Dr Avrum Bluming

Well, the first is humility, both on your part and on the part of the physician.

because you're not going to go into a store and buy this off the shelf.

You've got to work with the physician.

So humility is appropriate, but humility is not shyness.

You must be educated, which is why we wrote Estrogen Matters.

Carol Tavris and I wrote the book so that women can have up

to date information, as can the men who care for them, as can physicians.

We wrote the book the way we write papers, clinical papers.

Everything we say in the book is extensively referenced so that you can say to the physician, well, what about this?

This isn't just some crazy doctor in Southern California.

This is referenced work that comes from academic institutions around the world.

And

I need you to look at this and work with me.

That's one part of it.

The second part of it is certainly in the United States, we live in a litiginous society and nobody wants to be sued.

And if a doctor is going to give a breast cancer survivor estrogen, regardless of whether it was an estrogen receptor positive or estrogen receptor negative tumor, some women are going to recur because stuff happens.

And to avoid suit, the physician can be offered by the patient an informed consent form, which we have put up online on our Instagram site, and which I can send you if you want, so that

The patient can say, look, doctor, I understand the fear of being sued and I am willing to sign an informed consent form saying you spoke to me about this and we will share responsibility and I will assume that risk, which based on everything I know, is minimal, if present at all.

So that's number two.

And the third is we said that women rule by consensus.