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THis may not help you- but - I have ring forceps but the hospital will autoclacve for me. Did you ask your hospital ??DO NOT ask the suits /the dept heads ASk other docs or the people in t he autoclavng dept My hospital turned out to have a whole policy written up,and they do it for lots of docs

DID you check the wiki about other solutions?Or -a surgeon or gyn or someone who HAS an autoclave might do it for you- I mean it is going to be few instruments infreqeunlty.Pay them 5.00 and some chocolate.

My biggest [ problem was that ha! I d id not know that ring forceps are actually called sponge forceps and I could not figure out HOW to BUY them . I called up the local gyn practice and talked to the pr manager She also helped me get a narrow vaginal speculum becasue every time I bought a small one they sent me a peds size not a narrow adult size......sigh.

What are people using to remove IUDs? We don't have an autoclave and

have found disposable kits for insertions, but are still looking for a

disposable long-handled ring forceps or (preferably) a less expensive

creative alternative.

Including manual removal, which has been our creative solution to date,

but seems a bit awkward.

Any tips???

Denny, MD

Barrington Family Medicine

www.barringtonfamilymed.com

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

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PS and ANdrea -- very pretty , very nice website. One of those soothing pretty sites like Sharon Mc COy 's where looking at it makes you feel better already. Hope things are going well

Jean

What are people using to remove IUDs? We don't have an autoclave and

have found disposable kits for insertions, but are still looking for a

disposable long-handled ring forceps or (preferably) a less expensive

creative alternative.

Including manual removal, which has been our creative solution to date,

but seems a bit awkward.

Any tips???

Denny, MD

Barrington Family Medicine

www.barringtonfamilymed.com

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

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Knowing that they are called " sponge forceps " actually solved the

problem, thanks Jean.

$3.69 from atlanticmedsupply.com, should anyone else be facing the

same problem.

I'll check into the hospital autoclave option, too.

-

(PS - Thanks for the website feedback. My sister did our website; if

anyone else is in the market, she's cheap and good!)

>

> > What are people using to remove IUDs? We don't have an

autoclave and

> > have found disposable kits for insertions, but are still looking

for a

> > disposable long-handled ring forceps or (preferably) a less

expensive

> > creative alternative.

> >

> > Including manual removal, which has been our creative solution to

date,

> > but seems a bit awkward.

> >

> > Any tips???

> >

> > Denny, MD

> > Barrington Family Medicine

> > www.barringtonfamilymed.com

> >

> >

> >

>

>

>

> --

> If you are a patient please allow up to 12 hours for a reply by

email/

> please note the new email address.

> Remember that e-mail may not be entirely secure/

> MD

>

>

> ph fax

>

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Share on other sites

Knowing that they are called " sponge forceps " actually solved the

problem, thanks Jean.

$3.69 from atlanticmedsupply.com, should anyone else be facing the

same problem.

I'll check into the hospital autoclave option, too.

-

(PS - Thanks for the website feedback. My sister did our website; if

anyone else is in the market, she's cheap and good!)

>

> > What are people using to remove IUDs? We don't have an

autoclave and

> > have found disposable kits for insertions, but are still looking

for a

> > disposable long-handled ring forceps or (preferably) a less

expensive

> > creative alternative.

> >

> > Including manual removal, which has been our creative solution to

date,

> > but seems a bit awkward.

> >

> > Any tips???

> >

> > Denny, MD

> > Barrington Family Medicine

> > www.barringtonfamilymed.com

> >

> >

> >

>

>

>

> --

> If you are a patient please allow up to 12 hours for a reply by

email/

> please note the new email address.

> Remember that e-mail may not be entirely secure/

> MD

>

>

> ph fax

>

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Share on other sites

I don't know of any reason that forceps for IUD removal would have to

be sterile. They only touch the strings that come out. I use

high-level chemical sterilization, then just keep them clean. Can

anyone tell me how that could be harmful?

Haresch

>

> What are people using to remove IUDs? We don't have an autoclave and

> have found disposable kits for insertions, but are still looking for a

> disposable long-handled ring forceps or (preferably) a less expensive

> creative alternative.

>

> Including manual removal, which has been our creative solution to date,

> but seems a bit awkward.

>

> Any tips???

>

>

> Denny, MD

> Barrington Family Medicine

> www.barringtonfamilymed.com

>

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I agree, . I throw mine into the

dishwasher, making sure the heated drying setting is on, and then store it in a

large ziplok bag to keep it clean until I use it (which could be months if not

over a year).

