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Re: Question about pap test frequency From: Efrain Ramirez (eramirezt@coqui.net) Mon Jan 29 19:52:02 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re:Date: Tue, 30 Jan 2007 12:00:46 -0000" Previous message: Raymond Stephen: "Re: Progesterone for prevention of preterm birth" In reply to: Joanne Bulley, MD: "Re: Question about pap test frequency" Next in thread: Barbara Nicol: "Re: Question about pap test frequency" EBM or not your comments make sense to me.. Ef >At Mon, 29 Jan 2007, Joanne Bulley, MD wrote: > >More than a few. I still recommend that the vulva have a visual >inspection and there be a binmaual. I realize the bimanual does not >pick up all ovarian problems - but there are fibroids that are noted. I >have found tumors in the rectovaginal septum (pretty rare but still >found) in patients who had just accepted that their rectum felt a little >full and didn't complain til I noticed what was there. > >Just saw a new very black nevus on a vulva today - that many family docs >(in this area at least) would not have seem because they would have >said, "you are 74 and don't need a Pap so I don't have to take the time >to have you get undressed and look" > >Maybe it is old fashoined, but I can't seem to agree that no one needs >to be looked at physically any more. I have patients whose PCPs have >not even listened to their heart in years (including patients with >hypertension). > >Does this make sense to others? > >Joanne > >At Mon, 29 Jan 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote: >> >>We have a few providers that seemed to be taken aback by me suggesting >>that all women (of the age to have yearly exams) need a pelvic exam >>yearly, regardless of whether you do a Pap smear or not. >> >>Maybe these guidelines have made us more complacent in doing what is >>right? >> >>Glen >> >>//SIGNED// >> >>D. Glen Elrod, Maj., USAF, MC >> >>Obstetrician/Gynecologist >> >>Chief of Obstetrics >> >-- >Joanne Bulley, MD, FACOG >Solo gyn >Keene, NH USA > -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re:Date: Tue, 30 Jan 2007 12:00:46 -0000" Previous message: Raymond Stephen: "Re: Progesterone for prevention of preterm birth" In reply to: Joanne Bulley, MD: "Re: Question about pap test frequency" Next in thread: Barbara Nicol: "Re: Question about pap test frequency"

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