[DYSPHAGIA] documenting unusual findings on MBS

[bobvolin@optonline.net (Bob Volin)]

I second Pam's response.  Diagnosis of diseases is not within our scope of
practice, but we document what we have observed and, when possible, state
when these observations are consistent with medical diagnoses.  We feel this
is particularly important in situations in which patients are being treated
or worked up for a different condition, and the probability is high that the
implications of our observations might otherwise be missed.

Bob Volin
New York Medical College and Westchester Medical Center
Valhalla, NY

>
> In a message dated 12/12/01 2:26:55 PM, helen-sharp@uiowa.edu writes:
>
> << We would both welcome ideas about how to document "suspicions"
> such as tumors, ALS, etc. in swallow reports.  >>
>
> In general, when I see something that looks suspicious, and the rad tells
me
> it is X, (but my report cannot diagnose "X"), I just describe what I have
> seen, and then in impressions state that what was observed is "consistent
> with sx seen in X."  I also refer the reader to the separate radiologist's
> report.
>
> PSmith


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