
>> >
>> > Of course it could be greatly reduced, by
>> > considering it something as bad as dealing drugs,
>> or
>> > a similar really bad thing. Then you would have
>> > underground ultrasound "speakeasies". Probably no
>> > one on this forum is old enough to know what I am
>> > talking about.
>> >
>> > Allen
>
>>>> > ----- Original Message -----
>> > From: Dr. Wolfgang Moroder
>> > To: Multiple recipients of list ULTRASOUND
>> > Sent: Thursday, September 23, 2004 11:21 AM
>> > Subject: Re: The fight is being lost...
>> >
>> > Thanks Terry, well the war ... drags on!
>> > Wolfgang
>> >
>> > Am 23/set/04 um 21:05 schrieb DuBose, Terry:
>> >
>> > > Wolfgang... no, but it helps. Basically, in
>> > the USA there are folks,
>> > > some untrained in medicine, who are opening
>> > "Fetal Studios" and
>> > > charging
>> > > large fees to provide the parents with
>> pictures
>> > and videos. This is
>> > > without any medical indication or diagnosis.
>> > >
>> > > There are at least two sides, probably many
>> > more, and a lot of
>> > > disagreement in what should be done.
>> > >
>> > > Hope this helps.
>> > >
>> > > 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
>> > >
>> >
>>
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>> > > -----Original Message-----
>---------------------------------------------------------------
>> > > From: ultrasound@obgyn.net
>---------------------------------------------------------------
>> > [mailto:ultrasound@obgyn.net] On Behalf Of
>> > > Dr. Wolfgang Moroder
>> > > Sent: Thursday, September 23, 2004 2:00 PM
>> > > To: Multiple recipients of list ULTRASOUND
>> > > Subject: Re: The fight is being lost...
>> > >
>> > > Do I have to be a registered user of NYT to
>> > understand what this is all
>> > > about?
>> > > Best regards
>> > >
>> > > Wolfgang
>> > >
>> > > Am 23/set/04 um 16:20 schrieb Philippe Jeanty,
>> > MD, PhD:
>> > >
>> > >>
>> >
>>
>http://www.nytimes.com/2004/09/23/technology/circuits/23ultr.html?th
>> > >
>> >
>>
>> =====
>> David J. Berck, MD, MPH
>>
>=====
>David J. Berck, MD, MPH
>
--
art fougner, md
ich bin ein New Yorker
