There's no surprise that patients and doctors would disagree about the incidence rate of hypothyroid symptoms in a given patient. "We have an average of 7.2 symptoms per patient" says the cohort of 262 patients. "No, you have an average of 4.0 symptoms per patient," says the cohort of 100 doctors about those 262 patients. … Continue reading Discordance in thyroid symptoms reported by patients and their doctors
In this Part 3, I continue my rebuttal of a research article that blames thyroid patients for causing harm to themselves by making requests of doctors for tests and therapies. In this post, I explain the good signs that thyroid patients' self-advocacy is sometimes effective and is making a difference.
Some members of the American Thyroid Association (ATA) have achieved a new ethical low. The ATA have published in their official scientific journal, Thyroid, an article by Esfandiari and colleagues (2019) that blames thyroid patients for causing harm to themselves by making requests of doctors for tests and therapies. They titled their paper "Patient Requests … Continue reading 2019 ATA article engages in patient-blaming and doctor-shaming
In recent years, Canadian and other international thyroid guidelines have enacted local policies that restrict thyroid therapy and testing, often citing the American Thyroid Association (ATA) & American Association of Clinical Endocrinologists' (AACE) guidelines in 2012. What most "guideline policers" fail to notice is that the 2012 ATA-AACE's guidelines begin with a disclaimer against their … Continue reading 2012 ATA thyroid guidelines ask for clinicians’ independent judgment
This post continues my series of paraphrases of Jonklaas et al's 2014 guidelines that I left unfinished weeks ago. Posts in this series: 2014 ATA Thyroid therapy guidelines: 1. Levothyroxine 2014 ATA Thyroid therapy guidelines: 2. Ethics2014 ATA Therapy guidelines: 3. Desiccated thyroid2014 ATA Therapy guidelines: 4. Using Synthetic T32014 ATA therapy guidelines: 5. Research … Continue reading 2014 ATA therapy guidelines: 5. Research