Friday, November 20, 2009

pap smear debate

We had our calculation exam today... it went pretty well. I was stuck on one problem because I forgot the formula but all turned out well!! I'm sure I passed!!! ^_^
So we are officially about 5 tests away from winter break.  Yes!!!!! Only 5 tests but 3 of them are comprehensive! But it's okie... the next one is Monday, I need to look over some stuffs for the test but I think it shouldn't be too bad.  I don't have to get an A on the test... I only need to pass ^_^
Wanting to write about many things but I Guess you can only pick one and save the other for later...
So another day, another guideline.  This time, it's about PAP smear.  The new guideline recommended that females don't need to have PAP smear until the age of 21.  In addition, once they reach 21, they only need to do it every other year.  Once they are after 30, they can have their PAP smears every 3 years under a condition that they have 3 continuously normal results.
I don't know whether you have a problem with this but I do!  I think physicians need to approach this with care.
Reports indicated that HPV can clear itself without the first 3 years in young female patients without the need of intervention.  It's a good news.  However, it is still important for young female patients to have their PAP smears.  Reports said treatment can result in many pregnancy complications and increase the risk of infections.  It can be true.  But I still think it's important for young female patients to have their PAP smears done.  Why? You may ask!  Well, HPV is infectious disease.  It can be easily spread from patients to patients.  If you don't know that you have HPV, you can unconsciously spreading it.  Looking at how HIV was spread in the third world countries where diagnostic tests were not available and accessibility is a problem.  By imposing this guideline, the experts might have unconsciously decreased STD awareness.  Condom usage could decrease the risk of HPV infection.  Yes!  So when patients who test positive for PAP smears, it might have an indication that she has not used protective instrument that could help her preventing STD transmission.  Where is the patient education coming from?  Without getting tested for PAP smear in the three years where they might be extremely sexually active, it might increase their risk of having other STD because they are not aware of the risk associated with unprotective intercourse.  What will we see?  Will we see an increase in incidence of STD in the future?  It is a possibility.  Will it pose a public health problem?  Possibly.  I don't think the experts have thought about other social complications associated with this.  Trying to cut cost is not a good way to solve the health care problems.  It can worsen the healthcare service if it is implemented incorrectly.  Improving the service and patient education might be the way.

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