Re: Re: [Hypogonadism2] Extremely low T

[Guest guest]

Hi does anyone here know how good Mr Minhas is? He is

an andrologist and a urologist at the University

College London Hospital.

Does anyone also know about Professor Pierre Bouloux

who works at the Royal Free Hospital? He is supposed

to be an expert on hypogonadism in a young man.

If anyone does, then it would be great help to learn

more about the two doctors.

--- Randle <peter_randle@...> wrote:

>

> > > Many of us would argue with this. We find most

> endocrinologists are not

> > > current on our condition. Few for example test

> E2 levels, which all of

> > > us would say is essential. Many of us have found

> good GP who listen to

> > > their patients and will work with you. If you

> bring them things like the

> > > AACE guidelines and articles on E2 they respond

> and work with you.

> > > Endocrinologists almost as a class seem

> incapable of listening to their

> > > patients. I think that's a fair summary of the

> general opinion in this

> > > group of a few 1000s of us.

>

>

> Hi there

>

> I have read the replies to my own post and would

> like to make this comment:

>

> If you bring them things like the

> AACE guide-lines

>

> Who do you think wrote these AACE guide-lines?

> Clinical Endocrinologists.

> Visit the website http://www.aace.com/

> American Association of

> Clinical Endocrinologists Do the AACE guide-lines

> say patients are better NOT seeing an

> Endocrinologist as

> part of the guide-lines or in any of their

> publications?

>

> Why do you accept the AACE guide-lines written by

> endocrinologists and then ignore

> their help.

> I did not say go to a bad or negligent

> endocrinologist but said quite distinctly find a

> top endocrinologist at a top medical teaching

> hospital and one who publishes in the

> field. Endocrinology is very wide and so most

> endocrinologists tackle the best known

> and most common illness - Diabetes and so most of

> the endocrinologists at a general

> hospital are trained as Diabetitian. But you do not

> want an Endocrinologist who is a

> Diabetitian for Pituitary etc.

> I too am a patient and met medics not sufficiently

> competent in Pituitary matters but

> that does not stop me going to one who is qualifies,

> experienced. In the UK testogel

> was tested by Urologists and that is fine for some

> matters including some endocrine

> illnesses but not if you need Pituitary or medical

> rather than surgical help.

>

> However, my main point was that no medication should

> be taken until a whole battery

> of tests, including an MRi have been made who ever

> you see. If you have a

> experienced qualified GP - GPs have studied some

> branch of medicine and a few

> might well have studied endocrinology at med school,

> then that medic should not

> prescribe without a diagnosis. if they do it is

> wrong.

> I agree many consultants do not test for E2. That

> then does not mean your GP knows

> even better because they have decided to take a

> blood test as the patient asked.

> Kind regards,

>

>

>

>

>

> Bottom of Form 1

> The Voice of Clinical Endocrinology® - Founded 1991

>

>

> > ,

> peter_randle@...

> > Subject: Re: Extremely low T levels

> > Send reply to: peter_randle@...

> > Date sent: Mon, 07 Jan 2008 17:34:33 -0000

> >

> >

> > >

>

=== message truncated ===

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[Guest guest]

On Wed, 09 Jan 2008 19:38:35 -0000, you wrote:

>Hi there

>

>I have read the replies to my own post and would like to make this comment:

>

>If you bring them things like the

>AACE guide-lines

>

>Who do you think wrote these AACE guide-lines? Clinical Endocrinologists.

>Visit the website http://www.aace.com/

>American Association of

>Clinical Endocrinologists Do the AACE guide-lines say patients are better NOT

seeing an Endocrinologist as

>part of the guide-lines or in any of their publications?

>

>Why do you accept the AACE guide-lines written by endocrinologists and then

ignore

>their help.

The guidelines were written by Testosterone/hypogonadism specialists.

the problems is the vast majority of endocrinologists see very little

hypogonadism and their time and reading is bound up in diabetes,

thyroids, and female issues. It's very hard to find one knowledgable

or up to date in male hypogonadism issues.

[Guest guest]

When I presented these guidelines to my family doctor he agreed to change my

therapy. Doing this worked for me. Even if you're in London I'd still give it a

try.

retrogrouch@... wrote: On Wed, 09 Jan 2008 19:38:35 -0000, you

wrote:

>Hi there

>

>I have read the replies to my own post and would like to make this comment:

>

>If you bring them things like the

>AACE guide-lines

>

>Who do you think wrote these AACE guide-lines? Clinical Endocrinologists.

>Visit the website http://www.aace.com/

>American Association of

>Clinical Endocrinologists Do the AACE guide-lines say patients are better NOT

seeing an Endocrinologist as

>part of the guide-lines or in any of their publications?

>

>Why do you accept the AACE guide-lines written by endocrinologists and then

ignore

>their help.

The guidelines were written by Testosterone/hypogonadism specialists.

the problems is the vast majority of endocrinologists see very little

hypogonadism and their time and reading is bound up in diabetes,

thyroids, and female issues. It's very hard to find one knowledgable

or up to date in male hypogonadism issues.

---------------------------------

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