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    Pain management of office-based hysteroscopy



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    Rameet Singh, MD, MPH
    Dr Singh is Chief, Division of Family Planning at University of New Mexico School of Medicine, Albuquerque.
    Lauren Thaxton, MD, MBA
    Dr Thaxton is Family Planning Fellow at University of New Mexico School of Medicine, Albuquerque.

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    • [email protected]
      Great article. Succinct. I use almost all those strategies with great success. One woefully missing aspect of the article is the discomfort that can arise with patient and physician in regards to patient positioning. Having your feet in regular metal stirrups for 20-30 minutes can be uncomfortable and downright dangerous when a patient is sedated. Comfortable and secure positioning is important with every case. Besides spending $10-$15k on a procedure table (which negates your in-office reimbursements), surgeons can employ tools like the GStirrup. Patients can easily dose-off during these procedures, and secure placement of their legs is crucial to your reputation and to the patient's satisfaction with the procedure.


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