General Practitioners

• Osteoporosis
• Headaches
• Fibromyalgia
  (this step is energy dependent. It is theorized by some physicians that Chronic Fatigue-Adrenal Exhaustion-Fibromyalgia syndrome is an adrenal mitochondrial problem. For this reason, some physicians give supplemental pregnenolone to get around this step). Pregnenolone then moves into the cytoplasm. The rest of steroid synthesis takes place on the endoplasmic reticulum. Further steps often involve the removal of carbon atoms but never the addition of carbon to the basic structure.
• Medical Weight Loss
  Many TV ads for diet sodas promote taglines such as, “One calorie but still tastes great.” The message never endorses diet sodas as part of a weight loss plan or a healthy diet.
• Nutritional Counseling
• Primary Care
  Five years earlier, her primary care doctor had noted elevated Thyroid Stimulating Hormone (TSH) levels. Doing no further tests, she was prescribed 75 mcg of Synthroid. Over a period of time the dosage was increased, but Heather still wasn’t feeling any better. She often complained about being cold — her hands and feet “felt like icebergs.” Her hair had started thinning along with the ends of her eyebrows, and she had been gradually gaining weight. H
• Family Practice
  Prior to joining Dr. Goldman’s practice in 2007, Donna Smyth, PA-C, already had over 30 years of experience in a variety of medical specialties. Originally trained as a nurse, Donna received her RN in Greensboro, NC. Desiring to increase her knowledge, range of practice and depth of patient care, Donna entered the Physician Assistant program at Duke University. She has practiced in the following specialties: General Surgery, Cardiovascular, Thoracic, and Vascular Surgery, Internal Medicine, Geriatric and Family Practice.
• Immunizations
  With over thirty years in medical practice, Dr. Goldman has witnessed the development of modern American medicine. Wonderful new treatments, vaccinations, medications, surgeries and therapies have prolonged the lives of many Americans. Though we are still plagued by many chronic ailments and stresses that reduce the pleasures of that prolonged life, Dr. Goldman sees that overemphasis on synthetic pharmaceutical medications has not solved all our chronic medical problems and has at times made them worse.

Gynecologists

• Gynecology
  When Melissa discussed these concerns at her annual gynecology appointment, her doctor reassured her that she was just experiencing “normal aging” issues and would need to accept it as a part of getting older.
• Female Infertility
• Menopause
  Dr. Robert P. Goldman provides guidance for female and male hormone balance, menopause management, holistic therapies and routine gynecological care.
• Obstetrics
  Since 1975, Dr. Goldman has been practicing obstetrics and gynecology. He has delivered thousands of babies and has performed many gynecologic surgeries (laparoscopic and laser). In 2005, Dr. Goldman stopped practicing obstetrics, limiting his practice to office gynecology, male and female hormone management, holistic medicine, menopausal management and minor in-office procedures.
• Endometriosis
  A woman may experience irregular or heavy bleeding, fibroids or endometriosis. These problems are often due to hormone imbalances. Supplementation with natural, bioidentical hormones can make a world of difference. As women age, the decline of egg number and function frequently results in a hormone imbalance called estrogen dominance or unopposed estrogen. These women may experience heavy irregular periods, fibroid growth, weight gain, breast pain and poor sleep. Supplementation with natural, bioidentical properly timed progesterone can restore a healthy balance and relieve symptoms.
• Pelvic Pain
• Pregnancy

Internists

• Internal Medicine
• Ovarian Cancer
  When I saw this headline, I was curious and skeptical. Birth control pills have been around for over fifty years. They have been studied many times and they are associated with slight or no increase in breast cancer. They have the benefit of reducing endometriosis, endometrial cancer and ovarian cancer. They give women control over their reproductive lives. Mostly, the benefits outweigh the risks. What do they mean “STILL” linked to breast cancer? Any linkage to breast cancer has been weak at most.
• Prostate Cancer
  Again, quoting Dr. Daniel Hayes, he says, “The early detection of breast cancer via mammograms saves women’s lives although the benefit is modest.” He doesn’t say how modest. In fact, the total death rate for breast cancer continues to rise. In 1975, 70,000 women were diagnosed and treated for breast cancer – average deaths were about 35,000. In recent years, around 285,000 women are treated yearly for new breast cancer diagnosis and the deaths are around 39,000 a year. It may have seemed like a good idea to set up these screening programs to make more cancer diagnoses. As it turns out, this has resulted in a huge increase in patients being treated for breast, prostate, and thyroid cancers as well as melanoma type skin cancer. The death rates, despite so many more patients undergoing major treatments, has remained about the same. Mukherjee says, “ For Welch, the fact that diagnoses of thyroid cancer or prostate cancer could soar without a corresponding effect on mortality rates was a warning, a little knowledge had turned out to be a dangerous thing.”
• Lung Cancer
  Cigarette consumption peaked in 1968 when advertising was banned. Lung cancer deaths continued to rise and peaked in 1998. In order not to die of lung cancer, a smoker would need to quit smoking thirty years before they would otherwise die of the disease. People don’t suddenly get a heart attack at sixty or seventy — they have been gradually accumulating the problem for decades.

