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Re: GYN:Suggestions pleaseFrom: Martin Necas and Tania Keep (exiled@clear.net.nz)Mon Aug 31 00:43:28 1998
Dear Scotia, I appreciate your adventurous spirit in performing Gyn sonography using a variety of positions. There is something to be said for those who strive to do scans in difficult or new positions in order to achieve good images. Unfortunately, as a male sonographer, I have a difficult time imagining how I would explain the necessity of a "doggie-style" TV sonogram to any of my patients. I find most women, though perhaps apprehensive, are quite comfortable in the "missionary position". This position is familiar to them from other gyn testing (manual exam, pap smear, etc) and is ideal for a TV approach as well. I have to admit I am suprized that these positions increase your visualization or diagnostic confidence when doing a TV sonogram. I am afraid, I will not be able to test their usefulness in our practice. Many Regards, Martin Necas, RDMS, RVT Waikato Hospital, Hamilton, New Zealand. -----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Scotia Phillips, RT, RDMS Sent: Monday, August 31, 1998 12:34 AM To: Multiple recipients of list Subject: Re: GYN:Suggestions please It is interesting to me that one office where I scan has the oldest sonography equipment and the most modern table so I can trendelenberg at that place. However, where I have the best equipment also is the most primitive table!!! Go figure that one. Anyway, I have had great success in the patients with two manuvers. On one, we bring the legs up over the chest as much as possible while scanning vaginally. For the other, have the patient get on all fours on the table and scan from behind. This can also be accomplished with the patient standing beside the table and bending over, particularly in the massive obese patient. There are a few problems with these techniques. You absolutely must have a very co=operative and understanding patient who is interested in hepling you obtain the best possible view. Many women will not want to place themselves in what some may consider a humiliating position. It is best to have help with these manuvers. Some women are willing in the spirit but unable to do this physically. I prefer to have the doctor present to view as I scan so that there is no question about obtaining correct images, This is not a procedure that you want to repeat. If you can try these, you will be surprised at how helpful they are.
At Fri, 28 Aug 1998, yani wrote:
>
-- Scot
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