Re: Gyn: Cervical Cancer Screening
From: art fougner, md (evsono@pipeline.com)
Sun Jan 13 09:24:43 2008
How long will it be before paps will be offered at Rite Aid and Walmart?
Art
At Sun, 13 Jan 2008, Joanne Bulley, MD wrote:
>
>In the US I think many of the patients have only had an ObGyn do their
>paps - and thy are not comfortable with their primary doc doing it.
>
>Hence the US ObGyns becoming "primary docs" for many patients.
>
>But then in a Doctor - Patient relationship, that interpersonal touch
>counts for a lot - they don't want any old provider for personal care -
>they want someone they can connect with. They accept being delivered by
>the doc on call because they don't want someone who has been up for 3
>days. But for that annual preventive care visit - they don't want the
>doctor-du-jour.
>
>The patients here only see their PCP for urgent issues and, at least
>here in this town, they only get 10 minute visits for just about
>everything and I am the one that tells the 50 year old she has to call
>her PCP for colon screening - and other preventive health care or
>identify the increasing BP. I even diagnosed the atrial fibrillation in
>someone who had been complaining of funny symptoms for a year or so -
>but since her rhythm was OK at the times she saw her PCP she was told
>not to worry about her symptoms - or the doc didn't listen to the heart
>having decided it wasn't a heart issue from taking the history.
>
>Joanne
>
>At Sun, 13 Jan 2008, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
>wrote:
>>
>>I am surprised how many of the patient's that I deliver insist, about
>>50% , on returning to me for their PAP smears. It does not have
>>anything to do with quality of care, for most of them they see their
>>family doc so often they are not comfortable having a pelvic exam done
>>by them.
>>
>>--
>> Take care, John
>>
>--
>Joanne Bulley, MD, FACOG
>Solo gyn
>Keene, NH USA
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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