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echo: grand_rounds
to: PHIL THWING
from: CATHY HETTINGER
date: 1996-07-16 23:32:00
subject: temperature sensitivity

Phil, my mind takes kind of a philosophical bent when I read about the 
Hypothalamus and temperature regulation and Menopause.  Now are you actually 
only perceiving heat as your blood vessels respond and you are dripping with 
sweat or is their some kind of true thermal problem here? I know if you step 
in a deep freeze the problem abates.  So it must have some dependence on 
outside temperature.  I keep recalling this man I knew I watched him with my 
own eyes doing chores outside in the winter in shorts but sit down in the 
living room in the summer with a blanket.  My thoughts then were that his 
body heat really was dependent on exercise.  If he moves around he generates 
a bunch of heat but if he remains still he cools off.  Not so odd really.  
The amazing thing is this machine of a body can manage 98.6 with all kinds of 
different energy loads.  This isn't to say that your patient doesn't have 
some kind of pathological mental problem.  I promised myself a year ago I'd 
especially look at the sytem approach to neuroendocrine stuff.  I keep 
getting sidetracked with looking up other people's and myself symptoms on 
medline.  I need a poster with the body and all the chemicals for that 
system. One article I pulled a while ago was about the immune systems 
interaction with the neuroendocrine.  Things are just beginning to really 
come together about this stuff.  Particularly, with all the autoimmune in my 
fanily, I'd like to see illnesses caught at the endocrine level.  From what I 
saw in 20 years or so this may be one way to prevent the onset of RA,SLE etc. 
 Cathy
--- Maximus 2.02
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* Origin: Nurse Corner BBS - Orlando, FL (1:363/15)

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