1-1banner
 
medpundit
 

 
Commentary on medical news by a practicing physician.
 

 
Google
  • Epocrates MedSearch Drug Lookup




  • MASTER BLOGS





    "When many cures are offered for a disease, it means the disease is not curable" -Anton Chekhov




    ''Once you tell people there's a cure for something, the more likely they are to pressure doctors to prescribe it.''
    -Robert Ehrlich, drug advertising executive.




    "Opinions are like sphincters, everyone has one." - Chris Rangel



    email: medpundit-at-ameritech.net

    or if that doesn't work try:

    medpundit-at-en.com



    Medpundit RSS


    Quirky Museums and Fun Stuff


    Who is medpundit?


    Tech Central Station Columns



    Book Reviews:
    Read the Review

    Read the Review

    Read the Review

    More Reviews

    Second Hand Book Reviews

    Review


    Medical Blogs

    rangelMD

    DB's Medical Rants

    Family Medicine Notes

    Grunt Doc

    richard[WINTERS]

    code:theWebSocket

    Psychscape

    Code Blog: Tales of a Nurse

    Feet First

    Tales of Hoffman

    The Eyes Have It

    medmusings

    SOAP Notes

    Obels

    Cut-to -Cure

    Black Triangle

    CodeBlueBlog

    Medlogs

    Kevin, M.D

    The Lingual Nerve

    Galen's Log

    EchoJournal

    Shrinkette

    Doctor Mental

    Blogborygmi

    JournalClub

    Finestkind Clinic and Fish Market

    The Examining Room of Dr. Charles

    Chronicles of a Medical Mad House

    .PARALLEL UNIVERSES.

    SoundPractice

    Medgadget
    Health Facts and Fears

    Health Policy Blogs

    The Health Care Blog

    HealthLawProf Blog

    Facts & Fears

    Personal Favorites

    The Glittering Eye

    Day by Day

    BioEdge

    The Business Word Inc.

    Point of Law

    In the Pipeline

    Cronaca

    Tim Blair

    Jane Galt

    The Truth Laid Bear

    Jim Miller

    No Watermelons Allowed

    Winds of Change

    Science Blog

    A Chequer-Board of Night and Days

    Arts & Letters Daily

    Tech Central Station

    Blogcritics

    Overlawyered.com

    Quackwatch

    Junkscience

    The Skeptic's Dictionary



    Recommended Reading

    The Doctor Stories by William Carlos Williams


    Pox Americana: The Great Smallpox Epidemic of 1775-82 by Elizabeth Fenn


    Intoxicated by My Illness by Anatole Broyard


    Raising the Dead by Richard Selzer


    Autobiography of a Face by Lucy Grealy


    The Man Who Mistook His Wife for a Hat by Oliver Sacks


    The Sea and Poison by Shusaku Endo


    A Midwife's Tale by Laurel Thatcher Ulrich




    MEDICAL LINKS

    familydoctor.org

    American Academy of Pediatrics

    General Health Info

    Travel Advice from the CDC

    NIH Medical Library Info

     



    button

    Saturday, November 09, 2002

    Hormone Hysteria: A Canadian writer, Judy Gerstel, has a hormonal hissy fit over estrogen replacement therapy. She's the antithesis of the doctors who put patients on the drugs without discussing the pros and cons. To them, estrogen replacement was all pro, no con. To Judy Gerstel, they're all con and no pro:

    The news in July that tens of thousands of heart attacks, strokes, breast cancers and pulmonary embolisms are caused by long-term use of combination hormones brings joy to no one.

    It wasn't tens of thousands. It was tens (or less) per tens of thousands of users of hormones. She goes on to accuse women who feel better on hormone replacement of being weak-willed mental midgets:

    Women who have been weaning themselves off HRT say they look in the mirror now and see their grandmothers. Of course, they don't really look any different at all.

    It's the reverse placebo effect And thinking so can make it so.

    It's the opposite of why women who take HRT to stay young probably do appear to be more youthful.

    A woman who believes she looks and feels younger behaves in a way that reflects that state of mind.

    She takes better care of herself, eats healthier, dresses and grooms herself according to a self-image of an attractive women who has not been relegated to the sidelines.

    On the other hand, post-menopausal women who accept a role as "non-players"stop trying their best to maintain any superficial allure, any ability to attract the male gaze or male approval.


    Dear Ms. Gerstel, have some compassion. You may not need estrogen to feel your best, but there are plenty of women out there who do. They aren't falling for some Madison avenue hype about estrogen and youth. Their bodies are simply not the same as yours. For whatever reason, when they go without estrogen they can't concentrate, can't regulate their body temperature approriately, can't get motivated, or have extreme vaginal dryness. They function better when taking estrogen. Not all women are this way, but a significant number are. For these women, the benefits of estrogen outweigh the risk. Stop belittling them, and have the decency to respect their choice.

    UPDATE: A reader shared this email that she sent to Judy Gerstel. Since there's a good chance it'll never show up in the letters-to-the-editor page of the newspaper, I offer it to you here:

    I read your article on the risks and benefits of treating menopause with HRT, and would like to comment. You seem to dismiss treatment of menopausal symptoms as a vain and trivial attempt to avoid the aging process, which I think ignores the more serious reasons some women seek treatment for symptoms of menopause.

    There's more to menopause than hot flashes and wrinkles. Some of us experience severe menstrual problems as menopause approaches, the details of which I will spare you except to say that before HRT I was housebound for a week every month and now, with HRT (in my case low dose birth control pills) I am free to pursue a normal life. I am aware that there are risks to long term HRT, and I have discussed those risks with my doctor. We are both confident that this is the right choice for me.

    It's great that you're evidently in good health, and it is my hope that you don't share my experience, and that of many other women, as "that special time" draws nearer for you. But please don't assume your experience is universal, or dismiss as neurotic those of us who experience problems that are beyond your imagination.





     

    posted by Sydney on 11/09/2002 02:53:00 PM 0 comments

    0 Comments:

    Post a Comment

    This page is powered by Blogger, the easy way to update your web site.

    Main Page

    Ads

    Home   |   Archives

    Copyright 2006