Guest guest Posted September 4, 2008 Report Share Posted September 4, 2008 How do we change our ways? I cant just sit down or take to my bed and give up, its just not me. I go to bed around 10 everynight, I do what I have to in the day and work part time, very hard to change things really--- On Thu, 4/9/08, Mo Osborne <moosborne@...> I am so worn out I can hardly think what my symptoms are , all the usual ones I suppose as I am not yet optimised. This is primarily because of stress and it further lowering my cortisol I think. This is what I am saying to you, just taking the pills is not necessarily going to work magic for you, we must attend to changing our ways Mo >> What do you symptoms feel like mo? I get particulary anxious and nervey and feelings of weakness and lightheaded as if I need to eat, my stomach feels 'nervy' and I feel shaky, this has got worse since stopping my thyroxine so am hoping that will get better now I have restarted it, does the HC help you at all and how long have you took it? I am only 2 weeks on it and did think it would kick in almost instantly but it hasnt.> > > > --- On Thu, 4/9/08, Mo Osborne moosborne@.. ..> > > > > > > > > I think what happens is that our cortisol rises to the occasion when we have something > stressful to deal with in our lives. So we 'cope'.> And then it lowers after the event.> With chronic and severe stress it remains high and so our cortisol reserve gets depleted > and hey presto! we have adrenal fatigue that needs supplementing.> > Mo> > I went through a divorce and looked after my 2 children alone for 3 yrs so probably stress > was a factor back then but like I said I always felt like I coped ok. I also dont allow myself > any 'me' time and havent for a very long time.> > Everyone comes before me which is my doing I know.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 4, 2008 Report Share Posted September 4, 2008 Hi MO Did you have a really bad adrenal profile? All my readings were below range expect the midnight one and that was above range. It was obvious by looking at them that I just wasnt making enough cortisone, the NAE wasnt going to help me produce more but its a good glandular support but didnt effect me that much, I have restarted it today though and take it alongside the Hc I am so worn out I can hardly think what my symptoms are , all the usual ones I suppose as I am not yet optimised. This is primarily because of stress and it further lowering my cortisol I think. This is what I am saying to you, just taking the pills is not necessarily going to work magic for you, we must attend to changing our ways Mo >> What do you symptoms feel like mo? I get particulary anxious and nervey and feelings of weakness and lightheaded as if I need to eat, my stomach feels 'nervy' and I feel shaky, this has got worse since stopping my thyroxine so am hoping that will get better now I have restarted it, does the HC help you at all and how long have you took it? I am only 2 weeks on it and did think it would kick in almost instantly but it hasnt.> > > > --- On Thu, 4/9/08, Mo Osborne moosborne@.. ..> > > > > > > > > I think what happens is that our cortisol rises to the occasion when we have something > stressful to deal with in our lives. So we 'cope'.> And then it lowers after the event.> With chronic and severe stress it remains high and so our cortisol reserve gets depleted > and hey presto! we have adrenal fatigue that needs supplementing.> > Mo> > I went through a divorce and looked after my 2 children alone for 3 yrs so probably stress > was a factor back then but like I said I always felt like I coped ok. I also dont allow myself > any 'me' time and havent for a very long time.> > Everyone comes before me which is my doing I know.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 4, 2008 Report Share Posted September 4, 2008 I did my adrenal salivary test back in July through NPTech. I was under the impression your profile was pretty bad, thus you reason for taking HC at the dose you are on. There is so much we have to consider and think about with this damn illness isnt there, and most of the time have no backing from our docs, its really bad. To think when I was first diagnosed I was given the pills and told I would feel loads better in a couple of weeks, 2 yrs on.............................still waiting!--- On Thu, 4/9/08, Mo Osborne <moosborne@...