Affinity Gyn Inc. Newsletter
Honoring the unique needs of women 
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How's Your Thyroid?
Know Your Insurance
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THE BUZZ ABOUT BIO-IDENTICAL HORMONES 
 
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ISSUE #2
August/2009 

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Dear                                                              
 
   
Well it's already August and this month is National Immunization Awareness Month. A great website is available for you to review current recommendations  for yourself/child/teenager: CDC immunization recommendations  
 
   Thank you all for your responses to last month's newsletter and thanks for passing it on! I look forward to hearing from you regarding the content on the newsletters and/or your requests for future issues.   affinitygyn@hotmail.com
 
Please call the office for personal medical/appointment issues as I do not always check my email daily.                       
 
Yours in Health, 
 
 
Patti 
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HOW'S YOUR THYROID? 
 
     When I met Tracy, a 44 year old female (not her real name),  she told  me that around age 39 she had started feeling sleepy during the day, like she had to take a nap or she couldn't make it till 10pm. If she didn't rest then she got a headache, yawned constantly and felt really cranky for the rest of the day-often she medicated herself with caffeine. She was distressed because she'd gained 10 pounds over the past year for "no apparent reason". Of course she'd told her provider about these symptoms but was informed her labs were "fine"  and come back next year. Luckily she came to me for her routine well woman care. I dug a little deeper and discovered her free T3 (a measurement of available thyroid hormone to the organs) was very low despite the overall TSH and free T4 being normal. I started her on natural (bio-identical) thyroid medication and within 3 weeks she reported how much better she felt and even her family noticed her demeanor had changed. After a few months she'd lost 6 pounds for "no apparent reason'". Unfortunately she had been suffering for 5 years before her thyroid dysfunction was adequately addressed and resolved.
  
   This is but one of numerous stories I could tell from women I treat each day!  Many providers, even specialists, treat only the lab results and not people's symptoms. In my opinion this is a grave dis-service. It is good medical practice to use lab results as a baseline, granted the right labs are being ordered. However, usually only the TSH (thyroid stimulating hormone) is measured. This does not always tell the full story about how the thyroid is functioning. Furthermore, if thyroid medication is prescribed, it is often synthetic levothyroxine; which is only T4. Many times T4 is not the deficient hormone. Most of the problem lies in the body's inability to convert the T4 to T3. This conversion is a crucial step in the process of hormones penetrating into the organs of your body and not just floating in the bloodstream ineffectively. So if you are experiencing symptoms like above in Tracy's case or others like: forgetfulness, the tendency of feeling cold, depression, hair loss and constipation don't settle for feeling lousy, speak up!  
    I'm here to help you (or your friend/family member) with thyroid issues. I use prescription natural thyroid hormones and will monitor your labs in conjunction with your symptoms.
KNOW YOUR INSURANCE 
 
   Are you getting the most out of your health care and pharmacy coverage? Sometimes it's hard to maneuver through the maze of co-pays and deductibles, medication coverage, whether a generic or trade name should be used, which top notch radiology center will be covered etc...? Additional questions pop up like, "I have pharmacy coverage but it won't cover what my provider wants me to have, how much is it going to cost me and where can I get it for the best price"?  
 
    Over the past 15 years I've observed health care getting more complex (you really have to be pro-active and know your particular coverage) and often with less coverage and reimbursement. The true issue is what your employer has chosen to cover or not.
 
   One suggestion is to comb through your policy, find out when and what is covered on a preventative visit versus a problem visit and what lab and radiology centers you are to use. The representative's number is usually located on your card or go online and create a login account. I will help guide you to reputable and pleasant radiology and speciality services.
 
   Secondly, print a copy or know where online you can access your pharmacy benefits. Specifically you need to know what medicines are covered and if there is a mail order pharmacy available. You can usually save  1 of 3 co-pays when a mail order pharmacy is utilized and this is also where some of the bio-identical hormones are made (more on Bio-Identical Hormones in the next issue). It helps me if you bring a copy of the medicine list with you.
 
   Lastly, if the particular medicine I prescribe is not present on your list or made at the mail order pharmacy ask your representative if it might be reimbursed to you using a "universal claims form". This means if you pay out of pocket for a medicine at a pharmacy, other than the one you are contracted with because they don't make it, your pharmacy coverage may reimburse you. Sometimes they do but you have to ask!
 
   For those of you who don't have medical insurance or still need help with paying for your prescriptions please check out this website: www.needymeds.com
 
MY FAVORITES
 Imaging Center:
 
    
Solis BenOra Imaging is a diagnostic women's center dedicated to digital screening mammograms and comprehensive breast care; general and pelvic ultrasound and bone density testing. I have been sending my patients to this center for years because of the kindness and professionalism of the staff, competency and long-term reputation of the radiologists, not to mention it feels like you're going to a spa!
   For further information, call: 602.234.2601 or  click on the link: www.solishealth.com
     I have a beautiful and inviting private practice in south Scottsdale (Scottsdale Rd & Osborn Rd.). I offer a variety of healthcare services to women of all ages and men. Please visit my website for further information. I look forward to seeing you.             www.affinitygyn.com
 
Sincerely,
 
Patricia Faust/Affinity Gyn Inc. (owner)
7331 E. Osborn Dr., #240
Scottsdale, AZ 85226
(480) 874-2900 office
(480) 874-2902 fax