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Re: I'm glad I know perinatology From: art fougner, md (evsono@pipeline.com) Wed Nov 10 18:43:34 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gary: "Re: Lortab" Previous message: Lynn D. Montgomery, M.D.: "Lortab" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: I'm glad I know perinatology" Next in thread: Braun, R. Daniel: "Re: I'm glad I know perinatology" Today's Ob-Gyn Grand Rounds was given by a Clinical Professor of Internal Medicine, Director of Nuclear Cardiology concerning recent developments in the Treatment of Essential Hypertension. Covering alpha blockers, beta blockers, calcium channel blockers, ACE inhibitors, the take home message was that the most recent studies concluded the optimal choice for initial treatment is - Thiazide diuretics! Back to the Future indeed... At Wed, 10 Nov 2004, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >Less is better when it come to drugs. When I first strarted Ob/Gyn 80% >of my practise was ob and 20% Gyn. The local birth rate is on the >decline and now my practise is 50:50 OB/GYN with lots of geriatric gyn. >It is now commom pratcise to see several pts. 65+ in one day; I know I >am in trouble when just after telling me they have no real medical >problems they take out thier pill tackle box, you konw the boxes with at >least 10 compartments and I have seen some with 20 compartments all >filled with pills and ofcourse being a Doctor I must know what the pills >are by just looking at them. Well its not uncommon to have a pt on 2-3 >antihypertensives, 2 Nsaids, losec or zantec and it seems almost >everyone is on the Latest seritonin reuptake inhibitor for depression. >Well by the time I am finished with the history I almost always send >them for an anaesthetic pre-op consult for possible unstable angina, >severe arthrithis,type II diabetes ...... . In Canada if you are over >65 you pay very little for your drugs in most regions I wonder if this >has something to do with the polypharmacy. > >-- > Take care, John > -- art fougner, md ich bin ein New Yorker Next message: Gary: "Re: Lortab" Previous message: Lynn D. Montgomery, M.D.: "Lortab" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: I'm glad I know perinatology" Next in thread: Braun, R. Daniel: "Re: I'm glad I know perinatology"

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