Re: Exam lights and GC question

From: Charlie Chambers (cchamber@gorge.net)
Fri Mar 4 18:09:39 2005


I've often been tempted to use my Petzl headlamp that I take fishing. Unfortunately, I think it would be met with wild eyed stares. But it would be the most practical.

************************************************************************ **** Charlie Chambers

--
Hood River, OR  USA
cchamber@alumni.rice.edu

"...not because I regard fishing as being so terribly important but because I suspect that so many of the other concerns of men are equally unimportant-and not nearly so much fun." John Voelker ************************************************************************ ***** On Mar 4, 2005, at 3:57 AM, Efrain Ramirez wrote:

> I haven't used speculum lights but I do not see any good reason to > change -external ones give me a good light source to any part of the > body if I want to, specially the vulva! - > > On the GC/Chlamydia - I agree with Ron - in my popukation I do it on > high risk patients and on every pregnant patient.. > >> At Thu, 3 Mar 2005, Vscnmmsn@aol.com wrote: >> >> 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 > > -- > I think I will do nothing for a long time but listen, > And accrue what I hear into myself...and let sounds > contribute toward me. > > ~walt whitman~ >





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