A California Ob-Gyn was one of a small group of specialists serving a rural area. A patient whom the physician had previously treated , having delivered her children, presented with complaints of unusual, continuous bleeding. The doctor asked the patient to undergo a pelvic exam and Pap smear to help determine the cause of bleeding. The patient demurred, saying she had just undergone a Pap smear and exam with her primary care physician who referred her to the Ob-Gyn. She said she was embarrassed and uncomfortable undergoing further examination.
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