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Hannah Ceridwen Eluned Cavendish-Grosvenor 's Entries

38 blogs
  • 12 Jan 2017
    Apparently a BBC documentary is to be shown tomorow which degrades Transgender Individuald, with particular reference to transgender Children.   The 'in-house expert featured is Kenneth Zucker, a Canadian psychologist with a contraversial approach to transgender children leading to his dismissal after running a Toronto Identity clinic (Canada's largest child gender clinic) in the Centre ror Addiction and Mental Health for over 30 years. Zucher opposes the widely favoured 'affirmative approach' and disaproves of parents allowing children with gender dysphoria to live as their chosen sex   His unconventional views in present society supports the misconception that trans children are mentally disturbed and that appropriate treatment will cure them. Zucher's 'preaching' appears to be  that of the 'curing' of transgender status. He appears convinced that these children have unappreciated underlying mental health and psychological issues; and a highly critical external review revealed that his clinic encouraged parents of trans children to 'limit cross gender behaviour'.   Zucher's reply to his critics apparently was that his sacking as a considered recognised authority on Childhood gender dysphoria was due to the politicisation of transgender issues, and challenging the gender affirmative approach.   His earlier statements stated that his goal was "lowering the odds that as such a kid gets older he or she will move into adolescence feeling so uncomfortable about their gender identity that they think that it would be better to live as the other gender ". In the BBC documentary he denies that he ahd practiced conversion therapy and calls his approach 'develomentally informed therapy.   In 1990 he spoke out in favour of discouraging children to be gay because, " a homosexual lifestyle in a basically unaccepting culture simply creates unnecessary social difficulties".   I, for one, will not be watching tomorrow.
  • Apparently a BBC documentary is to be shown tomorow which degrades Transgender Individuald, with particular reference to transgender Children.   The 'in-house expert featured is Kenneth Zucker, a Canadian psychologist with a contraversial approach to transgender children leading to his dismissal after running a Toronto Identity clinic (Canada's largest child gender clinic) in the Centre ror Addiction and Mental Health for over 30 years. Zucher opposes the widely favoured 'affirmative approach' and disaproves of parents allowing children with gender dysphoria to live as their chosen sex   His unconventional views in present society supports the misconception that trans children are mentally disturbed and that appropriate treatment will cure them. Zucher's 'preaching' appears to be  that of the 'curing' of transgender status. He appears convinced that these children have unappreciated underlying mental health and psychological issues; and a highly critical external review revealed that his clinic encouraged parents of trans children to 'limit cross gender behaviour'.   Zucher's reply to his critics apparently was that his sacking as a considered recognised authority on Childhood gender dysphoria was due to the politicisation of transgender issues, and challenging the gender affirmative approach.   His earlier statements stated that his goal was "lowering the odds that as such a kid gets older he or she will move into adolescence feeling so uncomfortable about their gender identity that they think that it would be better to live as the other gender ". In the BBC documentary he denies that he ahd practiced conversion therapy and calls his approach 'develomentally informed therapy.   In 1990 he spoke out in favour of discouraging children to be gay because, " a homosexual lifestyle in a basically unaccepting culture simply creates unnecessary social difficulties".   I, for one, will not be watching tomorrow.
    Jan 12, 2017 308
  • 28 Dec 2016
    I have frequently been asked what i think about using GP online services for Thansgender persons awaiting the long-drawn out first Gender Identity Clinic appointment. Internet enabled private GP services tend to cost £40 to £60 per appointment   All private suppliers say they are taking pressure off the NHS; but have had no impact on the rapidly escalating waiting times for GIC appointments.   The GP contract prohibits seeing ones own patients privately, but not those registered with another practice.   Control of sex hormone therapy requires baseline blood and general-health checks. After three months, the blood tests (including liver function tests) need repeating and the dosage of hormones titrated until acceptable levels are achieved. On-line consultations do not include blood tests.   Some medics call this trpe of 'treatment' - "Martini Medicine". Beware the inevitable hang-over, and/or genuine risk of liver damage.
