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Re: gynecologic oncologists From: Jay Kulkin (jkulkin@mindspring.com) Wed Mar 31 04:36:37 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez MD: "Re: gynecologic oncologists" Previous message: Efrain Ramirez MD: "Re: gynecologic oncologists" Maybe in reply to: Robin: "gynecologic oncologists" Next in thread: Efrain Ramirez MD: "Re: gynecologic oncologists" Reply: Efrain Ramirez MD: "Re: gynecologic oncologists" The concept sounds good but clinically this case would suggest that gyn-oncologists would remove a lot of 10cm endometriomas. Obviously, they don't have the time or inclination to do this but in my experience they make themselves available even on an emergency basis when unexpected findings arise. I think the entire clinical picture is significant and many would ask for gyn-onc assist in the majority of suspicious cases. One must also consider other variables as LFT's etc. A sensitive and important issue which should be on the minds of all clinicians. Jay At 01:28 AM 3/31/99 -0600, you wrote: >I realize that I am not "supposed" to be posting here. I would >apologize except that this is too important an issue to worry about >rules. Women's lives are at stake. > >I was merely quoting an excerpt from the NIH's Consensus Statement on >ovarian cancer. We are not discussing a skin condition or a cold or >flu. We are talking about a disease that kills over 14,000 women in >this country every year. It is very difficult to diagnose and usually >isn't caught until it is advanced. It has been proven that women who >are optimally debulked and properly staged have a better chance for >long-term survival. Now, do you really expect me to believe that a >doctor who does maybe a few of these surgeries a year has as much >expertise as a doctor who does a hundred? Obviously, the NIH doesn't >believe that. > >Can you honestly say that if it were your mother, sister or daughter who >was suspected of having ovarian cancer, that you would not choose >someone with that kind of experience and expertise (a gyn/onc) to do her >surgery? I think not. This is a question of ethics. I was very >fortunate. My ob/gyn referred me immediately to a gyn/onc after finding >a complex ovarian mass and a CA125 of 400. This is professionalism at >its best. > >You will be hearing a lot about this in the future. Organizations like >the National Ovarian Cancer Coalition and Ovarian Cancer National >Alliance will be working hard to inform all women about this specialty >and their options when faced with a possible ovarian cancer diagnosis. I >would hope that ob/gyns all over this country will show support for >their patients by referring them when indicated. > >This will be my last post. Thank you for allowing me the opportunity to >express myself here. > >You > -- 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: Efrain Ramirez MD: "Re: gynecologic oncologists" Previous message: Efrain Ramirez MD: "Re: gynecologic oncologists" Maybe in reply to: Robin: "gynecologic oncologists" Next in thread: Efrain Ramirez MD: "Re: gynecologic oncologists" Reply: Efrain Ramirez MD: "Re: gynecologic oncologists"

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