|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: ZRT LaboratoryFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon May 20 06:20:12 2002
Snake Oil lives on in new forms. Dan R. Daniel Braun, MD There are strange things done in the midnight sun By the men who moil for gold; The Arctic trails have their secret tales That would make your blood run cold; The Northern Lights have seen queer sights, But the queerest they ever did see Was that night on the marge of Lake Lebarge I cremated Sam McGee. Robert W Service -----Original Message----- From: Hugo D. Ribot Jr. [mailto:hribot@mindspring.com] Sent: Sunday, May 19, 2002 7:13 PM To: Multiple recipients of list OB-GYN-L Subject: ZRT Laboratory Dear Listers: I have recently tried to help one of those relatively rare (at least in my neck of the woods) symptomatically menopausal patients whose list of ills goes far beyond vasomotor symptoms. I'm talking the patient who is definitely eu-estrogenic with ERT but who has gone on to research extensively by talking to friends, etc. as well as scouring the internet for alternatives to estrogen. She tried the natural progesterone cream pushed by John Lee M.D. and his minions but - surprise! - this by itself wasn't the perfect solution. She (age 42) complains of difficulty concentrating, memory problems, as well as libido and other problems. Yes, I have tried Estratest in both dosages. Her FSH level a couple of years ago (she is status post TVH) was >100. My concern is she's now about to spend unknown $$ on salivary steroid hormone assays available through the web site below, recently given airtime on - of course - Oprah! http://www.salivatest.com/store/index.html <http://www.salivatest.com/store/index.html> My problem is that this has not been through the prospective/randomized/double blind/placebo controlled gold standard evaluation. What do you folks do with these patients? Does anyone actually titrate ERT or HRT with biochemical assays instead of by improvement in the patient's symptomatology? I'm trying to be open and told the patient I'm certainly willing to try the compounded estrones/estradiols/micronized progesterones/etc. Suggestions? Hugo Ribot M.D., FACOG Cartersville, GA 12th year private practice 2 MDs/3 CNMs
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:51:33 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.