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Re: "patient seeing exam" From: Todd Moyers (tmoyers@classic.msn.com) Mon Aug 31 05:59:26 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: James S Smeltzer MD: "Re: Uterine synechia or amniotic band?" Previous message: James S Smeltzer MD: "Re: Lawson: It ain't there till it ain't there....." I agree with you. I feel that time spent with these patients is important, showing that we are caring sonographers. There's nothing worse than hearing about a "bad experience with a sonographer" (example: sonographer acted mad because she was called in for bleeding ob, outcome was viable fetus, but sonographer won't let the patient see the screen or tell them any news) from a patient. I try to explain both sides but I feel it's best if the patient is informed before leaving the facility. Julia Moyers, RDMS -----Original Message----- From: DRoss38040@aol.com <DRoss38040@aol.com> To: ultrasound@obgyn.net <ultrasound@obgyn.net>; soundadvice@listbox.com <soundadvice@listbox.com>; sonographers-connection@lists.uchsc.edu <sonographers-connection@lists.uchsc.edu> Date: Sunday, August 30, 1998 10:10 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 > Next message: James S Smeltzer MD: "Re: Uterine synechia or amniotic band?" Previous message: James S Smeltzer MD: "Re: Lawson: It ain't there till it ain't there....."

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