--
Kerry E. Weinberg MPA, RT, RDMS, RDCS
Director,Diagnostic Medical Sonography Program
New York University
726 Broadway, Room 652 A
New York, NY 10003
212-992-8723
(fax) 212-995-4890
kerry.weinberg@nyu.edu
>----- Original Message -----
From: James Smeltzer
To: Multiple recipients of list ULTRASOUND
Sent: Monday, June 13, 2005 3:19 PM
Subject: RE: Joe-- Ob/Gyn US practice in Asian countries
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
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