Re: Sheila - could you check my letter to endo?

[Guest guest]

Excellent

I have just altered it a bit so he knows you know what you are talking about.

Luv - Sheila

________________________

Hi SheilaYou said I should write to the endo but I would like you to take a look at my letter to see if it is adequate..............................Dear Dr ..........I saw you on Tuesday 18th March 2008 to review the results of the blood tests I had done in January. You discharged me saying that the blood tests were normal and did not show anything which could indicate thyroid problems. You suggested HRT despite saying that my oestrogen level was normal. When I saw you in January I gave you the results of tests I had done privately. The 24hr urine test showed that my T3 was under range yet you said the test was not accurate or relevant and you rejected it as part of your diagnosis. Could you please give me, in writing, the reasons why you have chosen to ignore my 24hr urine test and only using the NHS blood test which only shows the FT4 and FT3 that is cirulating in the blood, whereas the 24 hour urine test shows the thyroid hormones circulating in the tissues. I paid privately for the more accurate 24 hour urine test because I understand that laboratory blood tests only give information about the hormonal status of a patient at a particular point in time, whereas the elevation of hormone levels in urine, assess tissue exposure to thyroid hormones over a 24 hr period.

Could you point me in the direction of research references which show that thyroid blood results are more accurate that 24hr urine resultsI look forward to your reply at your earliest convenience.

Dear Dr ..........I saw you on Tuesday 18th March 2008 to review the results of the blood tests I had done in January. You discharged me saying that the blood tests were normal and did not show anything which could indicate thyroid problems. You suggested HRT despite saying that my oestrogen level was normal. When I saw you in January I gave you the results of tests I had done privately. The 24hr urine test showed that my T3 was under range yet you said the test was not accurate or relevant and you rejected it as part of your diagnosis. Could you please give me, in writing, the reasons why you are ignoring my 24hr urine test and only using the NHS blood test which only shows the FT4 and FT3 in the blood. Could you point me in the direction of references which show that thyroid blood results are more accurate that 24hr urine results. I look forward to your reply.....................would be grateful for your opinion Sheila. B

No virus found in this incoming message.Checked by AVG. Version: 7.5.519 / Virus Database: 269.21.7/1332 - Release Date: 17/03/2008 10:48

[Guest guest]

Hi Sheila

Thank you so much for all your help. What would we all do without you.

I think myself very lucky that I found this forum with all the amazing amount of

information

on the files and the support and help of its members.

Again, thank you Sheila - will let you know when he replies.

Luv B

[Guest guest]

You're welcome . Hope it does the trick.

luv - Sheila

Hi SheilaThank you so much for all your help. What would we all do without you. I think myself very lucky that I found this forum with all the amazing amount of information on the files and the support and help of its members. Again, thank you Sheila - will let you know when he replies.Luv B

No virus found in this incoming message.Checked by AVG. Version: 7.5.519 / Virus Database: 269.21.7/1332 - Release Date: 17/03/2008 10:48

[Guest guest]

Hi,

I'd include the tests numbers and ranges so endo doesn't have to bother

looking them up. Also include your whole list of symptoms.

Subject: Sheila - could you check my letter to

endo?

Hi Sheila

You said I should write to the endo but I would like you to take a look at

my letter to see if

it is adequate..............................

Dear Dr ..........

I saw you on Tuesday 18th March 2008 to review the results of the blood

tests I had done

in January.

You discharged me saying that the blood tests were normal and did not show

anything

which could indicate thyroid problems. You suggested HRT despite saying that

my

oestrogen level was normal.

When I saw you in January I gave you the results of tests I had done

privately. The 24hr

urine test showed that my T3 was under range yet you said the test was not

accurate or

relevant and you rejected it as part of your diagnosis.

Could you please give me, in writing, the reasons why you are ignoring my

24hr urine test

and only using the NHS blood test which only shows the FT4 and FT3 in the

blood. Could

you point me in the direction of references which show that thyroid blood

results are more

accurate that 24hr urine results.

