Re: Joe-- Ob/Gyn US practice in Asian countries
From: art fougner, md (evsono@pipeline.com)
Tue Jun 14 07:51:04 2005
Ilan Timor suggested Transrectal sonography as a substitute for
Transvaginal when the patient was not sexually active.
art
At Mon, 13 Jun 2005, Kerry Weinberg wrote:
>
>I am a female sonographer and there are situations where I will ask the physician to come into the room to chaperon a transvaginal exam. We typically will not perform a transvaginal exam on a women who is not sexually active - no matter what her age is. If a transvaginal exam needs to be performed on a minor or someone who is not sexually active I will ask the physician to come into the room. There are times they were not happy that I insisted but I felt more comfortable if something was said later on about the exam. I also ask for a chaperon if the patient seems to be a bit on the 'crazy' side.
>
>--
>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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--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
