WOMENS-HEALTH Messages for December, 2008: Re: GYNECOLOGIC: CIN 1 Follow-Up Question

Re: GYNECOLOGIC: CIN 1 Follow-Up Question

From: JoAnn NP (anonymous@obgyn.net)
Sat, 20 Dec 2008 20:35:18 -0600 (CST)

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At Sat, 20 Dec 2008, CLS wrote: >
>Michelle, I think you would have to bluntly discuss this with your
>doctor. If you're not satisified with the reponse, get another doctor.
>There could be so many factors involved. Because my own case was so
>horribly mishandled, I began researching this, which included hearing
>other women's stories. Some stories were horrifing. If you do get a
>new doctor, research the background by checking for any disciplinary
>action. Websites, such as Yelp, will discuss patients' experiences -
>especially previous patients'.
>
>I don't know which country you're in, but I'm the U.S., and insurance
>has destroyed american healthcare. Having asked around, from what I
>understand, the money goes to the insurance companies, first. Then some
>trickles down to doctors. The goal of insurance companies is to get the
>patient in and out of the doctor's office as cheaply and as quickly as
>possible. As a result, patients often receive treatment that may not be
>the most appropriate. I have noticed the impact in the following ways,
>in order of best to worst.
>
>1. There are doctors who refuse to let insurance companies control
>their practices. They insist on educating their patients so that
>patients make the best informed decisions for their health needs. I
>admire the courage of these doctors because I'm now aware of the
>enormous obstacles in front of them.
>
>2. There are doctors who are not able to sidestep insurance control.
>They educate their patients, but the patients' options are dictated by
>insurance, and they're honest about it. I feel badly for those doctors
>because they want the best for their patients, and it isn't easy
>maneuvering around their tied hands, although they clearly try.
>
>3. There are also doctors who mean well, but they aren't keeping
>up-to-date or they can't financially afford the more epensive equipment.
>So, they are limited in what they can offer. They may or may not
>educate patients well enough, but they don't mean ill. They're just
>mediocre in their professions.
>

>
>At Fri, 19 Dec 2008, Michelle B. wrote:
>>
>>Last year, I had a confirmed CIN 1 colposcopy, no prior history of
>>abnormal paps or HPV. ECC negative. I just turned 40, non-smoker. My
>>doctor scheduled me for a LEEP, without explanation or options. I began
>>looking for new Doc because I felt she was just trying to make money.
>>
>>My new Doc said that she wants me to have 4 clean paps, every three
>>months before can go back to annual paps. The guidlines I have read
>>indicate that two clean paps are required. How do these doctors come up
>>with their own guidlines? Is this normal?
>>
>>Thank you!

Michelle B Most of us who do Colposcopy ,follow the guidelines of http://www.asccp.org which is a membership association.However,your Doctor must treat you as safely as possible and your provider saw your cervix.There could be extensive changes which caused the recommedation.Why not get a second opinion if that would make you feel more comfortable ? We still do three normal paps 4 months apart then a Pap Smear is done once a year after that in women with prior abnormal tests. JoAnn NP

--
Jo Ann  NP
Scottsdale, Arizona

Next message: JoAnn NP: "Re: CONTRACEPTION: I took the pill for a few days, quit, and haven't had a period in months."
Previous message: JoAnn NP: "Re: PREGNANCY: can you have light bleedin and be pregnent?"
In reply to: CLS: "Re: GYNECOLOGIC: CIN 1 Follow-Up Question"
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