After years of clinical suspicion, large studies confirm elevated risk across multiple cancers From Lewis S Blevins Jr., MD – Professor of Neurological Surgery, Medical Director of the California Center for Pituitary Disorders at UCSF
Dr. Blevins Corner
Medical comments from Dr. Lewis Blevins MD. Director Center for Pituitary Disorders at University California San Francisco
Sample Discharge Instructions for Patients who have had Pituitary Surgery
October 27, 2014
Your physicians have determined that it is reasonably safe to discharge you from the hospital following pituitary surgery. A number of important situations may arise, however, following discharge and you should be aware of these. We are
Cushing’s Syndrome: Twenty-Four Hour Urine Collection
October 27, 2014
From Lewis S Blevins Jr., MD – Twenty-four hour urine collections are often employed to estimate the production rates of various hormones. The accuracy of test results depends entirely on the proper collection of the
Hypothyroidism: When to use T3.
October 27, 2014
From Lewis S Blevins Jr., MD – The vast majority of patients with hypothyroidism can be treated with l-T4 and achieve relief of symptoms of hypothyroidism and normal T4 and T3 levels. The liver and
Hypothyroidism: Dose selection.
October 27, 2014
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,
Dr. Blevins reports from the California Center for Pituitary Disorders at UCSF Annual Pituitary Update Conference
October 26, 2014
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.
October 26, 2014
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.
October 20, 2014
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
Pituitary Surgery. Postoperative Followup.
October 16, 2014
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.
October 16, 2014
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
Diabetes insipidus: Polyuria.
October 10, 2014
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.
October 10, 2014
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
October 10, 2014
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