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Re: GYN: HPV Testing From: Joanne Bulley, MD (jbulley@cheshire.net) Mon Mar 27 15:54:16 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: GEN -unsupervised CRNA'S" Previous message: Carlos Rubio: "Re: R: Right tuboovarian absces after laparotomy for left tubovarian" In reply to: Joanne Bulley, MD: "Re: GYN: HPV Testing" Next in thread: Dr. Myer Bornstein: "Re: GYN: HPV Testing" I am not talking about Colpo and biopsies. I am talking about a visit with a Pap, then a visit with HPV testing, then more frequent visits and Paps, leading to eventual colpo and biopsy - OR - deciding to colpo because of the HPV test, when the Pap was negative or ASCUS. If you have ASCUS and would normally repeat the Pap in 6 months - have you gained anything for the patient long term if you know she has the HPV type (there is an additional expense) and therefore go straight to colpo (another cost) without waiting until and UNLESS she develops SIL? If without the HPV, you would repeat Paps every 6 months due to ASCUS until it either clears or you get 2-3 ASCUS Paps or you get SIL, then doing the HPV testing is another charge and the more frequent Paps are more charges and doing a colpo because of the HPV type is more charges. "A difference to be a difference must make a difference" (George Morley) Have you truly made a difference in her life and health by doing the HPV? -- Joanne Bulley At Mon, 27 Mar 2000, Dr. Myer Bornstein wrote: > >In answer to cost containment, with colopscopy and biopsies the cost ranges >from $300 -$1200 depending on the number of biopsies. Our charge is >minimal, but the path charge for each of the biopsy can range up to $250 >apiece. Therefore a pap that shows ASCUS with a negative Hybrid test save >$. Ralph Richards showed that a double negative pap and test that the >chance of CIN was , 99.9% >Myer > >-- -- Joanne Bulley, MD Keene, NH, USA Next message: Efrain Ramirez: "Re: GEN -unsupervised CRNA'S" Previous message: Carlos Rubio: "Re: R: Right tuboovarian absces after laparotomy for left tubovarian" In reply to: Joanne Bulley, MD: "Re: GYN: HPV Testing" Next in thread: Dr. Myer Bornstein: "Re: GYN: HPV Testing"

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