Re: [Fwd: vinegar for screenings]

From: Robert J. Woolley (wooll005@tc.umn.edu)
Sun Mar 21 16:20:20 1999


In message <36F26006.280A@ultranet.ca> writes: > --------------1356385F708A
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> Thought I would send along this Yahoo news item on the use of vinegar in
> poor countries in lieu of Pap tests. Recently heard Gabe Merkin, M.D.,
> on the radio describe how he finds genital warts on the penis by swathing
> the penis in gauze soaked in vinegar and then wrapping the whole "package
> in Saran Wrap for five minutes while the man reads a magazine. After the
> 5 minute soak the warts that were invisible to the eye show up as white
> dots and can be removed. Is this a common practice, anybody?

Many docs do it, including at least one of my partners. I don't. The problem is lack of both sensitivity and specificity. I don't know what the sensitivity is, but I can't believe it even approaches 100%, so I don't want to give false reassurances. It is definitely non-specific, showing up any area of epidermal thickening from any cause. Do you really want to treat all of those? I don't. Finally, I know of no evidence that such practice reduces the risk of developing visible warts, or reduces the infectivity of the patients, though he's likely to think it does (and act accordingly).

I'm agin' it.

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--------------------------------------------------------------------------- Bob Woolley

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St. Paul, Minnesota

"Life is made up of sobs, sniffles, and smiles, with sniffles predominating."

-- O. Henry





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