I received the copy of a letter from a representative of the Scottish Health Service regarding the petition PE1463 about thyroid testing in Scotland. I quote two statements from this letter:
The quality of the analytical techniques in terms of sensitivity, specificity and turnaround time has greatly improved over the last 30 years with improvement in assays and automation. However, the understanding of the pituitary thyroid axis, thyroid physiology and therefore the appropriate hormones to measure in specific clinical circumstances is long established and hasn’t changed, therefore quoting older references was deemed appropriate in this area.
The last underlined sentence says it all. It is utterly wrong, and shows quite starkly how unprofessional and ill-informed the Scottish Biochemistry Group and associated medics are. There has been a complete revolution in our understanding of thyroidology and the implications for therapy and diagnosis in the last 10 years of which they are completely oblivious. That sentence says it all: people who can seriously stand by that are unfit to pursue their professions as they are not up to date in what they think. They are either ignorant or don't understand or don't wish to. I cannot think of another situation where a profession has so completely given themselves away. Not even the first sentence is right either. FT3 assays have not improved one iota since 1985.