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Re: Sheffield based Junior Drs exam revision site on hypothyroidism

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Posted
Posted

>

> http://www.medrevise.co.uk/wiki/Hypothyroidism

>

> They would do a lot better to read and digest Dr Peatfield's book, this is so

simplified it is virtually worthless, just a corny bit of fun for thickheads!!!!

How will they ever be able to treat someone with that level of information, no

wonder we are so neglected. Somebody should tell them. They don't even mention

T4, never mind the T3, reverse T3 or the test for hashimoto, and there is no

mention of conversion problems either. Is this level of knowledge enough to

pass an exam and get a job earning the respect and deference of their patients,

God help us all. They are churning out robots to dish the drugs, about time

somebody put a stop to this and introduced a proper medical school.

When we have all made our comments perhaps somebody could forward the thread to

them!!

love janet

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That is disgusting, if trainee Drs find that funny it is no wonder most are so

unsuited to respecting the patient and helping them get better.

I suppose being very generous it could me meant as a memory aid, it is not

likely young people of normal sensibility would forget it!

The site seems more knowledgeable than my Dr, might print it out for him but I

think it misses lack of conversion and RT3 problems.

Maire

> I came across this Sheffield based site on revision for Junior Drs. The link

is to its hypothyroid page, I felt really upset for the guy in the photo being

made fun of, but given that this is a revision site for the NOW medics sending

it in, so see what you think.....

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I cannot believe that, just to say we may one day have one of those Dr's

treating us, one of us should contact the university and put them to shame, call

them professionals.

Ali

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Woooo HOOOO!!!

I just managed to log in to the site and revise what they had to say.... I

didn't do much... I just listed that T3 was the active hormone, T4 was inactive

and calcitonin was there to preserve calcium.

I also added in the prescribing bit that some people need T3.

Nothing too startling, but if the docs read it, it might just make them

think....

xx

>

> bit more about it here: http://www.medrevise.co.uk/wiki/Thyroid

>

>

> chris

>

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EH??

No I didn't.... here's the bit I edited

Functions

Produces three hormones:

* thyroxine (T4) inert storage hormone

* triiodothyronine (T3) active hormone used by cells

* calcitonin helps preserve calcium

.

>

> , I just noticed you got the T4 and T3 mixed up on their site!

>

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Yes... I went into panic mode for awhile and wanted to correct it myself but

didn't want to log on to their site. Someone else must have corrected it

because I fell asleep with my laptop still on and it was still there this

morning... then when I pressed F5 to update the page, it had been corrected. I

was so relieved and thought you had done it! So all's well that ends well!! J

x

______________________

> EH??

>

> No I didn't.... here's the bit I edited

>

> Functions

>

> Produces three hormones:

>

> * thyroxine (T4) inert storage hormone

> * triiodothyronine (T3) active hormone used by cells

> * calcitonin helps preserve calcium

>

> .

>

>

> >

> > , I just noticed you got the T4 and T3 mixed up on their site!

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> > >

> > > , I just noticed you got the T4 and T3 mixed up on their site!

>

I was so angry after seeing this artical

http://www.medrevise.co.uk/wiki/Hypothyroidism that i loged in to there site and

told the how offended i was.this is what i wrote.

" I am writing to you as i am greatly offended by hypothyroidism artical and

the the photo of the overweight person with this caption under it " Weight gain

is a symptom of hypothyroidism. However, you won't get this fat from

hypothyroidism. is just this fat because he eats a meal every time his Mum

has sex with somebody for money. Roughly three to four times a year. Did I say

year? I meant hour " .

If this is an example of New Doctors to be in a caring profession then god help

us.

