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Re: Pearls Needed for Treating Intact Hymen(s) - Long! From: art fougner, md (evsono@pipeline.com) Fri Aug 18 07:40:21 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Previous message: Myer S. Bornstein, MD, CPE, FACOG: "Re: Office Dictation" In reply to: Joanne Bulley, MD: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Next in thread: Joanne Bulley, MD: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Reply: Joanne Bulley, MD: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Reply: art fougner, md: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Joanne - why don't the patients pay for them? surely these would be preferable to surgery? we have patients paying out of pocket for the rhogam ( at our bulk cost ) following amnio and they understand. furthermore, this would speak volumes for the motivation necessary for successful therapy IMHO. art At Thu, 17 Aug 2000, Joanne Bulley, MD wrote: > >Art - this would be a good idea - but so far I have been unable to get >any reimbursement for the dilators. The set of 4 from Milex is $132 (if >I remember correctly) and the set of 3 from Cooper surgical is for about >$250! Even with detailed letters to the insurance company on the money >saved by NOT doing surgery, they usually come back with a canned >statement that devices are not covered! I have a woman using the >dilators who had minimal distensibility and foreshortening after >radiation for a Stage II uterine CA (the Ca arose at the endometrium in >the low uterine wall - nearly at the endocervical os. There was no >cancer in the fundus - just endometrial that went into the cervix due to >proximity. So far she is doing well with these - even though wshe has >thus far refused estrogen for better elasticity... > >At Thu, 17 Aug 2000, art fougner, md wrote: >> >>before surgery is attempted, perhaps a trial with graduated dilators may >>be helpful here. >> >>art >> >-- >Joanne Bulley, MD >Keene, NH, USA > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: RModugno@aol.com: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Previous message: Myer S. Bornstein, MD, CPE, FACOG: "Re: Office Dictation" In reply to: Joanne Bulley, MD: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Next in thread: Joanne Bulley, MD: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Reply: Joanne Bulley, MD: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!" Reply: art fougner, md: "Re: Pearls Needed for Treating Intact Hymen(s) - Long!"

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