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Hi Sheila,

My wife is still having problems with Hashis, adrenal exhaustion and gut

issues. She is thinking again of making a trip to UK to see Dr Peatfield.

My question is: can Dr P prescribe medications or does he have to refer the

patient to an NHS doctor for this? How would it be done for an overseas visitor?

Regards,

Perth, Western Australia

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Unfortunately Dr. Peatfield cannot prescribe, but (I presume) he will tell you where you can obtain any medication that may be needed, mostly through internet. Perhaps one of his patients on the group would enlighten us more in the absence of Sheila for a short while.

No, he cannot refer anyone to an NHS doctor. To see an NHS doctor here (unless an emergency) you have to be registered with that doctor. And s/he doesn't have to take any notice of what another doctor says.

Lilian

My wife is still having problems with Hashis, adrenal exhaustion and gut issues. She is thinking again of making a trip to UK to see Dr Peatfield.

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Sorry to intercede ,

I will leave Sheila to answer the question as you directed it at her.

I am sorry to hear about your wife's difficulties.

However, perhaps we can help a little in advance of her making that decision? What is your wife taking in form of thyroid supplement drugs and other supplements? What are her blood value results and their ranges?

What are her symptoms? Has she ever taken antibiotics and did she take probiotics following the courses of antibiotics? Do she have a yeast infection do you think?

Sorry questions questions.....

We are not doctors on here or at least I am not. But many of us have experienced similar problems with varying degrees of success.....however there may be something we can help with as you live so far away.

Much love.

Hi Sheila,My wife is still having problems with Hashis, adrenal exhaustion and gut issues. She is thinking again of making a trip to UK to see Dr Peatfield.My question is: can Dr P prescribe medications or does he have to refer the patient to an NHS doctor for this? How would it be done for an overseas visitor?Regards,Perth, Western Australia

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This is all correct , however Dr Skinner CAN prescribe he is in Birmingham. He knows Dr P very well they have had similar journeys. His details are on the internet Dr Gordon Skinner .Gordon RB Skinner MD (Hons) DSc, FRCPath FRCOG 22, Alcester Road Moseley Birmingham B13 8BE Tel/Fax 0121 449 8895. He is trying to gather a world register and you are perfectly sited to get australians signed up and you can be the first (possibly)? here is the link http://www.worldthyroidregister.com/Gordon-RB-Skinner.html

Dr P and Dr S have similar methods and views but sadly Dr P cannot prescribe and advises around supplements and if you have a flexible/open GP to prescribe....best of luck.Sally xxx

Unfortunately Dr. Peatfield cannot prescribe, but (I presume) he will tell you where you can obtain any medication that may be needed, mostly through internet. Perhaps one of his patients on the group would enlighten us more in the absence of Sheila for a short while.

No, he cannot refer anyone to an NHS doctor. To see an NHS doctor here (unless an emergency) you have to be registered with that doctor. And s/he doesn't have to take any notice of what another doctor says.

Lilian

My wife is still having problems with Hashis, adrenal exhaustion and gut issues. She is thinking again of making a trip to UK to see Dr Peatfield.

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There is a misconception that messages addressed to Sheila have to be left to Sheila to answer. This is not the case.

Sheila has asked several times that people do not address messages specifically to her, for that very reason.

Everyone who feels they can share their experience and knowledge should answer.

Lilian

Sorry to intercede , I will leave Sheila to answer the question as you directed it at her.

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Dr. Skinner does not do adrenals and must have a referral from your own GP.

Lilian

This is all correct , however Dr Skinner CAN prescribe he is in Birmingham. He knows Dr P very well they have had similar journeys. His details are on the internet Dr Gordon Skinner .Gordon RB Skinner MD (Hons) DSc, FRCPath FRCOG 22, Alcester Road Moseley Birmingham B13 8BE Tel/Fax 0121 449 8895. He is trying to gather a world register and you are perfectly sited to get australians signed up and you can be the first (possibly)? here is the link http://www.worldthyroidregister.com/Gordon-RB-Skinner.html

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Sheila is also very very busy, so I think if someone else can help and take the

burden off Sheila then that's no bad thing! :-)

chris

>

> There is a misconception that messages addressed to Sheila have to be left to

Sheila to answer. This is not the case.

>

> Sheila has asked several times that people do not address messages

specifically to her, for that very reason.

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Hi Sally,

's problems are adrenal insufficiency (as measured on a 24 hour saliva

test and also by a Synacthen stimulation test), auto-immune hypothyroiditis

(Hashimoto's) and severe food intolerances. This latter means that she can't

tolerate any pain killing medication and has difficulty with oral supplements.

She seems to be caught in a vicious circle - the lack of nutrition is affecting

her thyroid and adrenals, while the adrenals are causing the lack of appetite.

Her weight has stablised around 44 kg, which is about 6 kg below her normal

weight of 5 years ago.

Her main symptoms remain pain in the sternum and ribcage, sometimes extending to

the perineal area, along with the inevitable depression.

In terms of medication, she is on 6 mg/day of prednisolone, a compounded

formulation of T4/T3 in 38/9 mcg ratio, along with supplemental sublingual T3 at

5 mcg/day. She has seen various doctors and naturopaths in Australia, as well as

having Skype consultations with one in the US. She has consulted with a

conventional endo (who wanted to switch her to pharmaceutical grade T4) and a

conventional gastroenterologist (who ran tests but could only suggest seeing a

pain specialist).

has made some progress in improving her gut function through consultation

with a naturopath in Queensland. The gut issues were dealt with by a dose of

antibiotics, then bifidus, then acidophilus 3 weeks later. She is also trying to

eat more fermented vegetables. She does not have a yeast infection and is not

celiac, but she still stays away from gluten.

To answer your questions on blood tests: yes, she's had a lot and many repeats -

measurable thyroid antibodies, RT3.

She felt better when she was taking Armour (the Australian version) but the US

doctor thought that this would provoke more thyroid antibodies.

At present is taking advice from the US doctor and having a local GP

write out the prescriptions. However, she feels that neither has as good a grasp

of adrenal issues as does Dr Peatfield, and she really wants a face-to-face

consultation to make sure that her full range of symptoms is understood and

considered.

Our thoughts, therefore, were for to spend a month or so in the UK,

having at least 2 consultations with Dr P, but to make this work she'd need to

act on his initial recommendations. If she isn't able to have a prescription

filled while in the UK it will hardly merit the trip, which is in any case

likely to stress her further.

Regards,

>

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