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Re: Actinomyces From: Henry Gregor (henrygregor@yahoo.com) Sat Mar 11 11:26:00 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Grace Loehr: "Re: South Dakota law bans nearly all abortions" Previous message: Efrain Ramirez: "Re: Actinomyces" In reply to: Rafael Haciski: "Re: Actinomyces" Next in thread: Dean Huffman .: "Subject: Re: Actinomyces" Maybe reply: Dean Huffman .: "Subject: Re: Actinomyces" Insightful observations in both messages....having recently heard in a social setting someone making a throwaway comment to the effect,' I know he's (md) not responsible for (some condition) but he's got insurance', one cannot be too attentive to Rafael's comments. Rafael Haciski <haciski@earthlink.net> wrote: You are absolutely correct, but that is why SHE has to make that INFORMED decision, not I. Rafael Haciski MD FACOG Palmetto, FL On Mar 10, 2006, at 6:32 PM, Joseph Shaeffer wrote: >> Personally I would lean towards at least removing the IUD, and if >> that was colonized as well then treat her. >> Aaaah, the art of medicine... >> >> Rafael Haciski MD FACOG >> Palmetto, FL > > By removing her IUD you are also removing her very effective > contraceptive > method. If indeed, as the article states: > > 'Its prevalence has been estimated to > be less than 0.001%; because of its rarity, the relationship between > actinomyces found on a Pap test in an asymptomatic IUD user and the > eventual development of this infection is unclear.' > > Why take away her method of contraception that has evidently been > working well > for her. IUD's fill a very effective gap in choice of a > contraceptive method for > many women who have tried and failed other options. > > Would the chance for an unintended pregnancy be worth the risk, as > small as it > is, for pelvic actinomyces? > > Joseph > > Joseph Shaeffer ARNP/CNM > Womens Health Care Nurse Practitioner/Certified Nurse Midwife/IUD > Inserter > Spokane, Washington USA > Use Photomail to share photos without annoying attachments. Next message: Grace Loehr: "Re: South Dakota law bans nearly all abortions" Previous message: Efrain Ramirez: "Re: Actinomyces" In reply to: Rafael Haciski: "Re: Actinomyces" Next in thread: Dean Huffman .: "Subject: Re: Actinomyces" Maybe reply: Dean Huffman .: "Subject: Re: Actinomyces"

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