Re: Joe-- Ob/Gyn US practice in Asian countries
From: James Smeltzer (James.Smeltzer@wellstar.org)
Wed Jun 15 11:19:43 2005
LOL,
Johnny Paycheck has a song about that that I'm sure my sonographers
want to sing sometimes:
Take this probe and shove it.....
;^)
>>> djberck@yahoo.com 6/14/2005 7:56:42 PM >>>
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
> >
>
---------------------------------------------------------------
> >
---------------------------------------------------------------
> >
--
---------------------------------------------------------------
>
---------------------------------------------------------------
> >
---------------------------------------------------------------
> >
---------------------------------------------------------------
>
---------------------------------------------------------------
> >
---------------------------------------------------------------
> > >>>>>>>>>>>>> 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.
> > ==========================
> >==========================
> >==============
> >
>
> --
> 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
>>>>>>>>>>>>> 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.
================================================================