I myself am not overweight but i do suffer from hypothyroidism.My doctors say i

am with in range but i still suffer symptoms ,i came across your site looking

for answers and was shocked that you seemed to be making fun of sufferers of

hypothyroidism and obesity.Maybe some of you could learn a thing or to by just

going on thyroid help groups such as the Thyroid Patient Advocacy-UK or

Thyroid-Disease.org.uk and see how some of us are suffering even after normal

results and the lengths that we have to go to to get the help, we need and then

see if you would find it amusing.We desperately need good Doctors that can help

us as you will see from the help groups.Lets hope that a few of you can learn

somthing from theses sites and can go on and help some of us suffering .Helen D "

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Well done, Helen, they have deleted the picture so far... but still lots of

rubbish, ie:

" THYROXINE. They don't have enough of it. You give them some. They theoretically

and often actually get better. Start with 100-150 & #956;g (25-50 & #956;g).

In sub-clinical hypothyroidism (high TSH, normal T3 & T4), you geneerally do NOT

treat. "

No treatment for sub-clinical hypoT? And what IS sub-clinical hypoT in their

opinion! And no mention of peripheral resistance to T4 therapy only.

God help us!

Jacquie

_____________________________

> I was so angry after seeing this artical

http://www.medrevise.co.uk/wiki/Hypothyroidism that i loged in to there site and

told the how offended i was.this is what i wrote.

> " I am writing to you as i am greatly offended by hypothyroidism artical and

the the photo of the overweight person with this caption under it " Weight gain

is a symptom of hypothyroidism. However, you won't get this fat from

hypothyroidism. is just this fat because he eats a meal every time his Mum

has sex with somebody for money. Roughly three to four times a year. Did I say

year? I meant hour " .

> If this is an example of New Doctors to be in a caring profession then god

help us.

> I myself am not overweight but i do suffer from hypothyroidism.My doctors say

i am with in range but i still suffer symptoms ,i came across your site looking

for answers and was shocked that you seemed to be making fun of sufferers of

hypothyroidism and obesity.Maybe some of you could learn a thing or to by just

going on thyroid help groups such as the Thyroid Patient Advocacy-UK or

Thyroid-Disease.org.uk and see how some of us are suffering even after normal

results and the lengths that we have to go to to get the help, we need and then

see if you would find it amusing.We desperately need good Doctors that can help

us as you will see from the help groups.Lets hope that a few of you can learn

somthing from theses sites and can go on and help some of us suffering .Helen D "

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>

> Well done, Helen, they have deleted the picture so far... but still lots of

rubbish, ie:

>

> " THYROXINE. They don't have enough of it. You give them some. They

theoretically and often actually get better. Start with 100-150 & #956;g

(25-50 & #956;g).

>

> In sub-clinical hypothyroidism (high TSH, normal T3 & T4), you geneerally do

NOT treat. "

>

> No treatment for sub-clinical hypoT? And what IS sub-clinical hypoT in their

opinion! And no mention of peripheral resistance to T4 therapy only.

>

> God help us!

>

> Jacquie

>

> _____________________________

> > I was so angry after seeing this artical

http://www.medrevise.co.uk/wiki/Hypothyroidism that i loged in to there site and

told the how offended i was.this is what i wrote.

> > " I am writing to you as i am greatly offended by hypothyroidism artical

and the the photo of the overweight person with this caption under it " Weight

gain is a symptom of hypothyroidism. However, you won't get this fat from

hypothyroidism. is just this fat because he eats a meal every time his Mum

has sex with somebody for money. Roughly three to four times a year. Did I say

year? I meant hour " .

> > If this is an example of New Doctors to be in a caring profession then god

help us.

> > I myself am not overweight but i do suffer from hypothyroidism.My doctors

say i am with in range but i still suffer symptoms ,i came across your site

looking for answers and was shocked that you seemed to be making fun of

sufferers of hypothyroidism and obesity.Maybe some of you could learn a thing or

to by just going on thyroid help groups such as the Thyroid Patient Advocacy-UK

or Thyroid-Disease.org.uk and see how some of us are suffering even after normal

results and the lengths that we have to go to to get the help, we need and then

see if you would find it amusing.We desperately need good Doctors that can help

us as you will see from the help groups.Lets hope that a few of you can learn

somthing from theses sites and can go on and help some of us suffering .Helen D "

>

Hi Everyone,just had this email from medrevise,at least they have taken the very

insulting photo off.

