Family Medicine Forum – Montreal, Day 1

Day 1 of the conference is in the bag.

I’m exhausted.  Mostly because I was out last night with my friends at DNA here in Montreal. We did the tasting menu, with alcohol.  A lot of alcohol.  I’m still a little bit hungover.  Did I mention there was a lot of alcohol?

I just finished a 4 hour session on Men’s Health.  It was great, but it was very biased toward prescribing testosterone.  So much so, that one of the doctors in the group suggested to the facilitator that he disclose his conflicts of interest at the beginning next time.  Ouch.  It’s not like he was promoting one brand of testosterone over another.  There’s one or two kinds of injectibles, one kind of oral and two kinds of topicals.  There ain’t a lot to choose from!  And the main topic was symptomatic hypogonadism.  How else is one to treat it? Seemed like a no-brainer to me.   I was always afraid of testosterone replacement therapy because of hearing all about how it caused prostate cancer, or rather, increased a man’s risk of prostate cancer, when in fact, that is just a myth.  I learned today that testosterone will increase a man’s small, shriveled up prostate to the size it would have been had he had normal testosterone in the first place.  If there was a teeny nidus of cancer in that shriveled up prostate, then testosterone treatment would, in fact, unmask it, hence bringing it to attention earlier.  Good, right?

Bottom line is that I am now a little bit more comfortable in how I’ll approach the next middle-aged guy who comes into my office complaining of decreased mood, exercise tolerance, low libido, sexual dysfunction, etc.  And I will likely consider Testim, since that’s what’s in the sample cupboard, thanks to the drug rep who came by last month with lunch. 😉

And the best part was getting a preview copy of the PAACT guidelines of Men’s Health Topics for the Family Doctor.  Boo ya! I love getting free stuff at these things.

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