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Re: Question about pap test frequency From: johnprov@sympatico.com Tue Jan 30 08:33:27 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ina May Gaskin: "Re: LAW: So did they or did they not throw in the towel?" Previous message: DoctorJoe@aol.com: "Re: LAW: So did they or did they not throw in the towel?" In reply to: DoctorJoe@aol.com: "Re: Question about pap test frequency" At Tue, 30 Jan 2007, DoctorJoe@aol.com wrote: > >In a message dated 1/29/07 8:26:56 PM, islesannie@gmail.com writes: > >> 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? >> >Sort of like "examine the patient before you examine the lab"? > >Joe P. History and physical still gets you the diagnosis 85% of the time, doing a test first usually leads to more tests and chasing your tail. I get 1-2 consults a month from the E.R. after a C.T. scan shows a small ovarian cyst, half the time the pt is not even sure why she had a C.T. scan. Yes the only good screening tests for early early pelvic cancers are Pap for cervical, BRAC1&2 in high risk women for breast and ovarian cancer, and Colonscopy for colon Ca. Physical exam is a good screening test for advanced pelvic cancers which may not be cured but can be treated to prolong the pt.'s life with good quality. Prior to the release of the HPV vaccine the only significant advancement in the treatment of cervical cancer in the last 20 years was the results of RTC's which showed that adding chemtherapy to radiotherapy in even advanced stageIII and IV cases can significantly prolong a pt.'s life. Similar results have been seen with advanced Colon ca. and adjuvant chemotherapy. Next message: Ina May Gaskin: "Re: LAW: So did they or did they not throw in the towel?" Previous message: DoctorJoe@aol.com: "Re: LAW: So did they or did they not throw in the towel?" In reply to: DoctorJoe@aol.com: "Re: Question about pap test frequency"

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