Re: doctor goes by TSH only; extremely frustrated!

[Guest guest]

Oh, this is awful! I know I get " psych " issues when my t3 and/or HC are not

right. Is your daughter diagnosed as depressed in their opinion?

Okay, is it possible to get your child out of there and take her home, then

order some labs yourself? I don't think they can MAKE you keep her there. I am

not sure her state, you might not want be able to keep her at home, but surely

they couldn't stop you from taking her away for a few hours to get labs done?

Also, her TSH is NOT normal by current endocrinology standards (although it's

close to them...) 3 is the cutoff now and you should be able to find some

supporting documentation for that as it's the standard that the endocrinologists

use now. But again, she's so close, not sure if that would help much.

I'm not sure WHAT you can do short of getting her out of there and trying to

self-treat her if you find she needs thyroid hormone. I mean, you could also try

to teach the doc by bringing in supporting documentation, but if the doc is that

stupid and close-minded, I'm not sure they are giving you any options. :-(

Kathleen

>

> My teen is in a psych unit and I asked the doc to please check thyroid levels.

> Folks, if you thought you've heard the worst, get ready for this one:

>

> Doc said TSH is 3.08

>

> I asked, what is her t3 level.

> Doc says, it is not necessary to test t3, TSH is the screening for thyroid

issues.

> Next, I asked, what is her t4 level?

> Doc says, it's not necessary, only TSH is important.

>

> So I said, I'm concerned because previously she had low t4 (it went back up

when she got off the darned psych meds) and it concerns me because low t4 means

her thyroid is not producing sufficient thyroid hormones.

> She again said, t4 is not important, only TSH is important.

>

> If I had a frying pan with a handle, I woulda used it on her!

>

> She said, she doesn't think my child has a thyroid issue because she has the

energy for the things she wants to do. Things she doesn't want to do, she is

tired and wants to be in bed.

>

> What would you do if you were in my shoes?

>

[Guest guest]

Get blood work done yourself so you can figure it all out. Will

she be able to go home soon? Do you think she is having psych problems because

of thyroid issues?

Wow. Take care of yourself.

From: RT3_T3

[mailto:RT3_T3 ] On Behalf Of miri.yum1

Sent: Tuesday, April 20, 2010 5:47 PM

To: RT3_T3

Subject: doctor goes by TSH only; extremely frustrated!

My teen is in a psych unit and I asked the doc

to please check thyroid levels.

Folks, if you thought you've heard the worst, get ready for this one:

Doc said TSH is 3.08

I asked, what is her t3 level.

Doc says, it is not necessary to test t3, TSH is the screening for thyroid

issues.

Next, I asked, what is her t4 level?

Doc says, it's not necessary, only TSH is important.

So I said, I'm concerned because previously she had low t4 (it went back up

when she got off the darned psych meds) and it concerns me because low t4 means

her thyroid is not producing sufficient thyroid hormones.

She again said, t4 is not important, only TSH is important.

If I had a frying pan with a handle, I woulda used it on her!

She said, she doesn't think my child has a thyroid issue because she has the

energy for the things she wants to do. Things she doesn't want to do, she is

tired and wants to be in bed.

What would you do if you were in my shoes?

[Guest guest]

Dr's in psych units choose to see ONLY psych problems, they are blind to

underlying/contributing health issues. (I was grossly mistreated for depression

when I had hypothyroid, pernicious anemia, iron-deficiency anemia, and lyme

disease!) If you believe your daughter would be better off out of there...if it

were me I'd go along sweet as sugar with the nice Dr. just long enough to get

her out. They want compliance, act compliant. They'll let her go faster that

way. After that - another, better doctor? Order your own tests? Psychiatric

BUT ALSO appropriate medical treatment?

>

> Get blood work done yourself so you can figure it all out. Will she be able

> to go home soon? Do you think she is having psych problems because of

> thyroid issues?

>

>

>

> Wow. Take care of yourself.

>

>

>

>

>

>

>

> From: RT3_T3 [mailto:RT3_T3 ] On Behalf Of

> miri.yum1

> Sent: Tuesday, April 20, 2010 5:47 PM

> To: RT3_T3

> Subject: doctor goes by TSH only; extremely frustrated!

>

>

>

>

>

> My teen is in a psych unit and I asked the doc to please check thyroid

> levels.

> Folks, if you thought you've heard the worst, get ready for this one:

>

> Doc said TSH is 3.08

>

> I asked, what is her t3 level.

> Doc says, it is not necessary to test t3, TSH is the screening for thyroid

> issues.

> Next, I asked, what is her t4 level?

> Doc says, it's not necessary, only TSH is important.

>

> So I said, I'm concerned because previously she had low t4 (it went back up

> when she got off the darned psych meds) and it concerns me because low t4

> means her thyroid is not producing sufficient thyroid hormones.