I look forward to your reply

.....................would be grateful for your opinion Sheila.

B

------------------------------------

Messages are not a substitute for professional medical advice. Always

consult with a suitably qualified practitioner before changing

medication.

[Guest guest]

Hi

I have been reading Dr Thierry Hertoghe's "The Hormone Handbook" about which is considered to be the best test to use for thyroid function. He has quite a bit to say, but to sum it all up, at the end of his article he says, and I quote: "Because of all these properties, the observations of some scientific studies and our experience of 24 hour urine hormone testing, we find that the 24 hour urine tests often gives more reliable values that match the mental and physical (clinical) hormone status of the patient more reliably than blood or saliva tests.

Below are some references to the 24 hour urine thyroid function tests that you could show your endocrinologist if he insists that the NHS blood test is more accurate than the 24 hour urine test.

Hope these help

24-hour urine thyroid Hormones

1. Fraser WD, Biggart E, O’Reilly D St J, Gray H W, McKillop JH, Thomson JA. Are biochemical tests of thyroid function of any value in monitoring patients receiving thyroxine replacement? Br Med J. 1986, 293: 808-10

2. Chan V, Landon J. Urinary thyroxine excretion as index of thyroid function. Lancet. 1972, (Jan 1) 7740: 4-6

3. Tal E , Sulman FG. Urinary thyroxine. Lancet. 1972, 1291

4. Chan V, Besser GM, Landon J, Ekins RP. Urinary triiodothyronine excretion as index of thyroid function. Lancet 1972, (Aug 5) 253-256

5. Chan V, Besser GM, Landon J. Effects of oestrogen on urinary thyroxine excretion. Br Med J. 1972, 4: 699-701

6. Rastogi GK, Sawhney, Sinha, , Devi. Serum and urinary levels of thyroid hormones in normal pregnancy. Obstet Gynecol. 1974, 2: 176-80

7. Rogowski P,Siersbaek-Nielsen K, Mölholm Hansen J. Urinary excretion of thyroxine in different thyroid states. Acta Endocrinol (Kopenh). 1978, 87: 525-34

8. Kolendorf K, Broch Môller B, Rogowski P. The influence of chronic renal failure on serum and urinary thyroid hormone levels. Acta Endocrinol (Kopenh). 1978, 89: 80-8

9. Ali Afrasiaki M, Dabir Vaziri N, Grant Gwinup, Mays M, Barton CH, Ness RL,Valenta LJ. Thyroid function in the nephrotic syndrome. Ann Int Med. 1979, 90, 335-8

10. Aizawa T, Yamada T, Tawata M, Shimizu T, Furuta S, Kiyosawa K, Yakata M. Thyroid hormone metabolism in patients with liver cirrhosis, as judged by urnary excretion of triiodothyronine. J Am Geriatrics Soc. 1980;28(11):485-91

11. Yoshida K, Sakurada T, Kaise K, Saito S, Yoshinaga K. Measurement of triiodothyronine in urine. Tohoku J Exp Med. 1980;132(4):389-95

12. Lopresti JS, Warren DW, Kaptein EM, Croxson MS, Nicoloff JT. Urinary immunoprecipitation method for estimation of thyroxine to triiodothyronine conversion in altered thyroid states. J Clin Endocrinol Metab. 1982;55( 4):666-70

13. Yoshida K, Sakurada T, Kaise K, Yamamoto M, Saito S, Yoshinaga K. Thyroid stimulation test with urinary T3 concentration as an index of thyroid response. Tohuku J Exp Med. 1983;139(3):271-7

14. Mirralles- JM, Mories-Alvarez MT, Reglero-Chillon A, Lanao JM, Corrales- JJ, -Diez LC. Urinary kinetics of triiodothyronine and their modification with age. Horm Metab Res. 1985;17(7):366-9

