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Re: Need a good thyroid Doctor in Houston

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>I would note that Arem will not treat below a TSH of 1. This leaves

many folks undertreated. He also does not do the bio-equivalent

hormones that I know of.

Thanks, Jan. This is extremely important information.

Since I need a suppressed TSH, I will remove Dr. Arem from my list as

even a remote possibility. I have an appointment with my new

Internist tomorrow and plan to ask for Armour instead of my

Synthroid/Cytomel combination. I am feeling almost normal (but not

quite) so if Armour isn't the answer, at least I know what dosage to

fall back on.

Jill

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Dr. Hill is my PCP and is GREAT!!! But he has a very busy practice

and while you won't wait forever for an initial appointment you may

have a wait in the waiting room once you get there.

There now that that is out of the way - he is not a " one size fits

all " doctor! He does take the time to explain how the thyroid works,

how it works once you start meds, how hashi's fits in to it, how the

TSH fits in, etc. He considers TSH as part of the puzzle, not the

whole thing. He considers symptoms along with labs. BUT he does not

normally run the FREE T3 test (doesn't mean he won't - but it's not

on his standard form - you have to ask for it :) ). He does run the

Free T4. He is very very very easy to talk to. He is open minded -

he does not walk in with his mind already made up - if you know what

I mean - he does believe there is such a thing as adrenal

insufficieny - I am currently being tested. He does RX Armour, if

he feels that is what is needed, or synthroid, or a combo or whatever

it takes to get the patient better - he keeps trying different

meds/doses until he hits the jackpot - again not the " one size fits

all " mentality. He has been in the same office forever and has had

patients go to him for 20+ years that I know of. He has a huge

following. Now if there is something needed like a FNA or such he

will refer you to an endo in most cases - he usually refers to Dr. U.

Choksi - I do not like her - I have seen her in the past and while

she does have some thyroid patients that just love her - I have no

use for her - she doesn't answer questions very well IMHO - and the

wait for appts is long and she is apt to cancel at the last minute.

She will if pressed RX Armour - that is where I got it first - but I

did insist.

Will he treat below a TSH of 1 - he does with me - BUT I also have a

pituitary tumor and that does skew my TSH numbers so he does not

consider them to be reliable - even tho my endo does (my endo

flip/flops on this - one month he believes them - the next he

doesn't) - Dr. Hill goes more by my other numbers and my symptoms. I

usually have Dr. Hill treat my thyroid and my endo handle the

pituitary issues - the endo thinks he's doing both - I just don't

tell him otherwise - hehe.

Janie

> Hi Everyone:

>

> Would appreciate any feedback on good docs in the houston area.

> I am looking at the list and Jerome Borochoff look good as well as

> frederick Hill??

>

> Please let me know your thoughts. I was looking into Dr. Hotze but

> now will not being going there- THANK YOU FOR THE FEEDBACK.

> Still would like to know if anyone has heard of Dr. Kimberley

> Schroder DO who studied with Dr. Hotze.

>

> Thank you again and please HELP..

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Ya know, it just amazes me at how many doctors' common sense does NOT come

into play here: Think about it---Is it TSH that runs into your bloodstream

and tries to get into the cells of your entire body? No! It is the thyroid

hormone that TSH stimulates the thyroid to make. TSH's main job is to

stimulate the thyroid. What makes ANYone in their right mind think that,

just because the thyroid is unstimulated after proper treatment with thyroid

hormones, lack of TSH (other than if the T3 and T4 were way up in ridiculous

ranges) is going to cause HYPERthyroidism or osteoporosis?! It is beyond me

how people with so many yrs of education and training in the medical field

can't seem to use the " horse sense " God gave most of us to see the illogical

reasoning in this. Sure, if you took a huge amt of hormone that caused even

your blood tests to look incredibly hyper, then this would be the case, but

frankly, with most of the people on these boards, a " 0 " TSH can't even

relate to the fact that they're not seeming to " build " adequate amts of the

hormones that the body cells DO use. It's so simple, if they'll just use

their noodles.

Ridha Arem: That's who I would like to go to, if I had the money for him.

No can do, at this time.

Tx

Re: Need a good thyroid Doctor in Houston

> I am very interested in this question also. Can't say I have an

> answer, but this is what I know.

