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Ask the Medical Expert Archives 2000-2004

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Week of April 14, 2003

    Question:   I've read the American Association of Clinical Endocrinologists Medical Guidelines for the treatment of hypogonadism in adult male patients and have a query. There is considerable focus on infertility in the literature that deals with hypogonadism. Do I sense correctly from that document, that a history of fertility into middle age does not preclude the possibility of the long term presence of an endocrine disorder, such as that which might be caused by a pituitary adenoma or other endocrine disorder?    Dr. McLaughlin's Answer

    Question:   I see quite a few references to gastric bypass in women and a special need for increased nutritional monitoring. I also see warnings not to become pregnant between 6-24 months after the surgery is performed and an association between gastric bypass and neurological deficits in the mother and fetus/newborn. Why is this? In what way is gastric bypass related to neurological deficits?    Dr. McLaughlin's Answer

    Question:   In situations of increased stress and/or increased emotion I get ideomotoric and verbal apraxy and being well aware of the occurring apraxy I get perseveration (inadequate repetition of the same physical movement). I call it "chronic apraxy", although I did not find such a definition in the medical books...    Dr. McLaughlin's Answer