--
Richard Chudacoff, MD, FACOG
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
fougner, md
Sent: Tuesday, April 01, 2008 8:33 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: STD screening
Is there long term data on the safety of Gardasil? And wouldn't prior
exposure to multiple HPV subtypes reduce efficacy? Before we advocate to
a huge population, there should be answers for these questions. Just
asking ...
Art
At Tue, 1 Apr 2008, Atkinson, Samuel M, Jr wrote:
>
>Screening should include hepatitis. Screen for HPV not mandatory as a
>prerequisite for gardasil. Our practice here at Brody School of
>Medicine is to recommend hepatitis immunization if pt does not already
>have same and to recommend HPV vaccine. While you did not mention age
>of patient, Merck has been granted priority review by FDA of their
>request for expanding indication to all women up to age 40. Appropo the
>60 yr old with PID and the other lady with high risk HPV, little old
>ladies and their little old men also need sex and occaisionally stray
>from the marital , monogamous way of life so the more immunization the
>better.
>
>________________________________
>
>________________________________
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen
>
>--
>________________________________
>Elrod
>________________________________
>Sent: Monday, March 31, 2008 8:34 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: STD screening
>
>I'm just curious. If a patient comes in wanting 'all the STD screening'
>available due to a history of unprotected intercourse with a previous
>partner would you offer HPV testing? She denies a history of abnormal
>paps and is also being seen that day for a pap. If you did order HPV,
>would you order reflex or just order it as if you were ordering GC or
>Chlamydia screening?
>
>Glen
>
>________________________________
>
>________________________________
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>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
