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Gyn Preventive Care Visit IntervalFrom: Zach Newton (zbnewton@atl.mindspring.com)Tue Dec 31 16:58:55 1996
Robert J Woolley wrote: <snipped> > Then a raft of counseling as needed: HRT, diet, Ca++, exercise, injury > prevention, etc., intervals not specified. > > Now, personally, if I had seen this woman a number of times for either > preventive or episodic care, and knew her status re those counseling > issues, I'd tell her to get a flu shot annually (probably with a nurse BP > check simultaneously), call me prn, and enjoy life without pesky doctor's > appointments while she can. (Caveat: if I had indication that she would > feel endangered or neglected by this approach, I'd obviously offer to do > whatever she needed to feel appropriately cared for, within reason.) > > What evidence do you have that this hypothetical patient would benefit from > the "annual gyn health maintenance" visit you propose for her? The polemical thesis that all health care must conform to evidence-based standards is right in there with "Stars and Stripes" and "Battle Hymn of the Republic" when comes to getting me puffed up. The problem is that it is so dreary in going about patient care when the outcome data does not exist. Makes me feel awful every time a 75 yo leaves the office after an annual visit.
-- Zach Newton Z. B. Newton, III, M.D. Atlanta/Gyn
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