> No I didn't . Well according to the ASI anyway and I am not too sure that they are totally reliable.In Dr Lowe's newsletter this week he said that being hypoT causes the liver to malfunction, clear cortisol more slowly is what he said, so that there is more cortisol in the body fluids than there would be if there was no hypoT.He said this often means that the ASI gives a false reading because the cortisol levels will be higher because of the slow clearance. Mo> Did you have a really bad adrenal profile? All my readings were below range expect the midnight one and that was above range. It was obvious by looking at them that I just wasnt making enough cortisone, the NAE wasnt going to help me produce more but its a good glandular support but didnt effect me that much, I have restarted it today though and take it alongside the Hc> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 4, 2008 Report Share Posted September 4, 2008 Hi , You can change your ways. I had to. I am in stage 7 adrenal fatigue and have HypoT, Hashis, and goiter. Five things you CAN do: 1— eliminate toxins including non-medcially necessary drugs, SUGAR, white foods and gluten/wheat if you are sensitive to it 2 —Exercise to you level of energy and health at LEAST 5 days a week – even if it’s 10 minutes of stretching, yoga, walking. Build up as you regain strenth. 3 — Eat properly — meaning don’t eat carbs alone, they spike sugar and then cause crashes. Make PROTEIN and VEGGIES the base of your meals. Take good supplements that you tolerate well and digestive enzymes. 4 — Sleep 7 to 8 hours a night AND reduce stressors in your life as you can — people, places, things. 5 — make sure if you need any HRT for thryoid or adrenals, you get proper treatment. If you do these 5 things, you will start to heal. It’s a very slow process but the alternative is to get worse. I was working 12 hour days, weekends, stressing over everyghing. When my cortisol hit ground zero in June, I changed EVERYthing — not all at once, but slowly. By end of July my cortisol had gone up a bit — not a lot but enough to show forward progress. I hope this helps a bit. Hang in there! Sue On 9/4/08 2:14 PM, " sarah s " <xxsarahxx_40@...> wrote: How do we change our ways? I cant just sit down or take to my bed and give up, its just not me. I go to bed around 10 everynight, I do what I have to in the day and work part time, very hard to change things really Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 Hi Leah Cortisol blood tests are not reliable. It is usually done at 8.00a.m. or early in the morning. Cortisol should be tested when you first wake 9whatever time that is) and three more times at intervals of four hours so it can be seen what the output is throughout the day. You need a 24 hour salivary adrenal test - which of course the NHS fail to recognise. Luv - Sheila > > Hmm. Interesting.> Some say the blood test for cortisol is not reliable, looks like neither of them are from what > Dr Lowe said.> Mo would you mind putting on alink so I can have a read for myself? Had a look but Dr Lowe's site is so huge I can't find it...ThanksLeah x No virus found in this incoming message.Checked by AVG - http://www.avg.com Version: 8.0.169 / Virus Database: 270.6.16/1653 - Release Date: 05/09/2008 06:57 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 I certainly hope my salivary adrenal test was accurate because I dont want to be taking HC if I dont need to, infact I am thinking of not carrying on with them for much longer, I feel they might do more harm than good. Incidently my dog was diagnosed with cancer yesterday, very sad day in my house, he has it in all Lymph glands and it has overspilled into his blood, the vet says we have 6 to 12 months left with him. He is now taking 10mg of prednisolone in one dose daily, bless him--- On Sat, 6/9/08, lelole76 leah.leaves@... >> Hi Leah> > Cortisol blood tests are not reliable. It is usually done at 8.00a.m. or early in the morning. Cortisol should be tested when you first wake 9whatever time that is) and three more times at intervals of four hours so it can be seen what the output is throughout the day. You need a 24 hour salivary adrenal test - which of course the NHS fail to recognise.> Hi SheilaI actually had already had one! A lot of the origanal to this message was cut off, but Mo had posted Dr Lowe's opinion that salivary tests aren't reliable if you are hypothyroid. Leah x Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008  Hi You were not diagnosed by only using the 24 hour salivary adrenal profile, you were also physically examined to see whether you did have an adrenal problem. Both of these tests showed that you did need your adrenals boosting. You really should not stop your HC just like that. I have kept posting information to reassure you that what you have been recommended is the correct course of treatment. You must do nothing without first you consult with Dr P by telephone, and I would recommend you do this first thing on Monday morning. PLEASE DO NOT STOP YOUR HC just because