  • I have frequently been asked what i think about using GP online services for Thansgender persons awaiting the long-drawn out first Gender Identity Clinic appointment. Internet enabled private GP services tend to cost £40 to £60 per appointment   All private suppliers say they are taking pressure off the NHS; but have had no impact on the rapidly escalating waiting times for GIC appointments.   The GP contract prohibits seeing ones own patients privately, but not those registered with another practice.   Control of sex hormone therapy requires baseline blood and general-health checks. After three months, the blood tests (including liver function tests) need repeating and the dosage of hormones titrated until acceptable levels are achieved. On-line consultations do not include blood tests.   Some medics call this trpe of 'treatment' - "Martini Medicine". Beware the inevitable hang-over, and/or genuine risk of liver damage.
    Dec 28, 2016 234
  • 05 Oct 2016
    Where I ever concocted the naive and simplistic idea that those Trans people who end up attracted to the opposite and their birth sex must be Bisexual, I have no idea. I married again, after the death of my first wife; and, the relationship was as good as it gets until my obligation to Transition clicked in.   One of the other two girls on our South Coast break, a fortnight ago, became sufficiently unwell to be considered for hospital admission from Casualty. We arrived with her 'things' and plans regarding disposal of her car her car.   In Casualty, we were allowed in behind the curtains to sit and to talk with her. Swiftly shood out by the nurse, prior to the return of the doctor with her blood results; we stood in the corridor as a god-like adonis passed by. Open-mouthed we both simply swooned. The nurses called us back in: she was to be discharged, with a prescription, as the blood tests were satisfactory, she informed us.   Her next remark concerned her 'falling in love with the doctor': you should have seen him, she stated! We informed her that we both had done so, and we were also in love. Her reply: "I saw him first, so he's mine!'   After nearly two years on hormones, I have started to notice attractive men: I would have put money on that "Never, ever happening" to me.
  • Where I ever concocted the naive and simplistic idea that those Trans people who end up attracted to the opposite and their birth sex must be Bisexual, I have no idea. I married again, after the death of my first wife; and, the relationship was as good as it gets until my obligation to Transition clicked in.   One of the other two girls on our South Coast break, a fortnight ago, became sufficiently unwell to be considered for hospital admission from Casualty. We arrived with her 'things' and plans regarding disposal of her car her car.   In Casualty, we were allowed in behind the curtains to sit and to talk with her. Swiftly shood out by the nurse, prior to the return of the doctor with her blood results; we stood in the corridor as a god-like adonis passed by. Open-mouthed we both simply swooned. The nurses called us back in: she was to be discharged, with a prescription, as the blood tests were satisfactory, she informed us.   Her next remark concerned her 'falling in love with the doctor': you should have seen him, she stated! We informed her that we both had done so, and we were also in love. Her reply: "I saw him first, so he's mine!'   After nearly two years on hormones, I have started to notice attractive men: I would have put money on that "Never, ever happening" to me.
    Oct 05, 2016 363
  • 15 Sep 2016
    Questions, therefore not to be quoted as a scientific study, submitted to a random selection of Transgender female adults. If you had serious wealth and momey was simply no object, would you go for which of the following surgical proceedures.......? Surprisingly, the survey did not include:-  - Elevation (subtle) of the eyebrows and reconstruction of the orbito-frontal area  - Capillary Micro-transplant Surgery  - Feminising rhinoplasty (may be nose remodelling)  - chinplasty  - Tracheal shave     Survey results: Fat reduction                54% Wrinkle eradication       26% Breast Enhancement *  19% Nose remodelling      *  18% Lip enhancement           7% Buttock enhancement    5% Vaginal modelling          4% Simply no idea              2%   * may consider
  • Questions, therefore not to be quoted as a scientific study, submitted to a random selection of Transgender female adults. If you had serious wealth and momey was simply no object, would you go for which of the following surgical proceedures.......? Surprisingly, the survey did not include:-  - Elevation (subtle) of the eyebrows and reconstruction of the orbito-frontal area  - Capillary Micro-transplant Surgery  - Feminising rhinoplasty (may be nose remodelling)  - chinplasty  - Tracheal shave     Survey results: Fat reduction                54% Wrinkle eradication       26% Breast Enhancement *  19% Nose remodelling      *  18% Lip enhancement           7% Buttock enhancement    5% Vaginal modelling          4% Simply no idea              2%   * may consider
    Sep 15, 2016 1293
  • 02 Aug 2016
    FINAL PART:   After an appropriate period of Oestragen therapy, the levels achieved are within the satisfactory female 400 to 600. However, in some cases  there is a failure in testosterone suppression and its levels remail refractory, in the male range.   TREATMENT MODIFICATION:   Additional therapy is in the form of Decapeptyl 11.25 mgs every 12 weeks as an addition to current therapy, in order to suppress the testosterone production. For the initial 2 weeks following injection No 1, the physician will co-administer Cyproterone acetate 100 mgs once daily, to suppress the flare in testosterone that can occur with initiation of GnRH analogues. This is not required after subsequent injections.   TESTS:   * weeks after commencement of the above additional therapy, blood should be drawn for oestradiol, testosterone, prolactin, SHBG and Liver Function..
