Re: Exam lights and GC question
From: Andrew Folley (agfolley@hotmail.com)
Fri Mar 4 07:09:09 2005
Ditto Ron. And I routinely check GC/chlamydia with pap on all women under
age 26 and sexually active and not married.
>From: "ainsron" <ainsron@sbcglobal.net>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: Exam lights and GC question
>Date: Thu, 3 Mar 2005 19:50:41 -0600
>
>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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