Re: The fight is being lost...
From: Dave Berck (djberck@yahoo.com)
Sun Sep 26 19:33:12 2004
That may be true, but I don't think that too many
insurance companies take this seriously, certainly a
small minority. And ACOG has kept the bar pretty low
in terms of what they consider acceptible ultrasound
credentials, e.g. and ob/gyn residency.
--- "art fougner, md" <evsono@pipeline.com> wrote:
> 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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> >>
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>
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> >>
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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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>
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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
>
=====
David J. Berck, MD, MPH
