Re: "patient seeing exam"

From: robin Schrader (t_rschrader@email.msn.com)
Sun Aug 30 22:11:01 1998


Diana, I agree with you. I have seen many patients leave the hospital not knowing what is going on, but still in shock because they know that something is wrong. Many patients that come to us for ultrasound exam have had previous children and u/s. They know what it should look like and if they can see a heart beat or not. They will not, of course, be able to recognize the vast majority of anomalies, but will compare the current exam with the last. I am very involved with grief counseling at my facility and I do tell the patient what I am seeing. Of course, the physician is brought in as well, but he expects me to be responsible and capable and willing the help the patient as much as possible. I also never let a patient leave my facility alone if they have just received bad news. I help them to call the appropriate people if none are there and make sure that they get to where they need to go in one piece.

When patients who have been through traumatic fetal experiences are asked what was the hardest part for you? I hate to hear that, " I knew something was wrong, but when I asked the ultrasound technologist, they said, "I'm sorry I can't tell you, I have to get a physician'' those were the worst minutes of my life." Patients, for the most part, don't need to be told. They already know that something is wrong by your body language, tone of voice and previous experiences. We must work together with our physicians and help our patients during these very trying times.

This all goes back to the discussions of, do we as sonographers interpret exams or do we just take pictures for the physicians to read. We can't stand behind the blinds and watch patients lives go up in smoke without feeling their pain and wanting help. That is what we became healthcare professionals for. To help people.

My 2 cents for what its worth. Grief counseling is very important to me and I know my patients appreciate the time that I give them when it is needed.

Robin, RT,RDMS

-----Original Message----- From: DRoss38040@aol.com <DRoss38040@aol.com> To: Multiple recipients of list <ultrasound@talk.obgyn.net> Date: Sunday, August 30, 1998 8:10 PM Subject: Re: "patient seeing exam"

>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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