(no subject)

Date: January 2nd, 2010 06:26 am (UTC)
raine: (Default)
From: [personal profile] raine
Thanks for the link, but you may want to edit the post so it reads "thyroid madness" rather than "thyroi(s) madnes" and "tyroid"...I thought you were talking about something else entirely! :-)

The problem isn't new, really: people tend to believe that doctors know everything there is to know about disease and people, and the truth is that they don't, and people need to advocate for themselves.

(no subject)

Date: January 2nd, 2010 07:35 am (UTC)
raine: (Default)
From: [personal profile] raine
::deep breath:: I have lived with hyperthyroidism since 1997. My first endocrinologist was a chauvinist who tried to insist that my then-husband had to be present when he explained I *absolutely* had to have my thyroid removed. I walked out, went back to my general practitioner (GP) and waited until I moved to a new city to find an endocrinologist and a GP who didn't want to just hand me pills or try to insist I didn't need to test for additional lab values. In the meantime, I did research on the internet and found Mary Shomen's mailing list (this was around 1998/1999, when you were lucky if a page or mailing list existed, much less with *useful* information). http://www.thyroid-info.com is her current site. She was the first to say, "Demand that the doctors listen to your specific body, and not try to fit you into the same puzzle everyone else fits into. You probably do fit into a puzzle somewhere...just not the one the doc thinks." I've had to insist that no, I don't need my thyroid nuked...just my medication adjusted...and that my meds may need further adjusting somewhere down the line. I've enjoyed a few years where I didn't need meds, was able to lose weight, be fit, healthy, etc...only to have life stress me out and I'm back on the meds again, fighting with my doc about getting nuked -- because once that happens, there's no going back from that, and I want to delay that as long as possible.

I worked in continuing medical education for five years, so I know very well that doctors *don't* know everything, including the ones teaching/speaking on the subject. They cited numerous examples of unusual cases...cases that didn't fit the standard profile, or might be misdiagnosed as something else. It's not that they deliberately are trying to do the equivalent of "patting you on the head and making you go away" (although some of that does go on, unfortunately)...sometimes they're just guessing, based on what you've told them. Many people don't see their symptoms as subsets of a whole, and sometimes thyroid problems can masquerade as other things. There's plenty of blame to go around, especially if you see multiple doctors and assume they'll share the information. (They won't...and they can't without permission, at least in the US.)

I still fight with my doctors. I saw one last month for a head cold that was threatening to mutate into something else...and thank God he understood that I knew my body well enough to know it *would* mutate into something nasty and prescribed the right medication for it. If it hadn't been him, I'm not sure the other available doctor at the multi-doctor practice I go to would have been so willing to prescribe the antibiotic I needed. I still periodically check my symptoms against a list of thyroid symptoms, just to make sure I'm on track and not misdiagnosing myself. (Mary has an excellent hypothyroidism checklist here: http://www.thyroid-info.com/chklst.htm.) What I'm trying to say is that you don't have to be stuck with doctors you don't think are listening to you, but you do have to be willing to speak up and insist that they see you as an individual.
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