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Re: UAE Option From: Braun, R. Daniel (rbraun@iupui.edu) Thu Aug 26 06:59:32 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: UAE Option" Previous message: Braun, R. Daniel: "Re: UAE Option" Maybe in reply to: Gerald P. Rodríguez: "UAE Option" Next in thread: Richard Chudacoff, MD: "Re: UAE Option" Reply: Richard Chudacoff, MD: "Re: UAE Option" About half of my vag hysts go home same day with T-3's. R. Daniel Braun, MD "If everyone likes you, you're doing something wrong." Kinky Friedman I believe a self-righteous liberal or conservative with a cause is more dangerous than a Hell's Angel with an attitude. Andy Rooney -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Wednesday, August 25, 2004 4:54 PM To: Multiple recipients of list OB-GYN-L Subject: Re: UAE Option For those with fibroids - I nearly always review it. I discuss it as one of the options for those with symptomatic fibroids. So far it has been a big pain in the postierior working with the insurance companies - then having to educate the PCP about it - because it is the PCP who has to make the actual referral. Dosen't make sense that the PCP who has no way to judge whether the woman should have any procedure done - much less who should be a candidate for the UAE is the one who has to sign on to the recommendations... I certainly don't recommend it for all who are approaching hysterectomy. My impression is that it is a huge deal to go through with the UAE. There is the MRI she has to get (with the claustrophobic experience and the big bucks) - then the consult (for big bucks) - then the actual catheterization and treatment (for really big bucks). Then a night in the hospital with an epidrual for pain. Then the ride home nearly immediately after the epidural is removed - and given a prescription for pain meds to get when home -- meanwhile there is the 1-2 hour ride home with no drugs on board! But ... the few patients I have had go through that ... were glad to have avoided that nasty hysterectomy. Perasonally, my hysterectomy (abdominal at that) was easier to get through than what my patients described to me about the UAE! Joanne At Wed, 25 Aug 2004, Gerald P. Rodríguez wrote: > >Yesterday's Wall Street Journal, top front-page story, carried a story >quite critical of gynecologists who do "hundreds of thousands" of >hysterectomies and allegedly seem to almost always fail to offer >Uterine Artery Embolization to their patients as an alternative to >hysterectomy. > >Question: How many of you "offer" or inform patients of this option as >a matter or routine? > >Gerald P. Rodriguez, M.D., FACOG >Santa Fe >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ >"With malice toward none; with charity for all; with firmness in the >right as God gives us to see the right, let us strive on to finish the >work we are in; to bind up the nation's wounds; to care for him who >shall have borne the battle and for his widow, and his orphan--to do >all which may achieve and cherish a just and a lasting peace among >ourselves, and with all nations." > >Abraham Lincoln: Second Inaugural Address, March 4, 1865 >~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -- Joanne Bulley, MD Keene, NH, USA "Every gun that is made, every warship launched, every rocket fired, signifies in the final sense a theft from those who hunger and are not fed, those who are cold and are not clothed." President Dwight D. Eisenhower April 16, 1953 Next message: Braun, R. Daniel: "Re: UAE Option" Previous message: Braun, R. Daniel: "Re: UAE Option" Maybe in reply to: Gerald P. Rodríguez: "UAE Option" Next in thread: Richard Chudacoff, MD: "Re: UAE Option" Reply: Richard Chudacoff, MD: "Re: UAE Option"

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