> She again said, t4 is not important, only TSH is important.

>

> If I had a frying pan with a handle, I woulda used it on her!

>

> She said, she doesn't think my child has a thyroid issue because she has the

> energy for the things she wants to do. Things she doesn't want to do, she is

> tired and wants to be in bed.

>

> What would you do if you were in my shoes?

>

[Guest guest]

Dr's in psych units choose to see ONLY psych problems, they are blind to

underlying/contributing health issues. (I was grossly mistreated for depression

when I had hypothyroid, pernicious anemia, iron-deficiency anemia, and lyme

disease!) If you believe your daughter would be better off out of there...if it

were me I'd go along sweet as sugar with the nice Dr. just long enough to get

her out. They want compliance, act compliant. They'll let her go faster that

way. After that - another, better doctor? Order your own tests? Psychiatric

BUT ALSO appropriate medical treatment?

>

> Get blood work done yourself so you can figure it all out. Will she be able

> to go home soon? Do you think she is having psych problems because of

> thyroid issues?

>

>

>

> Wow. Take care of yourself.

>

>

>

>

>

>

>

> From: RT3_T3 [mailto:RT3_T3 ] On Behalf Of

> miri.yum1

> Sent: Tuesday, April 20, 2010 5:47 PM

> To: RT3_T3

> Subject: doctor goes by TSH only; extremely frustrated!

>

>

>

>

>

> My teen is in a psych unit and I asked the doc to please check thyroid

> levels.

> Folks, if you thought you've heard the worst, get ready for this one:

>

> Doc said TSH is 3.08

>

> I asked, what is her t3 level.

> Doc says, it is not necessary to test t3, TSH is the screening for thyroid

> issues.

> Next, I asked, what is her t4 level?

> Doc says, it's not necessary, only TSH is important.

>

> So I said, I'm concerned because previously she had low t4 (it went back up

> when she got off the darned psych meds) and it concerns me because low t4

> means her thyroid is not producing sufficient thyroid hormones.

> She again said, t4 is not important, only TSH is important.

>

> If I had a frying pan with a handle, I woulda used it on her!

>

> She said, she doesn't think my child has a thyroid issue because she has the

> energy for the things she wants to do. Things she doesn't want to do, she is

> tired and wants to be in bed.

>

> What would you do if you were in my shoes?

>

[Guest guest]

Dr's in psych units choose to see ONLY psych problems, they are blind to

underlying/contributing health issues. (I was grossly mistreated for depression

when I had hypothyroid, pernicious anemia, iron-deficiency anemia, and lyme

disease!) If you believe your daughter would be better off out of there...if it

were me I'd go along sweet as sugar with the nice Dr. just long enough to get

her out. They want compliance, act compliant. They'll let her go faster that

way. After that - another, better doctor? Order your own tests? Psychiatric

BUT ALSO appropriate medical treatment?

>

> Get blood work done yourself so you can figure it all out. Will she be able

> to go home soon? Do you think she is having psych problems because of

> thyroid issues?

>

>

>

> Wow. Take care of yourself.

>

>

>

>

>

>

>

> From: RT3_T3 [mailto:RT3_T3 ] On Behalf Of

> miri.yum1

> Sent: Tuesday, April 20, 2010 5:47 PM

> To: RT3_T3

> Subject: doctor goes by TSH only; extremely frustrated!

>

>

>

>

>

> My teen is in a psych unit and I asked the doc to please check thyroid

> levels.

> Folks, if you thought you've heard the worst, get ready for this one:

>

> Doc said TSH is 3.08

>

> I asked, what is her t3 level.

> Doc says, it is not necessary to test t3, TSH is the screening for thyroid

> issues.

> Next, I asked, what is her t4 level?

> Doc says, it's not necessary, only TSH is important.

>

> So I said, I'm concerned because previously she had low t4 (it went back up

> when she got off the darned psych meds) and it concerns me because low t4

> means her thyroid is not producing sufficient thyroid hormones.

> She again said, t4 is not important, only TSH is important.

>

> If I had a frying pan with a handle, I woulda used it on her!

>

> She said, she doesn't think my child has a thyroid issue because she has the

> energy for the things she wants to do. Things she doesn't want to do, she is

> tired and wants to be in bed.

>

> What would you do if you were in my shoes?

>

[Guest guest]

I would not be at the mercy of this doctor. Find a way to get your own labs and treat her thyroid. You will be doing right by her, don't let a stranger have the control. S

What would you do if you were in my shoes?

[Guest guest]

I would not be at the mercy of this doctor. Find a way to get your own labs and treat her thyroid. You will be doing right by her, don't let a stranger have the control. S

What would you do if you were in my shoes?

