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Gynecomastia Talk / Re: Kleinfelters/De la Chapelle Syndrome
« Last post by WPW717 on Today at 01:53:47 AM »The ‘ history’ of being in the field was completely negated as I had been retired for years and I had been practicing a state away from my current residence. It was my insistence that the NP have a look at the gyne as it is significant and new. I also knew she would take the bait when I said I would need some refresher on BSE ( breast self examination techniques.
Her look of surprise at the bosom was validating and got her attention.
Embarrassment, naw, not from. 40 y/o RN in clinical practice. Insist on an Endocrinologist referral, start keeping a medical journal and be politely insistent.
Remember that a lab test or results are only a snapshot in time. The trends are more important. The hypogonadism is literally the tip of the iceberg. Further exploration is warranted. Dead end?, switch Docs.
Her look of surprise at the bosom was validating and got her attention.
Embarrassment, naw, not from. 40 y/o RN in clinical practice. Insist on an Endocrinologist referral, start keeping a medical journal and be politely insistent.
Remember that a lab test or results are only a snapshot in time. The trends are more important. The hypogonadism is literally the tip of the iceberg. Further exploration is warranted. Dead end?, switch Docs.