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of Haresch

Sent: Monday, September 08, 2008

11:46 PM

To:

Subject:

Re: IUD removal

I don't know of any reason that forceps for IUD

removal would have to

be sterile. They only touch the strings that come out. I use

high-level chemical sterilization, then just keep them clean. Can

anyone tell me how that could be harmful?

Haresch

>

> What are people using to remove IUDs? We don't have an autoclave and

> have found disposable kits for insertions, but are still looking for a

> disposable long-handled ring forceps or (preferably) a less expensive

> creative alternative.

>

> Including manual removal, which has been our creative solution to date,

> but seems a bit awkward.

>

> Any tips???

>

>

> Denny, MD

> Barrington

Family Medicine

> www.barringtonfamilymed.com

>

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Share on other sites

I agree - it's not a sterile procedure so I don't see the need to autoclave. No

different than

not using sterile gloves for bimanual exams.

Chad Costley

> >

> > What are people using to remove IUDs? We don't have an autoclave and

> > have found disposable kits for insertions, but are still looking for a

> > disposable long-handled ring forceps or (preferably) a less expensive

> > creative alternative.

> >

> > Including manual removal, which has been our creative solution to date,

> > but seems a bit awkward.

> >

> > Any tips???

> >

> >

> > Denny, MD

> > Barrington Family Medicine

> > www.barringtonfamilymed.com

> >

>

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I'm gonna be polite and not make a rude comment about your spelling mistake here.....

Re: IUD removal

I agree - it's not a sterile procedure so I don't see the need to autoclave. No different than not using sterile gloves for bimanual exams.Chad Costley> >> > What are people using to remove IUDs? We don't have an autoclave and > > have found disposable kits for insertions, but are still looking for a > > disposable long-handled ring forceps or (preferably) a less expensive > > creative alternative. > > > > Including manual removal, which has been our creative solution to date, > > but seems a bit awkward.> > > > Any tips???> > > > > > Denny, MD> > Barrington Family Medicine> > www.barringtonfamil ymed.com> >>

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What spelling mistake? Spell check didn’t even catch

it and I am not catching it.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of

Bleiweiss

Sent: Tuesday, September 09, 2008 4:06 PM

To:

Subject: Re: Re: IUD removal

I'm gonna be polite and not make a rude comment about your

spelling mistake here.....

Re: IUD removal

I agree - it's not a sterile procedure so I

don't see the need to autoclave. No different than

not using sterile gloves for bimanual exams.

Chad Costley

> >

> > What are people using to remove IUDs? We don't have an autoclave and

> > have found disposable kits for insertions, but are still looking for

a

> > disposable long-handled ring forceps or (preferably) a less expensive

> > creative alternative.

> >

> > Including manual removal, which has been our creative solution to

date,

> > but seems a bit awkward.

> >

> > Any tips???

> >

> >

> > Denny, MD

> > Barrington Family Medicine

> > www.barringtonfamil ymed.com

> >

>

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Actually why do you people call them IUDs ?

Here we call them IUCDs and an IUD is an intrauterine death.

> What spelling mistake? Spell check didn't even catch it and I am not

> catching it.

>

>

>

>

>

> Kathy Saradarian, MD

>

> Branchville, NJ

>

> www.qualityfamilypractice.com

>

> Solo 4/03, Practicing since 9/90

>

> Practice Partner 5/03

>

> Low staffing

>

>

>

>

>

>

>

> From:

> [mailto: ] On Behalf Of Bleiweiss

> Sent: Tuesday, September 09, 2008 4:06 PM

> To:

> Subject: Re: Re: IUD removal

>

>

>

> I'm gonna be polite and not make a rude comment about your spelling mistake

> here.....

>

>

>

>

>

> Re: IUD removal

>

> I agree - it's not a sterile procedure so I don't see the need to autoclave.

> No different than

> not using sterile gloves for bimanual exams.

>

> Chad Costley

>

>

>> >

>> > What are people using to remove IUDs? We don't have an autoclave and

>> > have found disposable kits for insertions, but are still looking for a

>> > disposable long-handled ring forceps or (preferably) a less expensive

>> > creative alternative.

>> >

>> > Including manual removal, which has been our creative solution to date,

>> > but seems a bit awkward.

>> >

>> > Any tips???

>> >

>> >

>> > Denny, MD

>> > Barrington Family Medicine

>> > www.barringtonfamil ymed.com

>> >

>>

>

>

>

>

--

Graham Chiu

http://www.synapsedirect.com

Synapse - the use from anywhere EMR.

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, what spelling mistake?

