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Author Topic: Doctor chat!  (Read 2565 times)

lor.com

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Doctor chat!
« on: September 16, 2024, 02:17:19 PM »

So I’ve waited patiently for three weeks for a telephone consultation with my gp to ask for HRT! I don’t get awful menopause symptoms I’m 60 and in good health. I basically have done my research and think I would like the potential benefits of reduced health risks by taking HRT.
I’d appreciate any thoughts on any resistance I might come up against? Thank you.
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Ayesha

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Re: Doctor chat!
« Reply #1 on: September 16, 2024, 03:26:07 PM »

I believe its in the NICE guidelines that its ok to start HRT after 60 and that's what I would refer to if I was speaking to a GP. He will have to tell you about possible risks, apparently one of them being after 60 our arteries harden.  But that's all I know on the subject :)
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lor.com

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Re: Doctor chat!
« Reply #2 on: September 20, 2024, 09:59:06 AM »

Success! I have patches being prescribed. He said I can only be on it five years cos of cardiovascular risks. The Louise Newsome research tells me the opposite! What’s the truth?
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Ayesha

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Re: Doctor chat!
« Reply #3 on: September 20, 2024, 10:33:36 AM »

Be happy you have it for five years without argument and wait and see what happens when there will no doubt be more conflicting views on the use of HRT.
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lor.com

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Re: Doctor chat!
« Reply #4 on: September 20, 2024, 11:00:34 AM »

Be happy you have it for five years without argument and wait and see what happens when there will no doubt be more conflicting views on the use of HRT.
Yes indeed! Thank you.
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bombsh3ll

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Re: Doctor chat!
« Reply #5 on: September 20, 2024, 01:18:16 PM »

Guidelines from the BMS, IMS and NICE unanimously advise AGAINST arbitrary time limits being imposed on the use of hormone therapy.

If it ever comes to it you can print these off and show them.

However the chance of seeing the same GP twice, especially 5 years later, is remote and I wouldn't worry about it.
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AngelaH

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Re: Doctor chat!
« Reply #6 on: September 20, 2024, 02:25:03 PM »

Success! I have patches being prescribed. He said I can only be on it five years cos of cardiovascular risks. The Louise Newsome research tells me the opposite! What’s the truth?
The truth is Louise Newson is a business, they sell any ideas to those who are willing to pay for them.  NHS is public funded organisation which is not selling anything, but is responsible for providing health services, with huge amounts of rules, regulations and guidelines, you can be agreed with them or not, you have some choice.  :)
« Last Edit: September 20, 2024, 02:48:03 PM by AngelaH »
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CLKD

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Re: Doctor chat!
« Reply #7 on: September 20, 2024, 04:00:41 PM »

However: Dr Newson is delivering what the NHS should be aware of.  It will get to a point, probably sooner rather than later, when many medications will become outside the remit of the NHS - NICE already determine which drugs which help a few patients will not be delivered across the NHS due to costs.

AngelaH - R U able to explain what you mean by 'ideas'?
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AngelaH

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Re: Doctor chat!
« Reply #8 on: September 20, 2024, 05:25:14 PM »

However: Dr Newson is delivering what the NHS should be aware of.  It will get to a point, probably sooner rather than later, when many medications will become outside the remit of the NHS - NICE already determine which drugs which help a few patients will not be delivered across the NHS due to costs.

AngelaH - R U able to explain what you mean by 'ideas'?
Dr Newson is not God, she is one of a lot of health businesses. The main rule of NHS is cost of treatment via efficiency of treatment. It actually does make sense.

You can find all those ideas on this forum,  there are lots of them.
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joziel

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Re: Doctor chat!
« Reply #9 on: September 20, 2024, 06:47:13 PM »

Dr Newson's clinic is mopping up after a woefully inadequate NHS.

It's the same with thyroid care. You cannot get T3 on the NHS because they refuse to listen to the latest research, forcing so many to seek private thyroid care.

I can't get my moles checked annually on the NHS anymore after cut backs (I have atypical familial mole syndrome, which means a ton of weird moles) so I now have to pay for a private appointment every year to have them scanned.

