Re: IUD and PID
From: eugene jursek (ejursek@neoucom.edu)
Fri May 28 23:44:30 1999
If you have a deep umbilical "inny", would this be considered an
invagination with a mucosa?
>----- Original Message -----
From: Robert J. Woolley <wooll005@tc.umn.edu>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net>
Sent: Friday, May 28, 1999 9:36 PM
Subject: Re: IUD and PID
> In message <374F3964.94AC9794@zoomnet.net> writes:
> > In all due respect, IUD placement, in my opinion only, should occur in
> > collaboration
> > with a physician. I realize this may cause some painful rebuttal, but I
am
> > seriously only stating this fact for the patient's best overall
interest.
>
> Of course. And it's purely for the public good that we help the states
erect
> licensing, and forbid anybody but physicians from doing anything that
smells
> like medicine. It has absolutely *nothing* to do with increasing our
incomes.
>
> >
> > Patients are the focus of our existence. We are here for them to be
treated
> > in a
> > professional, non biased manner. Therefore, when I say that a physician
> > should be
> > consulted on any ambiguous case of IUD placement, etc., I am saying what
I
> > feel is
> > most appropriate and what is best for the patient's health and future
> > fertility.
>
> Please explain what it is, exactly, about IUDs that a nurse practitioner
is
> intrinsically incapable of learning to the same level of mastery as a
physician.
> If you cannot do this, then obviously your entire argument is about as
> substantial as wet toilet paper.
>
> The history of PID is an indicator that the patient has exhibited
> > behavior,
> > albeit maybe in the past, that may clue the physician in as to the type
of
> > activity
> > the patient may engage in or has engaged in somewhere in their past. It
is
> > an
> > "indicator" only, not necessarily a predisposing factor of unequivocal
> > re-infection.
>
> Yes, oh wise all-knowing physician. This answer is *so* vastly more
informed
> than Karen's (see below), that it is *obvious* that no non-MD could *ever*
know
> as much as you do.
>
> > >
> > > Yes, but what caused this patient's PID - the presence of an IUD or a
> > > behavior which allowed her to acquire the infecting organism? Does a
> > > history of PID *alone* predispose someone to reinfection with a new
IUD,
> > > or is it that they may indulge in multiple sex partners which puts
them
> > > at risk for reinfection?
> > >
> > > Karen J. Bacon, RNC, WHNP
>
> --------------------------------------------------------------------------
-
> --------------------------------------------------------------------------
>
> --------------------------------------------------------------------------
>
> Bob Woolley
> St. Paul, Minnesota
>
> "A free society is most threatened not by uses of government
> that are obviously bad, but by uses of government that seem
> obviously good."
>
> -- Charles Murray
>
