Re: UAE - was unnecesary hysts

From: RModugno@aol.com
Mon Aug 30 19:58:54 2004


In a message dated 8/30/2004 6:36:32 PM Eastern Daylight Time, islesannie@yahoo.com (Joanne Bulley, MD) writes:

>I recently saw someone who was very glad to have had her UAE.  She says
>the horrible inner thigh pain she used to have with sex is gone.  So
>that is good.  She still has periods every month - some still require
>change of protection every 2-3 hours.  She saw the interventional
>radiologist for a follow up (it is about a 1.5 hour drive) - and was not
>examined - so she hoped I could tell her how much it had shrunk.

What, they didn't do a repeat MRI!?

>Well ...  I wrote last time it was a 12+ week uterus - not completely to
>the sidewalls.  This year - I still say 12 week - but with more room
>betweenit and the sidewalls.
>
>So she is happy - but I am not really impressed.  But as they (someone
>at any rate) say - "if the customer is happy ..."

They also say: "Don't give her what's best for her - give her what she wants."

>Next she'll need an endometrial ablation for the continued menses!
But - >boy lets keep that uterus that is palpable above the symphysis! Don't
>want to take out perfectly good organs! TIC
>
>Joanne

But just think Joanne - you could do an ablation or put in a Mirena ( (I'm not sure how well either work for her size uterus), do a LEEP for an abnormal pap if she deveops that and.... finally.....when she crawls back into your office demanding to have it out, you can do an LSH Then you can remove the cervix at a later date, if necessary.

Makes good business sense to me! ;+)

Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.yourmd.com





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