Hi there.

I am sorry that you have been offended by this image. We have now removed the

offending image

Sorry for any offence, although you may note that the image was not actually

claiming that hypothyroid people are this obese, but actually that they are not

- " Weight gain is a symptom of hypothyroidism. However, you

won't get this fat from hypothyroidism. "

Our website is a wiki, meaning that anyone can edit it, so sometimes the

articles are of a lower quality and professionalism than we aspire to.

Sorry again.

Regards,

Dr Lowry,

MedRevise.co.uk

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Jacquie and all,

In their 'definition of 'Hypothyroidism' they write

" Low thyroxine levels of thyroxine. There is Primary hypothyroidism

- (something wrong with the thyroid itself) and Secondary

hypothyroidism - (there is something wrong with the mechanisms preceding

the thyroid ie. the pituitary gland).

Perhaps they should be updated and told that the diagnosis of

'Hypothyroidism' should be used for the diagnosis of primary,

secondary or tertiary hypothyroidism ONLY.

Primary hypothyroidism, means the thyroid gland

doesn't produce an adequate amount of thyroxine (T4).

Secondary hypothyroidism develops when the

pituitary gland does not release enough of the thyroid-stimulating hormone

(TSH) that prompts the thyroid to manufacture more of the thyroid hormones T4

and triiodothyronine (T3).

Tertiary hypothyroidism results from a

malfunction of the hypothalamus, the part of the brain that controls the

endocrine system.

Type 1 hypothyroidism is associated with

insufficient secretion by the thyroid, the pituitary or the hypothalamus gland,

thereby reducing the mainly inactive T4 available for conversion, to the active

hormone T3 to energise the body. In the majority of cases, Type 1

Hypothyroidism may be corrected by using levothyroxine (T4-only)

replacement.

However, what is not being recognised by GP's and

endocrinologists is Type 2 hypothyroidism, which is defined

as deficiencies in the peripheral conversion of T4 to T3, the subsequent

reception of the active thyroid hormoneT3, and the use of T3 by the body's

cells. Type 2 hypothyroidism reduces the amount of the active thyroid

hormone T3 in the body, producing the same sort of symptoms that Type 1

hypothyroidism does. Environmental toxins may also cause or exacerbate

the problem. The pervasiveness of Type 2 hypothyroidism has yet to be

recognised by mainstream medicine, but already is in epidemic proportions. Type

2 hypothyroidism can be corrected by T3 hormone replacement therapy - and not

by T4-only therapy. The BTA and RCP appear to fail to even recognise Type 2

hypothyroidism (or more correctly called Euthyroid Hypometabolism).

Luv - Sheila

>

> Well done, Helen, they have deleted the picture so far... but still lots

of rubbish, ie:

>

> " THYROXINE. They don't have enough of it. You give them some. They

theoretically and often actually get better. Start with 100-150 & #956;g

(25-50 & #956;g).

>

> In sub-clinical hypothyroidism (high TSH, normal T3 & T4), you

geneerally do NOT treat. "

>

> No treatment for sub-clinical hypoT? And what IS sub-clinical hypoT in

their opinion! And no mention of peripheral resistance to T4 therapy only.

>

> God help us!

>

> Jacquie

>

>

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Posted
Posted

LOL! Neither yours or mine, Sheila... not even my email. All they have is my

IP address.

Love

Jacquie

_______________________________

> So long as my name isn't posted Jacquie. Let us know if there is any

> comeback/feedback!

>

> Luv - Sheila

>

> Sheila and All

>

> I have copied Sheila's notes into their website. Goodness knows what they

> will make of it. LOL!

>

> http://www.medrevise.co.uk/wiki/Hypothyroid

>

> Still so much wrong!

