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Re: Question about pap test frequencyFrom: Joanne Bulley, MD (islesannie@gmail.com)Mon Jan 29 19:24:50 2007
More than a few. I still recommend that the vulva have a visual inspection and there be a binmaual. I realize the bimanual does not pick up all ovarian problems - but there are fibroids that are noted. I have found tumors in the rectovaginal septum (pretty rare but still found) in patients who had just accepted that their rectum felt a little full and didn't complain til I noticed what was there. Just saw a new very black nevus on a vulva today - that many family docs (in this area at least) would not have seem because they would have said, "you are 74 and don't need a Pap so I don't have to take the time to have you get undressed and look" Maybe it is old fashoined, but I can't seem to agree that no one needs to be looked at physically any more. I have patients whose PCPs have not even listened to their heart in years (including patients with hypertension). Does this make sense to others? Joanne
At Mon, 29 Jan 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
>
-- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA
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