Re: JAMA article

From: Dave Berck (djberck@yahoo.com)
Thu Jan 13 15:15:02 2005


Has anyone seen a case of a patient having a keepsake ultrasound at the mall and then not having a diagnostic ultrasound? This seems farfetched to me. Those willing to shell out cash for a mall scan are probably going to show up for the free one at the doctor's office.

--- "DuBose, Terry" <DuboseTerryJ@uams.edu> wrote:

> I think Dr. Jeanty is correct. Patients are more
> likely to sue if they
> are unhappy or believe the practitioner is hiding
> something
> (incompetence?).
>
> This non-medical use of sonography is going to be a
> continuing problem
> until we have some kind of licensure for all
> sonographic operators. As
> photography and cinematography have developed, one
> of the first things
> that people have pointed their cameras at are their
> children. First, the
> Kodak box, then 35mm, 8mm home movies, video, now
> digital images and
> video clips of the grandchildren zip around the
> world. Sonography,
> apparently, is no different.
>
> Because we have done such a good job over the last
> 30 years of
> convincing the public that ultrasound is not
> dangerous to their progeny,
> we now have this problem of the uneducated and
> unwashed doing fetal
> imaging in the malls. The real problem is that the
> unsuspecting public
> may have no idea if the operator has any clue of
> what they are doing,
> and may believe that is all the prenatal care they
> need.
>
> As objectionable as regulation is to many, it
> appears that may be the
> only solution,... or "Caveat Emptor: Let the Buyer
> Beware".
>
> 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
> Philippe Jeanty, MD, PhD
> Sent: Wednesday, January 05, 2005 8:39 AM
> To: Multiple recipients of list ULTRASOUND
> Subject: RE: JAMA article
>
> Sure they have... I do not care the least bit... I
> have given the full
> exam
> on tape for the past 26 years. It documents that we
> have done a thorough
> exam. I prefer to practice for the patient then for
> the lawyer and I
> fully
> admit I make a lot of misdiagnoses... I have a whole
> lecture on CD on
> this
> :)
>
> -----Original Message-----
> From: ultrasound@obgyn.net
> [mailto:ultrasound@obgyn.net] On Behalf Of
> Joe
> Cutchin
> Sent: Wednesday, January 05, 2005 8:30 AM
> To: Multiple recipients of list ULTRASOUND
> Subject: Re: JAMA article
>
> Wonder if they have DVD readers in Court?
>
> "Philippe Jeanty, MD, PhD" wrote:
> >
> > Yeah all our machines have a DVD burner and we
> burn a free DVD to all
> > parents who wants one. Works pretty simple.
> >
> > -----Original Message-----
> > From: ultrasound@obgyn.net
> [mailto:ultrasound@obgyn.net] On Behalf Of
> Brooke
> > Cregor
> > Sent: Tuesday, January 04, 2005 12:20 PM
> > To: Multiple recipients of list ULTRASOUND
> > Subject: RE: JAMA article
> >
> > Art,
> >
> > Geddes Keepsake seems to address a market demand
> from expectant
> families
> to
> > show off the fetus to friends and family.  While
> addressing market
> demands,
> > it is often thought to be unnecessary and
> potentially excessive use of
> > ultrasound that some feel might interfere with the
> fetus development.
> >
> > We have seen a nice cost effective solution that
> is just hitting the
> market
> > that allows any Sonographer to address the market
> demand for both
> > physician's electronic medical records, and
> potentially keepsake
> purposes
> > without actually subjecting the fetus to
> additional ultrasounds.
> >
> > This product is a simple addition to any
> ultrasound and can be hooked
> up
> as
> > easily as installing a video printer to your
> ultrasound.
> >
> > http://www.medicapture.com/usb100_intro.htm
> >
> > Any thoughts on this solution as an alternative to
> a strictly keepsake
> > company run by potentially unqualified
> sonographers?
> >
> > Brooke
> > -----Original Message-----
> > From: ultrasound@obgyn.net
> [mailto:ultrasound@obgyn.net] On Behalf Of
> art
> > fougner, md
> > Sent: Tuesday, January 04, 2005 11:57 AM
> > To: Multiple recipients of list ULTRASOUND
> > Subject: JAMA article
> >
> > The 1/05/2005 edition of the JAMA ( not available
> online as yet)
> covers
> > the issue of "Entertainment OB Sonography.  One of
> the key points is
> > that amusement and diagnosis may not be mutually
> exclusive.  Berkeley
> > Geddes, an originator of online job search site
> FlipDog.com, started
> > Geddes Keepsake Inc as a way to incoporate
> "keepsake" services into
> > Diagnostic Labs.  More info to be found here -
> http://www.geddeskeepsake.com.
> >
> > oh - just want to say that i am in no way
> affiliated with Geddes.  Any
> > thoughts?
> >
> > art
> >
> > --
> > art fougner, md
> > May the Joy of this Holiday Season Be with You
> > and Yours throughout the New Year.
>
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>

===== David J. Berck, MD, MPH




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