>

> I do NOT recommend Dr. Kuldip Kaul in the Nasau Bay area. He triple

> books, his time with you is like a race, is impatient, and can't

> remember anything you told him in the past. Even got my name wrong

> on a prescription order.

>

> I have mixed feelings about Dr. Lucy Kormeier. She was the first to

> run a Free T3 test on me, BUT she treats the lab results, NOT your

> symptoms. When my numbers looked okay, but I was still dying from

> symptoms, she told me that it must be something else and go back to

> my primary doctor. My Free T3 was at mid-range or slightly below and

> my TSH was .3 at that time. She refused to increase my T3 and said

> that going lower on my TSH would cause osteoporosis. She also flatly

> refused to run a Ferritin test because " it has nothing to do with

> thyroid " . My new doctor increased the T3 and I am feeling better.

>

> Dr. Ridha Arem is in Houston, BUT he is extremely expensive. Expect

> to pay whatever your out-of-network deductible is. I read on an

> earlier post here that Dr. Arem recommended Dr. Vivian . I

> am keeping her in mind if my current local internist ever stops

> working with me.

>

> Jill

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I remember several yrs ago, when I didn't have any knowledge about any of this that my TSH was always a 3 or a 3.5, and I felt wonderful. In my case, the TSH, I don't think, would have to be at 1 or below for ME to feel better, but, of course, that's not what many other people are saying about themselves. What's so strange is that, from 3 different doctors, they saw that this is where I felt well, yet not one of them would agree with me that it was my thyroid causing the symptoms I began to have later one, when the TSH went on up to 5.5 or 6 at times. Even though, I didn't realize at the time that this was a significant change in status, why wouldn't they, if they were so stuck on the TSH even? The dumb endo that told me that once the thyroid fails, it never changes, must have gotten his mainstream degree from one of those shady characters on the internet, if they didn't even recognize what the mainstream holds to be true. I just remember that when I felt so well was when it came back at a 3 every single time. I wwould only recommend Arem to someone like me, who happens to feel good at that level. I probably do need the bio-equivalent hormones you're talking about, so he might not be a fit for me, only on that basis.

Tx

Re: Re: Need a good thyroid Doctor in Houston

I would note that Arem will not treat below a TSH of 1. This leaves many folks undertreated. He also does not do the bio-equivalent hormones that I know of.

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Thank you Jill. I am looking at trying Dr. Borochoff unless Ihear

differently. Others might try Dr. .

So sick of feeling terriable.

THank you again,

Martha

> > Hi Everyone:

> >

> > Would appreciate any feedback on good docs in the houston area.

> > I am looking at the list and Jerome Borochoff look good as well

as

> > frederick Hill??

> >

> > Please let me know your thoughts. I was looking into Dr. Hotze

but

> > now will not being going there- THANK YOU FOR THE FEEDBACK.

> > Still would like to know if anyone has heard of Dr. Kimberley

> > Schroder DO who studied with Dr. Hotze.

> >

> > Thank you again and please HELP..

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Who is your internist?

> >I would note that Arem will not treat below a TSH of 1. This

leaves

> many folks undertreated. He also does not do the bio-equivalent

> hormones that I know of.

>

> Thanks, Jan. This is extremely important information.

>

> Since I need a suppressed TSH, I will remove Dr. Arem from my list

as

> even a remote possibility. I have an appointment with my new

> Internist tomorrow and plan to ask for Armour instead of my

> Synthroid/Cytomel combination. I am feeling almost normal (but not

> quite) so if Armour isn't the answer, at least I know what dosage

to

> fall back on.

>

> Jill

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> > >I would note that Arem will not treat below a TSH of 1. This

> leaves

> > many folks undertreated. He also does not do the bio-equivalent

> > hormones that I know of.

> >

> > Thanks, Jan. This is extremely important information.

> >

> > Since I need a suppressed TSH, I will remove Dr. Arem from my

list

> as

> > even a remote possibility. I have an appointment with my new

> > Internist tomorrow and plan to ask for Armour instead of my

> > Synthroid/Cytomel combination. I am feeling almost normal (but

not

> > quite) so if Armour isn't the answer, at least I know what dosage

> to

> > fall back on.

> >

> > Jill

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You are soo right mary... It makes me soo mad.

