Re: 19mm endometrial stripe : follow up
From: art fougner, md (evsono@pipeline.com)
Wed Dec 29 16:14:34 2004
But, had the sonohysterogram shown a global thickening of the
endometrium, the trip to the OR would have possibly been unnecessary.
And so it goes ...
art
At Tue, 28 Dec 2004, Joanne Bulley, MD wrote:
>
>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
>
--
art fougner, md
May the Joy of this Holiday Season Be with You
and Yours throughout the New Year.
|
|
