Ok. So, still seeing an endo in Warwickshire who was really nice and supportive - when I wasn't taking more of an active participation, and now I find that this endo is wedded to the TSH tally. Last visit saw me being smilingly warned that my suppressed TSH will no doubt lead to atrial fibrillation and that it's my choice, that I wouldn't really want to go down the blood thinners and ablation route and then followed by a total dismissal of my questions about adrenal fatigue; as long as the synacthen test was fine (was given it 2 years ago by another endo, in passing after my asking him about it, at 2.00pm during a stressful day without any warning) then that was all there was to it - there was total dismissal of the salivary tests - didn't even acknowledge my question.
What is this with the TSH? It has taken me three days to begin to subside from acute and horrible anxiety at the thought of doing myself in because I'm on 2 grains with a suppressed TSH, even though the fT4 and fT3 are well within the 'normal' range, as opposed to optimal.
These endos can't all be talking codswallop, can they? I had the Endocrinology society and NICE trotted out at me as well as the Evidence Based blah blah, and I felt utterly awful when I came out. I felt that this was a doctor who asserted that they are THE DOCTOR and that, unless I am weak and desperate and tearful and beaten (which I was when I was there last time and the endo was sweet and supportive and actually constructive) whatever I say to try and participate in my treatment is treated as insurgence and is put down with cool, smiling efficiency and a couple of citings of studies and lots of words but no actual references.
Are there any endos who will challenge the atrial fibrillation and the TSH conundrum, and who treat symptoms and who don't kill their patients? And who haven't been hounded to death by the GMC?