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Re: chronic pelvic pain patient From: Joanne Bulley, MD (islesannie@yahoo.com) Sun Feb 29 18:42:29 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Judge Slashes Lawyer's Rate for Typos, Careless Writing" Previous message: Joanne Bulley, MD: "Re: Judge Slashes Lawyer's Rate for Typos, Careless Writing" In reply to: Richard Chudacoff, MD: "Re: chronic pelvic pain patient" Next in thread: Rafael Haciski: "Re: chronic pelvic pain patient" Rich, I find it amazing that here in Keene, NH ("podunk" to you big city folks) - a city of 23,000 - that we have a great Pain Clinic and a great PT for the pelvic floor therapy! Anyhow - it seems to me that if 1 year of Lupron and add-back estrogen has her osteopenic enough to fracture with a minimal injury - then I bet that there is some underlying psychological thing going on. I would bet that there is a long-standing eating disorder ... then that is based on poor self image etc - and that the chroninc pelvic pain is related to that as well - along with whatever lead her to be so deprived of self power that her only power over herself was food related. I would do my very best to NOT castrate her - I don't think it will work. Otherwise - have you checked for non-estrogen causes of osteoporosis? thyroid, parathyroid etc? Joanne At Tue, 24 Feb 2004, Richard Chudacoff, MD wrote: > > Had her on it for one year with add-back therapy, but she still got >osteoporetic > >-- >Richard Chudacoff, MD > >A government that robs Peter to pay Paul can always depend on >the support of Paul. >George Bernard Shaw > >Democracy is a device that insures we shall be governed no >better than we deserve. >George Bernard Shaw > -- Joanne Bulley, MD Keene, NH, USA ----- "It is easier to understand a nation by listening to its music than by learning its language" -Anonymous Next message: DoctorJoe@aol.com: "Re: Judge Slashes Lawyer's Rate for Typos, Careless Writing" Previous message: Joanne Bulley, MD: "Re: Judge Slashes Lawyer's Rate for Typos, Careless Writing" In reply to: Richard Chudacoff, MD: "Re: chronic pelvic pain patient" Next in thread: Rafael Haciski: "Re: chronic pelvic pain patient"

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