Re: Gyn: ASC-US
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Aug 31 23:26:45 2007
Same thing happened to me -intrigued- we tend to solve as many
complaints the patient has in the same visit if feasible eg.
vulvitis-viral syndrome-prescription for OC's...
Ef
At Fri, 31 Aug 2007, Rafael Haciski wrote:
>
>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
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
