Re: Saliva testing

From: Charlie Chambers (cchamber@gorge.net)
Sat Jan 10 19:04:37 2004


Karen

I agree with your concern. In my humble opinion, so many of these quasi-science endeavors are out there. I try to avoid being too much of the negativist with the patients. Instead, I ask them to get the literature citations from whomever is suggesting this "therapy", and would be glad to review and do a medline search for them. I suggest that the same critical approach they take with anything I suggest (i.e. safety, proof of efficacy) should apply to these "natural regimens" as well. Also, specifically with progesterone, I show them the lab ranges of normal to help them understand the huge variations in the normal patient.

I think you are already on the road to realizing that something at a display doesn't suggest clinical validity, just as everything you hear from the RX rep.

Dan, if we hear Ducks, can we bring shotguns?

************************************************************************ ****** Charlie Chambers Hood River, OR USA cchamber@alumni.rice.edu

"All good things...come by grace, and grace comes by art, and art does not come easy."

Norman Maclean ************************************************************************ *******

On Jan 10, 2004, at 5:21 PM, Karen Lee wrote:

> Well, that's what worries me. The naturopaths
> have bought into this big time and are making big
> money on tests that tell post menopausal women
> that their hormones are not in balance because
> "see how low your progesterone is"! The local
> pharmacist made a visit to my office to show and
> tell all the BHRT modes of delivery and to sell
> me on saliva testing. I have seen displays at
> legitimate OB/GYN conferences so that's why I'm
> asking your opinions.
>
> Karen
>
> --- "Braun, R. Daniel" <rbraun@iupui.edu> wrote:
>> Do I hear DUCKS?????
>>
>> Dan
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net
>> [mailto:ob-gyn-l@obgyn.net] On Behalf Of Karen
>> Lee
>> Sent: Saturday, January 10, 2004 12:59 PM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Saliva testing
>>
>> Are any of you utilizing saliva testing for
>> hormone levels? If so, in what context? I have
>> done a google search and by page 10 I had not
>> reached a site from a university or other known
>> source. Are we dealing with a new 'snake oil'
>> situation? I have resisted using this because
>> the
>> patients who have brought in their results
>> which
>> were obtained from a kit bought in their
>> pharmacy
>> had little or no use. One of the local
>> pharmacists is doing hormone testing
>> 'counselling'. Your thoughts?
>>
>> Karen Lee, ARNP
>> Woman to Woman
>> 110 N. Laventure Suite C
>> Mount Vernon, WA 98273
>





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