you are not sure whether it is working or not - you will likely put yourself right back to square one - and probably cause yourself even worse problems. If you have low adrenal reserve and you are not making the hormones that your body needs, ONLY replacement of that particular hormone will get you well again. You are not on the full replacement dose by a long way, and Dr P did tell you that you would need 20 mgs before you would start to feel well. I know I keep saying this, but PLEASE be patient, and get phoning Dr P. He would not be happy to hear what you are thinking of doing. Your case is specific to you, you should not be allowing yourself to be swayed by other topics in these threads. What one doctor says, against what another doctor says has nothing whatever to do with your particularly predicament. You are lucky enough to have been seen by one of the best thyroid doctors in the UK- and one who has studied the thyroid/adrenal connection, perhaps more than the majority of doctors in the UK - so listen to him. He would want you to phone him if you feel things are not quite working as you thought they would, rather than you thinking of stopping. Google Hydrocortisone - read what it says about stopping HC suddenly. Just don't go there . Luv - Sheila I certainly hope my salivary adrenal test was accurate because I dont want to be taking HC if I dont need to, infact I am thinking of not carrying on with them for much longer, I feel they might do more harm than good. Incidently my dog was diagnosed with cancer yesterday, very sad day in my house, he has it in all Lymph glands and it has overspilled into his blood, the vet says we have 6 to 12 months left with him. He is now taking 10mg of prednisolone in one dose daily, bless him--- On Sat, 6/9/08, lelole76 leah.leavesgooglemail >> Hi Leah> > Cortisol blood tests are not reliable. It is usually done at 8.00a.m. or early in the morning. Cortisol should be tested when you first wake 9whatever time that is) and three more times at intervals of four hours so it can be seen what the output is throughout the day. You need a 24 hour salivary adrenal test - which of course the NHS fail to recognise.> Hi SheilaI actually had already had one! A lot of the origanal to this message was cut off, but Mo had posted Dr Lowe's opinion that salivary tests aren't reliable if you are hypothyroid. Leah x No virus found in this incoming message.Checked by AVG - http://www.avg.com Version: 8.0.169 / Virus Database: 270.6.17/1655 - Release Date: 05/09/2008 19:05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 Hi Sheila I wont just stop it, I know I cant just do that so dont worry, I am not silly! I am starting to feel its the T4 I need more of and probably shouldnt have stopped it for as long as I did but circumstances meant I had to. I do know that when HC is stopped it has to be tapered, I have read that so I am aware of not stopping it abruptly, I promise I wont. I would always ring Dr P before I do anything. I will go up to 20mcgs and see what happens, I am nearly there anyway. I am very grateful for all your reasurrance, I just wish Dr P was my next door neighbour!!--- On Sat, 6/9/08, sheilaturner <sheilaturner@...>  Hi You were not diagnosed by only using the 24 hour salivary adrenal profile, you were also physically examined to see whether you did have an adrenal problem. Both of these tests showed that you did need your adrenals boosting. You really should not stop your HC just like that. I have kept posting information to reassure you that what you have been recommended is the correct course of treatment. He would want you to phone him if you feel things are not quite working as you thought they would, rather than you thinking of stopping. Google Hydrocortisone - read what it says about stopping HC suddenly. Just don't go there . Luv - Sheila I certainly hope my salivary adrenal test was accurate because I dont want to be taking HC if I dont need to, infact I am thinking of not carrying on with them for much longer, I feel they might do more harm than good. Incidently my dog was diagnosed with cancer yesterday, very sad day in my house, he has it in all Lymph glands and it has overspilled into his blood, the vet says we have 6 to 12 months left with him. He is now taking 10mg of prednisolone in one dose daily, bless him--- On Sat, 6/9/08, lelole76 leah.leaves@ googlemail. com >> Hi Leah> > Cortisol blood tests are not reliable. It is usually done at 8.00a.m. or early in the morning. Cortisol should be tested when you first wake 9whatever time that is) and three more times at intervals of four hours so it can be seen what the output is throughout the day. You need a 24 hour salivary adrenal test - which of course the NHS fail to recognise.