[Practiceimprovemen t1] Re: IUD removal

I agree - it's not a sterile procedure so I don't see the need to autoclave. No different than not using sterile gloves for bimanual exams.Chad Costley> >> > What are people using to remove IUDs? We don't have an autoclave and > > have found disposable kits for insertions, but are still looking for a > > disposable long-handled ring forceps or (preferably) a less expensive > > creative alternative. > > > > Including manual removal, which has been our creative solution to date, > > but seems a bit awkward.> > > > Any tips???> > > > > > Denny, MD> > Barrington Family Medicine> > www.barringtonfamil ymed.com> >>

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, do you put your used vaginal speculums on the top rack with the glasses, or in with the silverware?

I agree, . I throw mine into the dishwasher, making sure the heated drying setting is on, and then store it in a large ziplok bag to keep it clean until I use it (which could be months if not over a year).

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O. Box 7275

Woodland Park, CO 80863

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of Haresch

Sent: Monday, September 08, 2008 11:46 PMTo:

Subject: Re: IUD removal

I don't know of any reason that forceps for IUD removal would have tobe sterile. They only touch the strings that come out. I usehigh-level chemical sterilization, then just keep them clean. Can

anyone tell me how that could be harmful? Haresch

>> What are people using to remove IUDs? We don't have an autoclave and > have found disposable kits for insertions, but are still looking for a > disposable long-handled ring forceps or (preferably) a less expensive

> creative alternative. > > Including manual removal, which has been our creative solution to date, > but seems a bit awkward.> > Any tips???> > > Denny, MD

> Barrington Family Medicine> www.barringtonfamilymed.com>

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BiManual or is that some term I have never heard of for anything to do with using two hands??? I figured it was supposed to be BiAnnual... perhaps I just have a twisted mind. Oh well.

[Practiceimprovemen t1] Re: IUD removal

I agree - it's not a sterile procedure so I don't see the need to autoclave. No different than not using sterile gloves for bimanual exams.Chad Costley> >> > What are people using to remove IUDs? We don't have an autoclave and > > have found disposable kits for insertions, but are still looking for a > > disposable long-handled ring forceps or (preferably) a less expensive > > creative alternative. > > > > Including manual removal, which has been our creative solution to date, > > but seems a bit awkward.> > > > Any tips???> > > > > > Denny, MD> > Barrington Family Medicine> > www.barringtonfamil ymed.com> >>

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Oh ,

The bimanual exam is the 3rd part of the pelvic

exam. 1st – inspection, 2nd Pap, 3rd

bimanual, where you use your two hand to assess uterine size, mobility,

position and ovaries. What do you call that? Otherwise, the pelvic

exam is annual and can be q 3 years in low risk patients (triennial?)

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ]

On Behalf Of Bleiweiss

Sent: Wednesday, September 10, 2008 3:27 AM

To:

Subject: Re: Re: IUD removal

BiManual or is that some term I have never heard of for

anything to do with using two hands??? I figured it was supposed to

be BiAnnual... perhaps I just have a twisted mind. Oh well.

[Practiceimprovemen t1] Re: IUD removal

I agree - it's not a sterile procedure so I

don't see the need to autoclave. No different than

not using sterile gloves for bimanual exams.

Chad Costley

> >

> > What are people using to remove IUDs? We don't have an autoclave and

> > have found disposable kits for insertions, but are still looking for

a

> > disposable long-handled ring forceps or (preferably) a less expensive

> > creative alternative.

> >

> > Including manual removal, which has been our creative solution to

date,

> > but seems a bit awkward.

> >

> > Any tips???

> >

> >

> > Denny, MD

> > Barrington Family Medicine

> > www.barringtonfamil ymed.com

> >

>

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Kathy asked about bi manual exam

What do you call that?

says-Kath. isn't a doc-he calls it something insuracne will not pay for....

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

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Hey gang, the list has a mix of folks. Some of us are docs, others are staff

(spouses, office managers, etc), others are I-don't-know-what. Medical terminology

may not be known to all of us. is a hockey ref ... but I'm not

starting the whole New York Rangers discussion again. No way, no how!! ;-)TimOn Wed, September 10,

2008 8:05 am EDT, Kathy Saradarian wrote:

Oh ,

The bimanual exam is the 3rd

part of the pelvicexam. 1st – inspection, 2nd

Pap, 3rdbimanual, where you use your two hand to assess uterine

size, mobility,position and ovaries. What do you call that? Otherwise, the

pelvicexam is annual and can be q 3 years in low risk patients

(triennial?)

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ]On Behalf Of

BleiweissSent: Wednesday, September 10, 2008

3:27 AMTo: Subject: Re: Re: IUD removal

BiManual or is that some term I have never heard of foranything to do with using two hands??? I figured it was supposed tobe

BiAnnual... perhaps I just have a twisted mind. Oh well.

