Re: Offering patients alternative Pap methods

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sat Apr 26 20:26:32 1997


At Fri, 25 Apr 1997, charlie chambers wrote: Very nicely said. My partners and I haven't gotten around to putting together some type of educational handout/letter to give to women about the choices. However, when you factor in managed care, and which carrier will and will not pay for which type of pap, it is so time consuming and confusing for us (much less the patient) that I'm not in any hurry to deal with it.

Garry

>My opinion is that the Papnet and Thinprep systems are ridiculous. A
>case of consumerism antedating the science and benefit. The traditional
>pap smear is a near perfect screening tool being easy to perform,
>inexpensive,mand effective for significantly reducing the incidence of
>cervical cancer. Given the slow progression of cervical atypias, the
>occassional false negatives are acceptable assuming patient compliance.
>Perhaps these other methods would allow longer intervals between
>screening, however, no data supports this contention. Until then, I
>wish these companies would stop running these ads, do the research, and
>maybe find me a good screening test as effective as the pap smear for
>colon cancer.
>
>--
>##########################################################################
>
>Charlie Chambers, M.D. "Are you threatening me?
>cchamber@ic.owatonna.mn.us Cornholio
>Owatonna Clinic, P.A.
>(507) 451-1120
>
>##########################################################################
>

--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.




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