Re: Continue ERT/Recert Exam

From: Terrence.Jones@ncal.kaiperm.org
Tue Dec 30 12:20:54 1997


Yvonne Fried presented a similar case (of upper ext DVT and implications re: ERT) in early Dec. If thrombophilia has been R/O'd, might consider Paget- Shroetter if Pt is particularly 'active' (Meier (12/96) J Vasc Surg, 24:9774) Not sure who said it before, but remember Woody Allan's comment - "90% of life is just showing up". Took the recert in LAC-USC this year, and remain convinced a large measure of the exam is jus' findin' yer way thru LA traffic, negotiating the crowd in the waiting room, and using process of elimination to track down the sub-basement auditorium, and still be 'on-time'. Hmmmmmm, "Process of elimination"? What was the question, again? :)tj. ------------------------------------------------------------------------------ No real good theory as to etiology. All studies negative--no evidence thus ------------------------------------------------------------------------------ far for an occult malignacy or for clotting abnormalities ------------------------------------------------------------------------------ Gerald P. Rodriguez, M.D., FACOG

><<An otherwise healthy 49 year-old on Premarin 1.25 mg. for 15 years since
>she had a TAH, BSO for severe PID. Wakes up a few weeks ago with a
swollen >left arm. Evaluation reveals a subclavian vein thrombosis. She is otherwise
>healthy. Internist takes her off of Premarin. I am seeing her now for the
>first time re the issue of HRT. She will be coming off of coumadin in a
>couple of weeks. She wants to take estrogen.>>





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