Yeah, strike that comment about my showing up with books and papers. Although I may bring Morgentaler’s book, since it’s featured on this doctor’s website :) .
I had a great visit with my father. He’s made some progress with his personal trainer. His body definitely looks better, but he’s still very weak and fell twice in the last week (!). Fortunately, he has a hard head.
He wants to take ownership of the decision to go on T therapy. Fortunately, he and I are in agreement, so the ownership issue is really a moot point. I think he realizes that I have some hesitation about being responsible for it (not being a doctor and all), and I think he wants to protect me from that. He’ll see the doctor in just over a week, and the treatment decision will be between him and his doctor. I take responsibility for finding a doc who is open minded about T; the rest is up to them.
I deliberately tried to manage his expectations. I want to set the bar low so that any progress at all is cause for celebration, but nothing more than incremental progress is expected. I also passed along to him your cautions that sorting out all the issues with his hormones could take a while. He’s okay with that.
Another possible breakthrough of the trip was discovering he can go off his BP meds. He’s been taking Hytrin, both for BP control and BPH. This year, he’s developed a bad case of urinary incontinence. I found something online that said that Hytrin is a smooth muscle relaxant, and that one possible side effect is that it can over-relax the urinary sphincters and cause incontinence. Dad called his doc and asked to switch to a different med. The doc said he didn’t need the Hytrin and could just stop it. I bought him a bottle of saw palmetto to help with the BPH. I hope it helps.
As for Shippen’s book, I really hope he decides to update it. His chapter on testosterone and women no longer rings true, in light of new data about women and HRT. I loved the book but agree it needs an upgrade.
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