[Guest guest]

I'd give that doctor a psych issue is what I'd do! Did you explain that you have

thyroid disease and that you know what the " standard of care " is? And that it is

for TSH, FT3, FT4?

Use that phrase " standard of care " because that is the term that will prick up

his/her ears. That is what they have to document that they are doing to avoid

malpractice.

But you have to act in charge, not intimidated, ie, firmly, " I've been treated

for thyroid disease for xxx years, and I know that TSH only is NOT the standard

of treatment for a preliminary diagnosis. If this could be contributing to X's

problem we need to know.

<<She said, she doesn't think my child has a thyroid issue because <<she has the

energy for the things she wants to do. Things she <<doesn't want to do, she is

tired and wants to be in bed.

I've worked in clinics, and I have NEVER heard ANYTHING like this kind of

attitude. Utterly unprofessional and utterly incompetent. I cannot see how your

child can get better if this way of viewing children who are suffering pervades

this place. That is beyond infuriating. Is there another psychiatrist there? You

should ask for a change, and I would go to the director to do so and report that

comment as the reason. If there's not another psychiatrist I would report that

one to the director. She needs to get her ass chewed. Makes me furious.

If you end up not being successful in convincing them of the thyroid tests, do

you have a PCP who could order them? Do you have the finances that you could

order them online from one of the discount labs? Could you then get a pass and

take her out?

HTH and good luck to you and your daughter,

Kerry

>

> My teen is in a psych unit and I asked the doc to please check thyroid levels.

> Folks, if you thought you've heard the worst, get ready for this one:

>

> Doc said TSH is 3.08

>

> I asked, what is her t3 level.

> Doc says, it is not necessary to test t3, TSH is the screening for thyroid

issues.

> Next, I asked, what is her t4 level?

> Doc says, it's not necessary, only TSH is important.

>

> So I said, I'm concerned because previously she had low t4 (it went back up

when she got off the darned psych meds) and it concerns me because low t4 means

her thyroid is not producing sufficient thyroid hormones.

> She again said, t4 is not important, only TSH is important.

>

> If I had a frying pan with a handle, I woulda used it on her!

>

> She said, she doesn't think my child has a thyroid issue because she has the

energy for the things she wants to do. Things she doesn't want to do, she is

tired and wants to be in bed.

>

> What would you do if you were in my shoes?

>

[Guest guest]

It's the psychiatrist who told me only TSH was important and at 3.08 it is just

fine. No problems at all. I told her I am a thyroid patient, etc. and she

totally dismissed it by saying mine is a differnt situation because I had

thyroid cancer. Thanks for your fury, it validates my own!

> >

> > My teen is in a psych unit and I asked the doc to please check thyroid

levels.

> > Folks, if you thought you've heard the worst, get ready for this one:

> >

> > Doc said TSH is 3.08

> >

> > I asked, what is her t3 level.

> > Doc says, it is not necessary to test t3, TSH is the screening for thyroid

issues.

> > Next, I asked, what is her t4 level?

> > Doc says, it's not necessary, only TSH is important.

> >

> > So I said, I'm concerned because previously she had low t4 (it went back up

when she got off the darned psych meds) and it concerns me because low t4 means

her thyroid is not producing sufficient thyroid hormones.

> > She again said, t4 is not important, only TSH is important.

> >

> > If I had a frying pan with a handle, I woulda used it on her!

> >

> > She said, she doesn't think my child has a thyroid issue because she has the

energy for the things she wants to do. Things she doesn't want to do, she is

tired and wants to be in bed.

> >

> > What would you do if you were in my shoes?

> >

>

[Guest guest]

It's the psychiatrist who told me only TSH was important and at 3.08 it is just

fine. No problems at all. I told her I am a thyroid patient, etc. and she

totally dismissed it by saying mine is a differnt situation because I had

thyroid cancer. Thanks for your fury, it validates my own!

> >

> > My teen is in a psych unit and I asked the doc to please check thyroid

levels.

> > Folks, if you thought you've heard the worst, get ready for this one:

> >

> > Doc said TSH is 3.08

> >

> > I asked, what is her t3 level.

> > Doc says, it is not necessary to test t3, TSH is the screening for thyroid

issues.

> > Next, I asked, what is her t4 level?

> > Doc says, it's not necessary, only TSH is important.

> >

> > So I said, I'm concerned because previously she had low t4 (it went back up

when she got off the darned psych meds) and it concerns me because low t4 means

her thyroid is not producing sufficient thyroid hormones.

> > She again said, t4 is not important, only TSH is important.

> >

> > If I had a frying pan with a handle, I woulda used it on her!

> >

> > She said, she doesn't think my child has a thyroid issue because she has the

energy for the things she wants to do. Things she doesn't want to do, she is

tired and wants to be in bed.

> >

> > What would you do if you were in my shoes?

