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Re: It's bigger than a menopause question From: ainsron@msn.com Tue May 15 15:26:39 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Marilyn Ringst: "Re: more than a menopause question" Previous message: Richard Chudacoff, MD: "Re: heterologous IUI- single woman" In reply to: jkulkin: "It's bigger than a menopause question" Next in thread: Richard Chudacoff, MD: "Re: It's bigger than a menopause question" Reply: Richard Chudacoff, MD: "Re: It's bigger than a menopause question" Reply: Joanne Bulley: "Re: It's bigger than a menopause question" What you say is certainly true. But the problem in addition to the "short shelf life" of the MD degree is veracity. Individual physicians may not be up to date on each and every issue that needs to be addressed in women's health care. However, I would venture to say that for the most part we try to give information from sources that we trust and believe, based on past experience and the best fund of knowledge in our possession. Alternative care providers are not held to the same level of honesty or scrutiny. Many of the women I care for also venture into the alternative care marketplace for vitamins, food supplements, accupuncture, chiropractic care, etc. To my chagrin, they then bring the supplements to me to get my opinion on what has been recommended and sold to them, in order to find out if it is actually something I feel they should take. In the meantime, the alternative care provider has profitted by selling them a product they probably don't need and I'm on the hook to either debunk it or support it. As physicians, we sell our knowledge and our skill as a surgeon. We may "push" drugs and HRT on patients because we feel it is in their best interest, but at least we are not also profitting from their sales, as other "care providers" do in their practices. >I think it's a bigger issue. I find it difficult to understand why we in medicine >don't want to believe the data that says only 30% (OK , lets even consider some >reports that say 40%) of menopausal women take HRT. Even Speroff has been quoted to >confirm this number. Why do we keep trying to force Premarin etc on women when they >wont take it. Not only do we push it but as I said last week, 71% would give it to a >owmen s/p MI dispite the HERS data. Even more incredible is our colleague reluctance >to admit that their patients dont take what they prescribe. Remember, 30% fill the >first HRT Rx and only 1/2 of them are taking it at the end of 1 year. Most docs >think, " Not my patients". WRONG. I think it is this arorgance that has driven many >patients and women in particular to alternative providers. Most of what we learned in >medical school is historical fact. The shelf life of a medical degree has shortened >considerabley. Endoscopic surgery, not laparotomy, salpingotomy, not salpingectomy, >endo biopsy, not D&C, and the list goes on. I do believe it is time for GYN's to >recognize that women have unique health care needs that go far beyond the pap and >pelvic. > >Women are speaking with their feet folks. It's time to listen! > >Jay > >Carlos Brito wrote: > >> The body walks with a head on it.. >> At Sun, 06 May 2001, Denise Sobel wrote: >> > >> >I would like to make a comment about the >> >increased visits to alternative care providers. >> >I have found the times I have gone (maybe >> >less then a dozen)...the provider has been able >> >to spend alot more time with me. Not only do they >> >provide the service I went for (acupuncture in >> >one example) but they are able to spend time discussing >> >diet, exercise, stress, etc. In fact, most visits are >> >around an hour including treatment. >> > >> >Many doctors these days are not able to spend this >> >much time mostly due to the HMO limitations, or >> >just plain insurance limitations. I think that women >> >these days are looking for practitioners who have the >> >time to assess the 'whole' woman. Possibly, this may explain the >> >reason why more women are seeking alternative care. >> > >> >Another, and we have touched on this slightly, is >> >that many women cannot tolerate the side effects >> >they get from synthetic HRT. Weight gain seems >> >to be almost universal, as well as headaches, breast >> >tenderness, and many others which you all know >> >probably by heart! >> > >> >-- >> >Denise Sobel, R.N. >> >N. Calif. >> > >> >jkulkin wrote: >> > >> >> Remember, there were more >> >> visits to alternative care providers than MD's last year. I think that says a >> >> lot. >> >> -- Ronald E. Ainsworth, MD Next message: Marilyn Ringst: "Re: more than a menopause question" Previous message: Richard Chudacoff, MD: "Re: heterologous IUI- single woman" In reply to: jkulkin: "It's bigger than a menopause question" Next in thread: Richard Chudacoff, MD: "Re: It's bigger than a menopause question" Reply: Richard Chudacoff, MD: "Re: It's bigger than a menopause question" Reply: Joanne Bulley: "Re: It's bigger than a menopause question"

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