> Hi SheilaI actually had already had one! A lot of the origanal to this message was cut off, but Mo had posted Dr Lowe's opinion that salivary tests aren't reliable if you are hypothyroid. Leah x No virus found in this incoming message.Checked by AVG - http://www.avg. com Version: 8.0.169 / Virus Database: 270.6.17/1655 - Release Date: 05/09/2008 19:05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 I was hoping the T4 might kick in quite quickly as I want to increase it fairly soon, certainly dont want to wait 6 weeks before I do that. I think it is the thought of my fast approaching holiday to the US that is making want to rush things and get sorted, I am sure anyone can understand that? I really dont want to be in Florida and not be able to enjoy it, I might never go there again. Another thought I have had also, everywhere I have read about HC it says the person on it should carry a steriod card in case of any accidents etc, I have never been told this and find it quite worrying to be honest--- On Sat, 6/9/08, lelole76 <leah.leaves@...> > I wont just stop it, I know I cant just do that so dont worry, I am Hi ,I would echo what Sheila said. If it was the thread I was talking about my adrenals which was making you thinking of stopping then please don't. I think the salivary tests being unreliable was relating to them being artificially high in some cases. Clearly if yours were low this was not an issue.Believe me - if I could get to a Dr P clinic near me I would. Leah x Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2008 Report Share Posted September 7, 2008  It is very important that you always carry a Steroid Card with you in the event that you taken ill and are seen by another Doctor. Cards are available from local pharmacy. These tell other Doctors all they need to known about your treatment that might have a bearing on other treatments you require, especially in an emergency. It is often necessary, for example, to supplement the hydrocortisone that you take with extra doses by injection if you suffer an acute illness or if you require any form of surgeryHowever, you must keep your card details up to date when you decrease or increase your dose. You can also wear one olf the Medic Alert pendants/bracelets which are nice looking http://www.icegems.co.uk/?gclid=CMTy_7ysyZUCFQ86EAodhWbKhg Luv - Sheila Another thought I have had also, everywhere I have read about HC it says the person on it should carry a steriod card in case of any accidents etc, I have never been told this and find it quite worrying to be honest No virus found in this incoming message.Checked by AVG - http://www.avg.com Version: 8.0.169 / Virus Database: 270.6.17/1655 - Release Date: 05/09/2008 19:05 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2008 Report Share Posted September 7, 2008 Is this necessary when this will be only a short term treatment with HC? I am flying to America in just over 5 weeks time, what do I do? I am really confused and upset about this now, my doctor doesnt know I take HC and probably wouldnt aprove anyway, I guess I need to speak to Dr P again about this--- On Sun, 7/9/08, chrischids <no_reply > Hi You need to read the information on http://www.pituitar y.org.uk/ content/view/ 329/166/regarding your HC.Chris> > Another thought I have had also, everywhere I have read about HC it says the person on it should carry a steriod card in case of any accidents etc, I have never been told this and find it quite worrying to be honest> > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- ------------> > > > No virus found in this incoming message.> Checked by AVG - http://www.avg. com > Version: 8.0.169 / Virus Database: 270.6.17/1655 - Release Date: 05/09/2008 19:05> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2008 Report Share Posted September 7, 2008 My body does produce some cortsiol, I dont have addisons disease, oh god this is so difficult. I certainly dont have an injection kit at homw--- On Sun, 7/9/08, chrischids no_reply Hi You need to read the information on http://www.pituitar y.org.uk/ content/view/ 329/166/regarding your HC.Chris> > Another thought I have had also, everywhere I have read about HC it says the person on it should carry a steriod card in case of any accidents etc, I have never been told this and find it quite worrying to be honest> > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- ------------> > > > No virus found in this incoming message.