Re: IUD and PID
From: Steven Crawford (scrawfmd@zoomnet.net)
Sat May 29 00:24:05 1999
Wow, slamming me with righteous rhetoric takes away from what we were discussing.
I'll stop for now, as this is now going nowhere fast...Steve
"Robert J. Woolley" wrote:
> 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
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