Hello Anita,
Perhaps oestrogens does lead to longevity and it would be discriminatory to
deny it to men. Testicular atrophy whilst alarming for younger men may be an
equivalent to having prophylaxis against prostatic cancer! However, 18m of
oestrogens (and I presume unopposed ERT!) may tarnish his virility, which
Viagra may reverse. Unopposed HRT is substantially cheaper than Viagra and
prescribing either to this man would be contentious.....at this present
time. As it is now politically correct to examine a third way (sic), natural
phytoestrogens may be a compromise, a chinese root herb - 'dong-quay' is
allegedly rich in the substance.
Best wishes,
CK-Warrington PCAPS
> ----------
> From: anita malkhandi[SMTP:[log in to unmask]]
> Reply To: [log in to unmask]
> Sent: 02 December 1998 22:59
> To: [log in to unmask]
> Subject: Fw: re:more stats and contentious comment
>
>
> -----Original Message-----
> From: anita malkhandi < [log in to unmask]>
> To: [log in to unmask] < [log in to unmask]>
> Date: 02 December 1998 21:54
> Subject: re:more stats and contentious comment
>
>
> I'm glad the list traffic has collapsed - after reconnecting following
> formatting the hard drive I simply deleted 1,400 messages without reading
> one. Doubtless there were personal mails that I missed, but they've
> reached me by other means now.
> The 'techie' messages mean little to me most of the time, but I'm glad of
> the archives which I often source.
> If it wasn't for the wide-ranging opinions expressed, I'm sure I'd leave,
> instead of simply lurking. It's been hugely important for me to know that
> I can access a group of GP's and their views - instrumental in the timing
> of my decision to become a single-handed practitioner.
> I suppose its a balance of enough messages to be a valid spread of opinion
> versus everyone shouting about the same thing at once.
> I've missed Katie's poetry, and Ahmad's common sense lately, but then I've
> been buried in work and put off contributing because of the particular
> threads posted.
>
> I'd value everyone's comments on the following gem I've encountered
> recently:
>
> Repeat HRT request by an 80yr old male because 'it keeps me fit and is
> good for my cholesterol' - and has obtained it on a private script for the
> past 18 months.( I've seen the empty drug box and it has been legitimately
> dispensed ). Unhappy with my refusal to prescribe, he then added 'OK, then
> I'll just have some of that viagra instead'.
> This is not an MRCGP example!
>
> Regards,
> Anita
>
>
>
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