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Re: GYN: recurrent abnormal papsFrom: DoctorJoe@aol.comTue Apr 24 22:26:48 2001
In a message dated 4/24/01 22:15:29, garrys@mindspring.com writes: << The woman and her husband are pretty much jumping up my case to treat this surgically, as opposed to observation. I believe that this is due to their insurance situation. I've told them that I think another LEEP is overkill at this point, but that I could live with doing it. They actually are pushing for a hysterectomy, which I could again live with, but frankly think that it is overkill for sure. However, their feelings are motivated by the real issue of pre-existing illness. Any thoughts? >> I don't know about RA or immunosuppressives... But with women with ESRD or the possibility thereof, or people who may be on heparin or anything which may cause bleeding, thrombocytopenia, etc, etc, etc... I JUMP at the chance to do a hyst. After all, when they are in the ICU and start with vaginal bleeding, "who ya gonna call?" So I look at it as possibly a VERY preventative surgery, all things considered (in patients with an appropriate history suggestive of possible future bleeding diathesis). Joe P.
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