Guest guest Posted December 16, 2007 Report Share Posted December 16, 2007 Indeed, Helen. The endos seem to get into a common area like thyroid or something, usually with a lucrative diabetes group of pts, and start forgetting most else. In my experience, the common refrain (from the less arrogant) is " I (or they) have only seen 1-2 cases in 25 years' practice. " In other words, it is so rare, not worth worrying about. Our A.M.A. public info. officer said in an interview (paraphrasing) that's because they don't look for it. If you google PA or hyperaldo prevalence, or do that search in PubMed or Medline, all the articles have recently been " updated " in the intrroductions or literature reviews (most sponsoring publishers allow this as 'new information' comes in). Many now say " . . ..traditionally believed to be less than one percent of the hypertensive population. . .now appears to be closer to 20 percent. . . " Several of the doctors I consulted over the years who missed or misdiagnosed/teated me displayed various reactions - ranging from complete surprise to tooth-sucking certitude that I was simply having anxiety - now have worried looks and admit their error. I have gotten some to admit they saw the article updates. Some duck me entirely. This is no joke. You make me think about two things : (1) do UK courts accept letters, PDF's or other styles of written communication as evidence? Is there a proof of mailing that is standard, as here, lawyers have a 2nd party-mailer or witness form? Maybe sending Dr Grim's article this way would force the dustbin out of the question, and at least scanning carefully. . .perhaps with a few major studies' intros including the 'update' to 20 percent. . . (2) If a mailing list were available, I could get a mailing like this financed. I know some " angels. " Dave Helen wrote: > > Even more for the land fill. If it isn't in the BMJ (and sometimes > even then) it will be classed as NIH (not invented here) and likely > to be filed in the container under the specialist's desk. > > I don't think this is the way to go but am speaking from experience. > I have sent numerous copies of the article to the UK endocrinologists > annual conference that takes place every February at Peebles Hydro > Hotel. I am only about 70 miles from there so make a point of giving > out my brochure and Dr Grim's paper. I know most end up in the trash > basket but maybe the constant drip will eventually get through. > > There is no excuse for any endo in the UK not to have had at least > one copy of these papers. > > Helen in Scotland. > > > > > > Please print my article on the evolution of PA to everyone who saw > him but > > missed the obvious diagnosis as long as the K has been low. > > > > > > > > ************************************** > > See AOL's top rated recipes > > (http://food.aol.com/top-rated-recipes?NCID=aoltop00030000000004 > <http://food.aol.com/top-rated-recipes?NCID=aoltop00030000000004>) > > > Quote Link to comment Share on other sites More sharing options...
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