> >

>

[Guest guest]

Dear Frustrated,

You should be ! ! ! Practicing physicians are laboring under the false

impression that the thyroid is directly connected to the production of symptoms.

The reality is quite different. There are intervening functions that require

various chemicals, enzymes, hormones, etc., to function.

The www.tpa-uk.org.uk site has a link on the front page to a chart of Greater

Thyroid System. This chart starts at the top with the brain giving instructions

to the hypothalamus and ends with your perceptions. The guidelines stop

investigating about half way down. Your physician does not even get that far.

The reality is simple. TSH is removed from the production of symptoms by three

functions, the thyroid gland, the peripheral metabolism of T4 to T3, and the

peripheral cellular hormone reception for receiving the T3 for use in the cell,

namely the mitochondria. Using TSH only is akin to diagnosing a car that will

not run by only looking at the fuel gauge.

The next step in this fool's bag is to blame you for imagining your ills.....

How many endocrinologists does it take to change a light bulb? None, because if

it is dark, it is just imaginary - a functional somatoform disorder.

Have a great day and remember to FREE T3,

[Guest guest]

Thanks for all the support; much appreciated!

>

> Dear Frustrated,

>

> You should be ! ! ! Practicing physicians are laboring under the false

impression that the thyroid is directly connected to the production of symptoms.

The reality is quite different. There are intervening functions that require

various chemicals, enzymes, hormones, etc., to function.

>

> The www.tpa-uk.org.uk site has a link on the front page to a chart of Greater

Thyroid System. This chart starts at the top with the brain giving instructions

to the hypothalamus and ends with your perceptions. The guidelines stop

investigating about half way down. Your physician does not even get that far.

>

> The reality is simple. TSH is removed from the production of symptoms by

three functions, the thyroid gland, the peripheral metabolism of T4 to T3, and

the peripheral cellular hormone reception for receiving the T3 for use in the

cell, namely the mitochondria. Using TSH only is akin to diagnosing a car that

will not run by only looking at the fuel gauge.

>

> The next step in this fool's bag is to blame you for imagining your ills.....

>

> How many endocrinologists does it take to change a light bulb? None, because

if it is dark, it is just imaginary - a functional somatoform disorder.

>

> Have a great day and remember to FREE T3,

>

[Guest guest]

I'm sorry, I lost your thyroid story I got so angry about the doctor. You can

still tell her you've spoken with a doctor friend (make it up!) and that the

standard of care is TSH, FT3, FT4, and antibodies also would be better.

I do think it would be good to calmly speak to the director about the

disparaging comments the doctor made.

Kerry

> >

> > My teen is in a psych unit and I asked the doc to please check thyroid

levels.

> > Folks, if you thought you've heard the worst, get ready for this one:

> >

> > Doc said TSH is 3.08

> >

> > I asked, what is her t3 level.

> > Doc says, it is not necessary to test t3, TSH is the screening for thyroid

issues.

> > Next, I asked, what is her t4 level?

> > Doc says, it's not necessary, only TSH is important.

> >

> > So I said, I'm concerned because previously she had low t4 (it went back up

when she got off the darned psych meds) and it concerns me because low t4 means

her thyroid is not producing sufficient thyroid hormones.

> > She again said, t4 is not important, only TSH is important.

> >

> > If I had a frying pan with a handle, I woulda used it on her!

> >

> > She said, she doesn't think my child has a thyroid issue because she has the

energy for the things she wants to do. Things she doesn't want to do, she is

tired and wants to be in bed.

> >

> > What would you do if you were in my shoes?

> >

>

[Guest guest]

I'm sorry, I lost your thyroid story I got so angry about the doctor. You can

still tell her you've spoken with a doctor friend (make it up!) and that the

standard of care is TSH, FT3, FT4, and antibodies also would be better.

I do think it would be good to calmly speak to the director about the

disparaging comments the doctor made.

Kerry

> >

> > My teen is in a psych unit and I asked the doc to please check thyroid

levels.

> > Folks, if you thought you've heard the worst, get ready for this one:

> >

> > Doc said TSH is 3.08

> >

> > I asked, what is her t3 level.

> > Doc says, it is not necessary to test t3, TSH is the screening for thyroid

issues.

> > Next, I asked, what is her t4 level?

> > Doc says, it's not necessary, only TSH is important.

> >

> > So I said, I'm concerned because previously she had low t4 (it went back up

when she got off the darned psych meds) and it concerns me because low t4 means

her thyroid is not producing sufficient thyroid hormones.

> > She again said, t4 is not important, only TSH is important.

> >

> > If I had a frying pan with a handle, I woulda used it on her!

> >

> > She said, she doesn't think my child has a thyroid issue because she has the

energy for the things she wants to do. Things she doesn't want to do, she is

tired and wants to be in bed.

> >

> > What would you do if you were in my shoes?

> >

>