Two Endo appointments, one private, one NHS, do... - Thyroid UK

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Two Endo appointments, one private, one NHS, do I see both?

Crabb profile image
6 Replies

I was tentatively diagnosed with Graves 6 weeks ago, T4 - 64.3 (range 9-24), T3 - >30.7 (range 3.5-6.5) and TSH - <0.03 (range 0.35-5), still awaiting results for TRab and TPO, but I've been on 40mg of Carbimazole and Propanolol. At the time I was told that I wouldn't see an NHS Endo for 6 weeks, worried, I contacted a private Endo and saw them within a week. I've now got my follow-up appointment with the private Endo and the first appointment with the NHS Endo on the same day. Do I see both? If so, should I disclose to both that I've seen the other?

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Crabb profile image
Crabb
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bantam12 profile image
bantam12

Choose one or the other, seeing both will be confusing if they have diferent treatment plans.

MaisieGray profile image
MaisieGray

You don't need to "disclose" anything to anyone; but why waste your money seeing a private Consultant on the same day as seeing an NHS one, and why waste the NHS resources seeing an NHS Consultant on the same day as seeing a private one? If you have bloods drawn at each, they're not going to be comparable due to different times of day; and if the private Endo prescribes a different treatment regime it won't necessarily be met by your NHS Drs. Your treatment is currently following the NICE guidelines so what are you hoping to achieve by seeing a private Endo?

Crabb profile image
Crabb in reply to MaisieGray

I arranged to see a private Endo (I have medical insurance) as I was only able to see my GP and an A&E doctor, neither of whom provided much info on what was wrong with me, despite putting me on a high dose of Carbimazole.

Based on what I've read on this site, regular blood tests seem to be vital for effectively treating Graves, my hope is that a private Endo will enable more frequent testing. Based on the advice here, I will cancel the NHS Endo appointment; you're right, I certainly wouldn't want to waste their resources.

bantam12 profile image
bantam12 in reply to Crabb

Are you happy your private Endo knows what he/she is doing ? many don't so going private isn't always the best option, I've had personal experience of just that !

Crabb profile image
Crabb in reply to bantam12

I think so, he's the Clinical Director for Diabetes and Endocrinology at Royal Surrey, but only time will tell.

Kes8 profile image
Kes8

What I would do.....re-arrange the NHS appointment for a few months time and see how it goes with your private Endo.

If you are having successful treatment with Private Endo then cancel the appointment - with plenty of time so it can go to someone-else.

If I had private cover I would just stick to the private endo though!

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