Re: Bacterial vaginosis

From: art fougner, md (evsono@pipeline.com)
Fri Sep 15 18:09:11 2000


IMHO all it should have required was your MD!

art

At Fri, 15 Sep 2000, Joanne Bulley wrote: >
>Wet Preps are CLIA waivered - it took one form to get my CLIA number so
>I could bill for these waivered items. Includes the waiver to bill for
>UA's, ferning, guiac's on DRE's etc.
>
>Joanne
>
>At Fri, 15 Sep 2000, art fougner, md wrote:
>>
>>thank CLIA for that.
>>
>>art
>>
>>At Thu, 14 Sep 2000, Betsy Hyde wrote:
>>>
>>>At 8:25 PM 9/14/00, Kathi Wilson wrote:
>>>
>>>>Yep. Problem is that, in these parts, people don't do wet preps, so
>>>>cultures is
>>>>all we got. Makes me unhappy.
>>>
>>>Kathi-
>>>
>>>this is a major frustration of mine. IMNSHO wet preps/KOH should be done
>>>more, and cultures done less. It's a losing battle in my own practice,
>>>though.
>>>
>>>w/o a wet prep, how would you diagnose trich or BV? These are so simple to
>>>diagnose on wet prep, and gardnerella on culture does *not* mean BV.
>>>
>>>Let me know if you want to hear how I do them....and I do many, many each day!
>>>
>>>--
>>>Betsy Hyde CNM
>>>Branford CT
>>>
>>--
>>art fougner, md
>>
>>A series of 1000 cases begins with but a single anecdote.
>>
>--
>Joanne Bulley, MD, FACOG
>Keene, NH, USA
>
>All decisions are made with insufficient data.
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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