15. Orden I, Pie, Juste, Marsella, Blasco. Thyroxine in unextracted urine. Acta Endocrinol (Kopenh). 1987;114:503-8

16. Faber J, Siersbaek-Nielsen K, Kirkegaard C. Renal handling of thyroxine, 3,5,3’- and 3,3’,5’-triiodothyronine, 3,3’-diiodothyronine in man. Acta Endocrinol (Kopenh). 1987;115:144-8

17. Orden I, Pie J, Juste MG, Giner A, Gomez ME, Escanero JF. Urinary triiodothyronine excretion. Rev Espan Fisiol. 1988;44 (2):179-84

18. Hertoghe J. The usefulness of evaluating the urinary excretion of triiodothyronine and thyroxine in the urines of 24 hours for diagnosis of thyroid dysfunction and follow-up of thyroid treatment. Conference in Antwerp, Belgium, March 1975

19. Baisier WV, Hertoghe J,Eeckhaut W. Thyroid insufficiency. Is TSH the only diagnostic tool? J Nutr Env Med. 2000; 10: 105-13

20. Baisier WV, Hertoghe J, Eeckhaut W. Thyroid insufficiency. Is thyroxine the only valuale drug? J Nutr Env Med. 2001;11:159-166

21. Hertoghe T. The efficacy of diagnosing borderline and overt hypothyroidism with the laboratory assessment of triiodothyronine and thyroxine excretion in the urines of 24 hours. A comparison with plasma thyroid tests. Optimal hormone therapy in the aging adult. Basic and advanced seminar, San Francisco, February, 2000

Re: Sheila - could you check my letter to endo?

Hi SheilaThank you so much for all your help. What would we all do without you. I think myself very lucky that I found this forum with all the amazing amount of information on the files and the support and help of its members. Again, thank you Sheila - will let you know when he replies.Luv B

No virus found in this incoming message.Checked by AVG. Version: 7.5.519 / Virus Database: 269.21.7/1332 - Release Date: 17/03/2008 10:48

[Guest guest]

Hi Sheila

Thanks, that is amazing.

If you know all this, why don't the 'professionals' who have had training, go to

conferences, read medical articles in the Lancet etc., know. How can they be so

narrow

minded verging on blindness to the intricacies of thyroid problems.

I have a word for these professionals - hubris

B

hubris | & #712;(h)yo & #333;bris|

noun

excessive pride or self-confidence.

• (in Greek tragedy) excessive pride toward or defiance of the gods, leading to

nemesis.

DERIVATIVES

hubristic |(h)yo & #333; & #712;bristik| adjective

ORIGIN Greek.

Thesaurus

hubris

noun

the hubris among economists was shaken arrogance, conceit, haughtiness, hauteur,

pride,

self-importance, egotism, pomposity, superciliousness, superiority; informal

big-

headedness, cockiness. antonym humility.

[Guest guest]

Hubris - now why didn't I find a place to slot that into the papers?

I think they are turning a deaf ear and a blind eye to anything other than thyroxine because with natural products, there is no money to be made, and getting patients well again is secondary to that. Some might say I am being a little naive, I'm not, this is FACT. Let's now wait and see how the BTA respond ;o(

Luv - Sheila

Hi SheilaThanks, that is amazing.If you know all this, why don't the 'professionals' who have had training, go to conferences, read medical articles in the Lancet etc., know. How can they be so narrow minded verging on blindness to the intricacies of thyroid problems. I have a word for these professionals - hubris Bhubris | & #712;(h)yo & #333;bris|nounexcessive pride or self-confidence.• (in Greek tragedy) excessive pride toward or defiance of the gods, leading to nemesis.DERIVATIVEShubristic |(h)yo & #333; & #712;bristik| adjectiveORIGIN Greek.Thesaurus hubrisnounthe hubris among economists was shaken arrogance, conceit, haughtiness, hauteur, pride, self-importance, egotism, pomposity, superciliousness, superiority; informal big-headedness, cockiness. antonym humility.

No virus found in this incoming message.Checked by AVG. Version: 7.5.519 / Virus Database: 269.21.8/1338 - Release Date: 21/03/2008 17:52