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Re: The lowly PAP smear... From: art fougner, md (evsono@pipeline.com) Sun Jul 23 11:38:04 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: The lowly PAP smear..." Previous message: art fougner, md: "Re: Jelly beans as an alternative to a fifty-gram glucose" In reply to: Joanne Bulley, MD: "Re: The lowly PAP smear..." Next in thread: Joanne Bulley, MD: "Re: The lowly PAP smear..." one possible reason that liquid medium smears are better is that if you get the ever-increasing ascus results, you then have a specimen with which to check hpv typing. there seems to be some promising work to suggest that this might triage which patients need more intensive work-up and those who could simply be followed. hey, just my opinion - i could be wrong. art At Sun, 23 Jul 2000, Joanne Bulley, MD wrote: > >At Sat, 22 Jul 2000, RModugno@aol.com wrote: >> >>In a message dated 7/22/00 4:20:55 PM Eastern Daylight Time, gklein@icsi.net >>writes: >> >><< we check the insurance and do thin prep when the insurance will authorize >>it >> -- >> _______________________ >> Geffrey H. Klein, MD >> >> _______________________ >> >>What is your rationale for doing a medical test based on insurance coverage ? >> >>Robert Modugno MD MBA FACOG >>Marietta, GA > >I Agree - either the test is indeed 'better' enough to justify doing - >or it isn't. If it is only 'better' for those with insurance, then you >are up a crick without a paddle. Our hospital - with discussion with >the gyns's decided to go with the AccuPrep (the other brand...) and >bought the equipment. So it is the standard and they have one cost for >the pap - whichever method is sent. Cervical cytology is cervical >cytology. Compared to the other costs the hospital eats, anything that >is eaten here is more than covered by a single 'failure to diagnose >cancer' suit... > >-- >Joanne Bulley, MD >Keene, NH, USA > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: The lowly PAP smear..." Previous message: art fougner, md: "Re: Jelly beans as an alternative to a fifty-gram glucose" In reply to: Joanne Bulley, MD: "Re: The lowly PAP smear..." Next in thread: Joanne Bulley, MD: "Re: The lowly PAP smear..."

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