> Checked by AVG - http://www.avg. com > Version: 8.0.169 / Virus Database: 270.6.17/1655 - Release Date: 05/09/2008 19:05> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2008 Report Share Posted September 7, 2008  , it is always wise to carry details of your medication in case of accident or emergency. I carry a card saying I take Armour thyroid 3 grains and 25 mcgs L-thyroxine. Don't get panicky about people posting links to websites that are nothing to do with you. This one is talking about 's disease - a condition where you cannot live without HC - you can, you still have functioning adreals, only a bit on the low side. All you are doing is replaciong the amount of cortisone you are not making for the moment. Remember what I keep telling you, you are under the care of Dr Peatfield - talk to him. The members here are not medically qualified, he is. We are all here to help each other, not to cause each other more distress than we have already. Luv - Sheila Is this necessary when this will be only a short term treatment with HC? I am flying to America in just over 5 weeks time, what do I do? I am really confused and upset about this now, my doctor doesnt know I take HC and probably wouldnt aprove anyway, I guess I need to speak to Dr P again about this--- On Sun, 7/9/08, chrischids <no_reply > Hi You need to read the information on http://www.pituitar y.org.uk/ content/view/ 329/166/regarding your HC.Chris> > Another thought I have had also, everywhere I have read about HC it says the person on it should carry a steriod card in case of any accidents etc, I have never been told this and find it quite worrying to be honest> > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- ------------> > > > No virus found in this incoming message.> Checked by AVG - http://www.avg. com > Version: 8.0.169 / Virus Database: 270.6.17/1655 - Release Date: 05/09/2008 19:05> No virus found in this incoming message.Checked by AVG - http://www.avg.com Version: 8.0.169 / Virus Database: 270.6.17/1657 - Release Date: 06/09/2008 20:07 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2008 Report Share Posted September 7, 2008 Thanks Sheila, It does cause me distress when i read stuff like that, I feel really low right now anyway, tearful again etc. I am sure this must be the lack of T4, what else can it be? I never expected the few weeks I was off T4 to make me feel so bad again, I am aware that article was about people with addisons but I also take a steriod--- On Sun, 7/9/08, sheilaturner <sheilaturner@...>  , it is always wise to carry details of your medication in case of accident or emergency. I carry a card saying I take Armour thyroid 3 grains and 25 mcgs L-thyroxine. We are all here to help each other, not to cause each other more distress than we have already. Luv - Sheila Is this necessary when this will be only a short term treatment with HC? I am flying to America in just over 5 weeks time, what do I do? I am really confused and upset about this now, my doctor doesnt know I take HC and probably wouldnt aprove anyway, I guess I need to speak to Dr P again about this--- On Sun, 7/9/08, chrischids <no_reply@group s.com> Hi You need to read the information on http://www.pituitar y.org.uk/ content/view/ 329/166/regarding your HC.Chris> > Another thought I have had also, everywhere I have read about HC it says the person on it should carry a steriod card in case of any accidents etc, I have never been told this and find it quite worrying to be honest> > > > > > > > > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- ------------> > > > No virus found in this incoming message.> Checked by AVG - http://www.avg. com > Version: 8.0.169 / Virus Database: 270.6.17/1655 - Release Date: 05/09/2008 19:05> No virus found in this incoming message.Checked by AVG - http://www.avg. com Version: 8.0.169 / Virus Database: 270.6.17/1657 - Release Date: 06/09/2008 20:07 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 8, 2008 Report Share Posted September 8, 2008 Again, for your own peace of mind and so that a note will be put into your medical records, I would book a double appointment with my doctor so that you could discuss the reason why you are taking Armour (and for those of you who have had to take HC to boost your adrenals, explain the reason for this too). Take with you whatever documentation you feel would help you and always remember to mention your need for a second opinion because you remained so ill on the NHS treatment protocol. You do not, however, have to mention that you are taking Nutri Adrenal Extra, Dynamite Adrenal or any other forum of adrenal supplements as these contain only miniscule amounts of HC and are not prescription drugs. Luv - Sheila Im taking Armour and 6 Nutri Adrenal but I am Dr P diagnosed not NHS diagnosed so there is no mention of my thyroid problem on my medical notes. If I have to go into hospital, where do I stand regarding the medication I am