Re: JAMA article
From: Allen Worrall (jworrall@alaska.net)
Thu Jan 13 15:28:09 2005
No free scans from my ultrasound practice. The obstetricians will sometimes
use a small old portable machine for a quick look. They do not charge and do
not do a real prenatal examination.
I suppose some practices that charge a global obstetrical fee include the
ultrasounds in that global fee. We do not do it that way.
Allen
>----- Original Message -----
From: "Dave Berck" <djberck@yahoo.com>
To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net>
Sent: Thursday, January 13, 2005 1:16 PM
Subject: Re: JAMA article
> 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
>
