Thyroid patient blaming and shaming, part 3: Advocacy and Science

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. We are standing on the …

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Thyroid patient blaming and shaming, part 2: True barriers

In this Part 2, 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 provide a fictional dialogue among three of the authors to illustrate their thought process. I then illustrate how the "barriers" are …

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2019 ATA article engages in patient-blaming and doctor-shaming

Some members of the American Thyroid Association (ATA) have achieved a new ethical low. They have published in their official scientific journal, Thyroid, an article that blames thyroid patients for causing harm to themselves by making requests of doctors for tests and therapies. They titled their paper "Patient Requests for Tests and Treatments Impact Physician …

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How thyroid guidelines are being used to punish doctors

Clinical guidelines are supposed to promote patient health and encourage evidence-based medicine and physician discernment, but thyroid guidelines aim to restrict testing, restrict medication, and prevent any change in therapy practices. Indeed, the enforcement of restrictions appears to be the main purpose of local and international thyroid therapy guidelines today. These thyroid therapy guidelines, and …

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2012 ATA thyroid guidelines ask for clinicians’ independent judgment

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 …

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The loss of thyroid clinical knowledge from Werner & Ingbar’s The Thyroid

Decades ago, a lot more doctors knew how thyroid hormone levels influenced all organs and tissues’ health. It wasn’t all about the influence of thyroid hormones on the TSH. It was more about the influence of truly adequate thyroid hormone levels on real health outcomes. A lot more doctors learned and understood that if thyroid …

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2014 ATA therapy guidelines: 5. Research

This post continues my series of paraphrases of Jonklaas et al's 2014 guidelines that I left unfinished weeks ago. Here I provide paraphrases and quotations of what they set forth for the "ethics" of research in thyroid therapy in Section 18, and what they recommend as topics for future research in thyroid therapy. I provide …

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