>

> Love

> Jacquie

>

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Hi Guys,

Dr Lowry here, Director of MedRevise. I feel I should apologise again for our

site not being as professional as we would hope it could be.

I appreciate your revisions: although you must agree, as a concise, easy to read

medical resource, the current http://www.medrevise.co.uk/wiki/Hypothyroid page

is far from that, with, in some cases, too much information, much of it overly

wordy, and generally not very gentle on the eyes. I'm not blaming your additions

for this, it was not a good page before!

When I revise the page, I will take care to include any missing relevant

information. However, I will not be talking at length about Tertiary, Type 1 or

type 2. The reasons for this are that this is a site for junior doctors, not

endocrine specialists.

On the wards, if you send off a TFT blood screen, literally all you need to know

is whether the T3 or T4 is high/low, since this could be causing their current

symptoms. Whether or not it is primary or secondary is already extra information

to a junior doctor, and to provide any more would be unhelpful.

Explanation of the functions of T4, T3 and TSH will be covered on the Endocrine

page, when it ever gets finished!

Whilst we are on the subject, would you please like to point out any problems

with our other thyroid related pages:

*http://www.medrevise.co.uk/wiki/Thyroid_emergencies

*http://www.medrevise.co.uk/wiki/Thyroid

*http://www.medrevise.co.uk/wiki/Hyperthyroidism

Thanks very much for all your hard work. Can I say that the reason that our site

has a sense of humour is that we find it improves learning - a smile sticks in

your head! Sadly, some of our contributors have not quite got the line right

yet.

The reason we want to improve learning is that we feel a good understanding,

coupled with good interpersonal skills is the best way to give patients the

treatment they need. I hope my communications with you have shown that I care

about sufferers of thyroid disorders, and want to help educate the next

generation of doctors about them!

Regards,

Dr Lowry

PS. Jacquie and Sheila - I am afraid your anonymity mentioned above was not

terribly effective... lol

> > >

> > > bit more about it here: http://www.medrevise.co.uk/wiki/Thyroid

> > >

> > >

> > > chris

> > >

> >

>

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Hi Guys,

Dr Lowry here, Director of MedRevise. I feel I should apologise again for our

site not being as professional as we would hope it could be.

I appreciate your revisions: although you must agree, as a concise, easy to read

medical resource, the current http://www.medrevise.co.uk/wiki/Hypothyroid page

is far from that, with, in some cases, too much information, much of it overly

wordy, and generally not very gentle on the eyes. I'm not blaming your additions

for this, it was not a good page before!

When I revise the page, I will take care to include any missing relevant

information. However, I will not be talking at length about Tertiary, Type 1 or

type 2. The reasons for this are that this is a site for junior doctors, not

endocrine specialists.

On the wards, if you send off a TFT blood screen, literally all you need to know

is whether the T3 or T4 is high/low, since this could be causing their current

symptoms. Whether or not it is primary or secondary is already extra information

to a junior doctor, and to provide any more would be unhelpful.

Explanation of the functions of T4, T3 and TSH will be covered on the Endocrine

page, when it ever gets finished!

Whilst we are on the subject, would you please like to point out any problems

with our other thyroid related pages:

*http://www.medrevise.co.uk/wiki/Thyroid_emergencies

*http://www.medrevise.co.uk/wiki/Thyroid

*http://www.medrevise.co.uk/wiki/Hyperthyroidism

Thanks very much for all your hard work. Can I say that the reason that our site

has a sense of humour is that we find it improves learning - a smile sticks in

your head! Sadly, some of our contributors have not quite got the line right

yet.

The reason we want to improve learning is that we feel a good understanding,

coupled with good interpersonal skills is the best way to give patients the

treatment they need. I hope my communications with you have shown that I care

about sufferers of thyroid disorders, and want to help educate the next

generation of doctors about them!

Regards,

Dr Lowry

PS. Jacquie and Sheila - I am afraid your anonymity mentioned above was not

terribly effective... lol

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Hi Dr Lowry.