And so on, through every body part and piece of anatomy. The NHS is not fit for purpose because it's been destroyed by the Tories. Forcing hundreds of thousands to private healthcare. Don't blame the providers of private healthcare, blame the Tories for underfunding the NHS for decades to precipitate the capitalist society of big pharma and private healthcare which they wanted to see....

And lor.com, you can remain on HRT as long as you want to - not for 5 years. That is the case whether you go by the NICE guidelines or Louise Newson. Your GP is wrong.
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CLKD

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Re: Doctor chat!
« Reply #10 on: September 20, 2024, 06:58:19 PM »

Goodness me AngelaH - who suggested that Louise is 'God'?  She has pushed for treatment regimes for women who are unable to access the basic advice via the NHS.  Advice that should be freely available from our GP Surgeries. 

Which ideas ..........

This is a separate issue to a lack of GPs across England, with GPs retiring or simply moving abroad to work: a separate issue to 'covid' causing waiting lists ........ menopause certainly isn't high on the agenda of GP training and the British Menopause Society doesn't seem to be getting through. 

As well as Dr Currie setting up MM and the Forum to spread knowledge as far as possible so that we can share what we learn as we go into peri and beyond. Fortunately my GP was aware of VA for example probably because he has a wife my age.   ;D

All governments of the day have ruined our NHS, not simply the conservatives.  Also Consultants should have been more active and putting their feet down with firm hands ...... but governments throughout my Lifetime thus far have failed to a) have knowledge of how medical care works and b) have put too many constraints as well as fining Health Authorities huge sums for not meeting [can't think of the word]  >:( timelines .......

Many of us pay for treatment through insurance often via Company schemes.  Others spend some of their savings on essential surgical interventions.  No one is 'forced' to go privately .   
In general once a woman has been to see Dr Newson most GPs are OK about prescribing her recommendations via the NHS. 
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AngelaH

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Re: Doctor chat!
« Reply #11 on: September 20, 2024, 07:33:14 PM »

It's the same with thyroid care.
When sex hormones start falling and they are imbalanced it has an effect on thyroid hormones. This is why NHS does not treat thyroid issues at this stage, because the only treatment which can help is HRT and once sex hormones are recovered thyroid issues will be gone.
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AngelaH

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Re: Doctor chat!
« Reply #12 on: September 20, 2024, 08:18:49 PM »


 She has pushed for treatment regimes for women who are unable to access the basic advice via the …
Is not so bad, everyone is able to access basic advice from NHS, it is not the best service, but to make it free for everyone is not so easy, especially taking into account that the money which go into the system are very modest. There is an alternative - USA health care system, who does want it here? I know about all those problems that you mentioned, I can understand why medical professionals leave the NHS, I personally wouldn’t work for that system too. But NHS need much more money to keep it going, this problem is too complicated.

The reason why GPs don’t mind to prescribe what Dr Newson suggests is because this way they take all responsibilities off their shoulders, they are not responsible for any outcome of the treatment.



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joziel

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Re: Doctor chat!
« Reply #13 on: September 20, 2024, 08:37:52 PM »

Sometimes I think you are just deliberately inflammatory, Angela.

Of course the NHS acknowledges (and treats) thyroid issues 'at this stage' - they just treat them with T4/levo and refuse to accept that some patients need T3. And no, once sex hormones are recovered thyroid issues will not be 'gone' - there are many women who need both. They have an impact on each other but are largely separate systems.

The alternative to the current NHS is not a US healthcare system, it's a functioning NHS which is free for all at the point of use, paid for by our taxes. It's not rocket science. In fact, if we spent less on rocket science and war and defence and more on the NHS, we'd all be much better off for it.

GPs are mindless and prescribe what they have been told to prescribe. We may as well consult ChatGPT and tell it our symptoms and it would be more intelligently able to prescribe for us than GPs can and do. Until critical and independent thinking is taught at med school, nothing will change.
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AngelaH

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Re: Doctor chat!
« Reply #14 on: September 20, 2024, 08:45:46 PM »

Sometimes I think you are just deliberately inflammatory, Angela.
I think we just have different knowledge and understanding of things.  :)
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