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Letter: Robert Piat M.D.
Repercussions still felt
Thursday, April 3, 2014
We are still feeling the repercussions from President (Barack) Obama’s executive order requiring employers to offer health plans that cover birth control.
Let me explain why this is not a good idea at all and, in fact, could very well become a very dangerous medical practice indeed. My explanation has nothing to do with the “separation clause” in our sacred Bill of Rights, so please bear with me.
Birth control pills all contain some form of the hormone estrogen. And as is the case with all of our bodies’ hormones, the effects of estrogen are powerful and widely dispersed throughout all our systems.
No lady should be taking any form of estrogen (and there are other uses for estrogens besides birth control) if she has breast cancer, uterine cancer or ovarian cancer, because estrogen absolutely will cause the growth and spread of these malignancies (cancers). Simply assuming you don’t have them isn’t satisfactory, and in the vast majority of cases, a pelvic exam is required since ovarian cancer can occur at any age.
Estrogens also are a major cause of clots in the deep veins of the legs and pelvis of women, and these clots can then break off and flow to an individual’s lungs, causing certain death if not treated immediately with blood thinners and, in many situations, major surgery.
Another serious complication stemming from the continuous use of birth control pills is hypertension, which can be overlooked and is one of the most easily correctable forms of high blood pressure.
A less well-known complication found in ladies on birth control pills are liver “adenomas.” These rarely malignant (cancerous) tumors can be a cause for some concern when discovered if the examining doctors are not familiar with them.
So you see, health care is not all about money. It is the most unique of all the necessities of life. because we cannot do it alone like obtaining food, clothing, and shelter. No one can take out their own appendix.
This brief letter I hope will make many of you realize why doctors don’t like to prescribe over the phone or actually prescribe any medication without seeing, questioning and examining a patient completely if necessary at each visit. And I know it’s expensive. But there really are no shortcuts to good health care. If we had single-payer, not-for-profit health care like we have with Medicare and our veterans hospitals, we could avoid practically all the political and financial problems going on in the country right now and concentrate on excellence in medicine.
Robert Piat, M.D.
Winterville, N.C., formerly of Horsepasture