Thank

you so much for getting in touch with us and explaining your reasons for not

going into more in-depth information as your site is for junior doctors only. I

do appreciate that, but the problem as we (the patients) see it, is the very serious

problem

that exist in the two completely physiologically different definitions of the

word 'hypothyroidism' - given by the British Thyroid Association and the Royal

College of Physicians, which is a cause for great concern and confusion amongst

doctors and patients alike. Do you know which of the following definitions is

being taught to these junior doctors?

·

The Royal

College of Physicians (RCP) defines ‘hypothyroidism as the clinical

consequences of insufficient secretion by the thyroid gland "

- meaning 'hypothyroidism' is ONLY associated with the THYROID GLAND i.e. 'Type

1' hypothyroidism (for want of a better name). This definition is the correct

and narrow definition.

· The British Thyroid

Association (BTA) however, defines hypothyroidism as " the

clinical consequences of insufficient levels of thyroid hormones in the body "

i.e. 'Type 2' hypothyroidism. This ‘broad’

definition is associated with peripheral metabolism and peripheral

cellular hormone reception, which produces insufficient thyroid

hormones in the body.

If

the first definition is correctly called " hypothyroidism " , this can

hopefully, be treated with levothyroxine sodium-only. Therefore, the second

definition should NOT be called ‘hypothyroidism’. It

should be given a diagnosis of ‘Clinical Euthyroidism’, ‘Type

2 Hypothyroidism’ or ‘Euthyroid Hypometabolism’ - and

peripheral thyroid hormone deficiencies would be treated with the active

thyroid hormone replacement T3 and NOT T4.

'Type

2' hypothyroidism is usually inherited, although environmental toxins may also

cause, or exacerbate, the problem. The pervasiveness of Type 2 hypothyroidism

has yet to be recognised by mainstream medicine, but already is in epidemic

proportions - and it is very important that doctors are taught about this RIGHT

FROM THE START of their training. We are finding that many very senior

endocrinologists (who should know better) are not even aware that some of their

patients may not be capable of converting the mainly inactive thyroxine into

the ACTIVE thyroid hormone T3. They sincerely believe that everybody converts

without a problem. Their patients are left to suffer, often being prescribed

antidepressants.

Not

sure whether you read the absolutely shocking paper " Who's Thyroid Hormone

is it Anyway? " by Professor Weetman published in 'Clinical

Endocrinology' and 'Medscape' where he writes that those patients who are on

synthetic levothyroxine therapy, who have normal thyroid function tests yet still

complain of symptoms ….are suffering from a functional somatoform

disorder. Is it any wonder that thyroid support groups (this one has over 2230

members) are springing up all over the place trying to find answers to how they

can regain their optimal health, when a doctor in such a lofty position, head

over all heads of UK medical schools in the UK - ex - president of the BTA and

Dean of Sheffield University is completely unable to recognise that however

normal our SERUM thyroid function test results may be, there has to be another

cause for our remaining symptoms - other than 'a functional somatoform

disorder'.

TPA

is in the process of creating a Register of Counterexamples to T4-only therapy

(the ONLY thyroid hormone a doctor will prescribe for all those with the

symptoms of hypothyroidism). To date, we have 958 counterexamples. There are

over 250,000 citizens in the UK alone, who are being left to suffer with

symptoms, because doctors believe that if their patients TFT results are within

the 'normal' range, their thyroid function is fine. Yet, doctors are not taking

into consideration whether those patients who are still complaining of symptoms

might be suffering from peripheral thyroid hormone resistance at the

cellular level. Serum thyroid function tests do NOT detect

this problem.

The

objective of this Register of Counterexamples to T4-only therapy is to draw to

the attention of those responsible authorities throughout the world, the dire

need for an urgent re-examination of the existing protocol for the diagnosis

and management of the symptoms of hypothyroidism.

