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Re: GBS and HRT--Breast ca From: J. Hellriegel (jhellrie@pce.net) Sat Jan 29 21:33:27 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Woolley: "Re: GBS and HRT--Breast ca" Previous message: Joe Cutchin: "Re: Nurses and fetal monitor tracings" In reply to: Dean Huffman: "Off Topic Post, But Nevertheless Interesting And Useful..." Next in thread: ainsron@msn.com: "Re: GBS and HRT--Breast ca" Reply: ainsron@msn.com: "Re: GBS and HRT--Breast ca" At Sat, 29 Jan 2000, Harnath Holmes wrote: > >Right now I can't even get PCN. The hospital has 3 vials left and their >supplier won't ship any until the fall. Initially I liked the "risk factor >based" way of antibiotic prophylaxsis. Fewr women were treated but the >scenarios of a past GBS + culture or unk GBS culture were eliminated. I >have had babies die of GBS so I know its real. However most of the MFM >groups went right to screening cultures and abandoned the risk factor >approach, therefore I changed to the screening. I have been seeing a lot >more patients turn up positive and therefore am treating a lot more women in >labor. But I am not sure we can take a 'step back' to risk factor triage. > >On the HRT note, Most of their discussion seemed to defend possible bias. >Many of their confidence intervals contained 1.0 which I thought ment they >weren't very confident. In all those women studied they could only find 33 >for one conclusion? Hard to base changing everyone's HRT on 33 women. > -- Agree with above. Does raise questions. Also note that the 11 women on progesterone alone had a relative rate of 0.8. Had lots of calls from patients who left a message that they were terminating their HRT because of the news reports. -- >Yes I get lots of questions about these "news media" studies. It is very >hard to convince someone of the other benefits after Oprah or Dan Rather has >told them that the HRT will give you breast cancer. Does anyone think the >new micronized progesterone will be different or how about the new >norgestimate (ortho prefest) or the other new one (Femhrt) will be >different? Is it really just provera or all progestins? > >Har Holmes, MD >FACOG >Little Falls, MN > >PS. No central monitors here either Jane. -- John Hellriegel Next message: Robert J. Woolley: "Re: GBS and HRT--Breast ca" Previous message: Joe Cutchin: "Re: Nurses and fetal monitor tracings" In reply to: Dean Huffman: "Off Topic Post, But Nevertheless Interesting And Useful..." Next in thread: ainsron@msn.com: "Re: GBS and HRT--Breast ca" Reply: ainsron@msn.com: "Re: GBS and HRT--Breast ca"

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