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	<title>Comments on: Steven McCarus, MD &#8211; Florida Hospital Celebration Health</title>
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		<title>By: Judy Kimelman MD</title>
		<link>http://www.orlando-florida-magazine.com/steven-mccarus-md-florida-hospital-celebration-health/comment-page-1/#comment-812</link>
		<dc:creator>Judy Kimelman MD</dc:creator>
		<pubDate>Thu, 29 Jul 2010 18:01:47 +0000</pubDate>
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		<description>I took your course a few years ago and wanted to ask you about an unusual case. I did a LSCH on a patient in 2003. She had no problems until 2009 when she under went a LEEP in Costa Rica. Since that time she has had copious amounts of frothy green/yellow discharge that is culture negative for bacteria or STD&#039;s. I have imaged her at length and can not find a recto-vaginal fistula or any entry into the peritoneal cavity from the cervical stump (I did an HSG). CT scan&#039;s do not show and abscess nor does an ultrasound. I am in Seattle WA and have a great radiology department.
Do you have any thoughts? This patient does not want her cervix removed unless I can prove this is coming from her cervix. I have even done colposcopy. I have consulted with IR, ID,GI and gyn onc.</description>
		<content:encoded><![CDATA[<p>I took your course a few years ago and wanted to ask you about an unusual case. I did a LSCH on a patient in 2003. She had no problems until 2009 when she under went a LEEP in Costa Rica. Since that time she has had copious amounts of frothy green/yellow discharge that is culture negative for bacteria or STD&#8217;s. I have imaged her at length and can not find a recto-vaginal fistula or any entry into the peritoneal cavity from the cervical stump (I did an HSG). CT scan&#8217;s do not show and abscess nor does an ultrasound. I am in Seattle WA and have a great radiology department.<br />
Do you have any thoughts? This patient does not want her cervix removed unless I can prove this is coming from her cervix. I have even done colposcopy. I have consulted with IR, ID,GI and gyn onc.</p>
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		<title>By: Orlando Gynecologists - OB-GYN &#124; Orlando Florida Magazine</title>
		<link>http://www.orlando-florida-magazine.com/steven-mccarus-md-florida-hospital-celebration-health/comment-page-1/#comment-115</link>
		<dc:creator>Orlando Gynecologists - OB-GYN &#124; Orlando Florida Magazine</dc:creator>
		<pubDate>Mon, 29 Mar 2010 18:39:11 +0000</pubDate>
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		<description>[...] Steven D. McCarus [...]</description>
		<content:encoded><![CDATA[<p>[...] Steven D. McCarus [...]</p>
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