--
bouthina ibrahim <bouthina_ibrahim@yahoo.com> wrote:thank you so much download this videotape.
James Smeltzer <James.Smeltzer@wellstar.org> wrote: Regarding these "evil" patient souvenir tapes. Here's a case where an
"archival" tape in the hands of the patient could have led to an
entirely different outcome...
I was a witness for the plaintiff in a case in which a biophysical
profile was ordered for mild toxemia, no fetal movement and nonreactive
NST. Three days later a baby was born with severe and permanent global
brain damage that was pretty clearly related to a profound and ongoing
fetomaternal hemorrhage. All the images, paperwork and official report
indicate that a general OB sonogram and not a BPP was performed that
night.
The radiologist group settled independently. The hospital and
physicians took the case to the wall, claiming -among other things- that
a BPP was actually done and was reassuring. The jury did not buy it and
neither did I. A keepsake tape showing ! a normal BPP would definitely
have changed my opinion, and probably that of the jury as well.
The jury assessed 80% of the $17 Million damages against the hospital.
If a BPP had, in fact, been done, or could even be reconstructed and
seen to be reassuring on a videotape by me or another expert, then the
hospital and sonographer and probably the referring docs would have been
cleared.
Other lessons:
Get orders in writing. A chain of written orders would probably have
saved this baby.
Do what is indicated, even if not asked for... An OB sonogram without
BPP is not the follow-up for a nonreactive NST.
Check an MCA V-Max (with angle correction) if the complaint is the
cessation of fetal movement. An increase indicates a fetal anemia you
may not pick up in other ways until the suituation is extreme.
Have a nice day, and give out those tapes!!!
Jim
James S. Smeltzer, MD, FACOG, SMFM
Consultan! t, Maternal Fetal Medicine
Wellstar Physicians' Group
Northwest Women's Care
787 Campbell Hill St
Marietta GA 30060
James.Smeltzer@wellstar.org
VM 678-290-3035
Off 770-528-0260
Page 404-318-3451
>>> James Smeltzer 4/25/2005 1:42:41 PM >>>
Y'all,
Like I said before, the content of the examination - as are the content
of all medical records- is/are the PROPERTY of the patient.
I personally would never go along with any loved one from my family who
went somewhere for an OB sonogram where they did not let her have a tape
or disc of the exam. What are they hiding??!!
Jim
James S. Smeltzer, MD, FACOG, SMFM
Consultant, Maternal Fetal Medicine
Wellstar Physicians' Group
Northwest Women's Care
787 Campbell Hill St
Marietta GA 30060
James.Smeltzer@wellstar.org
VM 678-290-3035
Off 770-528-0260
Page 404-318-3451
>>> jworrall@alaska.net 4/22/2005 10:4! 6:02 AM >>>
This is a complete and balanced presentation of the subject. Probably
the
wave of the future.
I wonder about the requirement that a regular physician-ordered
ultrasound
has to be done first. Does this mean that patient could have two
ultrasounds
in one day, perhaps performed by the same sonographer. I would think
the
insurance/Medicare/other third party payer would wonder why they have
to pay
for an exam that the patient is paying for out of her pocket just a few
minutes later.
Allen
>----- Original Message -----
From: "DuBose, Terry" To: "Multiple recipients of list ULTRASOUND"
Sent: Friday, April 22, 2005 5:34 AM
Subject: elective ultrasound photos of their unborn babies
> A New Way To Bond
>
> Starting next week, a new business will offer women elective
ultrasound
> photos of their unborn babies
> http://www.fortwayne.com/mld/newssentinel/news/local/11404862.htm
>
> 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
> ---------------------------------------------------------------
>
> ---------------------------------------------------------------
>
> ---------------------------------------------------------------
> -----Original Message-----
> From: sonographers-connection@lists.uchsc.edu
> [mailto:sonographers-connection@lists.uchsc.edu] On Behalf Of
> ajflem@earthlink.net
> Sent: Friday, April 22, 2005 8:21 AM
> To: Multiple recipients of list SONOGRAPHERS-CONNECTION
> Subject: FYI
>
> http://www.fortwayne.com/mld/newssentinel/news/local/11404862.htm
>
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