Re: PAP Smear after TAH

From: Garry E. Siegel (garrys@atl.mindspring.com)
Tue Dec 31 19:34:06 1996


At 08:20 PM 12/31/96 -0600, you wrote: >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?

Very Well Stated, as ZB Newton did, too.

Garry





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