taking. That is the main reason why I want my GP and endo to acknowledge my secondary thyroid condition which is a conversion disfunction. B No virus found in this incoming message.Checked by AVG - http://www.avg.com Version: 8.0.169 / Virus Database: 270.6.18/1658 - Release Date: 07/09/2008 15:30 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2008 Report Share Posted September 9, 2008 How do you manage to take it sublingulary?? My stomach is not good but didnt think I could take it any other way So sorry to hear about your poor dog, I loved my dogs to bits and itis really stressful when there is anything wrong with them I know :(About the hc, I only take 2.5/2.5/1.25/ 1.25 very low dose but seems towork for me and gives me room to raise on Armour raises withoutgetting too much. I know it is very bitter but I take it sublinguallyas my guts are a tad bad and I get really bad soreness of the GI tract.Good luck honlotsa luv and God blessDawnx Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2008 Report Share Posted September 12, 2008 Not sure if Dr P would do that and dont really like to ask--- On Wed, 10/9/08, valerieforster56 <valerieforster56@...> Can you not get Dr P to write to your GP detailing a "treatment plan" with your HC? This would bring your GP on board with what you are doing. My GP does not understand hc but is happy to have a treatment plan from whoever is treating me & will then actually prescribe the hc for me. Val Is this necessary when this will be only a short term treatment with HC? I am flying to America in just over 5 weeks time, what do I do? I am really confused and upset about this now, my doctor doesnt know I take HC and probably wouldnt aprove anyway, I guess I need to speak to Dr P again about this Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2008 Report Share Posted September 12, 2008 I suppose I will have to tell my doc that I take HC eventually, I am waiting for an appointment to see an endo too so will probably tell him. I dont like to think I will become hydrocortisone dependant. I was/am hoping to not need it for ever, am I right in thinking the longer you are on it the more dependant you become on it? This cant be the case in adrenal fatigue, once the adrenals are healed one shouldnt need it?--- On Wed, 10/9/08, valerieforster56 <valerieforster56@...> Hi , The endo I saw recently insisted in his letter to my GP ( & me) that I get a medical bracelet detailing this. I bought one from http://www.icegems. co.uk/925- sterling- silver-medical- id-bracelet- 5-p.asp I found this one particularly good as the disc is not a dangling one & so does not get in the way. I had written on it in 4 lines - cortisol deficient, hydrocortisone dependant, hypothyroid & my thyroid doses. I did not put doses of hc on it as I do not think them relevant. The endo also insisted that I get a syringe with a 100mg dose for emergencies, although I would not carry this around, but it could be useful to have at home in an emergency. The bracelet would instantly alert medical staff to give this dose while I am out & about in an emergency. Pls don't panic about this. I am sure you have not been on it long enough for this to be a problem and I had been on 20mg for 3.5 years before getting my bracelet (not that I am suggesting you wait this long!). Val Another thought I have had also, everywhere I have read about HC it says the person on it should carry a steriod card in case of any accidents etc, I have never been told this and find it quite worrying to be honest Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2008 Report Share Posted September 13, 2008 Chris Dr P is a private consultant, a patient does not have to ask their GP to give them a referral. Should a GP refer their patient to any NHS specialist, then that specialist does automatically write a report to that GP. If a patient requests Dr P to write to their doctor with his recommended treatment regime, then he will do so. You know well that NHS doctors do not recognise low adrenal reserve, they only recognise either Cushing's Syndrome or 's disease. Sheila Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2008 Report Share Posted September 13, 2008 I believe that it is, in fact, part and parcel of the first consultation with Dr. P. It includes not only writing to your GP (if you want) but a couple of telephone follow ups as well. Lilian Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2008 Report Share Posted September 13, 2008 As patient pay for a private consultation, as with many specialist consultatants, the fee often covers the cost of writing letters to GP's and follow up telephone calls, and the fee paid to Dr Peatfield covers such costs. Most of Dr Peatfield's patients