[Practiceimprovemen t1]

Re: IUD removal

I agree - it's not a sterile procedure so Idon't see the need to autoclave. No different than not using sterile gloves

for bimanual exams.Chad Costley>

>> > What are people using to remove IUDs? We don't have an autoclave

and > > have found disposable kits for insertions, but are still looking

fora > > disposable long-handled ring forceps or (preferably) a

less expensive> > creative alternative. > > >

> Including manual removal, which has been our creative solution todate,

> > but seems a bit awkward.> > > > Any

tips???> > > > > > Denny, MD> >

Barrington Family Medicine> > www.barringtonfamil ymed.com> >>

---------------------------------------- Malia, MDMalia

Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton

Square MallFairport, NY 14450 (phone / fax)www.relayhealth.com/doc/DrMaliawww.SkinSenseLaser.com--

Confidentiality Notice --This email message, including all the attachments, is

for the sole use of the intended recipient(s) and contains confidential information.

Unauthorized use or disclosure is prohibited. If you are not the intended recipient,

you may not use, disclose, copy or disseminate this information. If you are not the

intended recipient, please contact the sender immediately by reply email and destroy

all copies of the original message, including attachments.----------------------------------------

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It would be nice for everyone to identify themselves as we (at

least me) are not good at keeping track of all the positions of all the players

(keeping up the hockey references) and there is no game manual.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of Jean

Antonucci

Sent: Wednesday, September 10, 2008 9:08 AM

To:

Subject: Re: Re: IUD removal

Kathy asked about bi manual exam

What do you call that?

Jean

says-Kath. isn't a doc-he calls it something insuracne

will not pay for....

Error! Filename not specified.

--

If you are a patient please allow up to 12 hours for a reply by email/

please note the new email address.

Remember that e-mail may not be entirely secure/

MD

ph fax

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Ladies,

I was splitting a gut when I just read this reply. Thanks for a really good laugh just when I really needed it. I was sort of blue this morning. Really, thanks!

Anyway, check this out as it directly relates to women's wellcare and getting properly paid for all you folks do. That would be G0101 for breast and or pelvic exam, and Q0091 for the collection and proper handling of the PAP itself, much like we should always get paid the few extra bucks for a blood draw. FYI, for all NYS providers, our little office with a little help from our IPO won this fight that we should be able to bill an E & M code for a regular office visit or a regular well exam (99213 or 4, 99394-6, or what have you) combined with the G & Q codes on the same day and get paid for them with one S-CHIPS carrier here in NYS, Fidelis. Further more for all providers nationwide, as part of their settlement with all the medical societies, Aetna now pays for one of them, (now I'm failing on which one, but I believe it is the G code) if submitted with a 25 modifier. So capture that extra money and start regularly billing for all three codes to

continue to push to be properly compensated for all that you folks do to screen for these two forms of cancer.

Again thanks for a great laugh....

Re: Re: IUD removal

Kathy asked about bi manual exam

What do you call that?

says-Kath. isn't a doc-he calls it something insuracne will not pay for....

-- If you are a patient please allow up to 12 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax

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The season is almost upon us... "Game On!!!"

[Practiceimprovemen t1] Re: IUD removal

I agree - it's not a sterile procedure so Idon't see the need to autoclave. No different than not using sterile gloves for bimanual exams.Chad Costley> >> > What are people using to remove IUDs? We don't have an autoclave and > > have found disposable kits for insertions, but are still looking fora > > disposable long-handled ring forceps or (preferably) a less expensive> > creative alternative. > > > > Including manual removal, which has been our creative solution todate, > > but seems a bit awkward.> > > > Any tips???> > > > > > Denny, MD> > Barrington Family Medicine> > www.barringtonfamil ymed.com> >>

------------ --------- --------- --------- - Malia, MDMalia Family Medicine & Skin Sense Laser6720 Pittsford-Palmyra Rd.Perinton Square MallFairport, NY 14450 (phone / fax)www.relayhealth. com/doc/DrMaliawww.SkinSenseLaser. com-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the intended recipient(s) and contains confidential information. Unauthorized use or disclosure is prohibited.. If you are not the intended recipient, you may not use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender immediately by reply email and destroy all copies of the original message, including attachments.------------

--------- --------- --------- -

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Don't worry folks, I'll clue him in...

