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Gynecology office tips.(CLINICAL PEARLS)(Report)

OB GYN News

| April 01, 2009 | Flamm, Bruce L. | COPYRIGHT 2009 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Under the heading of bloopers, Dr. Michael Flax of Albuquerque, says that his secretary is a master at mangling language. His personal favorite is the time that he was inserting a laminaria, and she was heard to say that he was busy putting in a luminaria. This is probably an excellent method to light one's way, if one gets lost. Dr. Lewis R. Schulman of Birmingham, Ala., recently had a patient who was hospitalized with hyper-emesis gravidarum and who had a history of recurrent headaches, so he asked a neurologist to see her. The neurologist felt she had migraines and suggested she be treated with narcotics. The transcriptionist typed, "The neurologist suggested the patient be treated with necrotics." Dr. Schulman is sure this would take her mind off her headaches! Readers, please continue to send in bloopers.

Stuck Pessary Pearl

In response to our advice on removing a stuck pessary, Dr. Linda Harris of Med-ford, Ore., sent in a little pearl that she recently learned at a lecture. Apparently the Gellhorn pessary is actually designed with a central "canal" meant to be used to inject water or saline at the time of removal to aid in breaking the suction.

Stack Pack Pessary

In the July 15, 2008, issue, we published an interesting pearl about the simultaneous use of more than one pessary and mentioned that an article had actually been written on that subject. However, I failed to give credit where it was due. That article was written by Dr. Christine A. LaSala, Dr. Deborah L. Myers, and Dr. John A. Murphy (Obstet. Gynecol. 1998;91:1019-20).

Getting to the End

How many times have you had to ...

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