Medical Decisions, Estrogen and Aging
Author: Jay Schulkin
The decision making process that underlies ovarian hormone therapy (HT) is fallible. The question is whether or not physicians should suggest; should one take estrogen or progestin or some other combination of related hormones to women during the menopausal period, when women are deciding about whether to go on hormone therapy for diverse reasons. This decision affects many women in this country and around the world, and is an important factor serving to show what forces influence medical decision-making.
Two recent large-scale studies, one here (Women's Health Initiative or WHI) and the other in Great Britain, cast a negative light on the use of hormone therapy. Both have received considerable attention in the media. Thus, the decision for women to go on hormone therapy (HT) remains controversial. There is an historical oscillation of beliefs related in part to expectations of the medicinal value of HT over longer-term use beyond the initial peri-menonpausal period. Studies thought to resolve issues surrounding the efficacy of HT were perhaps over-stated. Confusion still permeates the decision making with regard to HT. Over zealous advertising, and exaggerated understanding of the results (negative or positive) undermines patient and physician decision making.
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Set Me Adrift in the Sea of Faith: The Faith Renewing Story of an Alzheimer Patient's Daughter
Author: Judith Ames David
What do you do when someone you love begins to deteriorate mentally right before your eyes? Do you direct your anger toward God or do you cry out to God for help? Probably you do both. In Set Me Adrift in the Sea of Faith, the reader is a fellow traveler on the journey of a daughter who witnesses her mother's mental decline from the slow but insidious progression of Alzheimer's disease. This real life story shows the emotional and spiritual impact of anyone dealing with any life-changing situation over which they have no control. Most of all, Set Me Adrift in the Sea of Faith will lessen your grief by knowing that someone else truly understands. Judith's personal struggle brought her back to church after a 34 year absence. Most importantly, it taught her to seek the love and guidance of the Lord. What at first seemed to be the most devastating challenge in life resulted in the most precious gift a mother could give a child-her salvation.
Table of Contents:
Foreword 11The Dance 13
Seeds of Faith 18
Signs of Decline 25
Awakened 30
A Moving Experience 36
The Fragment of a Shell 43
A Time of Loss 48
Tears, Prayers, and Learning to Cope 55
God's Loving Gifts 61
A Place of Refuge and Hope 68
Special Moments 71
Nursing Home Angels 75
A Bit of Humor 80
Lines from the All School Play 85
Wrestling with Guilt 88
Spiritual Growth 95
A Season to Remember 100
Letting Go 104
Saying Goodbye 111
Remembering Margaret 117
A New Beginning 120
Set Me Adrift 125
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