Slides, Slides, Slides

When one is a speaker for many continuing medical education courses, you are always going through the science, and making slides. And more slides.

These slides have to have, what is called, certain “tiers” of scientific evidence.

To be able to “scientifically say” that this helps this or that and these are the studies that say so. Or debate it.

I got up yesterday AM at 3:30 to put one of the umph days into slide crafting.

I went back through all times on planet earth and sleuthed the evolution of hormone replacement, and our knowledge and comfort surrounding everything estrogen, to present day studies.

There are echoing themes. Clear cut. That are not being translated into our clinical trenches. Or taught in our med schools.

Patients are missing out.

The biggest theme is understanding that much of the “bad news” science is more from synthetic versions of hormones and delivery modes (how we get this stuff into us).

Hormones are the most powerful signaling molecules in our bodies.

Wherever we have “receptors” we have hormone actions.

This means our eyes, brain, gut wall, kidneys, heart, vocal cords, and on and on.

Hormones are intertwined with all our health.

But they are not taught this way.

It seems the main teachings can be boiled down to “taming” hormones through birth control pills or levothyroxine.

But wow there is so much more.

And it’s time for both the patient and provider NOT to miss out.

Knowledge is power.

But the way medical schools and associations are deciding to present the data, interpret it and translate it into “patient to-do’s”, is not reflecting the bulk of the science.

Rather maddening.

But that’s life on planet earth.

For some reason it’s my dharma, karma to be getting up before the roosters and making this all clear and well established. To pass the good info forward.

For example, hormones do so much more than sexy and reproductive things. But they have been relegated into tiny slots in thin genres of medicine.

Because of this, for example, autoimmune patients miss out on estriol and testosterone replacement that tighten their leaky gut and calm and retrain their immune systems.

Lung patients miss out on progesterone signals to shorten and hasten their healing time.

Cancer and other high risk, like genetic pro-coagulatory patients, miss out.

But if this is not taught, it becomes not known. Not standard of care.

Patients miss out.

Don’t you.

Get your doc on the fence or your functional provider the news about our 16 hour CME for MDs, NPs, nurses, PAs and NDs, called Everything Hormones .

This course, with Dr. David Brownstein and myself, will give you the larger understanding of hormones. With daily pragmatic details.

Comparing bases. When first vaginal pass makes more sense. Can you give iodine to a Hashimoto’s patient and how to do that safely? What about breakthrough bleeding?

What about a young girl that is going into ovarian insufficiency, what to do to turn that tide or even figure this out.

What if a young man was given testosterone shots because his testosterone blood levels were low, but he was not told this would make him infertile. How to reboot his fertility.

And more.

Knowledge is power.

Dr. B.