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Gyn: Premature Menopause (surgical) and Bioidentical hormonesFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Mon Jan 17 19:06:14 2005
Advice on how to handle please: 23 YO P0 Age 16 had unilateral S and O for torsion by good REI in town. 1.5 years ago presented with an acute abdomen and torsion; ovary very blue at lapscope and even at laparotomy (even did a frozen section at 5 AM--infarcted ovarian tissue)--had other ovary and tube removed. Now on OCPs for HRT, so to speak. I got a nice email this past week asking if she needed to come in and talk, or talk by phone, or just email about 2 topics. 1. I have found a doctor who has done research on Bioidentical hormones. They are better, less side effects, yada yada. She's not on my insurance, but could you work with me (and her) for blood tests, etc. 2. I am considering IVF in the future; will you work with Dr Local REI (to whom I refer frequently, partner of 1st REI) for bloodwork, etc. My reply: 1. What is the doctor's name/specialty--answer--Dr. I don't know of, General Practitioner. So, it is pretty obvious that the patient has found someone who likely profits from visits/tests and maybe drug sales--who knows. Normally, I would really want to have no part with Dr. I don't know GP, and am happy to do whatever for the REI. I've asked her to come in to talk. What should I tell her? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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