  • FINAL PART:   After an appropriate period of Oestragen therapy, the levels achieved are within the satisfactory female 400 to 600. However, in some cases  there is a failure in testosterone suppression and its levels remail refractory, in the male range.   TREATMENT MODIFICATION:   Additional therapy is in the form of Decapeptyl 11.25 mgs every 12 weeks as an addition to current therapy, in order to suppress the testosterone production. For the initial 2 weeks following injection No 1, the physician will co-administer Cyproterone acetate 100 mgs once daily, to suppress the flare in testosterone that can occur with initiation of GnRH analogues. This is not required after subsequent injections.   TESTS:   * weeks after commencement of the above additional therapy, blood should be drawn for oestradiol, testosterone, prolactin, SHBG and Liver Function..
    Aug 02, 2016 202
  • 31 Jul 2016
    Christine Shye points out that the rapidly increasing death-rate of the remnants of the Behaviorist School of Psychiatrists, who took as the basis of their shaky 'discipline' the theories of Freud & Co, may assist the repatriation of Gender Dissonance with the Wider Medical profession; and, hopefully, gradually the General Public, also. As a Psycho-pathological Sexual Deviant of three and a half years of age, I reported my gender marker to my wealthy Grand-mother and maternal aunt. When this fad had persisted to four years of age, they indulged me with a girlie bedroon, girls dresses, frilly socks, a pram and dolly, and allowed me to grow my hair. i can actually remember being the happiest of so-called lonely farm children, living in my own make-belief world with dolly and the pet farm animals.   All idyllic happiness came to an end, at six, when I went to school. It thankfully returned two or three years ago, when I joied two Gender Groups, the Gender Society and the Beaumont Society; and, came out in Public as a woman, full-time.   I have never been, am not now, nor will ever in the future be a male politician: so, how on earth can I be ever labelled as a Psychotic Sexual Deviant!   Those male individuals, who without exception had middle-european surnames, who wrote the Pyychiatry books on the shelves of the medical section of Cambridge University Library when I was virtually the only student who used to study there (bar one girl) have a lot to answer for: both in my locking myself in solitary confinement for a life-time sentence after I had read their mis-directed garbage, and for the resulting policy of "Sectioning under the Mental Health Act for 28 days', (remember the film the "Danish Girl") then transfer to an appropriate secure Mental Asylum for a minimum two year period to enable forced twice-weekly Electro-convulsive Therapy under Sodium Pentothal injections. April Ashley suffered this Pathway after her attempted suicide; and funding for free ECT 'treatment' for trans-sexuals was only withdrawn by the UK's West  Midlands Strategic Health Authority (or successor) in the autumn of 2003; a few months before the Gender Recognition Act came into being!!!
  • Christine Shye points out that the rapidly increasing death-rate of the remnants of the Behaviorist School of Psychiatrists, who took as the basis of their shaky 'discipline' the theories of Freud & Co, may assist the repatriation of Gender Dissonance with the Wider Medical profession; and, hopefully, gradually the General Public, also. As a Psycho-pathological Sexual Deviant of three and a half years of age, I reported my gender marker to my wealthy Grand-mother and maternal aunt. When this fad had persisted to four years of age, they indulged me with a girlie bedroon, girls dresses, frilly socks, a pram and dolly, and allowed me to grow my hair. i can actually remember being the happiest of so-called lonely farm children, living in my own make-belief world with dolly and the pet farm animals.   All idyllic happiness came to an end, at six, when I went to school. It thankfully returned two or three years ago, when I joied two Gender Groups, the Gender Society and the Beaumont Society; and, came out in Public as a woman, full-time.   I have never been, am not now, nor will ever in the future be a male politician: so, how on earth can I be ever labelled as a Psychotic Sexual Deviant!   Those male individuals, who without exception had middle-european surnames, who wrote the Pyychiatry books on the shelves of the medical section of Cambridge University Library when I was virtually the only student who used to study there (bar one girl) have a lot to answer for: both in my locking myself in solitary confinement for a life-time sentence after I had read their mis-directed garbage, and for the resulting policy of "Sectioning under the Mental Health Act for 28 days', (remember the film the "Danish Girl") then transfer to an appropriate secure Mental Asylum for a minimum two year period to enable forced twice-weekly Electro-convulsive Therapy under Sodium Pentothal injections. April Ashley suffered this Pathway after her attempted suicide; and funding for free ECT 'treatment' for trans-sexuals was only withdrawn by the UK's West  Midlands Strategic Health Authority (or successor) in the autumn of 2003; a few months before the Gender Recognition Act came into being!!!
