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 …

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

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 …

Continue reading Thyroid patient blaming and shaming, part 2: True barriers

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 …

Continue reading How thyroid guidelines are being used to punish doctors

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 …

Continue reading 2012 ATA thyroid guidelines ask for clinicians’ independent judgment

Thank you, good thyroid doctors!

Today is Canadian Thanksgiving Day. Today all thyroid patients in Canada and all over the world can reflect with gratitude toward all our good thyroid doctors past and present. To guide reflection and thanks, I'd like to outline 10 of the important things good thyroid doctors know and do. We all know there is no …

Continue reading Thank you, good thyroid doctors!

Several fallacies in the TSH-T4 paradigm of thyroid therapy

When you are steeped in a medical paradigm, its fallacies can be as comfortable and taken for granted as an old pair of sneakers. In this post, I'll take apart several thyroid therapy fallacies, starting with the fallacy "description is not prescription." I will investigate many of the ways in which patients on T4 monotherapy …

Continue reading Several fallacies in the TSH-T4 paradigm of thyroid therapy

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 …

Continue reading 2014 ATA therapy guidelines: 5. Research