Dr. Renée Hoenderkamp is a NHS GP who had a thyroidectomy 17 years ago. In her weekly vlog (19.24 minutes) Dr. Hoenderkamp discusses blood tests, Levothyroxine and T3 treatment, when to request referral to endocrinology, and how to appeal the potential deprescribing of T3.
My link didn't work but Humanbean has kindly posted the vlog below
Written by
Clutter
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Clutter THANK YOU SO MUCH !!!!!. YAY !!!! Finally a Dr that understands us . We NEED to CLONE MORE OF Dr. Renée Hoenderkamp . Shes is amazing . I just have one problem not with the Dr because she is one of a kind . Do we need to seek and search for Dr's that have thyroid ailments . And then ask if the are on T4 only ? T3/NDT only ? Or combo?
Why does it take for a Dr to have thyroid ailment to understand us to be treated the way we need and ought to be treated to feel optimal .
Those are NOT the ones where looking for .There are also those Dr's that don't necessarily have thyroid ailments are also sympathetic caring and dose accordingly . And THINK OUT OF THE BOX . We need more of them too .
Great clear and informative. Like you T4 after 8 years did not work for me. I get my NDT from Thailand, it's absolutely fine and I am so much better. It's cheap. £50 for 1000 tablets including p and p. I prefer some guidance from GP. So that's my next job. Thanks once again.
Has Dr Dr Renée Hoenderkamp contacted TUK???? She is a GP who had TT and takes T3 herself. She strongly opposes T3-withdrawal. Jerome Burne advised her to contact TUK (see below). It would be great to get her on our side. I don't know whehter this email address still works: reneehoenderkamp@cogora.com
Jerome. I am a GP in London. I take T3 and T4 and it transformed me. I have shocking photos of the before and after me! I have written to NHSE and my MP. The simple fact is this drug is £15-20/month all over Europe and was that price here. Now it’s £268/month here because it’s another example of the NHS being ripped off by pharma. It’s nothing to do with the cost of manufacturing. It is still available across Europe at the lower price. I would live to speak to you about this. Regards Dr Renée Hoenderkamp
Reply
Jerome Burne says:
July 4, 2017 at 1:35 pm
Presume you’ve seen my piece in D mail about this today. I have even worse figure on price rise. I’m aware it is due to totally unjustified rises over several years. Stuff about being due to more complicated manufacturing comes from MHRA.
Have you been in touch with TUK who would be delighted go have another doctor on board. Presumably you can prescribe yourself T3. What a ridiculous bureaucratic mess.
Reply
Dr Renée Hoenderkamp says:
July 4, 2017 at 3:04 pm
Hiya. I did indeed. I can’t prescribe for myself. My Gp currently does so but it’s a battle and if they take it off the list totally I will have to buy in Europe which is shocking. At least I can, think of those who can’t! I haven’t spoken to anyone at TUK. Anyone in particular. Feel very passionate about this. I lost my thyroid I cancer so I have no activity of my own at all. Do some media writing and a BBc Gp show so have some opportunity to highlight. Did ou know it is currently part of NHSE look at OTC meds with a view to stop GP’s prescribing OTC meds or those without evidence. In the paper they say “there is evidence of efficacy but there are cheaper alternatives”. Not on the list: paracetamol (170 OTC), suncream, ibuprofen and so on.
Many thanks. I was beginning to think I was going mad. I am on 75mg. Thyroxine and due to have another blood test now. Do I take the Thyroxine before the blood test and after. Again, many thanks.
Arrange the blood test early in the morning when TSH is highest and fast (water only) as TSH drops after eating and drinking. Take Levothyroxine after your blood draw.
Thanks for posting Clutter Excellent video. Great to know there's one GP (at least) who understands and is doing her bit to get this awful situation sorted.
