Guest guest Posted June 24, 2010 Report Share Posted June 24, 2010 Hello,I was upset that my long awaited appointment with Dr P was postponed because he was ill, I am glad to say I hear he is well again and has rescheduled for August. I had hoped with his help that I would be on my merry way to making a full recovery, however they say things happen for a reason and as my GP referred me to the Endocrine clinic my appointment was only days away so I was feeling positive that this appointment was going to be my saving grace and I would be able to rave to TPA about finding a great Thyroid Doc.. but afraid to say it was the same old story.I didn't get to see the consultant instead seen the Registrar, she was young and lovely and didn't have a clue about my problems.I showed her my adrenal stress results from Diagnostic's ... she didn't understand them as she hadn't seen this layout before. I asked her if she had a special interest, she replied " Endocrinology " , I rephrased the question " Do you have a special interest within this field, she replied with a bemused laugh " Endocrinology " . I then asked her if she knew of any Doctor who specialised in Thyroid, her reply was " all endocrinologist's cover thyroid. Cortisol Levels: Sample 1 – 08.00 4.0 (Ref Range 12-22)Sample 2 - 13.15 4.2 (Ref Range 5-9)Sample 3 - 18.30 2.4 (Ref Range 3-7)Sample 4 – 23.20 1.4 (Ref Range 1-3)Total Daily Cortisol 12.0 (Ref Range 21-41)DHEA Levels:Sample 2am 0.86 ( Ref Range 0.2-0.6)Sample 3pm 0.44 ( Ref Range 0.2-0.6)DHEA : Cortisol Ratio 5.42 (Ref Range 0.6 -3.0) My thyroid test results, she looked over them and said they were in normal range ?Private Clinic Results TSH 0.2 -5.0 Free T4 8 -14 Total T3 1.3 -3.116/4/10 *0.19 *17.0 1.6When I highlighted that T4 was out of range at 17, she disagreed and said it was OK because it was within the NHS range --- 21!!!!I told her my thoughts of being over medicated with 200mcg levothyroxine and my concern that I wasn't converting to T3. I explained that I was very very tired, didn't have any motivation, feeling cold, anxious, depressed etc etc all fell on deaf ears. She arranged for me to have blood drawn along the corridor and told me to make a return appointment for 4 months.I left feeling like I was a naughty girl for wasting her time, I don't have any fight in me at the moment and only a mere thought of confrontation puts me into flight mode - and as I run I am usually crying uncontrollably.Two weeks later I received a letter from the Registrar, Quote .... " Following your recent visit to the endocrine clinic, I now have the results of your thyroid blood tests. These suggest that you are on too high a dose of Thyroxine and so I have advised your GP to cut back the dose to 150mcg daily. Hopefully this will make you feel less tired. Best Wishes Dr ***** Specialist Registrar in Diabetes Endocrinology " I couldn't help but laugh when I read this letter, the reason the dosage was raised in the first place was because I complained to my GP about being tired all the time. Now look at her title below her name .... and she couldn't answer me when I asked her if she had a special interest.Her e-mail address is on this letter and I would dearly love to reply, all the words fly around my mind but when it comes to actually writing I find I don't have the concentration. This post has been in the pipeline for days and I nearly deleted it because I have gone off the boil.Should I frame this letter and live in hope that my problem is solved .. lolMy first appointment with the psychiatrist is next week and I truthfully don't know what to expect from that, has anyone else been down this route? Many thanks for taking the time to read my saga. Luv Babs T Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2010 Report Share Posted June 25, 2010 Hi Babs, some psychiatrists do have a better understanding of the important role of t£ than endo's! They certainly know lack can cause depression- hopefully he will rule ou and mental issues other than those caused by inappropriate thyroid medication. Yes too mcu T4 causing hyper can make you feel tired, but she hadn't obviously looked to see that you were just as tired on a lower dose. I can't quite work out what your T3 result was- though as it's total T3,instead of free T3 I'm not sure how useful it is as it will include reverse T3. > thyroid treatment > From: yahso1@...> Date: Thu, 24 Jun 2010 14:25:01 +0000> Subject: Endo was as good as a chocolate fire guard.> > > "Endocrinology", I rephrased the question "Do you have a> special interest within this field, she replied with a bemused laugh> "Endocrinology". I then asked her if she knew of any Doctor who> specialised in Thyroid, her reply was " all endocrinologist's cover> thyroid. Cortisol Levels: Sample 1 – 08.00 4.0 (Ref Range> 12-22)Sample 2 - 13.15 4.2 (Ref Range 5-9)Sample 3 - 18.30 2.4 (Ref range 3-7)Sample 4 – 23.20 1.4 (Ref Range 1-3)Total Daily Cortisol> 12.0 (Ref Range 21-41)DHEA Levels:Sample 2am 0.86 ( Ref Range0.2-0.6)Sample 3pm 0.44 ( Ref Range 0.2-0.6)DHEA : Cortisol Ratio 5.42> (Ref Range 0.6 -3.0) My thyroid test results, she looked over them and> said they were in normal range ?Private Clinic Results TSH 0.2 -5.0 FreeT4 8 -14 Total T3 1.3 -3.116/4/10 *0.19 *17.0 1.6When I highlighted that> T4 was out of range at 17, she disagreed and said it was OK because it> was within the NHS range --- 21!!!!> > Many thanks for taking the time to read my saga.> > Luv Babs T> > > > > ------------------------------------> > TPA is not medically qualified. Consult with a qualified medical practitioner before changing medication.> > Quote Link to comment Share on other sites More sharing options...
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