> Ya know, it just amazes me at how many doctors' common sense does

NOT come

> into play here: Think about it---Is it TSH that runs into your

bloodstream

> and tries to get into the cells of your entire body? No! It is

the thyroid

> hormone that TSH stimulates the thyroid to make. TSH's main job is

to

> stimulate the thyroid. What makes ANYone in their right mind think

that,

> just because the thyroid is unstimulated after proper treatment

with thyroid

> hormones, lack of TSH (other than if the T3 and T4 were way up in

ridiculous

> ranges) is going to cause HYPERthyroidism or osteoporosis?! It is

beyond me

> how people with so many yrs of education and training in the

medical field

> can't seem to use the " horse sense " God gave most of us to see the

illogical

> reasoning in this. Sure, if you took a huge amt of hormone that

caused even

> your blood tests to look incredibly hyper, then this would be the

case, but

> frankly, with most of the people on these boards, a " 0 " TSH can't

even

> relate to the fact that they're not seeming to " build " adequate

amts of the

> hormones that the body cells DO use. It's so simple, if they'll

just use

> their noodles.

>

> Ridha Arem: That's who I would like to go to, if I had the money

for him.

> No can do, at this time.

>

>

> Tx

>

> Re: Need a good thyroid Doctor in

Houston

>

>

> > I am very interested in this question also. Can't say I have an

> > answer, but this is what I know.

> >

> > I do NOT recommend Dr. Kuldip Kaul in the Nasau Bay area. He

triple

> > books, his time with you is like a race, is impatient, and can't

> > remember anything you told him in the past. Even got my name

wrong

> > on a prescription order.

> >

> > I have mixed feelings about Dr. Lucy Kormeier. She was the first

to

> > run a Free T3 test on me, BUT she treats the lab results, NOT your

> > symptoms. When my numbers looked okay, but I was still dying from

> > symptoms, she told me that it must be something else and go back

to

> > my primary doctor. My Free T3 was at mid-range or slightly below

and

> > my TSH was .3 at that time. She refused to increase my T3 and

said

> > that going lower on my TSH would cause osteoporosis. She also

flatly

> > refused to run a Ferritin test because " it has nothing to do with

> > thyroid " . My new doctor increased the T3 and I am feeling better.

> >

> > Dr. Ridha Arem is in Houston, BUT he is extremely expensive.

Expect

> > to pay whatever your out-of-network deductible is. I read on an

> > earlier post here that Dr. Arem recommended Dr. Vivian

. I

> > am keeping her in mind if my current local internist ever stops

> > working with me.

> >

> > Jill

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Jill, that's nice for me to know also because I live over here in Angleton.

I'm thinking that you, someone else, and me are the only ones directly down

in the Brazosport area, from on this site. Nice to know I have a close

neighbor with this in common.

Tx

Re: Need a good thyroid Doctor in Houston

> I actually do not live in Houston, but rather an hour south in Lake

> , which is why I did not mention my Internist's name. He is

> Dr. Raj Dalal and is also located in Lake . He is hesitant

> about allowing the TSH to be suppressed but is willing to work with

> me based on symptoms. I think he feels re-assured rather than

> threatened that I have done so much research and bring articles to

> him. This is refreshing.

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Exactly, they have gone backwards because they are being trained in medical

schools around this nation by reps from the pharmaceutical companies, namely

those powerful agents who market and sell to the public the misnomer about

synthetic T4 hormonal replacements. It's not their fault, as far as when

they were trained, but it is their fault that they turn their backs on

crystal-clear, study based, unarguable evidence, because of pride, and, with

some, an uncaring " busy " attitude, when it comes to each person's individual

chemical profile. We KNOW they're busy and overworked, but their purpose in

service is to " do no harm " . By omission of using solid evidence in their

practices, they are doing constant harm to untold millions of people. I

respect a doctor who will go the extra mile to find out what's REALLY going

on with their thyroid patients and won't bargain with niceties from a drug

rep, but I just get so angry about those who won't.

Tx

Re: Need a good thyroid Doctor in Houston

> This is stated very well. I had wondered why everyone cared so much

> about TSH when it doesn't really DO anything except ask for T4 and T3.

> Your message has helped me see that I am on the right track.

>

> I never had this trouble 40 years ago. Sometimes I wonder if the

> medical profession has gone backwards over time.

>

> Thanks,

> Jill

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