Re: Office Ablation
From: John Perry (docjcp@hotmail.com)
Mon Oct 23 19:35:03 2006
My partner and I have been dong cyroablations in the office for a year. 95%
of them go without a complaint of pain or discomfort. We have never had to
discontinue one due to patient discomfort. We use a 1% Lidocaine for a
paracervical block. We premedicate them with Valium and Toradol. the
reimbursement has been good even from medicaid. Our success rate has been
right in line with the studies. It has decreased our need to go to the
surgery center across the street which is owned by the hospital doing
Novasures.
>From: "Andrew Folley" <agfolley@hotmail.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Office Ablation
>Date: Fri, 20 Oct 2006 21:49:03 -0500
>
>Is anyone doing office ablations with Novasure or the Cryoablation
>instrument. I would like to start. My partners feel it is too dangerous
>to do in office with local etc. agf
>
>>From: evsono@pipeline.com (art fougner, md)
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: Unattached patient
>>Date: Thu, 19 Oct 2006 05:57:51 -0500
>>
>>"No good deed goes unpunished."
>>Clare Boothe Luce
>>
>>Art
>>
>>At Wed, 18 Oct 2006, Joanne Bulley, MD wrote:
>> >
>> >You tell the ER doc that the doc on call can cover and if the patient
>> >WANTS to become your patient she can contact you during regular office
>> >hours.
>> >
>> >OR you can be magnanimous and cover her anyway - but good deeds are not
>> >always rewarded.
>> >
>> >Joanne
>> >
>> >At Wed, 18 Oct 2006, Efrain Ramirez wrote:
>> >>
>> >>Has no physician with priviliges in that institution .. she has a
>> >>physicioan elsewhere but, for whatever reasons ended up in your ER..BTW
>> >>- if the lady says that I delivered her first child 5 years ago but I
>> >>never saw her during those five years and the ER staff phoned me - and
>>I
>> >>am not on call - what's my legal duty?
>> >>
>> >>Ef
>> >>
>> >>>At Wed, 18 Oct 2006, Joe wrote:
>> >>>
>> >>>In what context? Unassigned ,ie has no physician. Has no relative? Not
>>a
>> >>>member of this planet??? Joe C
>> >>>
>> >>>Efrain Ramirez wrote:
>> >>>> In your institutions - what is the definition of an unattached
>>patient?
>> >>>> --- is there a legal definition? Joe?
>> >>>>
>> >>>> Ef
>> >>>>
>> >>>> --
>> >>>> “ The greatest obstacle to knowledge is not ignorance,
>> >>>> it is the illusion of knowledge.” Daniel J. Boorstin - Historian
>> >>>>
>> >>--
>> >>“ The greatest obstacle to knowledge is not ignorance,
>> >>it is the illusion of knowledge.” Daniel J. Boorstin - Historian
>> >>
>> >--
>> >Joanne Bulley, MD
>> >Keene, NH, USA
>> >
>>
>>--
>>art fougner, md
>>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
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