Moderator EMEDPA Posted September 17, 2012 Moderator Share Posted September 17, 2012 just because you think someone is so unattractive that no one would EVER have sex with them doesn't mean someone else isn't willing to.... recently saw a fairly unattractive woman (morbidly obese, Poor hygiene, etc) who had 3 prior er visits over the last month for "uti sx" seen by a good pa, a good np, and a good doc. 3 neg urines and 1 neg wet mount. no one ever checked her for gc because, well...she's ugly...guess what...ding ding ding! Link to comment Share on other sites More sharing options...
jmj11 Posted September 17, 2012 Share Posted September 17, 2012 If youve ever seen the professional tennis player Martina Hingis, you've essentially seen my wife.... Except my wife is flterrible at tennis. But the doppelgänger factor between the two is remarkable. Are you saying that your Avatar is you actual school photo? Link to comment Share on other sites More sharing options...
rcdavis Posted September 17, 2012 Share Posted September 17, 2012 Can you tell how happy I was? Ha! Now that is funny! Link to comment Share on other sites More sharing options...
sunny2spot Posted September 17, 2012 Share Posted September 17, 2012 Thanks for the reminder.. Lately I've been feeling like I go a little overboard with STD testing. I swab most women with lower abdominal cramping/pain + urinary sxs + abnormal or increased discharge on pelvic exam. They almost always come back negative. Link to comment Share on other sites More sharing options...
mackjacks Posted September 17, 2012 Share Posted September 17, 2012 Reminds me about how I had a very morbidly obese friend in high school. This was back in the day of MSN/AOL instant messenger and chat rooms, and there were men who would see her profile picture, chat for awhile, then start asking to watch her eat and sexual questions about food. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted September 17, 2012 Author Moderator Share Posted September 17, 2012 sexual questions about food. WTF?? hey baby, know what I like to do with donuts? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted September 17, 2012 Author Moderator Share Posted September 17, 2012 Thanks for the reminder.. Lately I've been feeling like I go a little overboard with STD testing. I swab most women with lower abdominal cramping/pain + urinary sxs + abnormal or increased discharge on pelvic exam. They almost always come back negative. keep doing them. even if you only pick up 1 gc/chlam/month it's an important public health measure. if you really can't see doing the pelvic do a urine gc/chlam assay. Link to comment Share on other sites More sharing options...
paintx Posted October 6, 2012 Share Posted October 6, 2012 Don't forget about syphilis either. In my last ED job I saw two cases within a year. Link to comment Share on other sites More sharing options...
jmj11 Posted October 6, 2012 Share Posted October 6, 2012 I only saw one chancre in my life. It was on the ***** of a 90-year-old homeless man. Link to comment Share on other sites More sharing options...
Contrarian Posted October 6, 2012 Share Posted October 6, 2012 Had a guy 3 weeks ago present with "abrasions" on the shaft. He swore that he had just been tooo aggressive in his hedonistic pursuits when trying to "rub one out." One look and I sent labs and treated him empirically (Doxy 200mg BID x 30days)... tests came back a few days ago confirmed Syphlis. I then referred him to the local health department. Link to comment Share on other sites More sharing options...
ajnelson Posted October 6, 2012 Share Posted October 6, 2012 just because you think someone is so unattractive that no one would EVER have sex with them doesn't mean someone else isn't willing to....recently saw a fairly unattractive woman (morbidly obese, Poor hygiene, etc) who had 3 prior er visits over the last month for "uti sx" seen by a good pa, a good np, and a good doc. 3 neg urines and 1 neg wet mount. no one ever checked her for gc because, well...she's ugly...guess what...ding ding ding! Maybe I'm the only one that thinks this way, but unless they have had a documented negative GC/chlamydia in the past 2 weeks (in my ED system), I'm swabbing them. I'm already getting a wet prep, why not get the GC/chlamydia? And honestly, if they are having persistent symptoms despite a recent negative swab, I still may swab. I didn't do the swab, so what if the other provider didn't swab appropriately? Oh, and to add to this, one of my EDs is in a predominately geriatric area. NEVER count them out for STI's either. (This area has one of the highest rates of STIs as the geriatric population doesn't tend to think about protection as much as the younger population and there is a high use of prostitutes in some of these older men...) Link to comment Share on other sites More sharing options...
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