Why do endos have to be so patronizing. - Thyroid UK

Thyroid UK

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Why do endos have to be so patronizing.

beaton profile image
17 Replies

Saw Dr B at Truro yesterday,nice man but so patronizing. First time I'd seen him as I'd asked to transfer to his list.I arrived ten minutes early his room was empty and remained so for the next half hour until he arrived. Five minutes later he called me in.In the preceding five minutes he'd read my notes,well that's a toom and a half,so perhaps glanced at would have been a better phrase to use.

So according to him,I went to my GP because I was tired and depressed Not True,weight was my issue. Not all symptoms are thyroid related,who said they were?? Antidepressants are the answer,I need more seratonin.

So dear Dr B, I have never felt better in years,all I want from you is to agree to T3 only and check my dose.

He doesn't want to see me again.

I got the advise I wanted but why oh why do endos think were are all Truly She's Hysterical. :(

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beaton profile image
beaton
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17 Replies
humanbean profile image
humanbean

I think I must be getting the wrong end of the stick here. You wanted to see an endo, and got the advice you wanted which was to take anti-depressants? Why wouldn't your GP agree to anti-depressants?

beaton profile image
beaton in reply tohumanbean

No Humanbean,I didn't want anti-depressants. I wanted to ask about T3 only. My GP and I have been trying to find the right dose.

I had been under another endo. at the same hospital,who wanted me to drop T3 and take T4 only. This endo. sent me for all sorts of tests (just to spite me.) Sleep apnea,with probes up my nose etc.

If the consultation with Dr B had gone the way I wanted,I would have asked other questions but it was obvious from the start that he thought all women with Hashimoto's were hypochondriacs.

jlovell88 profile image
jlovell88 in reply tobeaton

Hypochondriacs also get sick.

Clutter profile image
Clutter

Beaton, Sorry it doesn't seem to have been a good consultation but I'm missing something here. Has he agreed to prescribe T3 or dismissed you as not having a thyroid problem?

beaton profile image
beaton in reply toClutter

Hi Clutter,it's my GP who is prescribing T3,after the last endo. consultation,where he didn't read the bloods right. I was due to see the old endo. again but asked to be transferred.

Out of the frying pan into the fire.

I shall still get my T3 from my GP but won't see any endos from now on.

Clutter profile image
Clutter in reply tobeaton

Beaton, if the endo's only care is interpreting your blood results and advising you to take ADs you're better off without his 'care'.

beaton profile image
beaton in reply toClutter

Yes Clutter,total agree. Another dinosaur in the room.x

Spareribs profile image
Spareribs

Beaton, what advise did you get?

beaton profile image
beaton in reply toSpareribs

Hi Sparerib,advice given was T3 only is ok if that suits you,(tongue in cheek.) but keep within the ranges. ie cut dose from 60 to 40 and have bloods in six weeks. So I cut the dose to 50. :)

I reckon what Beaton's saying is:

1) The endo hadn't twigged that this wasn't her first visit to an endo

2) The endo hadn't twigged that Beaton is already on T3 only

3) The endo assumed that she needed "advice" about feeling tired and finding it hard to lose ŵeight and gave the bog standard advice that antidepressants must be required because her thyroid tests were "all in range".

4) Beaton set him straight. :) Told him she didn't want antidepressants, just a letter to go to her GP to say it was fine for her to stay on T3 only.

5) Dr B agreed to write said letter.

How close am I? :D

If I'm right, it would be nice if the Dr B acknowledged that he'd judged a book by its cover (or maybe judged the patient by the thickness of the file :)). Bet he didn't though!

beaton profile image
beaton in reply to

Hi Lilymay, Think you got as close as possible to summing up Dr B.

When you consider that I have been under endocrinology at that hospital for five years and rheumatology at the same hospital for three years, my notes are thick,but not as thick as said doctor.

Marz profile image
Marz

.....he probably wanted to go surfing on the North Coast - that's why lots of people move to Cornwall.... :-) They are always thinking about the next wave :-)

Ex Cornish inhabitant ! - now in Crete :-)

beaton profile image
beaton in reply toMarz

Well he didn't want to be in Truro thats for sure. :)

shaws profile image
shawsAdministrator

They are so very, very smart. No blood tests for depression yet offer anti-d's. Will not consider T3, used in psychiatry too, as our brain contains the most T3 cells and our bodies cannot function whatsoever without sufficient T3, whether from T4 (if converting adequately) NDT or T3. A link:-

stopthethyroidmadness.com/t...

beaton profile image
beaton in reply toshaws

Thanks Shaws.xx

jlovell88 profile image
jlovell88

MDs are like an occupying army. They control a lot of your life and you have to deal with them. They think that you are stupid and they are not teachers to correct that. I would say that you need to invest the time to shop and try them out. Give your negative feedback to the system if you want to be a good citizen. And keep in mind that they can bury their mistakes.

Most of what they do is follow rules written down in medical journals. It takes a long time for new rules to become recognized. And most of all, they only have a few minutes for you.

beaton profile image
beaton in reply tojlovell88

I'm just waiting for the letter to my GP,see what the endo. has written and then comment on the hospital site. :)

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