Re: Gyn: mammography in new patients

From: Anna Meenan, MD (annam@uic.edu)
Sat Jan 7 19:10:51 2006

And how about this one for those who are willing to call in a coupla months of OCP's for a pt. who has not been seen yet? Smoker over 35, or patient with hypercoagulability disorder, or pt. with hx DVT, (etc. etc. etc. you pick one) who has been told by her prior MD s/he will not prescribe anymore OCP's and she decides to get them from you (or even multiple other OB's/FP's who may be willing to "call in a couple of months") and never shows up. Gets a PE and has an Rx with your name on it. No, this hasn't happened to me (and never will, since I won't EVER prescribe for someone I have never seen), but I can easily see it happening to someone.

The OB's in the department here at the U will not even see a pt. until records have been forwarded from previous MD. That's a little extreme, but it prevents pts from lying about prior hx to get what they've decided they need/want. 

--
Anna Meenan, MD (just because I'm paranoid, it doesn't mean they're not
out to get me)


At Sat,  7 Jan 2006, Jane Helwig, MD  wrote:
>
>The following situations happened to me and make me have to agree with
>the new associate:
>
>* New patients gets a mammogram prior to seeing me.  It is abnormal.  I
>have to call this lady whom I've never me and tell her about it.  (All
>she got from the mammography center was, "Your doctor will explain why
>your mammogram was abnormal." Not knowing the patient made it harder for
>me to deal with her and she had to be worked in ASAP for a breast exam,
>etc.  So my practice no longer does this.
>
>* Patient whom I have not seen in several years finds a breast lump and
>decides to get a mammogram.  Mammography center does the mammogram which
>is normal.  I get a report saying "Normal mammogram".  Patient is
>reassured by the normal mammogram and sees no reason to make an
>appointment to see me.  Thank goodness I noticed on the report that the
>indication for the study was "Breast lump".  You can imagine where that
>one might have ended up!
>
>As a result of the second situation, our hospital changed its policy and
>now requires a physician requisition prior to scheduling a mammogram.
>
>--
>Jane Helwig, MD, FACOG
>Private practice, 3 MDs, 1 CNM
>Franktown, VA
>



use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Tue Sep 2 05:06:08 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.

home | medical professionals | women | industry | forums | international
e-mail | about us | advertising | our sponsors | contact us | disclaimer |

This information is provided for educational purposes only.
Please read the disclaimer. ©1996-2008, all rights reserved.
Do not reproduce without permission of MediSpecialty.com