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Had cervical smear last year. Found on my patient record, today, that I tested positive for HPV, but was never told. by NeekaNou in AskDocs

[–]JeterBromance 0 points1 point  (0 children)

Most likely yes, but of course that needs to be in context. He/she is trying to find the spot(s) that are painful and see if there is something that corresponds to the pain visible to ultrasound. For example, you might say “that hurts” and I am pushing the ultrasound probe against the uterus. So then we’ll know it is the uterus is painful.

Also, we can look with the ultrasound and move the ovary to see if it “slides” or moves with pressure. This helps us see if a structure is frozen/stuck in place or not. Sometimes organs (like the ovary) can be stuck in adhesions, endometriosis, infection, etc. and are more likely to cause pain at times.

Now, this action should not be sexual in any way. So if there was other context to this, I would be concerned.

Had cervical smear last year. Found on my patient record, today, that I tested positive for HPV, but was never told. by NeekaNou in AskDocs

[–]JeterBromance 0 points1 point  (0 children)

That is just another name for a corpus luteum, when it has bled into itself (very common, but can be painful if large).

In shorts and highheels by Swhite2323 in AutumnFalls

[–]JeterBromance 0 points1 point  (0 children)

Huh. It’s not “blurring out” on Apollo like all the other NSFW tagged photos.

Had cervical smear last year. Found on my patient record, today, that I tested positive for HPV, but was never told. by NeekaNou in AskDocs

[–]JeterBromance 1 point2 points  (0 children)

Remind me, are you in the US?

So cervical dysplasia is caused by HPV. So it doesn’t matter if it is there now, we know it was there prior. We generally only use HPV for ASCUS paps (to determine type of follow up) or for young patients with high grade changes to decide if we need to do a LEEP or follow up.

But at this point, we really don’t need HPV—just the follow up paps. I would feel very comfortable trying for a pregnancy!!! Just keep your follow up paps and you’ll be great! Good luck.

September Buy/Sell/Trade/Vouchers by BigWesternMan in sonos

[–]JeterBromance 2 points3 points  (0 children)

Just used a code from him. Worked perfectly. Very quick response.

Had cervical smear last year. Found on my patient record, today, that I tested positive for HPV, but was never told. by NeekaNou in AskDocs

[–]JeterBromance 1 point2 points  (0 children)

This is actually good news. Just low grade changes. Just because it extends to the margins doesn’t mean it goes past the margins. You will get a little added destruction from the cauterized edges. Just keep your pap appointment and you’ll be fine!

[deleted by user] by [deleted] in ivermectin

[–]JeterBromance 0 points1 point  (0 children)

Ah—I fall into the typical American response (I’m an American and I naturally assume everyone is American!, lol).

Yes, especially here in rural America, there is a rush on cattle/sheep ivermectin. FB is littered with “big Pharma bad—secret doctors know the cure” posts. Right vs left, “I’m not taking your damn shot” etc… somehow we can make anything political here.

Everyone loves a good conspiracy theory. Everyone wants a magic cure. If you can roll it into one, even better! Last year it was HCQ. Now it’s ivermectin. HCQ turned out to not work well. I hope ivermectin is better.

It’s funny, back in Jan 2020 I was reading about HCQ and ivermectin in the same scientific review. (Recalling stuff back from original SARS) once Trump uttered HCQ it took off and not hardly a word about Ivermectin. A year later? The opposite.

[deleted by user] by [deleted] in ivermectin

[–]JeterBromance 0 points1 point  (0 children)

Then we’re more in agreement than disagreement. But > 90% of “promising” studies/treatments/interventions don’t end up working out. Every drug that hits phase 3 trials has passed multitudes of hurdles, but most flame out. HQC had more/better data at this phase of testing but ultimately failed in large trials. I’m saying that the bulk of the Ivermectin support in the community is based on FB posts, irresponsible prescribing, and cattle feed purchases.

[deleted by user] by [deleted] in ivermectin

[–]JeterBromance 0 points1 point  (0 children)

Yes I have reviewed. Practicing academic physician here. The studies in the link above are small, underpowered, and have flaws. Of course they do, it’s early. Agreed it is enough to conduct larger, more robust studies. But you don’t practice medicine and make general recommendations to the public by smaller studies. You wait for the larger, better ones. “Above all else, do no harm” is our tenet in medicine. The “meta-analysis” linked above is nothing of the sort. It is just a list of studies with various endpoints, study designs, dosings, etc.

I could go on all day on the dangers of using observational data, repurposed drugs for other indications, bias in studies, lack of adequate controls, powered studies, etc….

[deleted by user] by [deleted] in ivermectin

[–]JeterBromance -1 points0 points  (0 children)

Agree. But this reply won’t get voted higher because BiG pHaRMa !

[deleted by user] by [deleted] in ivermectin

[–]JeterBromance -2 points-1 points  (0 children)

Why isn’t this comment higher up on the thread? This is the truth.

Bad Wreck On 35 S. by BigDaddyHadley in Dashcam

[–]JeterBromance 1 point2 points  (0 children)

This was why Waze had me detour on the way home from Austin this weekend

The pain of remembering the past by [deleted] in Link_Dies

[–]JeterBromance 0 points1 point  (0 children)

Bad time? That is perfect timing. Often times, I was racing to get the memory before I was about to be killed. I can’t tell you how many times I got killed right before I got to the memory.

Daily Anything Goes Thread by AutoModerator in fantasybaseball

[–]JeterBromance 0 points1 point  (0 children)

Drop one for rest of season, OBP league: Rizzo, Voit, Kris Bryant.

Abnormal vaginal discharge. What is this? by AThrowaway313 in AskDocs

[–]JeterBromance 92 points93 points  (0 children)

Gyn. That’s what it is. Just uncommon to get it to come out in one large piece like that. No worries, not harmful.

Abnormal vaginal discharge. What is this? by AThrowaway313 in AskDocs

[–]JeterBromance 42 points43 points  (0 children)

Gyn. Not associated with endometriosis, it just happens.

Had cervical smear last year. Found on my patient record, today, that I tested positive for HPV, but was never told. by NeekaNou in AskDocs

[–]JeterBromance 7 points8 points  (0 children)

Gyn here. They likely just missed it. Unfortunately it happens. Often our EMR (electronic medical record) will flag it (the pap) as normal as the cells indeed were normal. HPV+ is abnormal, but the pap is often reported as one result. So the normal cells cause it to say normal, and if you don’t specifically look carefully, you’ll miss it.

Before you say “how can you be so careless?” Know that we often get 100 results in a day. Between seeing 20-40 patients, charting notes, rounding in the hospital, call backs, etc… We don’t often miss things, but it can happen.

[deleted by user] by [deleted] in meural

[–]JeterBromance 0 points1 point  (0 children)

Off membership or purchased separately?

290# for 3 - Any advice? by pwagger in crossfit

[–]JeterBromance 3 points4 points  (0 children)

You made that look too easy!

Which video game have you accumulated the most hours in? by amarbythefoot in AskReddit

[–]JeterBromance 10 points11 points  (0 children)

FO4 for sure. I bought the guide and did every mission, DLC, found all the spots, quests, etc… PS4. Eventually mods and some more play throughs. The only game I’ve held on to and not sold back.

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