ULTRASOUND Messages for June, 2005: Re: Triple screening in California

Re: Triple screening in California
From: Allen Worrall (jworrall@alaska.net)
Sun Jun 12 13:47:16 2005

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Thanks for the clarification. The passage of time since my email of 12 August 1998 brings up another question about California: Now that first trimester screening with nuchal translucency, fetal nasal bone, PAPP-A and Free beta HCG seems to be becoming the standard, what do you do in California? And where does the Quad screen fit now, in California?
Traditionally public health laws sooner or later become obsolete and usually the required legislation to bring those laws up to modern standards is years late.
Allen
Joseph A Worrall MD RDMS OB/GYN Ultrasound at the Fairbanks Clinic Fairbanks, AK 99701 http://www.obgynsono.com

>----- Original Message -----
From: "Michael Gorman" <gormanm@fcm.ucsf.edu> To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net> Sent: Saturday, June 11, 2005 11:48 PM Subject: Re: Triple screening in California
> It is my understanding that California law states that the tripple
> screen must be offered to each women with appropriate counseling so as
> to allow her to make upher own informed mind. There is quite alot
> misunderstanding about it here. Many in the field think the women "has
> to get it done"., but this is is just not true.On the other hand I must
> offer the tripple screen, with infrormed consent, to her. Many of my
> patients decline the test after I explain the pros and cons. Including
> many of my closest friends and family.
>
> Michael R. Gorman, MD
> UCSF
>
> At Wed, 12 Aug 1998, Joseph A Worrall wrote:
>>
>>To Onebornjoy: I hope someone from California will answer this. It is my
>>understanding (and I may be wrong) that there is a law in the State of
>>California that requires that all pregnant women have serum testing for
>>aneuploidy +ACY- NTD during their pregnancy. This has been in effect for a
>>number of years, and thus there is a good deal of data available. I
>>believe
>>the labs that do the serum testing have to be certified by the State of
>>California, there are prescribed protocols for followup of results. I
>>seems
>>to me I heard somewhere that when ultrasound is part of the protocols,
>>that
>>only certain ultrasound labs can be used.
>>
>>We also have laws that require testing of newborns for phenylketoneuria,
>>and
>>we have laws that require treatment of newborns eyes to prevent neonatal
>>ophthalmia, etc. I guess you could argue that any law passed to protect
>>the
>>public health is an invasion of someone's rights.
>>
>>--
>>Joseph A Worrall MD RDMS
>>
>

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