are aware of this, but if they are not, all they need do is ask him. Actually Lilian, his costs cover three follow up telephone calls, but as we all know, he will always be there if his patient needs him beyond this, and he does not charge anything. luv - Sheila I believe that it is, in fact, part and parcel of the first consultation with Dr. P. It includes not only writing to your GP (if you want) but a couple of telephone follow ups as well. Lilian No virus found in this incoming message.Checked by AVG - http://www.avg.com Version: 8.0.169 / Virus Database: 270.6.21/1669 - Release Date: 12/09/2008 14:18 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2008 Report Share Posted September 13, 2008 What is a worry is how does , Dr P, or anybody else make 's GP understand the need as to WHY she needs to be supporting her adrenals in the first place. This is the worry that has, and most of all the members of this forum and others like it, because GP's (and the majority of endocrinologists) just poo poo low adrenal reserve out of hand. Even if did have letters (which Dr P would write) we do know that this would be a waste of everybody's time and energy. It is all part and parcel of why TPA-UK is here, to campaign to get such things recognised within the NHS. Sheila - do you know this? It should help all your worries.Chris>> I believe that it is, in fact, part and parcel of the first consultation with Dr. P. It includes not only writing to your GP (if you want) but a couple of telephone follow ups as well. > > Lilian> No virus found in this incoming message.Checked by AVG - http://www.avg.com Version: 8.0.169 / Virus Database: 270.6.21/1669 - Release Date: 12/09/2008 14:18 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2008 Report Share Posted September 13, 2008 I did mention to Dr P about writing to my doc when I saw him, he said it wasnt necessary but would actually think it would be good if he did. he could probably say things better than I can and I feel reluctant to tell my gp what I am doing--- On Sat, 13/9/08, sheilaturner <sheilaturner@... As patient pay for a private consultation, as with many specialist consultatants, the fee often covers the cost of writing letters to GP's and follow up telephone calls, and the fee paid to Dr Peatfield covers such costs. Most of Dr Peatfield's patients are aware of this, but if they are not, all they need do is ask him. Actually Lilian, his costs cover three follow up telephone calls, but as we all know, he will always be there if his patient needs him beyond this, and he does not charge anything. luv - Sheila I believe that it is, in fact, part and parcel of the first consultation with Dr. P. It includes not only writing to your GP (if you want) but a couple of telephone follow ups as well. Lilian No virus found in this incoming message.Checked by AVG - http://www.avg. com Version: 8.0.169 / Virus Database: 270.6.21/1669 - Release Date: 12/09/2008 14:18 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2008 Report Share Posted September 13, 2008 Dr P didnt actually diagnose me, my own Gp did, but because my Gp didnt understand my adrenal tests and reffered me to an NHS endo, that I as yet still havent got an appointment for, I went to see Dr P. All I want to get rid of is this funny, motion feeling in my head, like my head isnt with my body, very hard to explain but had it for as long as I can now remember, I did think it was adrenal related and it used to really scare me. Hopefully the NHS endo might run some more tests--- On Sat, 13/9/08, chrischids <no_reply > Then ask him again to do it then , you've paid for the diagnosis.Chris>> I did mention to Dr P about writing to my doc when I saw him, he said it wasnt necessary but would actually think it would be good if he did. he could probably say things better than I can and I feel reluctant to tell my gp what I am doing> > > > --- On Sat, 13/9/08, sheilaturner <sheilaturner@ ...> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 13, 2008 Report Share Posted September 13, 2008 No dont think its vertigo, think I would know if it was that, like I said Bob I find it hard to describe From: bob.m9uk <Bob.m9uk@...>Subject: Re: adrenals and stressthyroid treatment Date: Saturday, 13 September, 2008, 3:09 PM Hi ,Are you describing vertigo?That may be hearing associated and too much caffeine may have an impact on it.best wishesBob>> Dr P didnt actually diagnose me, my own Gp did, but because my Gp didnt understand my adrenal tests and reffered me to an NHS endo, that I as yet still havent got an appointment for, I went to see Dr P. Quote Link to comment Share on other sites More sharing options...
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