Re: high risk HPV
From: Efrain Ramirez (eramirezt@coqui.net)
Wed Sep 19 21:08:03 2007
Dean - my point was not to trust 100% on a Pap smear- with a positive
high risk HPV - I would do a colposcopy...
Ef
At Wed, 19 Sep 2007, Dean Huffman . wrote:
>
>.
>
>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
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
