Re: Ascus management question

From: Ronald Ainsworth MD (ainsron@sbcglobal.net)
Thu Jul 31 20:17:14 2008


I agree, the world (and this list) could do with a little more common sense, civility and sense of humor. Use of the delete button before you send a hostile response would be more mature. Ron

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Thursday, July 31, 2008 5:51 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Ascus management question

To all of the Srinivas and Verners (sorry about the capital V) out there I have been in this forum for some years now .. true – now and then there is some nasty discussion about a controversial issue – a comment should not have been written..much less replied .. but almost always common sense dictated when to stop.. Srinvas and Verner .. too much effort is located attacking the messenger instead of the message.. not at all the purpose of this forum...I have met el +personally+ and have read many post of Stephen - not at all your thoughts about their brains and "souls" --- try to have some common sense…

Ef

At Thu, 31 Jul 2008, Srinivas Rao wrote: >
>Can anyone tell me what Dr.Eberhard needs his brain for?
>
>Shabana
>

>>>----- Original Message -----
>From: Dr Eberhard W Lisse <el@lisse.na>
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>Sent: Thu, 31 Jul 2008 21:01:27 +0530 (IST)
>Subject: Re: Ascus management question
>
>Can anyone other then the dyslexic Indo-Texan please tell me what she
>needs her uterus for?
>
>el
>
>On 31 Jul 2008, at 16:21 , Gerald P. Rodríguez wrote:
>
>> Yes, I would agree--she needs LEEP vs. conization--your choice.
>>
>> Gerald P. Rodríguez, M.D.
>> Santa Fe
>

>>>> ----- Original Message -----
>> From: ENDODOK@aol.com
>> To: Multiple recipients of list OB-GYN-L
>> Sent: Thursday, July 31, 2008 8:57 AM
>> Subject: Ascus management question
>>
>> Have a 50 yr old postmenopausal clinic pt that I inherited
>> when I took over as managing gynecologist in March. Over the last 4
>> years she has had recurrent Ascus smears, with positive high risk
>> HPV screen. A couple of years ago she did have a single Bx of CIN 1.
>> Subsequent smears done every 4-6 months remain Ascus/ HRHPV pos.
>> Colposcopy repeatedly neg for exocervical lesions. ECC not possible
>> because of total cervical stenosis. No atypical glandular cells ever
>> encountered. Clinic NP's and OB/GYN Director concerned that cervical
>> canal not adequately assessed . They are inclined to proceed with
>> LEEP/ cone bx.
>> Apppreciate your comments.
>>
>> J. Glenn Bradley MD
>>
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