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Re: Help with vasomotor symptoms From: Andrew Folley (agfolley@hotmail.com) Wed Aug 24 22:23:31 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: disruptive docs" Previous message: Anna Meenan, MD: "Re: disruptive docs" In reply to: Henry Gregor: "Help with vasomotor symptoms" Next in thread: DoctorJoe@aol.com: "Re: Help with vasomotor symptoms" Consider Carcinoid Syndrome. >From: Henry Gregor <henrygregor@yahoo.com> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Help with vasomotor symptoms >Date: Wed, 24 Aug 2005 08:55:23 -0500 > >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: art fougner, md: "Re: disruptive docs" Previous message: Anna Meenan, MD: "Re: disruptive docs" In reply to: Henry Gregor: "Help with vasomotor symptoms" Next in thread: DoctorJoe@aol.com: "Re: Help with vasomotor symptoms"

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