[Practiceimprovemen t1] Re: IUD removal

I agree - it's not a sterile procedure so I don't see the need to autoclave. No different than not using sterile gloves for bimanual exams.Chad Costley> >> > What are people using to remove IUDs? We don't have an autoclave and > > have found disposable kits for insertions, but are still looking for a > > disposable long-handled ring forceps or (preferably) a less expensive > > creative alternative. > > > > Including manual removal, which has been our creative solution to date, > > but seems a bit awkward.> > > > Any tips???> > > > > > Denny, MD> > Barrington Family Medicine> > www.barringtonfamil ymed.com> >>

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So, Is Blake married to Bleiweiss?

I am getting a little lost as well as who belongs to whom. (PS My husband/office manager also would know the code but not the terminology for a female annual exam.)

, M.D.

Board certified FP, Durango, CO

Started IMP in June 2005, transitioned to membership, direct practice, no insurance contracts, August 2008. Currently 294 patients signed up and paid!!! Yeah me! Still have 300 patients in limbo deciding what to do about my practice transition. Still calling each individually to find out if they plan to continue with me, or go to other physicians for their care.

Don't worry folks, I'll clue him in...

[Practiceimprovemen t1] Re: IUD removal

I agree - it's not a sterile procedure so I don't see the need to autoclave. No different than not using sterile gloves for bimanual exams.Chad Costley

> >> > What are people using to remove IUDs? We don't have an autoclave and > > have found disposable kits for insertions, but are still looking for a

> > disposable long-handled ring forceps or (preferably) a less expensive > > creative alternative. > > > > Including manual removal, which has been our creative solution to date, > > but seems a bit awkward.

> > > > Any tips???> > > > > > Denny, MD> > Barrington Family Medicine> > www.barringtonfamil ymed.com

> >>

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Yes, , and I are married.

The codes I use for GYN exams are the Medicare codes -

G0101 and Q0091

Also I usually do a urine screen, 81002

I do not code a 9921x, it will get bundled.

I do not do GYN at the same time as a preventive exam, it gets bundled.

[Practiceimprovemen t1] Re: IUD removal

I agree - it's not a sterile procedure so I don't see the need to autoclave. No different than not using sterile gloves for bimanual exams.Chad Costley

> >> > What are people using to remove IUDs? We don't have an autoclave and > > have found disposable kits for

insertions, but are still looking for a > > disposable long-handled ring forceps or (preferably) a less expensive > > creative alternative. > > > > Including manual removal, which has been our creative solution to date, > > but seems a bit awkward.> > > > Any tips???> > > > > > Denny, MD> > Barrington Family Medicine> > www.barringtonfamil ymed.com> >>

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I put them in the trash – they are

disposable ;)

The ring forceps get washed in the sink

(all by themselves) and then get in the dishwasher J on the top rack with the

glasses, cuz it’s too long to be in with the silverware of course…

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of

Sent: Tuesday, September 09, 2008

11:32 PM

To:

Subject: Re:

Re: IUD removal

, do you put your

used vaginal speculums on the top rack with the glasses, or in with the

silverware?

On Tue, Sep 9, 2008 at 8:28 AM, Eads <michelle.eadsworldnet (DOT) att.net>

wrote:

I agree, . I

throw mine into the dishwasher, making sure the heated drying setting is on,

and then store it in a large ziplok bag to keep it clean until I use it (which

could be months if not over a year).

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O. Box 7275

Woodland Park, CO 80863

www.PinnacleFamilyMedicine.com

From:

[mailto: ]

On Behalf Of Haresch

Sent: Monday, September 08, 2008

11:46 PM

To:

Subject:

Re: IUD removal

I don't know of any reason that forceps for IUD

removal would have to

be sterile. They only touch the strings that come out. I use

high-level chemical sterilization, then just keep them clean. Can

anyone tell me how that could be harmful?

Haresch

>

> What are people using to remove IUDs? We don't have an autoclave and

> have found disposable kits for insertions, but are still looking for a

> disposable long-handled ring forceps or (preferably) a less expensive

> creative alternative.

>

> Including manual removal, which has been our creative solution to date,

> but seems a bit awkward.

>

> Any tips???

>

>

> Denny, MD

> Barrington

Family Medicine

> www.barringtonfamilymed.com

>

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,

Yes we certainly are, wouldn't want it any other way!

[Practiceimprovemen t1] Re: IUD removal

I agree - it's not a sterile procedure so I don't see the need to autoclave. No different than not using sterile gloves for bimanual exams.Chad Costley

> >> > What are people using to remove IUDs? We don't have an autoclave and > > have found disposable kits for

insertions, but are still looking for a > > disposable long-handled ring forceps or (preferably) a less expensive > > creative alternative. > > > > Including manual removal, which has been our creative solution to date, > > but seems a bit awkward.> > > > Any tips???> > > > > > Denny, MD> > Barrington Family Medicine> > www.barringtonfamil ymed.com> >>

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