WOMENS-HEALTH Messages for December, 2008: Re: GYNECOLOGIC: CIN 1 Follow-Up Question

Re: GYNECOLOGIC: CIN 1 Follow-Up Question

From: CLS (anonymous@obgyn.net)
Sat, 20 Dec 2008 15:31:05 -0600 (CST)

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Reply: JoAnn NP: "Re: GYNECOLOGIC: CIN 1 Follow-Up Question"

Michelle, I think you would have to bluntly discuss this with your doctor. If you're not satisified with the reponse, get another doctor. There could be so many factors involved. Because my own case was so horribly mishandled, I began researching this, which included hearing other women's stories. Some stories were horrifing. If you do get a new doctor, research the background by checking for any disciplinary action. Websites, such as Yelp, will discuss patients' experiences - especially previous patients'.

I don't know which country you're in, but I'm the U.S., and insurance has destroyed american healthcare. Having asked around, from what I understand, the money goes to the insurance companies, first. Then some trickles down to doctors. The goal of insurance companies is to get the patient in and out of the doctor's office as cheaply and as quickly as possible. As a result, patients often receive treatment that may not be the most appropriate. I have noticed the impact in the following ways, in order of best to worst.

1. There are doctors who refuse to let insurance companies control their practices. They insist on educating their patients so that patients make the best informed decisions for their health needs. I admire the courage of these doctors because I'm now aware of the enormous obstacles in front of them.

2. There are doctors who are not able to sidestep insurance control. They educate their patients, but the patients' options are dictated by insurance, and they're honest about it. I feel badly for those doctors because they want the best for their patients, and it isn't easy maneuvering around their tied hands, although they clearly try.

3. There are also doctors who mean well, but they aren't keeping up-to-date or they can't financially afford the more epensive equipment. So, they are limited in what they can offer. They may or may not educate patients well enough, but they don't mean ill. They're just mediocre in their professions.

4. Then there are doctors who think of their pocketbooks, so they work the insurance world in order to make extra money. As a result, patients are bullied through scare tactics into treatment they don't need. Or worse still, the doctor doesn't send the patient to the GYN/ONC because it would mean a loss of profit. These people should not be practicing medicine. The first doctors you and I had clearly fell into this category.

We are the best advocates our bodies have, and it's important to encourage others to always educate themselves about their conditions, their options, and their doctors before agreeing to anything. I'm glad you're aware of the importance it is to fight for yourself; I had to learn the hard way.

At Fri, 19 Dec 2008, Michelle B. wrote: >
>Last year, I had a confirmed CIN 1 colposcopy, no prior history of
>abnormal paps or HPV. ECC negative. I just turned 40, non-smoker. My
>doctor scheduled me for a LEEP, without explanation or options. I began
>looking for new Doc because I felt she was just trying to make money.
>
>My new Doc said that she wants me to have 4 clean paps, every three
>months before can go back to annual paps. The guidlines I have read
>indicate that two clean paps are required. How do these doctors come up
>with their own guidlines? Is this normal?
>
>Thank you!

Next message: Antoinette: "ULTRASOUND: Ovarian Cyst"
Previous message: Hope Waltman: "ORGASMS: Persistent Imminent Orgasms Are Associated With Restless Legs PSAS - RGS"
In reply to: Michelle B.: "GYNECOLOGIC: CIN 1 Follow-Up Question"
Next in thread: JoAnn NP: "Re: GYNECOLOGIC: CIN 1 Follow-Up Question"
Reply: JoAnn NP: "Re: GYNECOLOGIC: CIN 1 Follow-Up Question"

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