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Re: Implants for HRT used in the UK From: art fougner, md (evsono@pipeline.com) Mon Dec 18 08:04:36 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: OB: Near Term Twins/Delivery Mode--long" Previous message: art fougner, md: "Re: OB: Advanced Maternal Age" In reply to: jkulkin: "Re: Implants for HRT used in the UK" Next in thread: Griffiths Malcolm: "Re: Implants for HRT used in the UK" easy to throw stones here but docs are human too. if payments are drying up, then volume becomes an issue and the amount of time spent per "life" ( as the insurance industry is want to term folks) becomes inversely proportional to the din emanating from the waiting room. also, i've not seen patient counseling as a big ticket item on the reimbursement scale. not a defense - just an observation. laws of thermodynamics apply - can't get more than what you pay for. just my opinion. i could be wrong. art At Sun, 17 Dec 2000, jkulkin wrote: > >I know we all think we tell patients about HRT but the HEDIS survey of >patients done this year tells a different story. They say docs aren't >delivering the message. In fact many women say they get no coucelling. >Patients aren't getting the message. Recognize that some of this is coming >out of PCP offices. I'll post the study results tomorrow after getting them >from my office. > >Jay > >Garry Siegel wrote: > >> At Sun, 17 Dec 2000, art fougner, md wrote: >> > >> >meanwhile we in the US are about to add estrogens to the official list >> >of carcinogens. is that your telephone i hear ringing? >> > >> >art >> > >> I just read an article about that in our local newspaper. According to >> it, conjugated estrogens are already on the list; this is to add >> "steroidal estrogens" according to the article. >> >> Get this quote from the article(the parentheses are mine): >> >> Michelle Medinsky, a toxocologist from Durham, N.C. (Duke University?) >> is quoted: >> >> "Physicians never discuss any of these risks when they are prescribing >> homone therapy. They only dicuss benefits. Listing might force it on >> the table." >> >> I emailed the local writer to explain that the toxocologist was dead >> wrong, and asked how I could contact her directly. >> >> Garry >> >> -- >> Garry E. Siegel, M.D., F.A.C.O.G. >> Roswell, GA >> Private Practice -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: OB: Near Term Twins/Delivery Mode--long" Previous message: art fougner, md: "Re: OB: Advanced Maternal Age" In reply to: jkulkin: "Re: Implants for HRT used in the UK" Next in thread: Griffiths Malcolm: "Re: Implants for HRT used in the UK"

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