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How to write a letter to a doctor..... How to write a letter to a doctor.....

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Unread 06-10-2003, 09:10 AM
Tums PMS...and don't forget that magnesium!

The reason Tums PMS is marketed that way is because they used extra-strength Tums in the clinical trials for the calcium source. This gave Tums the legal permission to market their exact same Tums E-X product as "Tums PMS" because there now was an FDA "indication" for calcium use in PMS.

Vitamin D does help with calcium absorption...another piece of information I've learned about that is that the body can only absorb about 500 - 600 mg at a time, so it's best to spread out your calcium through the day.

We also need magnesium, which should be taken in a ratio of 2 (calcium) : 1 (magnesium). Most of the U.S. population does not get enough magnesium, which has implications for smooth muscle, nerve function, and heart function (many arrhythmia patients who are admitted to the hospital, turn out to be deficient in magnesium).

Take a look at this article that (((Trish))) found and posted, about B6, magnesium, zinc, and folate. There's a lot here that may help you address, in a more integrated way, the symptoms that you've been feeling (I'm thinking about increasing my B6, myself): Supplements .

As far as the letter: you ladies rock! It's so much easier to organize your thoughts with a letter. It's also so much easier for your doctor to sit down with your chart and organize his/her thoughts to answer your questions in a more specific, deliberate manner. That way, there's no "forgetting" your questions under the stress of an often-rushed appointment -- and the doctors like it, as it gives them time to understand ALL your concerns so they can answer them in a more deliberate way either in an appointment, over the telephone, or with a return note.

This is a particularly useful strategy for routine, annual appointments. Rather than going in, discussing concerns, and having to get orders for lab work, etc. then having to return for all those results (or wait), a lot of my patients fax us a note about a month ahead of time, outlining any concerns, asking for whatever lab orders might be needed, etc. That way, when they come for their appointment, the labs are already done, and your doctor can do the exam, discuss the results, and put together a plan. It's more efficient for everyone.

Not every doctor likes to work this way, but in this era of the 10-minute doctor's appointment (it's not always their fault -- most areas are so underserved these days that there are just too many patients for the available GOOD specialists) -- well, getting it on paper really helps. And then, too, there's documentation in your own words on the chart of your concerns and symptoms. That's got to be more accurate than the doctor's writing notes and/or trying to remember the details for dictating later.

Hope the letter works for you, (((vbj))). And I hope that you find some relief from the Tums -- they did work for me at the time I tried them. If I'd known at the time about the magnesium and B6, I probably would have benefited from them too...

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