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Re: Help with vasomotor symptoms From: Henry Gregor (henrygregor@yahoo.com) Wed Aug 24 11:09:17 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Help with vasomotor symptoms" Previous message: R. Daniel Braun: "Re: Help with vasomotor symptoms" In reply to: Joe Cutchin: "Re: Help with vasomotor symptoms" Next in thread: Anna Meenan, MD: "Re: Help with vasomotor symptoms" forgot .... ppd was negative....good call Joe. I had a great attending once, one of those mythical mentor types one reads about, named Edward Kendig, who was an interesting fellow, a very dignified and understanding person, who managed to keep one foot in academia and one very firmly in private practice. (He edited/authored a text of Respiratory Diseases in Childhood.) He loved to say "whenever you can get your hands on the patient" whenever anyone asked what were his recommendations for tb screening. Hank Joe Cutchin <forcep@intercom.net> wrote: Might wish to look at thyroid ,antibodies alittle more closely. PPD is neg? -- Henry Gregor wrote: > A thirty year old female complains of "hot flashes" and her description > is consistent with PM type flushes, ie, a sensation or rising warmth > from the thorax going cephalad, followed by deaphoresis and a chill, > occurring most nights a week and about three to four days per week. > > Presents with hx s/p BTL, with past hx of laparoscopic ablation of > pelvic endometriotic implants, with subsequent laparoscopy without > recurrent/persistent endo changes, cycles regulary, has a normal FSH and > normal TSH and FWIW a very adequate premenopausal estradiol serum level. > She takes quinine salts for restless leg syndrome, but the > thermoregulation problems predate the quinine therapy.Had been given HRT > and ocp's without symptom improvement. > > My inclination is endocrine referral, but that is distant, not easiy > travelled to by the patient, and the proposed consultant actually has > expressed little interest in the situation. Suggestions would be greatly > appreciated. > > Thanks, > > Hank > > Tired of spam? Yahoo! Mail has the best spam protection around > Next message: Henry Gregor: "Re: Help with vasomotor symptoms" Previous message: R. Daniel Braun: "Re: Help with vasomotor symptoms" In reply to: Joe Cutchin: "Re: Help with vasomotor symptoms" Next in thread: Anna Meenan, MD: "Re: Help with vasomotor symptoms"

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