Psychiatrists

• Depression
• Insomnia

Endocrinologist

• Diabetes Care
  Novo Nordisk is a global healthcare company that focuses on diabetes care. Why did they fund this study? Is there some marketing reason why they want to frighten women away from using contraception?
• Endocrinology
  For professional sources, my bible is Speroff and Fritz, Clinical Gynecologic Endocrinology and Infertility -- it must be the latest edition (Seventh Edition). There have been great advances since the Sixth Edition, especially in understanding the relationship between insulin and female hormones. Most of the books on bioidentical hormones are written for lay people. Some contain excellent information while others, not so much. I am constantly reading­—even the less than perfect books provide some interesting insights.
• Hypothyroidism
• Thyroid
• Thyroid Cancer
  Overdiagnosis, and I highly recommend it. Welch talks about a thyroid cancer screening program in South Korea that resulted in a huge increase in thyroid cancer diagnosis and treatment but no reduction in cancer deaths. The basic reason is that, as with breast and prostate cancer, a lot of people have slow moving tumors that would never kill them. The screening uncovers many more tumors that would otherwise remain hidden. On the other hand, when the screening program finds aggressive tumors, it is often already too late. They may have already sent metastasis all over the body. Even when the thyroid, breast or prostate is removed, it may already be too late to prevent the cancer spreading. The distant disease may still be hidden, but it is already there.

Radiologist

• Ultrasound
  At her first visit, Kimberly brought a file containing her medical history along with lab and ultrasound results. Kimberly’s former doctors had chosen not to measure her female hormones, had conducted one thyroid exam and ran a lipid profile for cholesterol levels. Georgia Hormones administered eight thyroid tests along with female and adrenal hormones, took additional blood tests and also checked for vitamin deficiencies and sugar metabolism. Test results revealed Kimberly was not making much progesterone but was producing plenty of estrogen (read more about
• Chemotherapy
  On page two, Dr. Daniel Hayes talks about breast cancer and says, “Only some fraction of the patients who receive toxic chemotherapy will really benefit from it, but we don’t know which fraction. And so, unable to say whether any particular patient will benefit, we have no choice but to overtreat.” I disagree. Dr. Hayes and his patients do have a choice. The number of patients that benefit may be as low as 3%. The other 97% will develop damage from chemotherapy treatments and will either live or die anyway, but will not have received any benefit. Mukerjee does not address money in the article, but the entire medical system is making a huge amount by implementing these testing programs and therapies. Whenever a more careful consideration of screening and therapy programs is suggested, the medical companies scream bloody murder about restricting medical care, and could result in a large amount of dying patients.

Surgeons

• General Surgery
• Vascular Surgery
• Vasectomy
  Melissa is a 52-year-old, married female with two grown children who enjoys a successful paralegal career working in a downtown Atlanta law firm. While in their early forties, Melissa and her husband made the decision to stop using contraceptives. Melissa retired her birth control pills and her husband had a vasectomy.
• Hysterectomy
  Every day I see women who had a hysterectomy with the ovaries intact. When they start getting hot flashes, many doctors put them on estrogen only and they are miserable. Many of these women already have too much estrogen. If they still had a uterus, they would be experiencing heavy bleeding along with the hot flashes. Adding additional estrogen only makes them feel worse.
• Endometrial Ablation
  Pre-menopausal women were treated with cyclic progesterone, the hysterectomy rate in the U.S. could be reduced by 70-80%. Endometrial ablation is performed on women with a normal or nearly normal size uterus. Their problems are hormonal, not uterine. It's been over three years since I had to perform an endometrial ablation. It is possible that

Dermatologists

• Skin Cancer
  Research involved with the AIDS epidemic showed that the immune system is far more complex and has many more moving and changing parts than anyone had dreamed. In the 1970s there was a simple idea — if we could detect cancer earlier and declare war on it, we could save a lot of lives. Unfortunately, that has not worked out. Screening programs for breast, prostate, thyroid cancer and melanoma have resulted in a huge increase in the number of patients treated with almost no reduction in the death rates from these diseases.
• Acne Treatment
• Cyst