Re: Gyn: HRT

From: Gordon Goldman (obgyndoc@swbell.net)
Thu Jul 31 23:19:50 2008


Garry,

Meaning no disrespect to your colleague, if you prescribe without doing a complete physical exam and something should go awry, your butt is on the line. While he may be a very careful and capable practitioner, you simply cannot take his examination and transfer it as your own. If he sent you a patient whom he said had an enlarged myomatous uterus and heavy bleeding or a large ovarian cyst, which she concurred upon history, would you even consider taking her to the OR without doing an exam first? While that may seem a bit of a tangential exaggeration, the basic principle seems the same to me. I just feel more comfortable doing my own evaluations.

Gordon

On Jul 31, 2008, at 10:43 PM, Garry E. Siegel, M.D. wrote:

> 54 YO P2002, LMP May 08, came in with menopausal symptoms. She say
> her
> internist (next door to me) in May, and had a normal exam, pap,
> mammogram, etc. A few weeks later, she was symptomatic and was
> begun on
> a low dose of compounded estrogen/progestin. She has been on this
> around 2 weeks, and isn't much better.
>
> She came for consultation about HRT, gladly given, and her medicine
> was
> adjusted.
>
> Other than a full history, would you necessarily examine her?
>
> If so, why?
>
> Garry
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA





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