A thought: Is thyroid endocrinology like programming? Endocrinology seems to be a field that thinks it already knows all the variables in the box of thyroid therapy, and all the problems exist outside the box. My husband is a self-taught… Read More ›
Endocrinologists / CSEM
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.
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… Read More ›
2019 ATA article engages in patient-blaming and doctor-shaming
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… Read More ›
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… Read More ›
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”… Read More ›
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… Read More ›
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. Posts in this series: 2014 ATA Thyroid therapy guidelines: 1. Levothyroxine 2014 ATA Thyroid therapy guidelines: 2. Ethics 2014 ATA Therapy… Read More ›