Guest guest Posted January 29, 2011 Report Share Posted January 29, 2011 They also take account of INFORMED PATIENCE PREFERENCE [as far as suppressed TSH goes]- they must realise that patients have minds and brains of their own . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2011 Report Share Posted January 30, 2011 The problem is, Andy, that the Royal College of Physicians and the British Thyroid Association brought out new 'guidance' about a year ago stating categorically that patients should not be given a diagnosis of hypothyroidism if their TSH is inside the reference range of 0.5 to 10.0. Many doctors in the UK pay no attention to this, and carry on working with other guidelines and will diagnose and treat their patients using the reference range around 0..5 to 5.0. Others are too afraid of losing their career and livelihood, because doctors have been reported by members of the BTA to the GMC - this is what makes them afraid. In Germany, Belgium and Sweden, they use the reference range 0..3 to 2.5 (with a recommendation this be dropped to 0.3 to 1.5. In America, the recommended reference range is 0.3 to 3.0. I bet if you showed the guidelines from the Dundee web site, it will make little difference to the outcome, but certainly it is worth showing him. Luv - Sheila As somebody with a TSH of 4.1 and an Endo that will not treat it I found these guidelines from a Dundee Uni/Tayside web site.Of course as it says it's only for use with their lab results but it says if anyone is over 3.9 and has symptoms they should be treated!!.I am just waiting for my new bloods and will show my Endo. Just google TSH>4.0 and you will find it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2011 Report Share Posted January 30, 2011 But they don't. Even my endo will get blood test results and immediately ignore everything I tell him in preference to what the numbers say. Glynis > They also take account of INFORMED PATIENCE PREFERENCE [as far as suppressed TSH goes]- they must realise that patients have minds and brains of their own . > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2011 Report Share Posted January 30, 2011 HI SheILA , how do i get the guidelines from the dundee website please. i would like to show them to my gp and get a 2 nd opinion from an endocrinologist from your list. having lost 3years of my life with my hubby and 2 young boys i am desperate to be taken seriously by my gp. i feel the dundee reference range would really help me to achieve this. ALSO HAS ANYONE ANY ADVICE ABOUT GETTING A HOME VISIT WHEN HOUSEBOUND, MY PRACTICE NURSE JUST SAYS I SHOULD WAIT TILL I AM FEELING BETTER AND HAVE TELEPHONE CONSULATATIONS WHEN TOO WEAK/ILL TO ATTEND THE SURGERY. SHE SAID IT IS FOR THE ELDERLY AND HOUSEBOUND. I SAID I AM NOT ELDERLY BUT I AM HOUSEBOUND. DOES ANYONE ELSE HAVE THIS PROBLEM.AM I BEING UNRESONABLE PERHAPS TO EVEN REQUEST A HOME VISIT. ANY COMMENTS WOULD BE GREATLY APPRECIATED. kiNDEST Regards, Bernie From: Sheila <sheila@...>thyroid treatment Sent: Sun, 30 January, 2011 11:19:30Subject: RE: Guidelines?? [Ed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2011 Report Share Posted January 31, 2011 http://www.dundee.ac.uk/medther/tayendoweb/images/thyroid_function_tests.htm http://www.dundee.ac.uk/medther/tayendoweb/hypothyroidism.htm http://www.dundee.ac.uk/medther/tayendoweb/images/trhthyroid.htm#Top how do i get the guidelines from the dundee website please. i would like to show them to my gp and get a 2 nd opinion i feel the dundee reference range would really help me to achieve this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2011 Report Share Posted January 31, 2011 I have just sent them to you. They were created by the BTA , the BTF and the ACB in 2006 - and another 'guidance' the BTA, and RCP prepared early last year. These are the guidelines that Dundee would use. Your doctors in Dundee are not forced to follow those TSH reference ranges given by the RCP, BTA et al, nor is any doctor. The DoH state that doctors can follow any hypothyroid guidelines, even if they come from another country, so long as they can explain why they are choosing one above another. Luv - Sheila HI SheILA , how do i get the guidelines from the dundee website please. i would like to show them to my gp and get a 2 nd opinion from an endocrinologist from your list. having lost 3years of my life with my hubby and 2 young boys i am desperate to be taken seriously by my gp. i feel the dundee reference range would really help me to achieve this. ALSO HAS ANYONE ANY ADVICE ABOUT GETTING A HOME VISIT WHEN HOUSEBOUND, MY PRACTICE NURSE JUST SAYS I SHOULD WAIT TILL I AM FEELING BETTER AND HAVE TELEPHONE CONSULATATIONS WHEN TOO WEAK/ILL TO ATTEND THE SURGERY. SHE SAID IT IS FOR THE ELDERLY AND HOUSEBOUND. I SAID I AM NOT ELDERLY BUT I AM HOUSEBOUND. DOES ANYONE ELSE HAVE THIS PROBLEM.AM I BEING UNRESONABLE PERHAPS TO EVEN REQUEST A HOME VISIT. ANY COMMENTS WOULD BE GREATLY APPRECIATED. kiNDEST Regards, Bernie From: Sheila <sheila@...> thyroid treatment Sent: Sun, 30 January, 2011 11:19:30 Subject: RE: Guidelines?? [Ed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2011 Report Share Posted January 31, 2011 It's sure looks that way! Thanks for the update. Jaki, it looks like you are probably talking about the British Thyroid Association, British Thyroid Foundation and Association of Clinical Biochemists Hypothyroid Guidelines. You will find these here http://www.british-thyroid-association.org/info-for-patients/Docs/TFT_guideline_final_version_July_2006.pdf However, since those guidelines on thyroid function testing, the Royal College of Physicians and the British thyroid Association have brought out a further 'guidance' on the diagnosing and management of primary hypothyroidism - showing their recommended TSH level is 0.5 to 10.0 and that patients should not be diagnosed if their TSH appears anywhere within this range http://www.british-thyroid-association.org/news/Docs/hypothyroidism_statement.pdf . I'm afraid they have made a bad job of things and got their knickers in a twist - as you will see they really have no idea what they are talking about anymore, and can't even back up their statements by citing references to the scientific evidence. All of this is just their opinion. Luv - Sheila http://www.dundee.ac.uk/medther/tayendoweb/images/thyroid_function_tests.htm http://www.dundee.ac.uk/medther/tayendoweb/hypothyroidism.htm http://www.dundee.ac.uk/medther/tayendoweb/images/trhthyroid.htm#Top how do i get the guidelines from the dundee website please. i would like to show them to my gp and get a 2 nd opinion i feel the dundee reference range would really help me to achieve this. Quote Link to comment Share on other sites More sharing options...
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