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Re: Mammograms From: art fougner, md (evsono@pipeline.com) Fri Jun 11 06:47:27 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Mammograms" Previous message: Braun, R. Daniel: "Re: Hemostasis" In reply to: Dr. Ainsworth: "Mammograms" Next in thread: art fougner, md: "Re: Mammograms" Reply: art fougner, md: "Re: Mammograms" Reply: ainsron: "Re: Mammograms" Have you communicated your reservations with them? If so, what was their response? art At Thu, 10 Jun 2004, Dr. Ainsworth wrote: > >One of our local mammogram clinics has recently indicated that they want >me to order diagnostic mammograms on all patients who have a history of >breast cancer, not screening mammograms. My feeling is that screening >mammograms are indicated as a first step on all patients without signs >or symptoms that warrant extra views. They point to a Medicare >publication that states that a radiological mammogram is a covered >diagnostic test in patients who have a history of breast cancer. This >Medicare bulletin is from 1978, and to me, their use of this argument is >simply revenue enhancing, not based on EBM. I have no problem ordering >diagnostic mammograms when indicated, but I resist the idea of extra >views in asymptomatic women who have had breast cancer several years ago >and are clinically free of disease or suspicious areas. Is anyone else >getting or sees a good reason for getting diagnostic mammograms in this >subset of patients? -- art fougner, md ich bin ein New Yorker Next message: art fougner, md: "Re: Mammograms" Previous message: Braun, R. Daniel: "Re: Hemostasis" In reply to: Dr. Ainsworth: "Mammograms" Next in thread: art fougner, md: "Re: Mammograms" Reply: art fougner, md: "Re: Mammograms" Reply: ainsron: "Re: Mammograms"

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