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Re: Cervical Cancer ScreeningFrom: ainsron (ainsron@sbcglobal.net)Fri Jan 11 10:05:06 2008
The absence of the drying artifact issue is a significant benefit of the liquid based paps. I can't remember how many times my assistant used to run out of the room because the spray for the paps was empty or missing, only to get back after it dried and I had to repeat it then or later. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry Gregor Sent: Thursday, January 10, 2008 9:13 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Cervical Cancer Screening Lynn Montgomery <apgar10@thebirthcentermt.com> wrote: . One of our pathologists got a little indignant when one of the OB's said "I told you so!" about the recent data suggesting no advantage associated with liquid cytology... Lynn Oh yes, and patients did not want to hear about it. It struck me as such an irony that some of the patients most intensely focused on the ad material that bombarded the public at the start - and still now - and who had also gotten on the internet and backgrounded on it from multiple sources, would just have their eyes glaze over if one gave the alternative view that finding the very earliest suspected abnormality on a liquid specimen hadn't been shown to reduce cervical cancer risk....but had been shown to increase cervical screening costs. Certainly, every patient I know is interested in good stewardship of health care dollars, as long as the requested sonogram, hormone level lab test, "healing light laser" procedure or, etc etc came off of someone else's encounter form, hehe. The liquid based technology adaptation reminds me of the way FHR monitoring became the norm. OTOH, I sure love the fact that one almost never has to repeat a pap because of blood, drying artifact, etc. and for a woman taking time from work or family (but I repeat myself), driving a distance, etc. and returning for a repeat pap is not a trivial issue and the technology is great for avoiding that. So, at this point, I would not do other than liquid based...but methinks the country still needs a good five cents pap smear as much as it does a good five cents cigar! _____ Looking for last minute shopping deals? Find <http://us.rd.yahoo.com/evtQ734/*http:/tools.search.yahoo.com/newsearch/ca tegory.php?category=shopping> them fast with Yahoo! Search.
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