Re: Elective TAPES save you, BEWARE OF FETAL MOVEMENT CESSATION, DO INDICATED STUDY, GET WRITTEN ORDER
From: cairo2@mac.com
Wed Jul 27 13:34:19 2005
Can you please take my name off ur list..can u advice
On 25 Jul 2005, at 16:01, James Smeltzer 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
> 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
>
>>>> 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 10:46:02 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" <DuboseTerryJ@uams.edu>
> To: "Multiple recipients of list ULTRASOUND"
> <ultrasound@dns.obgyn.net>
> 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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