Re: Bioidenticals

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Tue May 18 16:00:03 2004


Right. Wouldn't that be great if it were the norm. I'm all for patients getting this type of advice for treatment that they believe is 'only for the symptoms of menopause.' After all, we have 'safer' meds for osteoporosis, vaginal dryness, stress urinary incontinence and surgery for prolapse.

--
Richard Chudacoff, MD

There is a strange and mighty race of people called the Americans who are rapidly becoming the coldest in the world because of this cruel, man-eating idol, lucre.

<http://www.brainyquote.com/quotes/quotes/e/edwarddahl154297.html> Edward Dahlberg

_____

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Charlie Chambers Sent: Tuesday, May 18, 2004 3:43 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Bioidenticals

Yeah, but in those cases, people don't "blame" their cancers on "natural" substances or bioidenticals. They are willing to accept that sometimes people get cancer for no good reason. Unfortunately, on any prescriptions drugs, the assumption will always be that the meds caused the problem.

On May 18, 2004, at 1:08 PM, Richard Chudacoff, MD wrote:

I say spread the wealth. Are they going to sue YOU for the breast cancer that they got 'from the bioidenticals the pharmacist recommended?'.I think not.

Funny, but if breast cancer is found once they switch to a 'medication' they chose, who can they blame but themselves. WOW! Americans actually taking responsibility for their own stupidity; it would be like a dream come true.

Richard Chudacoff, MD

There is a strange and mighty race of people called the Americans who are rapidly becoming the coldest in the world because of this cruel, man-eating idol, lucre.

Edward Dahlberg

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DR GORDON GOLDMAN Sent: Tuesday, May 18, 2004 2:51 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Bioidenticals

A call to the state board of pharmacy may be helpful. Failing that, .45 cal works well.

Gordon

ainsron <ainsron@sbcglobal.net> wrote:

Send all your patients to a different pharmacy and tell the pharmacist why you are doing it! L

Ronald E. Ainsworth

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn D. Montgomery, M.D. Sent: Tuesday, May 18, 2004 8:39 AM To: Multiple recipients of list OB-GYN-L Subject: Bioidenticals

Listers,

I am not a huge "snake oil" salesperson when it come bioidenticals, but I will either new start or switch patients to them if they request. I use the same talked echoed by others here on the list, assuring that the patient understands that estrogen is likely estrogen when it comes to risk and that there are no studies that have included these agents.

Last week, after calling in prescriptions for a patient who wanted to switch over, I got a call from the patient. She had gone to the pharmacy and was told by the pharmacist there that I didn't know what I was doing with regard to bioidenticals and that she knew significantly more. She then told the patient that I had prescribed the wrong medication and they needed to be changed.

Has anybody heard that you have to "wean" a patient off Premphase before starting another preparation?

Since then, I have been repeatedly counting to 10, trying to cool off and decide what to do...

Lynn

Lynn D. Montgomery, M.D.

Maternal-Fetal Medicine, OB/GYN

Rocky Mountain Women's Health

2835 Fort Missoula Rd., Suite 303

Missoula, Montana, 59804

406-549-0978

fax 406-549-0987

e-mail: apgar10@montanadsl.net

**************************************************************************** Charlie Chambers Hood River, OR

--
cchamber@alumni.rice.edu

"Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. **************************************************************************** ***





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Jul 2 04:37:19 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.