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Re: Follow-up paps/ThinPrep From: Jay Kulkin (jkulkin@mindspring.com) Sun Mar 14 13:05:11 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bruce Speyer: "from AIUM, San Antonio" Previous message: RModugno@aol.com: "Fri: Humor" Next in thread: art fougner, md: "Re: Follow-up paps/ThinPrep" Reply: art fougner, md: "Re: Follow-up paps/ThinPrep" While the practice may not use this as a profit center, is it a cost center finanically and emotionally for the patient, which may be substantial, if unnecessary colpos/bx's are done as a result of false positives? Jay At 11:55 AM 3/14/99 -0600, you wrote: >My practice hands out a homemade information sheet about ThinPrep to >women as they check in for their annual exams. It is *not* from the >company, but something my partner and i wrote about a year ago, when we >decided to offer ThinPrep as our "high tech" pap. We do not deal with >AutoPap or Papnet now for simplicity's sake. My partner's wife is a >cytopathologist, and this may have influenced us, although she is not >involved at the lab that does our paps--either kind. > >We tell the patient in the handout that the ThinPrep is more accurate, >and that the extra cost--$50 versus $25 for a regualr pap--may be the >patient's responsibility. The lab bills the carrier, and if the carrier >doesn't cover a ThinPrep, then the patient is billed. In that regard, >my practice isn't helped or hurt economically by the patient's pap >choice. > >In practical terms, I do not encourage ThinPreps, and usually will >flatly tell the low risk folks ready to spend the money (most of whom >can do so without thinking twice about it) to save it for dinner one >night! However, and depending on the patient, they get what they want. >There are a few ASCUS folks, or people who have old cryos, etc., whom I >actually encourage to do the ThinPrep. > >If anyone wants a copy of the handout, it is in MS Works, and I can >email/attach it, or mail it, or fax it. Please email me privately. > >Regarding followup, my practice doesn't have a system, and we should. We >entrust the patients to actually do that which is asked, and to bear >responsibility. How foolish. > >Garry > >-- >Garry E. Siegel, M.D., FACOG >Private Practice >Roswell, Ga. > -- Jay M. Kulkin, MD MBA Medical Director BCBS of Georgia office 770-386-0640 ext. 17 office e mail-jkulkin@bcbs-ga.com Next message: Bruce Speyer: "from AIUM, San Antonio" Previous message: RModugno@aol.com: "Fri: Humor" Next in thread: art fougner, md: "Re: Follow-up paps/ThinPrep" Reply: art fougner, md: "Re: Follow-up paps/ThinPrep"

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