Thank you ! At last a doctor speaks out and tells us to fight for t3 if that's what our body needs ! Can't tell you how this made me feel ! I'm just so worried about current t3 shortages abroad and with no chance of being prescribed by my doctor I feel a resurgence inside me to fight the nhs again ..thanks Clutter !
Thank you Clutter and humanbean. A ray of hope.... Is it possible to obtain a printed version so that I would be able to take it to my GP and endo when I do go and see one? That would be most helpful in negotiating the correct treatment if converting badly.
That's a pity. I certainly will pass the Youtube link to GP and endo when see one. However, knowing my GP I seriously doubt she'll look at it! It will be falling on deaf ears, she's very good at that. It's hard to remain positive when faced with a brick wall, time and again. I keep trying but am seen as a "difficult patient who demands things" (investigations/tests/treatment) from... poor pressurised GP. You get the drift...
Thank you clutter (and humanbean) for that interesting and hopeful link ~ wish she was my GP! Video watching is about my limit today anyway ~ I feel so ill.....
As we are still part of Europe I don't understand why such discrepancy in cost is allowed?This it seems is the real reason NHS is not happy to prescribe. Hence limited training for GPs
Maybe our MEPs could help? I recently relocated and I am terrified that I will lose my T3
It seems that NICE if that is still the name should be petitioned. If the cost of drugs from licenced providers is the issue why are they not looking at cheaper providers to licence. I agree it is likely to be laziness, incompetence and historical process that nobody can be bothered changing!!
My understanding is that manufacturers have to approach the NHS rather than the other way around. So there must be good reasons why other companies don't apply for a license. We can only speculate on what they are.
What I don't understand is why the NHS can't license existing T3 meds that are already used successfully in France, Germany, Greece, Turkey etc.
Yes, I know. I'll be interested to see what they charge when it finally comes on-stream. I also don't understand how they can have been granted a license just when the NHS wants to ban its use.
The NHS's right hand doesn't seem to know what the left hand is doing.
It's all about connections and who knows whom... They must know something we don't if they are investing in it. Yes, I'm also very suspicious about the price they are planning to charge...
It's great that a gp is explaining different treatments for thyroid issues, but how are you supposed to get your own gp to run the relevant tests? My gp will only go off tsh and t4, I have to pay privately to include ft3, I still haven't ordered a rt3, as I'm waiting to see how the introduction of a small amount of tiromel is having on my levels.
I know Clutter, so how can they offer bespoke treatment to thyroid patients, whether you're talking about levo/liothyronnine or ndt, when the medical practitioners, are so narrow in their outlook?
They aren't offering bespoke or individualised testing or treatment. They're offering the minimum (cheapest) testing and Levothyroxine (cheapest) treatment.
It's not the fault of individual GPs but the fault of the agreements drawn up by the various bodies, labs and CCGs to cut costs to the bone in primary care.
Would your GP watch this video if you suggest it ot them? It's a long shot but maybe they would listen to another GP...
Clutter so wonderful to see that you posted this on the forum 😊. Have been away and a bit slow to catch up😉
Dr Hoenderkamp has been such a breath of fresh air and many of us campaigning for ITT (improve thyroid treatment) are delighted with her tweets and Facebook support.
If you are reading this post and haven't yet felt inspired to help the campaign but now want to do something, please at least sign the change.org petition and ask everyone you know to do so as well.
We are close to 5500 signatures, the campaign started by our wonderful Kitti1 is gathering momentum.
You can connect with her by sending a message here or on Twitter or Facebook. Search on Google for 'improve thyroid treatment campaign' and you'll see how this campaign is growing in profile.
lynmynott would it be possible to pin the petition to the forum? I'm going to put up another post. Would be helpful to reach the vast number of members here. As well as more prominently on Thyroid UK sites?
I have to admit that I cried when I watched Dr Renee's video. At last, someone who understands and is promoting what we've saying, and hoping for; a doctor who's actually validating what we know. We've been told by so many professionals that we're wrong - but we are right, and at last we have an expert on our side!
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