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Re: Gyn: HRT From: allanho@aol.com Thu Jul 31 23:50:27 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Previous message: Pat Shaughnessy: "Re: Gyn: HRT" In reply to: Efrain Ramirez: "Re: Gyn: HRT" Next in thread: Gordon Goldman: "Re: Gyn: HRT" I have not looked up the references - but recently I have heard from different sources that ROUTINE breast clinical exam and self breast exams don't make any differences in the outcome of breast cancer.? Some even advocate skipping the routine breast exams altogether.? May be our esteemed colleagues can illuminate on the subject here. Allan Ho PS? One of the reasons why I would examine this patient is to document atrophic vaginitis and to follow the progress.? Sometimes one may find other stuff the non specialists are missing.? But I don't think an exam is obligatory in your case. -----Original Message----- From: Efrain Ramirez <eramirezt@coqui.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Thu, 31 Jul 2008 11:50 pm Subject: Re: Gyn: HRT Why not? - feel more comfortable prescrbing HRT after I examine her.. Ef At Thu, 31 Jul 2008, 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 > -- "I can accept failure, but I can't accept not trying." - Michael Jordan Previous message: Pat Shaughnessy: "Re: Gyn: HRT" In reply to: Efrain Ramirez: "Re: Gyn: HRT" Next in thread: Gordon Goldman: "Re: Gyn: HRT"

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