Re: Joe-- Ob/Gyn US practice in Asian countries

From: James Smeltzer (James.Smeltzer@wellstar.org)
Mon Jun 13 14:12:39 2005


Terry,

In the news the other day a Starbuck's asked a woman to breast feed her baby in the lavatory because other customers were annoyed by it. She suggested they take their latte to the lav instead.

I recently ran into a patient - running 3 rooms, behind because of an anomaly, sonographer out & doing all my own work as well - who was middle aged and had a terrible experience because I had to do a perineal for a Bartholin's gland problem the sonographer did not know how to evaluate.

She complained bitterly to her husband afterward some things that were not true - unchaperoned etc. - mostly because she was freaked by evaluation by a man - 1st in her life. She had a look of fear and I thought it was cancer phobia but did not say anything. I should have paid attention, said "you look like you are afraid,"& asked why, but I did not.

If you are careful, respectful and explain you can usually examine almost anyone, but you need to take the time & it is VERY important to do so (Also ALWAYS have a chaperone if male). I regret that I did not for this one.

Jim S

>>> DuboseTerryJ@uams.edu 6/9/2005 9:36:09 AM >>>

As a non-physician sonographer, I should jump in here with another point-of-view. I agree the issue is primarily one of culture.

Before going into sonographic education full-time, I was in clinical practice with a group of radiologist for 22 years. When we first started endovaginal sonography in the mid 1980s, the main question about the insertion of the transducer. I always gave the woman the option of inserting it herself on the basis that if there was pain she would have better control of the process.

Back in those days we still saw a few older women who did not want to insert "anything there" themselves. These were women who had past menopause before the advent of tampons. The only women, that I recall, who did not want me doing the exam (I am male) were on religious grounds, a few women from the USA and the Middle-East.

>From my observation of our students, and with the rise of more
fundamentalist religious conservatives in the USA, there appears to be more resistance to male sonographers performing sonographic exams on women. This includes breast exams as well as endovaginal, I do not recall this resistance being so widespread 20 years ago. The same resistance does not arise in the case of women doing scrotal exams on men. At our local Veteran's Administration Hospital, there are only female sonographers in the radiology department and they do many (all) testicular as well as endorectal prostate examinations.

In the USA today, approximately 85% of all sonographers are women, and the number of males seems to be continuing to decline.

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 ---------------------------------------------------------------

---------------------------------------------------------------

---------------------------------------------------------------

>>>>>>>>>>>>> Confidentiality Disclaimer <<<<<<<<<<<<<<<<

This email and any files transmitted with it may contain confidential and /or proprietary information in the possession of WellStar Health System, Inc. ("WellStar") and is intended only for the individual or entity to whom addressed. This email may contain information that is held to be privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any unauthorized access, dissemination, distribution or copying of any information from this email is strictly prohibited, and may subject you to criminal and/or civil liability. If you have received this email in error, please notify the sender by reply email and then delete this email and its attachments from your computer. Thank you. ================================================================




recommended search...
Google
OBGYN.net forums endometriosis zone Web

use when must restrict search to only the ultrasound forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  Ultrasound Forum Mail a New Message to the Forum: ultrasound@obgyn.net
Forum Administrator: terry.dubose@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 05:19:56 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.