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Re: 19mm endometrial stripe : follow up From: art fougner, md (evsono@pipeline.com) Mon Jan 3 07:19:32 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: 19mm endometrial stripe : follow up" Previous message: Efrain Ramirez: "Re: 19mm endometrial stripe : follow up" In reply to: Henry Gregor: "Re: 19mm endometrial stripe : follow up" agreed *smile* ... but the ideal person to be performing a sonohysterogram would be the gynecologist entertaining the thought of an endometrial biopsy. should the fluid-enhanced sonar favor a focal lesion, then perhaps a biopsy directed by the hysteroscope might be preferable to a blind pipelle. conversely, should the endometrium appear globally thickened, a pipelle ( during the same visit) should suffice. also, a neonatal feeding tube - quite inexpensive - makes a fine catheter for sonohysterograms for most situations. it seems that the "cottage industry" of today is the cpt code of tomorrow ... and so it goes ... btw glad to hear of your successful surgery, Henry. all the best for 2005. art At Mon, 3 Jan 2005, Henry Gregor wrote: > >Agree, we're all just sharing opinions. I still think tissue needs assessment prior to therapy, and while doing a transvaginal endo assessment is quick and easy to perform, with about as low a learning curve as could be found amongst any list of things to gain skill in, I don't feel comfortable with the thought of putting too much weight on the endosono assessment picture. Correlations between endo thickness and appearance and ultimate histology vary so much over the map that journal reports on their meaning seem to have become a cottage industry onto itself.. > >Hank > >"art fougner, md" <evsono@pipeline.com> wrote: >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 -- art fougner, md May the Joy of this Holiday Season Be with You and Yours throughout the New Year. Next message: art fougner, md: "Re: 19mm endometrial stripe : follow up" Previous message: Efrain Ramirez: "Re: 19mm endometrial stripe : follow up" In reply to: Henry Gregor: "Re: 19mm endometrial stripe : follow up"

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