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----- Original Message -----
From: Kelly Estes <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, September 26, 1999 11:03 PM
Subject: Re: Combined services


> In a message dated 09/26/1999 11:37:11 PM Eastern Daylight Time,
> [log in to unmask] writes:
>
> << Hello! I also agree that the individual who can actually cross-train
> between
>  two ultrasound specialties is rare. The individual areas of ultrasound
are
>  diverging and to be current in the individual fields is getting to be
quite a
>  challenge. The skilled sonographer can do a normal patient, but subtle
>  pathology is another thing.
>                                           Tim Oltman RVT
>                                           Memorial Medical Center >>
>
>     I would have to disagree with this statement, yes I am registered in
more
> than one specialty, however I do not practice in all of the areas now that
I
> am registered in, but I do practice in more than one, While I am not a
jack
> of all trades, it is possible to do more than one thing well. I practice
in
> two areas of sonography and I know that I do an excellent job in both of
> them. There are many sonographers out there who do a wonderful job in more
> than one specialty.
>
> I would have to sign this, master of two (not jack of all)


> Kelly Estes RDMS, RDCS, RVT, practicing in the last two

I would have to agree here. It is very closed minded, as well as arrogant,
to believe that someone that has multiple skills can not be as good or
better in each as someone that only does one thing all day. Yes, you guessed
it, I am one of those. Quite frankly if I were to have a vascular ultrasound
performed, I would insist on the individual being RDMS as well as RVT. Us
RDMS folks are well trained at looking for the "subtle things".  Wouldn't it
not be nice to have that neck and/or thyroid mass noted during a carotid
exam? I also have a Diagnostic Radiology , CT, and Mammography background, I
believe each of these imaging modalities only helps my understand and
knowledge of anatomy. I believe that is the ultimate goal, isn't it?
Karen Pierce, BSRT,RVT,RDMS