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Re: PAP Smear after TAHFrom: Harrison Sheld (hsheld@anv.net)Tue Dec 31 19:20:11 1996
I report one case of ovarian cancer. What else did I find in my well care follow-ups? Diabetes, hypertension, cancer of the breast on annual mammograms, depression: there are many quality of life issues that are hard to quantify. To construe the annual "pap" as only the search for pelvic neoplasia is to sell our roles as medical professionals short. I do not argue about the cost effectiveness of detecting one case of neoplasia, my point is the pap brings the patient to the doctor in a global sense for an evaluation of her health which goes beyond detecting gynecologic neoplasia. Is this not part and parcel of primary care?
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