I initially posted this as a response to an old thread. Someone suggested I repost it under a different title
I live in Australia and my partner and I share the house that my mother (92) and I own together, with my father (91). I have both power of medical attorney and guardianship of my mother, but my father gives her her morning pills from a Webster pack and gives her all her meals and accompanies her to about half of her appointments.
My father suddenly wants to take my mother off NDT because he has read the Wikipedia article at en.wikipedia.org/wiki/Desic... Unfortunately I helped to put us in a situation of conflict because I thought that the pharmacist was going to tell the old doctor, but she thought I was going to do so. Now I cannot see this doctor until Sunday (tomorrow).
Initially my father agreed that the thyroxine wasn't working and that I would take her to a new doctor who prescribes NDT. I did that and she has been doing so well. Now he has got her doctor to put her back on thyroxine from Monday. I am going to see the first doctor and talk to him on Sunday, when he is working next, but I am really upset and worried that he is going to take my father's side, despite my power of medical attorney and guardianship, due to the non-establishment quality of NDT.
I had wanted to try mum on NDT for ages, but, knowing my father's hyperconventionalism, I waited for an opportunity which came when my father finally noticed how swollen my mother's legs were. At the time, he said that obviously the thyroxin was not working.
After half a grain of NDT - one dose - her legs were down to normal for first time in years. (I don't know why it took my father so long to notice how bad her legs were.) Furthermore, her hallucinations and agitation have greatly declined. For the first time in about four years, she takes in her surroundings. (She demented overnight in context of undiagnosed hypothyroidism, pernicious anaemia and very high temperatures due to clostridium difficils and then a tooth abscess.) Her personality and equanimity has returned. Although she has no short term memory, she is able to concentrate within those limits. My father, who is 91, can be quite a bully and irrational. He thinks that I suggested NDT because I am into alternative remedies, which is not at all the case. As well as really fearing for my mother's welfare, I am suffering from his very contemptuous attitude towards me, especially since I am a credentialed mental health nurse, but I am absolutely furious about this wikipedia article. It may ruin our lives, unless I can pull rank and get the first GP to agree that Mum has a right to be treated by the second GP, to whom I took her because she was not responding well to thyroxine, which she had been taking for about three years.
My father is probably also worried that having another doctor involved will affect his having organised a list of medications signed off by the first doctor, which has been required by a nearby facility which he hopes to be able to put my mother into for temporary respite. Of course this list can be done again, but, for a 91 year old, having to get a revised list probably seems really difficult.
Ultimately I may try to respond to that wikipedia article by showing that it is biased and illogical.