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Re: 19mm endometrial stripe : follow up From: Joanne Bulley, MD (islesannie@yahoo.com) Tue Dec 28 18:42:15 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Dean's posts" Previous message: David Priver, MD: "Re: Appreciate your advice" In reply to: RModugno@aol.com: "Re: 19mm endometrial stripe : follow up" Next in thread: art fougner, md: "Re: 19mm endometrial stripe : follow up" Reply: art fougner, md: "Re: 19mm endometrial stripe : follow up" Thanks Robert. It is nice to know that I am not the only one who resorts to look - grab - look again - grab some more - eventually yanking it out! Final path -- just a totally benign polyp. She is glad I insisted on doing her ultrasound during the 5 days she was home (3 days before Xmas - and Xmas and the 26th!) She ended up staying 3 more days so she could get ikt taken care of here before returning to her winter abode in Florida. The sonhysterography would have showed the polyp ... and she'd have gone to the OR for removal -- and the hospital and radiologist would have gotten more $$$$ than I get for taking care of the problem! (They probably already get more for the US they did than I will get for the OR procedure!) When they do a transabdominal and transvaginal ultrasound ... they already charge for 2 ultrasounds and 2 reading fees ... so if they did the sonohysterogram -- they'd charge for a third imaging and charge for inserting the catheter to do it! And it would not have changed my procedure or the outcome -- so why suggest another imaging? It'd be different if it was in my office and I would only charge for one thing ... but the radiologists already self refer for mor images all the time. There is a time to see the 19 mm lining and go after it! Joanne At Tue, 28 Dec 2004, RModugno@aol.com wrote: > >I'm sometimes pretty gross about getting out polyps - I look in with the >hysteroscope, then get out my trusty Corson myoma grasper - put it in through >the cervix and with luck, pull out the polyp. Can always look back in later to >see if I got it all. > >Pity sonohysterography is not an option - if they do hysterosalpingograms, >then this should be a "piece of cake". > >Robert Modugno MD MBA FACOG >Marietta, GA >_www.novaobgyn.yourmd.com_ (http://www.novaobgyn.yourmd.com) -- Joanne Bulley, MD Keene, NH, USA "Every gun that is made, every warship launched, every rocket fired, signifies in the final sense a theft from those who hunger and are not fed, those who are cold and are not clothed." President Dwight D. Eisenhower April 16, 1953 Next message: Joanne Bulley, MD: "Dean's posts" Previous message: David Priver, MD: "Re: Appreciate your advice" In reply to: RModugno@aol.com: "Re: 19mm endometrial stripe : follow up" Next in thread: art fougner, md: "Re: 19mm endometrial stripe : follow up" Reply: art fougner, md: "Re: 19mm endometrial stripe : follow up"

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