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    Letters to the Editor: Readers respond to 'Whither the bimanual examination?'




    As Dr. Mendez says, I, too, agree with all of your points. Thank you for clarifying an issue that these internists have certainly done a great job of obfuscating. Maybe we should do a MEDLINE analysis to demonstrate that stethoscopes are useless instruments, too?

    Did someone actually pay these people to do this “research”? The emperor has no clothes on here.

    Dr. Stephen Waszak

    Posted on ContemporaryOBGYN.net



    Thank you, ACP and Annals for doing what others have tried to do for decades or centuries and that is to move back in time. Eliminating the gynecologic examination is a step back into the Victorian age or worse, and picking the failure to find early ovarian carcinoma as a reason to avoid pelvic examinations will clearly lead to loss of function and lives when parallel screening for cervical cancer and STDs is discontinued.

    By curtailing female pelvic examinations there will be some short-term financial and time saving for which society will pay dearly when missed diseases bloom and grow.

    Should we stop examining the heart and lungs because there are no symptoms? Eliminating the pelvic examination will [lead to] eliminating medical care and physicians, since much of what doctors do is not clearly in response to an identified illness. 

    Thank you, ACP and Annals, for alerting us to a new direction. What is your next target? Reading and writing? Potable water? Garbage disposal?

    Dr. Robert Wallach

    Via email



    Dr. Lockwood, I enjoy reading your editorials every month. I particularly agree with your evaluation of the ACP article about pelvic exams. It wasn’t all that long ago that we ob/gyns were considered primary care providers for women. But it seems as though we have been relegated to being consultants. I hope you and other experts in our field can do damage control on this useless research. Thanks. 

    Jeffrey T. Jones, MD

    Via email


    From Medical Economics: 'Routine Pelvic Exams Not Needed: ACP'


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