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Re: 19mm endometrial stripe : follow up From: art fougner, md (evsono@pipeline.com) Sun Jan 2 17:14:12 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Barborza@aol.com: "Re: Thanks" Previous message: Henry Gregor: "Re: 19mm endometrial stripe : follow up" In reply to: Henry Gregor: "Re: 19mm endometrial stripe : follow up" Next in thread: Henry Gregor: "Re: 19mm endometrial stripe : follow up" Reply: Henry Gregor: "Re: 19mm endometrial stripe : follow up" becomes less of an issue as residency programs graduate folk skilled in the use of the vaginal transducer. just my opinion - i could be wrong. art At Sun, 2 Jan 2005, Henry Gregor wrote: > >"art fougner, md" <evsono@pipeline.com> wrote: >Regarding pipelle and polyps, Karadadas et al found - > >"Standard endometrial sampling failed to detect almost half of the >cases." > >Clin Exp Obstet Gynecol. 2004;31(2):137-8. > >art > >Art, Not trying to get into dueling citations, but there are other citations in the literature reporting greatly increased correlation rates. My real point, though, is that for costs of about $3.75 for a pipelle, about the same for a paaracervical block, one might have confirmation of what would be the most controlling isssue, ie, malignancy. If results are indeterminate one could ratchet up the level of evaluation. I know in my locale, most folks lack adequate health insurance. Those with it have it only under the crazy quilt system our country has of linking insurance to employment, and insurance costs are one of the major reasons why my locale has had the highest umemployment rate in our state recently. The public coffers are already stretched ever so thin for Medicaid and Medicare, so any process that cuts to the chase diagnostically cheaply and quickly is worth trying, I think. > >Hank -- art fougner, md May the Joy of this Holiday Season Be with You and Yours throughout the New Year. Next message: Barborza@aol.com: "Re: Thanks" Previous message: Henry Gregor: "Re: 19mm endometrial stripe : follow up" In reply to: Henry Gregor: "Re: 19mm endometrial stripe : follow up" Next in thread: Henry Gregor: "Re: 19mm endometrial stripe : follow up" Reply: Henry Gregor: "Re: 19mm endometrial stripe : follow up"

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