Re: STD screening
From: Zachariah Newton (zbnewton@bellsouth.net)
Tue Apr 1 15:25:05 2008
Art, ol'man (formerly Art, young man),
As you are a certified intellect, the self-induced blemishes pain me,
but not to the point of skipping dinner.
"Is there long term data on the safety of Gardasil"?
"And wouldn't priorexposure to multiple HPV subtypes reduce efficacy"?
Pray tell:
1. What is "long term" for a new product in a definition that Doctor
Joe might agree with?
2. It is new to me that the immune system is monistic.
You may be right, actually. But, in any case, you are a neat fellow.
zbn
---
On Apr 1, 2008, at 11:33 AM, art fougner, md wrote:
> 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
>>
>> ________________________________
>>
>> ________________________________
>> No Cost - Get a month of Blockbuster Total Access
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>>
>
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
