Re: Pap question
From: Harrison Sheld (hsheld@anv.net)
Mon Nov 29 08:12:03 2004
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If yuou haven't already done it, you might want to scope the vagina.
Elrod Darryl G MAJ 48 MDOS/SGOBO wrote:
> That's what I thought. The beauty of the AF is I have mostly young
> healthy women. The bad part is I see mostly young healthy women. It
> is even rarer to see someone over 50 here.
>
> Glen
>
> D. Glen Elrod, Maj USAF, MC
>
> Obstetrician/Gynecologist
>
> Maternal Child Flight
>
> 48 MDOS/SGOBO
>
> UNIT 5210 Box 23
>
> APO, AE 09464
>
> DSN (314) 226-8334
>
> Comm 01638-52-8334
>
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> ------------------------------------------------------------------------
>
> ------------------------------------------------------------------------
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> ------------------------------------------------------------------------
> Braun, R. Daniel
> Sent: Monday, November 29, 2004 12:15 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: RE: Pap question
>
> #2 would be the safest.
>
> Dan
>
> 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
> Elrod Darryl G MAJ 48 MDOS/SGOBO
> Sent: Monday, November 29, 2004 4:50 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Pap question
>
> 50 yo G3P1021 with first abnormal PAP showing LGSIL. Colposcopy
> was unsatisfactory. EMB was negative. ECC was negative.
> Cervical biopsy showed HPV effect. There wasn't anything
> impressive with the colposcopy at all.
>
> My options would be 1. repeat pap in 6 months 2. Excisional
> biopsy (LEEP, cone) 3. Review Pap and biopsy looking for some
> rationale.
>
> Any thoughts?
>
> D. Glen Elrod, Maj USAF, MC
>
> Obstetrician/Gynecologist
>
> Maternal Child Flight
>
> 48 MDOS/SGOBO
>
> UNIT 5210 Box 23
>
> APO, AE 09464
>
> DSN (314) 226-8334
>
> Comm 01638-52-8334
>
> Notice of Confidentiality
> Under the Privacy Act of 1974, you must safeguard all information
> reflected on this Email and, if applicable, all attachments.
> Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI
> 37-131, AFI 37-132, AFI 33-219, and PL 93-579"
> This document may contain information covered under the Privacy
> Act, 5 USC 552(a), and/or the Health Insurance Portability and
> Accountability Act (PL 104-191) and its various implementing
> regulations and must be protected in accordance with those
> provisions. Healthcare information is personal and sensitive and
> must be treated accordingly. See
> <https://sg.usafe.af.mil/HIPAADisclosure.cfm> for full details.
>
