I hope by this I don’t offend people but I thought it necessary to put down. From the outset of the starting of Thyroid UK, I get the impression that the ethos underlying the charity is a Nightingale one. That is, ministering to the sick and despairing as individuals, from the knowledge of those who have had their experiences and know how to deal with it. However admirable this approach may be it doesn’t do anything other than continually handle emergencies, without having much effect as to why these emergencies have occurred in the first place. By this I mean it doesn’t challenge directly the basis of misdiagnosis, and mishandling of patients, an accusation which emanates from the hands of the medical establishment and its advice to doctors. I believe the time has come to bring forward a lot more of the Pankhurst ethos. I note that petitions spring up here there and everywhere protesting about mistreatment. To me this is futile, because each can be picked off as just another whine by dissatisfied, emotional groups. Petition fatigue sets in. What I would propose first is that everyone who wants to present evidence in petition form gets together to produce a joint document. I know this may ask for cat-herding (various groups are suspicious of one another) but I think it’s the only way forward. First, the statements can be mutually agreed, and second the numbers of petitioners amalgamated together will be larger Also, no group can claim unique access to all parts of the truth. Different organisations have their own take, which can be put together in a much more powerful way as a single output. The scientific evidence is now in and is irrefutable. However, the way we have published it is in the language of high science. This has to be so to prove the physiology that dictates the treatment and set the scientific objective standard. But now we have physicians like Toft coming in from a practical point of view, confirming our own conclusions. I’m trying to get Toft and ourselves together to present a useful challenge outright to the authorities. But that is not enough. Both sides, you and us, have to realign and augment our forces to get the most productive and useful outcome. This is all the more important given the revisiting of the Guidelines at present in progress.