WOMENS-HEALTH Messages for March, 1997: Re: cervical cancer follow up DON'T ABUSE THE DOCTORS!!!

Re: cervical cancer follow up DON'T ABUSE THE DOCTORS!!!

From: Roberta (anonymous@obgyn.net)
Thu, 27 Mar 1997 23:36:33 -0600 (CST)

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In reply to: Karen: "Re: cervical cancer follow up"

The following treatment of the OBGYN.net physicians who GENEROUSLY AND FREELY volenteer their time to answer our questions is IMHO totally uncalled for!

At Thu, 27 Mar 1997, Karen wrote: >
>At Wed, 26 Mar 1997, Douglas wrote:
>>
>>At Mon, 24 Mar 1997, Karen wrote:
>>>
>>>I have a 24 yr old student who just had surgery for cervical cancer 2
>>>wks ago by an ob/gyn.
>>
>>Karen,
>>
>>Wow! There is a lot of misconception out there about this kind of
>>surgery! Your student did NOT have cancer. She had a pre-cancerous
>>lesion; one which COULD have become cancer under certain circumstances,
>>but was likely NOT CANCER. The treatment for cervical CANCER is RADICAL
>>surgery or radiation. These precancerous conditions are called by a
>>variety of names: Dysplasia and Carcinoma-in-situ are two commonly used
>>terms.
>>
>>The usual care for patients who have undergone this kind of therapy is
>>simple. Nothing in the vagina for 2-4 weeks. Report any fever, pain,
>>or persistant bleeding or discharge.
>>Follow up PAP smear in 4-6 months and use condoms til then.
>>
>>--
>>Douglas Krell MD FACOG
>>
>I do not know where you are located, so unless you did the pathology on
>my student, how do you know she did not have cancer?

IF YOU ARE ONLY INTERESTED IN THE OPINION OF A PHYSICIAN WHO HAD THE BENEFIT OF A PHYSICAL EXAM THEN WHY NOT CALL THE PHYSICIAN WHO PERFORMED THR SURGERY? WHY POST TO A FORUM ON THE INTERNET?

She told me they >did a pap, then did a biopsy and it WAS cancer. She had not had a pap
>done in 6 years, so they told her it was fairly bad. Then they did
>surgery. I didn't probe her for specifics on exactly what they did in
>this surgery so I do not know exactly how 'radical' it was.

DR. KRELL I PRESUME MADE THIS ASSUMPTION BASED ON THE FACT THAT IF IT WAS CANCER IT WOULD HAVE REQUIRED A FAR MORE AGRESSIVE FOLLOW UP THERAPY THAN A 6 MONTH PAP.

>appreciate your response, especially since you're the only one to
>respond, but I do not appreciate you calling us a liar when she had the
>path report to prove it.

DR. KRELL DID NOT CALL YOU OR YOUR FRIEND A LIAR. HIS WORDS WERE:

"but was likely NOT CANCER. The treatment for cervical CANCER is RADICAL surgery or radiation."

HE WAS ATTEMPTING TO ALAY YOUR FEARS. SINCE YOU HAVE THE PATH REPORT AND ARE SURE OF YOUR DIAGNOSIS WHY DON'T YOU MAKE AN APPOINTMENT TO VISIT WITH THE SURGEON TO GET YOUR QUESTIONS ANSWERED.

THE WAY YOU HAVE DEMONSTRATED YOUR APPRECIATION FOR THE DOCTOR'S RESPONSE IS HARDLY LIKELY TO ENCOURAGE MORE DOCTORS TO PARTICIPATE IN THIS VALUABLE RESOURCE.

--
Roberta Speyer
President and CEO
Elecomm Corporation
Founders of OBGYN.net

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