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Re: "patient seeing exam"From: DRoss38040@aol.comSun Aug 30 21:09:01 1998
In a message dated 8/27/98 5:54:42 PM Eastern Daylight Time, twhelan3@mail.bayou.com writes: << In parting...I have spent the better part of 2 hours writing this.. I do hope that I have not started a mess... I am an older bird, but I still have most of my feathers because I don't fly when lightning is striking, but I love the smell of ozone. >> Dear Tom: You have to understand that every community has its own expectations of their health-care provider. All situations are not equal. I think that demises should be explained by the person who will do the best job. Sometimes that is the doctor, sometimes it is the sonographer, sometimes the referring MD. We are writing from all over the country and mores and expectations are different with different populations. After all, most people wouldn't write a complaint letter about gas, as happened to Suzy. And you are a man, ministering to women, which is somewhat different from woman-to-woman interchanges about our bodies. I think it is a good policy to have some other licensed person in the room when you talk to patients about results. Also, it is best if the patient brings someone along who can help them with their grief. They should not have to drive home alone after such news. I always spend lots more time with the patient after I have to deliver bad news, and I offer them the use of our phone, or anything else they might need. If I have had any trouble with the patient before the exam is finished, I try to get the MD to deliver the bad news. The patient deserves to know the results of the exam. The only time I don't tell them the results (if they want to know) is if I am not sure what the radiologist will say. I'm good at saying "Don't worry!" or "I wouldn't worry about THAT!" Above all, a patient with an ectopic pregnancy should not be allowed to leave the hospital and take the subway back to her referring doctor just because the radiologist doesn't want to talk to her!!! (I have seen this happen!!) I have 25 years in medicine, and I know that there are few certain rules in medicine that apply to everyone. Diana Ross, RT, RDMS
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