Re: Joe-- Ob/Gyn US practice in Asian countries
From: Dave Berck (djberck@yahoo.com)
Tue Jun 14 18:16:10 2005
True, he recommends that. Now lets go over the
conversation with the patient prior to the exam:
Young lady, I have good news and bad news. The good
news is you don't need to put this thing in the
vagina. Now for the bad news . . . .
--- "art fougner, md" <evsono@pipeline.com> wrote:
> 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
>
David J. Berck, MD, MPH
