--
Richard Chudacoff, MD
Heaven grant that the burden you carry may have as easy an exit as it had an
entrance.
[Prayer To A Pregnant Woman]
<http://www.brainyquote.com/quotes/quotes/d/desiderius148996.html>
Desiderius Erasmus
_____
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ainsron
Sent: Monday, May 24, 2004 7:30 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: a truly amazing family practice physician
In CA I would have had to report both positives to the Health Department and
they would have made sure the patient's partner/s were traced and treated.
I would have treated both with Zithromax at the same time then done the test
of cure. You should anonymously send the PCP a copy of the CDC
recommendations/treatment guidelines for STDs.
Ronald E. Ainsworth
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard
Chudacoff, MD
Sent: Monday, May 24, 2004 4:01 PM
To: Multiple recipients of list OB-GYN-L
Subject: a truly amazing family practice physician
I was recently referred a patient for an abnormal Pap smear. During
colposcopy I performed a Gynprobe, which came back positive for both
Chlamydia and gonorrhea. I treated patient, and recommended that her
partner be treated by his primary care physician. When my patient came back
for a test of cure she told me that her partner's primary care physician
felt, based on history and absence of symptoms, said he had no reason to be
treated; nor did he feel a diagnostic test was warranted.
After coming to my senses, was a little help of ammonia, I explain to the
patient that this is probably not the best diagnostic design that I've ever
heard of, and recommended that her partner be evaluated by another
physician. However, am I missing something? Can we dispose of the
Gynprobe, or is this something strictly male, or strictly family practice?
Richard Chudacoff, MD
There is a strange and mighty race of people called the Americans who are
rapidly becoming the coldest in the world because of this cruel, man-eating
idol, lucre.
<http://www.brainyquote.com/quotes/quotes/e/edwarddahl154297.html> Edward
Dahlberg