--
________________________________
Charlie Chambers
Sent: Saturday, March 05, 2005 1:11 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Exam lights and GC question
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.
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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
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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~
