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Re: AmenorrheaFrom: Robert J. Woolley (wooll005@gold.tc.umn.edu)Wed Sep 4 07:10:11 1996
In message <960904001437_471336714@emout07.mail.aol.com> writes: > A woman who smokes >1ppd if cigarettes has greater problems than amenorrhea. > Forget the amenorrhea and insist that she stop smoking. I usually tell > patients that if they are really worried about their health...get their > priorities straight. It is senseless to worry about anything in gynecology > short of cancer, while they are still smoking. I don't understand this attitude. If this patient also has psoriasis, should I tell her, "We *could* prescribe an ointment for your skin, but there's no point worrying about that when you're still smoking." If she has genital warts, should I refuse to treat them until she stops smoking? I think your approach is, to be blunt, perverse. Yes, it is objectively irrational for this patient to be concerned about matters of lesser importance to her long-term health than her smoking. But that does not mean that we should react in a similarly irrational way. ---------------------------------------------------------------------------
--------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota
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