ULTRASOUND Messages for January, 2005: Re: JAMA article

Re: JAMA article

From: Dave Berck

djberck@yahoo.com

Fri Jan 14 15:01:33 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. > >> > >> Confidentiality Notice: This e-mail message, > >> including any attachments, is for the sole use of > >> the intended recipient(s) and may contain > >> confidential and privileged information. Any > >> unauthorized review, use, disclosure or > distribution > >> is prohibited. If you are not the intended > >> recipient, please contact the sender by reply > e-mail > >> and destroy all copies of the original message. > >> > > > > ===== > > David J. Berck, MD, MPH > > >

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

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