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Re: Hormone replacement therapy and the non-risk patientFrom: Gerald P. Rodriguez (geraldpr@roadrunner.com)Wed Oct 29 08:16:50 1997
Well put Philip... My responce to patients who object to HRT on the basis that HRT "is not natural" is to point out what you have just articulated. One way to get their attention is to point out that "neither is it natural for you to be alive at age 51." Most living things die-off when their reproductive life is over. Gerald P. Rodriguez, M.D., FACOG Santa Fe ||||||||||||||||||||||||||||||||||||||| In politics the choice is constantly between two evils. --John Morley
-- ---------- > From: Philip Suarez <philip@ICSI.Net> > To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> > Subject: Re: Hormone replacement therapy and the non-risk patient > Date: Wednesday, October 29, 1997 7:08 AM > > > > > > >True, you are my collegues, but how do you present HRT to a patient whom > > >carries no risk factors and is refusing HRT? > > > > > >-- > > >Richard Chudacoff, MD > > > > Probably in the same way as you: go over the pros and cons, give > > them info, and let them decide on their own, at their convenience. > > I firmly believe the premise that the condition of "menopause" is > an endocrinopathy - pathologic lack of estrogen; a failure of a > hormonal organ which produces a required hormone. > Historical points: the word "menopause" didn't exist in the English > language till the late 1800's - because women didn't live that long. > Only this century did the average life expectancy go beyond the > tender age of 40 (facts, look them up). Reality: the ovaries were > NOT designed to be outlived by their "host." > > So, my question. WHY is it when a patient (not client) comes to > their doctor (not provider) and is discovered to have another > endocrinopathy (diabetes), the recommendation to replace THAT > required hormone (insulin) is generally acted upon faithfully. When > the thyroid gland fails, the patient eagerly takes thyroid > replacement. > > So **WHY**, when informed that another endocrine organ > has failed (the ovary) and replacement of the vital hormone is > required, do the patients "think" about this "very personal > decision?" Rather than rational thought this sounds quite > "glandular" to me. > > My wife's on OCPs and will be on estrogen till, God willing, she's > hit by a train at age 98. > > With frustration, > > Philip > > ----------------------------------------------------- > Philip Suarez, M.D. philip@icsi.net > ----------------------------------------------------- > Fellow - American College Ob/Gyn > ----------------------------------------------------- > Delegate - Texas Medical Association > President - Internet Connect Services, Inc. > Advisory Board Member - OBGYN.net > ----------------------------------------------------- > Internet Connect Services, Inc. > ----------------------------------------------------- > http://www.icsi.net > ----------------------------------------------------- > ----------------------------------------------------- > > -----------------------------------------------------
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