    Jul 31, 2016 201
  • 30 Jul 2016
    Now that you have, finally and with enormous relief, achieved a place in the GIClinic, found that you are totally supported in your given pathway, and have been pleasantly surprised at the lack of recriminations over self-administration, then the hard work starts. I have previously outlined the 'History' details, usually required in the GIC, for documentation purposes.   EXAMINATION   Blood Pressure: Height; Weight. Breasts: Testes and chest   Blood tests, undertaken and reviewed: SHBG, Testosterone, Prolactin, LH, FSH Liver Function, Cholesterol, HDL, total to HDL ratio, PSA   ASSESSMENT: the Endocrinologist will undertake to continue your oestrogen therapy, if he/she concurs with a Psychiatric opinion of male to female transsexualism. The plan is to dose titrate the Progynova or Climaval ( Oestradiol Valerate 2mgms ), or similar, until you hit the tardet range of 400 to 600 pmol/L. When on 4mgms, if you have not supressed your testosterone into the female rsnge of>3, then they will consider for a GnRH use in the form of Decapeptyl 11.25mgs.
  • Now that you have, finally and with enormous relief, achieved a place in the GIClinic, found that you are totally supported in your given pathway, and have been pleasantly surprised at the lack of recriminations over self-administration, then the hard work starts. I have previously outlined the 'History' details, usually required in the GIC, for documentation purposes.   EXAMINATION   Blood Pressure: Height; Weight. Breasts: Testes and chest   Blood tests, undertaken and reviewed: SHBG, Testosterone, Prolactin, LH, FSH Liver Function, Cholesterol, HDL, total to HDL ratio, PSA   ASSESSMENT: the Endocrinologist will undertake to continue your oestrogen therapy, if he/she concurs with a Psychiatric opinion of male to female transsexualism. The plan is to dose titrate the Progynova or Climaval ( Oestradiol Valerate 2mgms ), or similar, until you hit the tardet range of 400 to 600 pmol/L. When on 4mgms, if you have not supressed your testosterone into the female rsnge of>3, then they will consider for a GnRH use in the form of Decapeptyl 11.25mgs.
    Jul 30, 2016 179
  • 29 Jul 2016
    At last, the long-awaited appointment day has arrived. Arter owning up to self-administration, and discovering there are no recriminations, it is down to further interview and then to ongoing care.   Questions: Were you a normal pregnancy? Approximate age of puberty? Was there any gynaecomastia? As an adult: reduced facial and/or body hair? Erectile function, normal? Genitalia normal? Children? If not, out of choice?   History: Past Medical History, in detail Allergic History? Social History: Tobacco, Alcohol and occupation Family History Dating of Gender Dissonance and details Schooling and friends Traumas of Dissonance Presentation in Public and work-place. Support in these environments Legal name change Downsides of transition   Psychiatric History: GP's report History of deliberate self-harm, suicide attempts or eating disorder   Forensic History   Substance abuse   Social History Housing and finance Friends Fertility Relationships (family) Objects of sexual desire Future Transition plans. Marriage hostory   Treatment, under supervision - to follow.
  • At last, the long-awaited appointment day has arrived. Arter owning up to self-administration, and discovering there are no recriminations, it is down to further interview and then to ongoing care.   Questions: Were you a normal pregnancy? Approximate age of puberty? Was there any gynaecomastia? As an adult: reduced facial and/or body hair? Erectile function, normal? Genitalia normal? Children? If not, out of choice?   History: Past Medical History, in detail Allergic History? Social History: Tobacco, Alcohol and occupation Family History Dating of Gender Dissonance and details Schooling and friends Traumas of Dissonance Presentation in Public and work-place. Support in these environments Legal name change Downsides of transition   Psychiatric History: GP's report History of deliberate self-harm, suicide attempts or eating disorder   Forensic History   Substance abuse   Social History Housing and finance Friends Fertility Relationships (family) Objects of sexual desire Future Transition plans. Marriage hostory   Treatment, under supervision - to follow.
