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Re: sidual dysplasia From: Joanne Bulley, MD (islesannie@yahoo.com) Fri Jan 9 17:30:34 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "More on Hairless Pudenda" Previous message: Angela DeTie CNM: "Re: Patient Weight/Patch efficacy" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: sidual dysplasia" Next in thread: Charlie Chambers: "Re: sidual dysplasia" I know that is the reason. If we are going to go that route - then I suppose any one who is not a transplant candidate should not get dialysis. Even though it costs less in $$ - there are other problems with the recommendations. In addition to the higher incidence of invasive cancer -- as you know -- they end up not doing other health things. Like you - I tell them that it is cheaper - and the studies show no excess loss of life because the cancer is still caught early enough to cure it - but that there is indeed more cancer. Joanne At Fri, 9 Jan 2004, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >At Tue, 6 Jan 2004, Joanne Bulley, MD wrote: >> >I have a REAL hard time with the new recommendations of the ACS and ACOG >- to do paps q3 years after three normal paps. > >Joanne those recommedations are based on cost effectivness and are >defintely not as safe as yearly PAP smears, the data was presented on >ACOG's own site about six months ago, for example women who stop having >PAP smears in there six decade because all they prevoius PAP's were >normal will have twice the incidence of invasive cancer compared to >women who continue yeary PAP's but the incidence is still so low to make >it cost effective. Basically if a patient asks me if it is just as safe >to forgoe yearly PAP's after 65 or any age for that mater I tell them >that it is not as safe but it is cheaper. Those recomendations are not >foolproof I have had a case of invasive cervical cancer in a 18 y.o. >which according to the databases is unheard of. > >-- > Take care, John > -- Joanne Bulley, MD Keene, NH, USA ----- Work to create peace everywhere you go and with everything you do. ----- Let us accept truth, even when it surprises us and alters our views. -George Sand Next message: RModugno@aol.com: "More on Hairless Pudenda" Previous message: Angela DeTie CNM: "Re: Patient Weight/Patch efficacy" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: sidual dysplasia" Next in thread: Charlie Chambers: "Re: sidual dysplasia"

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