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Re: 6 wk check up From: Efrain Ramirez (eramirez@icepr.com) Sat Jul 22 08:56:14 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Susan James: "Re: FRI Incisional Endometriosis" Previous message: Bernard Cristalli: "Re: Two interesting cases in one day, your opinions please" In reply to: D. Ashley Hill, MD: "Re: 6 wk check up" Next in thread: Efrain Ramirez: "Re: Follow up on C.R.E.S.T. and a New Question" Reply: Efrain Ramirez: "Re: Follow up on C.R.E.S.T. and a New Question" I do not do pap on first visit. Since most of my patients choose breast feeding for at least 3-6 months we do encourage them to come at 4-6 months to "talk it over" -- many things happen during those months - then we do a pap smear-- will be about one plus year since the last one anyway. At Sat, 22 Jul 2000, D. Ashley Hill, MD wrote: > >At Sat, 22 Jul 2000, RModugno@aol.com wrote: > >>If a patient comes back for their postpartum exam, and a pap smear is done, >>and it's less than one year from their previous pap smear - then the >>patient's MCO will most likely not pay for that smear. > >Jay, Roberts speaks the truth. ACOG publishes a guideline for perinatal >care (or similarly-named manual), which, if I recall correctly, suggests >that the postpartum visit consist of a GU exam, breast evaluation, >discussion of delivery complications, birth control, and plans for >subsequent pregnancies. I am almost certain it does not mention a Pap, >but I do not have my copy with me. > >Since our patients essentially get a "well woman exam" during their >initial OB appointment, which includes a Pap and health screening, it >seems redundant to do another Pap and well woman exam at the postpartum >visit. I'll bet that most folks do not do justice to either the PP >visit or the WWE when they try to combine them into one visit. Thus, we >do a focused PP visit 6 weeks after delivery, and schedule the patient >for a Pap/WWE when their next Pap is due. Our patients have not >complained about this, it makes the flow of patients more efficient, and >we actually (gasp) get paid for our expertise and time for the WWE. > >-- >David Ashley Hill, MD >Associate Director >Department of Obstetrics and Gynecology >Florida Hospital Family Practice Residency >http://home.cfl.rr.com/dahmd > -- "Do not take life too seriously. You will never get out of it alive." Marianne Williamson Next message: Susan James: "Re: FRI Incisional Endometriosis" Previous message: Bernard Cristalli: "Re: Two interesting cases in one day, your opinions please" In reply to: D. Ashley Hill, MD: "Re: 6 wk check up" Next in thread: Efrain Ramirez: "Re: Follow up on C.R.E.S.T. and a New Question" Reply: Efrain Ramirez: "Re: Follow up on C.R.E.S.T. and a New Question"

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