The

difference between these two physiologically different definitions of

hypothyroidism MUST be brought to the attention of junior doctors

right from the start - and you, as a doctor could start the ball rolling to put

a stop to the terrible suffering that is being allowed to continue. All doctors

should stand together and question the Royal College of Physicians and the

British Thyroid Association and ask them to produce the relevant

scientific evidence to show that 'Type 2' hypothyroidism does NOT exist.

They should also ask the RCP to include this in their teaching curriculum as

there is nothing to show such a condition exists at the moment. Please ask

questions, and demand answers from them, for the sake of all your patients who continue

to suffer symptoms - and who are being forced to leave paid employment and live

on State Benefits because of their continuing ill health - and all because

these organisations are refusing to listen to their patients.

You

say that on the wards, if you send off a TFT blood screen, literally all you

need to know is whether the T3 or T4 is high/low, and that is fine. However if

a GP orders serum thyroid function tests that include TSH, fT4 and fT3, it is

the hospital laboratories who are taking it upon themselves to refuse to test

for fT3 and in many cases, refuse to test even the fT4. How can such doctors

know whether their patients are suffering with low secretion by the thyroid

gland or peripheral thyroid hormone resistance at the cellular level if these

tests are not being done?

(A counterexample is a situation which fits the concept

or premise of an idea but produces a different result. To be responsible,

a scientist who finds a counterexample to his idea, must limit or abandon his

idea as unworkable or not reliable. The T4-therapy does not work for

all. Some need T3 instead or with their T4. Once the some get their

T3, they are counterexamples.)

Thanks for the links. We will have a look at them and

give any feedback if we feel this is necessary. It is so good to be able to discuss

this problem openly with a doctor, and I hope you feel the same about getting

the patients side too.

Regards

Sheila - one patients who continue to suffer

dreadfully on T4-only therapy, but who fully regained her health when changed

to natural thyroid extract 8 years ago.

Hi Guys,

Dr Lowry here, Director of MedRevise. I feel I should apologise again for our

site not being as professional as we would hope it could be.

I appreciate your revisions: although you must agree, as a concise, easy to

read medical resource, the current http://www.medrevise.co.uk/wiki/Hypothyroid

page is far from that, with, in some cases, too much information, much of it

overly wordy, and generally not very gentle on the eyes. I'm not blaming your

additions for this, it was not a good page before!

When I revise the page, I will take care to include any missing relevant

information. However, I will not be talking at length about Tertiary, Type 1 or

type 2. The reasons for this are that this is a site for junior doctors, not

endocrine specialists.

On the wards, if you send off a TFT blood screen, literally all you need to

know is whether the T3 or T4 is high/low, since this could be causing their

current symptoms. Whether or not it is primary or secondary is already extra

information to a junior doctor, and to provide any more would be unhelpful.

Explanation of the functions of T4, T3 and TSH will be covered on the Endocrine

page, when it ever gets finished!

Whilst we are on the subject, would you please like to point out any problems

with our other thyroid related pages:

*http://www.medrevise.co.uk/wiki/Thyroid_emergencies

*http://www.medrevise.co.uk/wiki/Thyroid

*http://www.medrevise.co.uk/wiki/Hyperthyroidism

Thanks very much for all your hard work. Can I say that the reason that our

site has a sense of humour is that we find it improves learning - a smile

sticks in your head! Sadly, some of our contributors have not quite got the

line right yet.

The reason we want to improve learning is that we feel a good understanding,

coupled with good interpersonal skills is the best way to give patients the

treatment they need. I hope my communications with you have shown that I care

about sufferers of thyroid disorders, and want to help educate the next

generation of doctors about them!

