Hypothyroidism: Dose selection.
From Lewis S Blevins Jr., MD – There is controversy as to how to treat patients with partial hypothyroidism due to pituitary disorders and even primary hypothyroidism. After a quarter of a century of practice,
Author: J D Faccinetti
Posts by J D Faccinetti
Dr. Blevins reports from the California Center for Pituitary Disorders at UCSF Annual Pituitary Update Conference
Here are a few highlights from the California Center for Pituitary Disorders at the University of California San Francisco, UCSF annual Pituitary Update Conference : Only 60% of patients with pituitary macroadenomas and vision loss have
Acromegaly: Postoperative Evaluation.
From Lewis S Blevins Jr,. MD – My approach to the postoperative evaluation of patients with acromegaly is based on over a quarter of a century of experience evaluating and treating patients with the disorder.
dDAVP Therapy.
From Lewis S Blevins Jr., MD – desamino d-arginine vasopressin…..in case you ever wondered. DDAVP therapy has evolved somewhat over the past quarter of a century. When I started my training one of the common
Be wary of lofty claims that sound too good to be true
We promote traditional approaches to pituitary disorders. We believe in ongoing research and development to expand knowledge and discover new therapies. We recognize that most medications have, as their point of origin, some derivation from
Pituitary Surgery. Postoperative Followup.
From Lewis S Blevins, Jr. MD – All too often, I see patients who come to the clinic with devastating recurrences of their pituitary tumors. For example, the accompanying MRI depicts a recurrent pituitary tumor in
Prolactinoma: Indications for surgery.
From Lewis S Blevins Jr., MD – Although dopamine agonist drugs are available to treat prolactinomas I believe some patients with these tumors are probably best treated surgically. Of course, surgery should be performed by
Think different
First, I know “think different” is bad grammar as it should be “think differently”, but it really says it, doesn’t it? A few years ago, 1998 to be exact, Apple, Inc., (the then computer company)
Diabetes insipidus: Polyuria.
Polyuria is defined as the passage of excessive quantities of urine. Pollakauria is defined as urinary frequency; in other words, more trips to the bathroom regardless of urine volume. Polyuria is arbitrarily defined as the
Diabetes insipidus: Thirst.
From Lewis Blevins, MD – Thirst is really difficult to define. It is best described as a desire to ingest water. This is different from having a dry mouth. Both may, however, occur at the
Hyponatremia
From Lewis Blevins, MD – Hyponatremia is the term used to describe low serum sodium levels. A low serum sodium may result from salt losses or else from an excess amount of water in the
Tests of Pituitary Function: Gonadotropins in Men
From Lewis Blevins, MD – LH and FSH are produced by the pituitary gland under the regulation of pulsatile secretion of GnRH from the hypothalamus. LH stimulates the Leydig cells of the testes to produce testosterone.