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Re: high risk HPV From: Dean Huffman . (dean@thehuffpeople.net) Wed Sep 19 16:44:09 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman .: "OT: Darwin Award Nominees" Previous message: Dr Eberhard Lisse: "Re: Ob: Doula 'regulation'" Maybe in reply to: Dr. Ainsworth: "high risk HPV" Next in thread: Efrain Ramirez: "Re: high risk HPV" Reply: Efrain Ramirez: "Re: high risk HPV" .. YES THERE IS! All the laboratory has to do is to report EVERYTHIGN as POSITIVE. That way they can never have a false negative. The reports will be useless, but they will never have a false negative. By the way, it is nearly impossible to design a test that is 100% correct. Even diagnosing DEATH is not as easy as it might seem. I am sure many listers read the item in the news yesterday of a autopsy that was started on a dead patient, only to have him scream in horror. Seems he wasn't dead. I remember a piece in the NY times 20 or 30 years ago where a person was found alive in the morgue. Even in southern Illinois in the late 1980's there was a newborn that was thought to be dead and sent to the morgue, only to find out that it was still alive. (That is why I prefer to have the neonatologist pronounce newborns than to do it myself). - - - - From: Efrain Ramirez <eramirezt@coqui.net> Subject: Re: high risk HPV Date: Sep 19, 2007 2:14 PM Is there a lab out there with 0 % false negatives? Ef >At Tue, 18 Sep 2007, Dr. Ainsworth wrote: > >I don't normally order HPV on paps unless I get back ASCUS, then I order >High risk HPV and follow the usual decision tree. I recently had a >patient with history of HPV who requested that I test for high risk HPV >with her pap, she is 18 YO, no history of previous abnormal pap. The >pap came back normal, but the high risk HPV was positive. So what do I >do now? F/U pap in 3-6 months? Colpo? F/U pap in one year? My feeling, >based on no EBM is to follow the pap in one year. -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Dean Huffman .: "OT: Darwin Award Nominees" Previous message: Dr Eberhard Lisse: "Re: Ob: Doula 'regulation'" Maybe in reply to: Dr. Ainsworth: "high risk HPV" Next in thread: Efrain Ramirez: "Re: high risk HPV" Reply: Efrain Ramirez: "Re: high risk HPV"

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