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Re: Had a visit from my local Labcorp rep.... From: ainsron@msn.com Sat Sep 30 19:41:01 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Previous message: DoctorJoe@aol.com: "Re: FRI Tobacco stuff" In reply to: Robert J. Carpenter, Jr., M.D.: "Re: Estrogen replacement in women with ESRD" Next in thread: Nancy Lintner: "Re: Estrogen replacement in women with ESRD" I had the same discussion with the Unilab representative in my area, who does the Thin Prep for us. They base the recommendation on reflex HPV typing on the financial benefit of triaging out the ASCUS patients who have "High risk HPV" to move quickly to colposcopy, biopsy, LEEP, etc. vs. the ones who can simply be observed with repeat paps. The study they base it on is from a Kaiser hospital in California, and I haven't looked closely at it yet, its setting on my desk now. I can see how it might benefit a large group/HMO practice like Kaiser, but at this point it looks less useful to me. The one's I have received HPV typing on have almost all been a combination of high and low risk HPV, more confusing than helpful. > >Had asked her to come in to update me on what genetics studies they >are now doing, as part of our initial discussion she brings up HPV >typing on PAP smears. I am doing thin prep on all specimens (another >story...) but she acts literally astounded that I'm not ordering >reflexive HPV typing. After a discussion with her that I don't feel >it would alter my management in most cases, she still acts as though >I'm off my rocker. I got a real kick out of her performance. She >really came across as though everyone else in my state is ordering it >routinely. Maybe they are, don't know. > >The other thing I found interesting (and will consider using) is that >she told me they are going to have GC and chlamydia testing that can >be done off of thin-prep solution within a few months. Asked for >sens/spec data, not provided yet. > >Just a few thoughts. > >-- >Paul Prior MD Get rebates from online purchases - up to 30% cash back. >Coshocton, OH Includes: Disney,Borders,Wine.com,800.com,Dell,petstore >Solo Practice uBid,more.com,JCrew,800-flowers,Avon, WWF & hundreds more. >OB/GYN Try: http://www.ebates.com/index.jhtml?referrer=pprior > -- Ronald E. Ainsworth, MD Previous message: DoctorJoe@aol.com: "Re: FRI Tobacco stuff" In reply to: Robert J. Carpenter, Jr., M.D.: "Re: Estrogen replacement in women with ESRD" Next in thread: Nancy Lintner: "Re: Estrogen replacement in women with ESRD"

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