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Re: Digest Number 497

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Thank you for all the support regarding vv and it's cause.

In my cause,I have to agree with the Dr. that Lois referred to when stating

that " Dr. Underwood said that men may have *something* without symptoms that,

in women, causes symptoms. I just want to know what that " something " is and

have it go away. Like all of us here. My vv symptoms appeared after

changing sex partners. In a matter of a day, I felt like I had a yeast

infection so I went to my ob/gyn to get some medicine. I thought this would

be a quick process as in the past but my irritated, red vaginal area has not

gone away. I have tried Temovate, Lidocaine, IC Clobetasol Propionate cream,

Betamethasone Valerate, Diflucan (not a steady dose like some pp have

mentioned (i may want to ask my Dr. about that in November)) and am now on

Elavil (50mg). I would think that I need a cream or a pill; nothing has

worked..............I don't feel the pain as much with the Elavil........That

is a good thing.

I just don't know what to do!!!!!!

Warm Regards,

Kay

Sometimes, it is hard for me to think that I have VV when I think it could be

a STD. I just want a cure like all of us and some days can be optimistic

about finding a cure. I know that if I was to ever marry someone, they would

have to be very understanding!!! In a way, having this problem, has

prevented me from getting carried away too soon. It seems that relationships

progress much too quickly into a sexual relationship for many wrong reasons.

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Just a thought -- apparently, men can carry garnderella (a form of bacterial

vaginosis) with no symptoms. If he has it, even if you get rid of it

yourself, he's gonna give it right back to you. You might want to send your

guy to the doctor for a course of medication, just to make sure he doesn't

have it.

And as far as marrying, the understanding and wonderful men do exist. I

have found one -- we're getting married in March, and yet have never had a

normal sex life. In fact, my VV has gotten so bad in the last 6 months that

we've only had sex three times, and the most recent was over 2 months ago.

But he does not complain about that AT ALL (actually, I complain about it

more) and even thinks it's made us a stronger couple. I think he's right.

-- G.

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  • 1 year later...
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I agree with Diane.

At a health fair only general information should be given out and

recommendations for follow up with the appropriate professional. PTA's are

generally able to do this, based on subjective data provided.

In comparison to the issue raised with pre-op teaching, the client has been

diagnosed and a plan of treatment has been initiated by a physician, in

which case, in my opinion, the PT should be involved in the teaching

process. The PT should be present to evaluate the patient's specific needs

and then if desirable, delegate some part of the teaching to the PTA, such

as gait training with crutches.

Caren , PTA

Georgia ASIG

At 08:37 AM 7/24/01 +0000, you wrote:

>

>Subject: Re: Re: PTA's and Health Fairs

>

>The PT prob should not be giving out specific information at a Health Fair

>either because an eval/assessment has not been completed, and that can be

>considered treatment just like with a PTA. In WI, we need to have a

>physician's order for treatment unless the patient has been previously

>diagnosed for the condition you are treating. If the person does the

>exercise wrong or it was the wrong type of exercise, and gets hurt, you may

>be held liable just like the PTA.

>

>Diane , PT

>LMH

>Antigo, WI

>

>

>At 07:53 AM 7/23/01 -0400, you wrote:

> >:

> >

> >In that case I would offer the following for your consideration when

> >designing and staffing the health fairs.

> >

> >In my experience, health fairs, no matter how generically designed, always

> >have participants asking specific medical questions about their health. The

> >reason why they usually go to (stop by) one is because of some issue with

> >their health. The participants are most happy with the advice they receive

> >and more likely to become patients in the future if they receive advice

> >specific to their situation.

> >

> >It would be extremely difficult to structure a successful health fair using

> >PTAs independently. Here's why. PTAs, as we all know, assist the PT in

> >performing specifically directed components of interventions for a

> >patient/client. There is no mention in our core practice documents of PTAs

> >providing interventions without the prior evaluation of the pt./client by

> >the PT and the supervision of the PT. Nor to my knowledge do any state

> >practice acts allow for PTAs to provide interventions without the

> >supervision of a PT. Providing specific medical advice, information or

> >education is a physical therapy intervention of the highest order.

> >

> >Therefore, without the supervision and specific direction by a PT on a case

> >by case basis the PTA cannot offer information to the public that is beyond

> >generic pre-printed type information. In that case you don't need a PT or

> >PTA you could have clerical personnel hand out info sheets.

> >

> >This issue also makes me think of a similar situation that I was asked about

> >a couple of years ago. A hospital was using PTAs to provide pre-op

> >instruction to total joint patients. My advice was the same as above.

> >

> >I hope this is helpful. I'd be happy to elaborate.

> >

> >*******************************************************

> >

> > M. White, PT, OCS

> >Physical Therapist, Consultant

> >191 Blue Hills Parkway

> >Milton, MA USA 02186

> >P:

> >White@...

> >http://White.tripod.com

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