Don’t treat “hormones” as poison

  ”How are you feeling today? Did you take the medicine you were given yesterday?” Even though it was the same question that was repeated every day during the checkup, the doctor kept repeating it. To my surprise, the patient sat up and said embarrassedly, “Doctor, I actually put away 1 tablet of the hormone you gave me every day, I really don’t dare to take that much.” This is another example of a patient with an immune system disease who changed his medication without permission.  Examples like this are common in our daily work. We give patients their medications on time and at the right dosage with meals every day, but often patients take it upon themselves to adjust their dosage, especially for hormones, which interferes with the doctor’s treatment and observation.  The hormones mentioned here are mostly referred to clinically as glucocorticoids. They have anti-inflammatory, anti-toxic, anti-shock, immunosuppressive and other pharmacological effects, and are used in a very wide range. So why does this happen? It boils down to the people’s misconceptions about the side effects of hormones. “Eating hormones will make you fat”, “Once you take hormones, you can’t stop and you will have bone necrosis”, “Hormones treat the symptoms but not the root cause”… …Many misunderstandings have caused many patients to talk about “hormones” and some have even shouted the slogan of “no hormones”, which has delayed treatment.  In fact, hormones are not that terrible. Although hormones have many serious side effects, they can still be very effective as long as you master the indications, treatment course and dosage of the disease and pay attention to prevent side effects. They are of great importance for the relief of symptoms and the treatment of the disease.  In their clinical work, experts have found that hormones are needed for the treatment of about 160 primary diseases such as asthma, kidney disease, psoriasis, acne, frozen shoulder, osteophytes, organ transplants ……. For example, up to 40-60% of rheumatoid patients have used or are using hormones, but the premise is that hormones must be carried out under the guidance of rheumatologists, and adequate amounts of glucocorticoids are needed in the acute and active stages of the disease, even with “methylprednisolone” impact, which not only can This can not only control the symptoms and disease rapidly, but also improve the quality of life of the patient and enable the patient to recover physically and psychologically.  The use of hormones can improve clinical symptoms in a short period of time, and this effect is often overly attractive, leading to the abuse of hormones, or the side effects of hormones make some people afraid of them and do not adhere to the medication. Therefore, we hope that patients and doctors will cooperate, use medication reasonably under the guidance of doctors, and master the timing of treatment to achieve the best results.