    Jul 29, 2016 200
  • 28 Jul 2016
    Self administration of oestrogens   As promised, in my recent initial lblog recommending only to commence medication under Medical Supervision/ Monitoring. In the event of a decision to by-pass the unacceptably long wait for an initial appointment in the Gender Identity Clinic (2-3 years as opposed to the Governments insistence that there be no more than 18 weeks wait), girls may, understandably, feel pressurised, and to see no alternative but to order Oestrogens via the internet; and, to commence then their own medication, unsupervised. Internet:   there is no guarantee of quality or dosage control, nor that the drug is in reality as claimed.   Vehicle, Preparation and side effects:   Oral (tablets); Skin(absorption) as patches or gel; sub-dermal implants require local anaesthesia, and are consequently not available. Preparation: Blood pressure check is vital: no therapy should commence until it is stable and fully controlled.  History: self administration should be with-held in the presence of a history of Cerebro-vascular accident (stroke): 'blood clots': Liver disorders: heart disease. Side effects: In the presence of such problems (Fluid retention, Depression, Headaches, leg-cramps, sore breasts, indegestion. bloating, etc) one can a) switch to an alternative form of Oestrogen b)change the dose c) tail off (Not suddenly stop) medication d) seek medical advice. relief may be achieved by taking oral therapy with food. Breast tenderness can be eased by a low fat, high carbs diet. Exercise/stretching can reduce leg cramps. INSURMOUNTABLE OBJECTIONS: 1) Obligatory, initial, medical history and examination is absent. A repeat examination at 6 months is also absent. 2) No baseline serological tests have been taken (essential for performance monitoring) 3) dose titration, adjusted by repeat sex hormone analysis after 8 weeks of initial treatment, is unavailable. 4) Oestroden and Testosterone Levels: targeting is absent, as an essential base for titration management, dose adjustment and potential additional medication. 5) no regular assessment of Liver Function Tests (oral therapy's serious risk factor) is undertaken, either prior to of during therapy.   COMMENT: Desperation (particularly for Orthopaedic proceedures) occurs in the UK, as a result of inadequate funding across all sectors of the NHS. However, the same NHS have always maintained a particularly high level of denial and chronic under-funding with regard to Gender Services. Their forward planning is in respect of less than 1% of the population with Trans status. Epidemiological studies (ignored or repudiated) indicate it is more like 2.75%! This, unacceptable situation is compounded by staffing difficulties with respect to Doctors with the necessary training (blame the EU for the lost 3000 hours of training per doctor); and, I have found presonally as a Professor of Surgery, a most surprising and worrying level of Transphobia in a Nursing Profession, otherwise dedicated to the general well-being of patients - hence another source of difficulty in attracting quality staff to the service.   DISCLAIMER:   I make absolutely no criticism of those of my community who follow the above route: "presonal choice" is enshrined in the modern NHS, and has always been the keystone of my professional life. I merely wish to make my sisters aware of all the risks, before they make their own personal INFORMED decision.   PERSONAL VIEW (Conclusion): I would not drive  completely blindfolded ( in my old-fashioned non self-driving vehicle) up the motorway system from my grand child's home near Lausanne to see my other grandson in Zurich. So, why would I have any desire to do the same with my health and hormones? 
