Grass roots patient-activist organizations with names like ThyroidChange and Thyroid Patient Advocacy, and the doctor-founded National Academy of Hypothyroidism, say that the current screening test for hypothyroidism leaves out some symptomatic patients and that the main medication used to treat patients, doesn't always alleviate many symptoms.
They are calling for doctors to be open to other therapies, including a combination of synthetic hormones and the use of natural, animal-based ones.
"There are so many unhappy thyroid patients," says Ridha Arem, an endocrinologist and director of the Texas Thyroid Institute, who founded the journal Clinical Thyroidology. He believes recommended screening and treatment options for hypothyroidism—which occurs when thyroid glands fail to produce enough hormones to keep the body's metabolism working properly—aren't always adequate.
Many of his mainstream medical counterparts disagree. "The vast majority of people are fine on the standard therapy," says Jeffrey Garber, an associate professor of medicine at Harvard Medical Center and chair of the American Association of Clinical Endocrinologists Thyroid Scientific Committee. Still, he says, "there's a whole group out there who just thinks we're clueless."
PE1463 - effective thyroid and adrenal testing, diagnosis and treatment:
The Committee will take evidence in a round table format from—
Michael Matheson, Minister for Public Health,
Professor Graham Leese, CMO Specialty Adviser for Endocrinology,
Mark O’Donnell, Head of Quality and Planning Division, and
Lesley Metcalf, Policy Manager, Clinical Priorities Team, Scottish Government;
Sandra Whyte, Marian Dyer, and Lorraine Cleaver, Petitioners;
Tara Wilmott, Head of Approvals, Education and Standards Directorate, General Medical Council;
Dr Anthony Toft, Consultant Physician, Spire Murrayfield Hospital, Edinburgh;
Lyn Mynott, Chair/Chief Executive, Thyroid UK;
Professor Graham Williams, President, British Thyroid Association and
Treasurer, Society for Endocrinology.
If a car mechanic lets a customer run in a car with defective brakes - he would not only risk losing his job, but could also be prosecuted. When a doctor slowly turn his patient to death with heavy drugs or side effect, or quickly - with malpractice - nothing happens! In Denmark, even demonstrably insane doctors keeps their authorization, but doctors who do not comply with the collegiate game - yes, their certificates will be "suspended". No other profession is so exempt from liability, as the medical profession, and no other professions can, so much do whatever it pleases, as the medical profession.
Like in any subculture, also within the medical profession it is important to get the most out of the least possible. "Laws of survival" applies not only for plants and animals, but they apply to the subcultures survival as well: how to maintain myself as a doctor, with minimum effort? Answers to this question exists, in large part - in the proposed Clinical guidelines for general practice regarding Functional symptoms and disorders presented by the Danish Society of General Practitioners.
Provided that this proposal will be adopted (it does) it will save Danish doctors for the burden to have to retrain themselves, the burden of having to understand patients and diseases, and not least, the doctors will be officially relieved of the responsibility, they allready long abandoned in the practice . They will be guaranteed their salaries, despite that they provide not enough for it. It is namely "not enough" when they discard it difficult to diagnose and treat, groups of chronic patients - those doctors are not qualified to treat. To hide these skills shortages and to avoid having to acquire them - will be thousands and thousands of patients fitted with psychiatric diagnoses.
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