Regards,

Dr Lowry

PS. Jacquie and Sheila - I am afraid your anonymity mentioned above was not

terribly effective... lol

> > >

> > > bit more about it here: http://www.medrevise.co.uk/wiki/Thyroid

> > >

> > >

> > > chris

> > >

> >

>

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Posted
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Hi Dr. Lowry,

Dr Lowry here, Director of MedRevise. I feel I should apologise again for oursite not being as professional as we would hope it could be.Thank you for that; it takes guts to apologize on an open forum – so I take my hat off to you J

When I revise the page, I will take care to include any missing relevantinformation. However, I will not be talking at length about Tertiary, Type 1 ortype 2. The reasons for this are that this is a site for junior doctors, notendocrine specialists.I appreciate that. But it won't hurt junior doctors to at least be made aware that Tertiary, Type 1 or 2 exist and not ever to dismiss a diagnosis of hypothyroidism on the grounds of "normal" lab results. Most junior doctors (and sadly not just the junior ones) are far too fixated on computer read-outs making the diagnosis for them and they forget the most important rule of all – to look at the patient and to listen.

Whilst we are on the subject, would you please like to point out any problemswith our other thyroid related pages:*http://www.medrevise.co.uk/wiki/Thyroid_emergencies*http://www.medrevise.co.uk/wiki/Thyroid*http://www.medrevise.co.uk/wiki/Hyperthyroidism

I am sure many of us will gladly have a go at that J . I haven't got much time at the moment as I am just about to go on holiday, but at a glance – there are a few typos.... like Hashimoto's (http://www.medrevise.co.uk/wiki/Thyroid ) and I found `Myxoedema' and something that looks like an unfinished sentence to me on this page http://www.medrevise.co.uk/wiki/Thyroid_emergencies under Pathophysiology: This coma is called a myoedema coma because ???

Thanks very much for all your hard work. Can I say that the reason that our sitehas a sense of humour is that we find it improves learning - a smile sticks inyour head! Sadly, some of our contributors have not quite got the line right yet.Absolutely J, but yeah, the picture of an obese man was not exactly in good taste; although, in your defence - the memory of such an image might just make a junior doctor help to remember to check for hypothyroidism and not to dismiss everybody obese as an overeater or lazy couch potato.

The reason we want to improve learning is that we feel a good understanding,coupled with good interpersonal skills is the best way to give patients thetreatment they need. I hope my communications with you have shown that I careabout sufferers of thyroid disorders, and want to help educate the nextgeneration of doctors about them!Good J - please stick around this forum and let's help each other out. I can promise that by reading and contributing to the TPA forum you will pick up an insight into thyroid disease that you won't find in any of the text books – personal experience and voiced opinions on what works and what doesn't. Equally we all would more than welcome any help and contributions you'd be willing to make.

Here's to hoping J

with very best wishes,

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Posted
Posted

" the memory of such an image might just make a junior doctor help to remember to

check for hypothyroidism and not to dismiss everybody obese as an overeater or

lazy couch potato. "

There I feel you hit the crux of the matter! Humour, good taste and bad, creates

memories that you can link to learning!

>

>

> Hi Dr. Lowry,

>

>

> > I am sure many of us will gladly have a go at that J . I haven't got

> much time at the moment as I am just about to go on holiday, but at a

> glance – there are a few typos.... like Hashimoto's

> (http://www.medrevise.co.uk/wiki/Thyroid

> <http://www.medrevise.co.uk/wiki/Thyroid> ) and I found

> `Myxoedema' and something that looks like an unfinished sentence

> to me on this page http://www.medrevise.co.uk/wiki/Thyroid_emergencies

> <http://www.medrevise.co.uk/wiki/Thyroid_emergencies> under

> Pathophysiology: This coma is called a myoedema coma because ???

>

>>

> The reason we want to improve learning is that we feel a good

> understanding,

> coupled with good interpersonal skills is the best way to give patients

> the

> treatment they need. I hope my communications with you have shown that I

> care

> about sufferers of thyroid disorders, and want to help educate the next

> generation of doctors about them!

> Good J - please stick around this forum and let's help each other

> out. I can promise that by reading and contributing to the TPA forum you

> will pick up an insight into thyroid disease that you won't find in

> any of the text books – personal experience and voiced opinions on

> what works and what doesn't. Equally we all would more than welcome

> any help and contributions you'd be willing to make.

>

>

>

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