  • Self administration of oestrogens   As promised, in my recent initial lblog recommending only to commence medication under Medical Supervision/ Monitoring. In the event of a decision to by-pass the unacceptably long wait for an initial appointment in the Gender Identity Clinic (2-3 years as opposed to the Governments insistence that there be no more than 18 weeks wait), girls may, understandably, feel pressurised, and to see no alternative but to order Oestrogens via the internet; and, to commence then their own medication, unsupervised. Internet:   there is no guarantee of quality or dosage control, nor that the drug is in reality as claimed.   Vehicle, Preparation and side effects:   Oral (tablets); Skin(absorption) as patches or gel; sub-dermal implants require local anaesthesia, and are consequently not available. Preparation: Blood pressure check is vital: no therapy should commence until it is stable and fully controlled.  History: self administration should be with-held in the presence of a history of Cerebro-vascular accident (stroke): 'blood clots': Liver disorders: heart disease. Side effects: In the presence of such problems (Fluid retention, Depression, Headaches, leg-cramps, sore breasts, indegestion. bloating, etc) one can a) switch to an alternative form of Oestrogen b)change the dose c) tail off (Not suddenly stop) medication d) seek medical advice. relief may be achieved by taking oral therapy with food. Breast tenderness can be eased by a low fat, high carbs diet. Exercise/stretching can reduce leg cramps. INSURMOUNTABLE OBJECTIONS: 1) Obligatory, initial, medical history and examination is absent. A repeat examination at 6 months is also absent. 2) No baseline serological tests have been taken (essential for performance monitoring) 3) dose titration, adjusted by repeat sex hormone analysis after 8 weeks of initial treatment, is unavailable. 4) Oestroden and Testosterone Levels: targeting is absent, as an essential base for titration management, dose adjustment and potential additional medication. 5) no regular assessment of Liver Function Tests (oral therapy's serious risk factor) is undertaken, either prior to of during therapy.   COMMENT: Desperation (particularly for Orthopaedic proceedures) occurs in the UK, as a result of inadequate funding across all sectors of the NHS. However, the same NHS have always maintained a particularly high level of denial and chronic under-funding with regard to Gender Services. Their forward planning is in respect of less than 1% of the population with Trans status. Epidemiological studies (ignored or repudiated) indicate it is more like 2.75%! This, unacceptable situation is compounded by staffing difficulties with respect to Doctors with the necessary training (blame the EU for the lost 3000 hours of training per doctor); and, I have found presonally as a Professor of Surgery, a most surprising and worrying level of Transphobia in a Nursing Profession, otherwise dedicated to the general well-being of patients - hence another source of difficulty in attracting quality staff to the service.   DISCLAIMER:   I make absolutely no criticism of those of my community who follow the above route: "presonal choice" is enshrined in the modern NHS, and has always been the keystone of my professional life. I merely wish to make my sisters aware of all the risks, before they make their own personal INFORMED decision.   PERSONAL VIEW (Conclusion): I would not drive  completely blindfolded ( in my old-fashioned non self-driving vehicle) up the motorway system from my grand child's home near Lausanne to see my other grandson in Zurich. So, why would I have any desire to do the same with my health and hormones? 
    Jul 28, 2016 199
  • 25 Jul 2016
    I have frequently been asked at our Group Sessions what is the best way to take self administers Hormones. the simple answer is "don't"!! Seek professional advice, from day one, through your General Medical Practitioner". The next remark I hear is that the Oestrogens have been supplied, via the internet, in the intervening period between GP referral to a designated Gender Identity Clinic and their first appointment. Exeter is presently over 9 months wait for an initial appointment; and, most of the rest, one to three years. Newcastle, for non-locals is an unbelievable twelve and a half years! No surprise that Transgender individuals are not prepared to wait.   My Medical qualificaions include full postgraduate training in Endocrinology, prior to my inevitable move into a surgical career: Plastic and then Ophthalmic-Plastic Surgery in the UK. I retired earlier this year as an University Professor. I propose, in a cocidil to this blog, to elaborate on the problems of treatment and dose adjustment in the clinical arena; as an illustration of the impossibility of achieving and sustaining any semblance of satisfactory progression via self-administration.
  • I have frequently been asked at our Group Sessions what is the best way to take self administers Hormones. the simple answer is "don't"!! Seek professional advice, from day one, through your General Medical Practitioner". The next remark I hear is that the Oestrogens have been supplied, via the internet, in the intervening period between GP referral to a designated Gender Identity Clinic and their first appointment. Exeter is presently over 9 months wait for an initial appointment; and, most of the rest, one to three years. Newcastle, for non-locals is an unbelievable twelve and a half years! No surprise that Transgender individuals are not prepared to wait.   My Medical qualificaions include full postgraduate training in Endocrinology, prior to my inevitable move into a surgical career: Plastic and then Ophthalmic-Plastic Surgery in the UK. I retired earlier this year as an University Professor. I propose, in a cocidil to this blog, to elaborate on the problems of treatment and dose adjustment in the clinical arena; as an illustration of the impossibility of achieving and sustaining any semblance of satisfactory progression via self-administration.
    Jul 25, 2016 222