john herr psychologist los gatos saratoga california

On Sabbatical

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TITLE: A population based survey of women's experience of the menopause.
AUTHOR: Porter M; Penney GC; Russell D; Russell E; Templeton A
AUTHOR AFFILIATION: Department of Obstetrics and Gynaecology, University of Aberdeen, UK.
SOURCE: Br J Obstet Gynaecol 1996 Oct;103(10):1025-8
NLM CIT. ID: 97017090
ABSTRACT: OBJECTIVES: To describe the prevalence of, and degree of distress caused by, 15 symptoms commonly attributed to the menopause among a random sample of women aged 45 to 54, selected from the total population of a geographically defined area. DESIGN: Postal questionnaire survey. SETTING: Grampian Health Board area. PARTICIPANTS: Eight thousand women, aged 45 to 54, randomly selected from the Grampian Community Health Index. MAIN OUTCOME MEASURES: Self-reported symptoms, including depression, and use of hormone replacement therapy (HRT) among women of differing menopausal status. RESULTS: The response rate was 78%; 57% of respondents had experienced one or more of the 15 symptoms listed, but only 22% had found such symptoms a problem. Women's experience of classic vasomotor and atrophic symptoms varied according to menopausal status but experience of general somatic and psychological symptoms did not. Users of HRT and women whose menopause was iatrogenic found more symptoms a problem. CONCLUSIONS: Symptoms attributed to the menopause are common among women in the age group studied but often are not perceived as a problem. Among nonusers of HRT, only vasomotor and atrophic symptoms vary with menopausal status. Other somatic and psychological symptoms experienced by middle-aged women cannot be regarded as part of the same "menopausal syndrome'.
Cross-Sectional Studies
Estrogen Replacement Therapy
Health Status
Middle Age
Support, Non-U.S. Gov't

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On Sabbatical!

When my office lease expired at the end of 2004, I decided to turn it into a "sabbatical" from my private practice. Many years ago, in my grandfather's 89th year of life, he told me, "John, it is important to smell the roses while you can still smell them." His life gave living a very good reputation. It is also true that the pursuit of that philosophy required my grandfather to to re-open his assay office/ore market in Wickenburg, Arizona as a 75-year-old because he had run a little short of retirement money. Thus, if blessed with his luck and health, I'll be back.. --jjh

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