Hormone Happenings

 
 
  • Cleaning Up Alternative Medicine's Mess Hormone supplementation seems to be alternative medicine's go-to strategy for whatever ails you, says Dr Plotzker. Cleaning up their mess can be quite a challenge.
  • Treating Chronic Opioid Users? Endos, You're On Your Own As opioid consumption moved from illicit use to chronic medical treatment, endocrinologists found themselves dealing with the short- and long-term sequelae. But where are the studies and guidelines?
  • Will Diabetes Be Taken by Cardiology? Not That, Too! The newest antihyperglycemic agents improve cardiovascular outcomes, so who should manage these patients? Blurring the lines of who prescribes what invites some snafus, says Richard Plotzker.
  • Optimal Home Glucose Testing: Sometimes Less Is More How should you determine the frequency and timing of blood glucose testing? Not based on a mass protocol or the presence of insulin therapy, says Dr Plotzker.
  • Endocrinopathy After Cancer Therapy: The Downside of Success With advances in cancer therapy, diseases that were once fatal are becoming chronic disorders, often with adverse endocrine effects.
  • 40 Years of Medicine: Reflections of an Endocrinologist Dr Richard Plotzker shares his thoughts on 40 years of medical practice as he enters retirement.
  • Don't Be so Cavalier About That Non-Hip Fracture Are some fractures a reflection of underlying disease? Dr Plotzker says clinicians should be aware of the medical risks of more distal, non-hip fractures in older patients.
  • Are Rural Counties More Obese Than Others? A recent study found a disproportionate amount of obesity in America's rural counties but could only speculate on why.
  • Tinkering With Levothyroxine: Does It Make a Difference? Most physicians will carefully titrate levothyroxine to help their patients with hypothyroidism reach the TSH value at which they feel their best. But does it actually make a difference?
  • Hypoglycemia, 25 Years After DCCT A new European consortium aims to help clinicians understand the underlying mechanisms and predictors of hypoglycemia in patients with type 1 diabetes.
  • Formulary Snafus In an era of competing formularies and demands for preauthorization, taking a prescription to the pharmacy is often the beginning of a frustrating misadventure for patients and physicians alike.
  • Sometimes Doctors Need to Be Nudged A good electronic record system can help doctors remember to do what they wanted to do anyway.
  • ENDO 2018: What to Expect It's a meeting where nobodies rub elbows with somebodies, camaraderie is created, and the quantity of ideas proves that endocrinologists are 'pretty worthy people,' says Dr Richard Plotzker.
  • Defending the Cornerstones of Endocrinology The government's recent 'ban' on seven science words prompted endocrinologist Richard Plotzker to reflect on their significance in medicine and especially in the field of endocrinology.
  • Insulin Access: A Casualty of Modern Medicine? Patients used to be able to obtain their insulin easily and cheaply. But the system of modern medicine is getting in the way, and many patients are stuck (pun intended).
  • The Data Show What I Expected... In the absence of definitive clinical guidance, confirmation bias may guide decision making.
  • Derailing the 'Inevitable' Onset of Diabetes The risk of developing diabetes may be determined decades in advance, inviting opportunities to intervene and prevent the disease.
  • Hypercorrect Is a Variant of Wrong We are taught that good doctors are thorough, but is it possible to be too thorough?
  • MOC Scavenger Hunt: Worth the Effort? Maintenance of certification may not be easy, but the gains in understanding are well worth the effort.
  • New Diabetes Diagnosis, or Neglected Opportunity? A physician urges us to pay attention to hyperglycemia and prevent progression before the manifestation of clinical diabetes.