Thoughts requested on a case

[Shannon Nelson]

Thanks Gaby, this is good to know!
I wonder whether similar conclusion is seen with patients who *have been on long-term steroid use*--as opposed to the short-term, as-needed doses referred to here? (Still, tho, that is very good news.)

Welcome back!
Shannon

[d_barbara_hamilton]

Cheers Shannon. I'll email you off-list on a point of clarification.

Best wishes, Barbara

--- In minutus@yahoogroups.com, Shannon Nelson wrote:

[d_barbara_hamilton]

Thanks Gaby - very encouraging conclusions from which I'm heartened.

Also good to see you are still around and maintain your finger on the pulse! What a blessing to be among all the old familiar names who also offer welcomed advice.

All the best, Barbara

--- In minutus@yahoogroups.com, "Gaby Rottler" wrote:

[Dale Moss]

Barbara,
I should have added that one of the saddest things I've had to do is talk to parents who gave permission for chemotherapy to be used on their kids -- but weren't warned that it might make their children sterile! I remember that when my son's doctors were discussing with us the possible use of steroids, they talked only of the cosmetic stuff, carefully circumnavigating the real potential damages (like femur head necrosis). I went ballistic when I did the research and discovered how little they'd told us of the risks. This cannot be considered "informed consent."
Peace,
Dale

[d_barbara_hamilton]

Dale thanks for highlighting that I need to address her wish to try for a baby at some point and that she needs to leave a huge gap after the immunosuppressants, as research is not clear on the long-term effects regarding fertility and subsequent pregnancy.

The example you give is indeed a sad case; I always try to involve my patients in getting as much information as they can before they make decisions, as I feel that is as relevant as the actual treatment plan.

Warm regards, Barbara
--- In minutus@yahoogroups.com, "Dale Moss" wrote:

[Paul Booyse]

hello Gaby,
welcome back.
regards,
Paul Booyse