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Re: Exam lights and GC questionFrom: ainsron (ainsron@sbcglobal.net)Thu Mar 3 18:49:27 2005
Depends on your population. There is certainly reason to do it on sexually active teens, changing sexual partners, etc. I see little reason to do it on all patients in my practice. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Vscnmmsn@aol.com Sent: Thursday, March 03, 2005 5:44 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Exam lights and GC question I use the speculum lights too. It seems the consensus here is that OB/GYNs are using the external sources and the CNMs/APRNs use the internal light source. The OB I work with also uses the external source and I use the speculum light. They bought them for me after I started here. They cannot be very expensive because we have a bean counter for a CEO. I can find out tomorrow if anyone is interested. It must be a difference in training and what you are used to using. Another question: Does anyone do GC/Chlymida cultures on every pap or just symptomatic and pregnant patients? I wanted to do them on all the annuals (the way I was trained) but my OB only does them on pregnant or symptomatic patients. GC/Chl are usually asymptomatic- so are we going to miss a lot of them? Citations? I have found 2 or 3 so far in patients without complaints. I would appreciate the education in different practice protocols. Thanks Vicki SMith, CNM
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