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Re: In responseFrom: Frank Thibault (fthibaul@alumni.uark.edu)Tue Dec 23 22:44:42 1997
>>A every obese patient should be scanned as part of their routine exam. I know >> insurance isn't going to pay for it. But I will be taking better care of my >> patients. >> >> >> >just curious...why the scan for the fat girls? Being one myself I was just >curious. Is it because you can't really feel the organs well with a manual exam? > I feel that there is a higher incidence of errors on a pelvic exam. Certainly more abdominal tissue to feel through and if organs are high in the pelvis they may be difficult for us short fat Santas to reach. Having a vaginal us available cuts down on the need for repeat exams. It is certainly nice to see someone and resolve their questions in one quick visit. I can do that more often using us than I could before. Some of my most anxious patients are threatened abs and seeing that fetal heart saves me 15 minutes of reassurance.
>>Hey, Santa! More and more of our patients are in managed care, and most of the companies want prior authorization or they won't pay. Some of the ob policies automatically pay for 1 or 2 scans, but gyn scans usually require a documented reason to be approved. That may just be that the companies have not had any law suits over their practices yet in this area. Santa Frank <;)> frank.thibault@obgyn.net Frank
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