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Re: Exam lights From: Anna Meenan, MD (annam@uic.edu) Mon Mar 14 22:59:45 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Brickster0@aol.com: "Re: Ultrasound as part of the normal exam" Previous message: Charlie Chambers: "Re: Exam lights and GC question" In reply to: Rafael Haciski: "Re: Exam lights" Next in thread: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Exam lights" Not only that, but when you try to remove a plastic spec, you have to be real careful in a tense patient to avoid dragging the cervix out with the spec. I have to keep telling my students that we frown on doing outpt. vag hysts in the clinic. Plastic specs make it much harder in general to teach pelvics to rookie students. The plastic sticks and doesn't slide, the ratchet makes noise, the blades grab the cervix when you go to remove it, and when the students concentrate real hard on keeping the blades open until they clear the cervix, they forget to release them and end up scraping the urethra. I much preferred the old metal ones, which in a well-relaxed patient would often drop right into the vagina of their own weight and end up right where they needed to be. HOWEVER, we went to plastic when our nurses decided they no longer wanted to scrub and resterilize metal ones, and Universal precautions gave them an excuse to quit doing it. I'm also somewhat leary of gooseneck lamps, having had the bulb in one explode right next to my ear at the county clinic when I was a resident. I've never seen a large-sized plastic spec (blue, apparently). The catalog we order ours from only has green ones and white ones. -- Anna Meenan, MD At Mon, 14 Mar 2005, Rafael Haciski wrote: > >--Apple-Mail-20--591612672 >Content-Transfer-Encoding: 7bit >Content-Type: text/plain; > charset=US-ASCII; > format=flowed > >True, but the plastic tends to "grab" skin, making it more >uncomfortable to the patient, and the tension of the vaginal >musculature often tends to bend the speculum, so my visualization is >compromised. > >-- >Rafael C. Haciski MD FACOG >Bradenton FL > >On Mar 14, 2005, at 07:22, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote: > >> I don't like using them at all. First of all I dont like the >> plastic >> speculums because of the noise and the lack of size and shape >> variation. >> >> I can't speak to the size variation, except that they do make a small >> (white handle) and regular (green handle). >> >> As for the noise, if you simple depress the mechanism with your thumb >> (I >> use my left) while also opening the speculum with the other hand you >> get >> no noise or clicks to distract the patient. >> >> Glen >> >--Apple-Mail-20--591612672 >Content-Transfer-Encoding: 7bit >Content-Type: text/enriched; > charset=US-ASCII > >True, but the plastic tends to "grab" skin, making it more >uncomfortable to the patient, and the tension of the vaginal >musculature often tends to bend the speculum, so my visualization is >compromised. > ><fontfamily><param>Helvetica</param>Rafael C. Haciski MD FACOG > >Bradenton FL > ></fontfamily> > >On Mar 14, 2005, at 07:22, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote: > ><excerpt> > > I don't like using them at all. First of all I dont like the > >plastic > > speculums because of the noise and the lack of size and shape > >variation. > >I can't speak to the size variation, except that they do make a small > >(white handle) and regular (green handle). > >As for the noise, if you simple depress the mechanism with your thumb >(I > >use my left) while also opening the speculum with the other hand you >get > >no noise or clicks to distract the patient. > >Glen > ></excerpt> >--Apple-Mail-20--591612672-- > Next message: Brickster0@aol.com: "Re: Ultrasound as part of the normal exam" Previous message: Charlie Chambers: "Re: Exam lights and GC question" In reply to: Rafael Haciski: "Re: Exam lights" Next in thread: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Re: Exam lights"

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