-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Gyn: ASC-US From: Rafael Haciski (haciski@earthlink.net) Fri Aug 31 21:20:52 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert Modugno MD: "An article from the BMJ (http://bmj.com)" Previous message: Robin Kurtzman: "Invite from Robin Kurtzman (robinmk02@aol.com)" In reply to: Garry E. Siegel, M.D.: "Gyn: ASC-US" Next in thread: Efrain Ramirez: "Re: Gyn: ASC-US" Reply: Efrain Ramirez: "Re: Gyn: ASC-US" Although I agree with your approach, I have heard others suggest a less intensive approach: serial PAPs to observe. In the younger and healthy female most of these will resolve on their own. But I like to CYA. I am intrigued by your office policy > I explained that due to insurance issues and office policy, we need to > have two separate appointments for her issues--one for the pap issue, > and another for the dyspareunia. They said, "No problem, we'll > reschedule a colposcopy." So you do not handle multiple problems? I routinely will evaluate several issues at one visit -- maybe that is why I have trouble making money :( -- Rafael Haciski MD FACOG Anchor Health Centers GYN 800 Goodlette Rd #360 239-643-8780 office 239-571-0292 cell Naples, FL. On Aug 31, 2007, at 9:40 PM, Garry E. Siegel, M.D. wrote: > 16 YO P0000 seen by CNM for annual in April, and the pap is ASC-US, > reflexed to HR HPV positive. > > Cancelled appointments, multiple calls--doesn't come in for follow-up. > > I sent a certified letter, and today she came in with her fiancee. > For > those of us who are parents, let's say that these two had more tattoos > and piercings than I think we would generally like to see in our own > children. > > So, after taking a history and explaining what was up with her pap, > etc., she said, "We want to bring up another issue. It hurts when we > have sex." The fiancee said, "Yeah, we only can have sex like once a > week." > > I explained that due to insurance issues and office policy, we need to > have two separate appointments for her issues--one for the pap issue, > and another for the dyspareunia. They said, "No problem, we'll > reschedule a colposcopy." > > So, I had to convince her that after 4 months of attempting to contact > her for an evaluation, that my opinion was that we needed to do > today's > colposcopy today, and she reluctantly agreed. > > It was pretty hard not get very "parental" on her, but I didn't. > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: Robert Modugno MD: "An article from the BMJ (http://bmj.com)" Previous message: Robin Kurtzman: "Invite from Robin Kurtzman (robinmk02@aol.com)" In reply to: Garry E. Siegel, M.D.: "Gyn: ASC-US" Next in thread: Efrain Ramirez: "Re: Gyn: ASC-US" Reply: Efrain Ramirez: "Re: Gyn: ASC-US"

Return to

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: Wed Jul 2 04:47:24 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.