Re: sidual dysplasia
From: Karen Lee (karen@karenlee.org)
Sat Jan 3 16:04:27 2004
My thought was to get her immune system ramped up
hopefully to decrease the viral load, not to
effect a cure for HGSIL. I cannot imagine that
it's use would hamper the LEEP or the
pathologist's ability to evaluate the specimen.
She will need to wait approx 4 weeks for LEEP. Of
course with her Hx of normal paps until this I
assume she has one/some of the more virulent
strains of HPV, once again leading me to think
this Aldara thing is worth a try.
Karen
--- Larry Glazerman <l.glazerman@rcn.com> wrote:
> I see no need to treat while "waiting for the
> LEEP." HPV disease is a very
> slow progress. I have no experience with Aldara
> in this situation, although
> I don't have a problem using it.
>
> How long does she need to wait for the LEEP?
>
> Larry R. Glazerman, MD
> Ob-Gyn at Trexlertown, PC
> 610-402-0161
> l.glazerman@rcn.com
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net
> [mailto:ob-gyn-l@obgyn.net] On Behalf Of Karen
> Lee
> Sent: Saturday, January 03, 2004 12:43 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: sidual dysplasia
>
> So, this week I had a 22yo who had 2 N Paps in
> the last 2 years. The recent one was LGSIL;
> colp
> with 2 Bx, both HGSIL with glandular
> involvement!
> So, of course she will have LEEP. I discussed
> this with the Doc I refer these to and wondered
> how he felt about my Tx her with Aldara while
> awaiting the LEEP. He wasn't troubled by it, so
> yesterday she had her first Tx. What do you all
> think?
>
> Karen Lee, ARNP
>
> --- "art fougner, md" <evsono@pipeline.com>
> wrote:
> > I don't believe MgSO4 was approved for
> > eclampsia. and ASA antedates the
> > FDA. OTH off label indications put the onus
> > totally on the practitioner
> > so ...
> >
> > art
> >
> > At Fri, 2 Jan 2004, RModugno@aol.com wrote:
> > >
> > >Content-Type: multipart/alternative;
> >
>
boundary="-----------------------------1073081945"
> > >
> > >-------------------------------1073081945
> > >Content-Type: text/plain; charset="US-ASCII"
> > >-------------------------------1073081945
> > >Content-Transfer-Encoding: 7bit
> > >In a message dated 1/2/2004 1:58:24 PM
> Eastern
> > Standard Time,
> > >cchamber@gorge.net writes:
> > >I was then chastised
> > >> by a physician because I was using this
> off
> > label
> > >> and was very liable for lawsuit. I
> discussed
> > it
> > >> with the Aldara rep who, of course, could
> > not
> > >> recommend that usage.
> > >
> > >Once a drug is apporved by the FDA - you can
> > use it for "off-label" uses
> > >provided there is medical literature to back
> > up this use.
> > >e.g.terbutaline is not approved for the
> > treatment of premature labor.
> > >
> > >Robert Modugno MD MBA FACOG
> > >Marietta, GA
> > >http://www.novaobgyn.yourmd.com
> > >
> > >-------------------------------1073081945
> > >Content-Type: text/html; charset="US-ASCII"
> > >-------------------------------1073081945
> > >Content-Transfer-Encoding: quoted-printable
> > >
> > >In a message dated 1/2/2004 1:58:24 PM
> Eastern
> > Standard Time, cchamber gorge.net writes:
> > >I was then chastised> by a physician b cause
> I
> > was using this off label> and was very liable
> > for lawsuit. I discussed it> with the Aldara
> > rep who, of course, could not> ecommend that
> > usage.
> > >Once a drug is apporved by the FDA - you can
> > use it for "off-label" us s provided there is
> > medical literature to back up this use.
> > >e.g.terbutaline is not approved for the
> > treatment of premature labor.
> > >
> > >Robert Modugno MD MBA FACOG
> > >Marietta, GA
> > >http://www.novaobgyn.yourmd.com
> > >
> > >-------------------------------1073081945--
> > >
> > >-------------------------------1073081945--
> >
> > --
> > art fougner, md
> > ich bin ein New Yorker
>
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