Endo review... that's a new slant!: Opening line... - Thyroid UK

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Endo review... that's a new slant!

TiggerMe profile image
TiggerMeAmbassador
โ€ข45 Replies

Opening line...

Endo: I don't wish to discuss TSH with you as we disagree (0.05 results from 5 months ago)

Me: ๐Ÿค (zipped mouth)

Your fT4 is near the top of the range 17.2 (12-22) blah blah heart and bone issues blah blah

๐Ÿ˜•(confused) even though it is actually in the middle? Are you interested to hear how I feel I've been making great progress... though my resting heart rate is now down to 55bpm?

The range is designed to cover people of all sizes and for your size I would not accept it any higher!

๐Ÿ˜ฎ(open mouth) ๐Ÿค (zipped)

I could tell your GP not to prescribe any more with results like this!

Here is a blood test form for next month, I shall keep you on the same dose... shall we do this by phone next time?

Great... thank you, by phone would be great... quick exit ๐Ÿ˜… (grinning and a little sweaty!)

(for ย ย tattybogle ๐Ÿคญ(chuckling))

Well at least I have secured my NHS prescription for another year...๐Ÿคทโ€โ™€๏ธ

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TiggerMe
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45 Replies
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Buddy195 profile image
Buddy195Administrator

Well done TiggerMe; you handled it very well!

greygoose profile image
greygoose

A Pocket Napoleon, Delusions of Grandeur, Dictator Syndrome. That will be ยฃ2500, please.

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply togreygoose

This nonsense and brush off is available free from the NHS ๐Ÿ™ƒ

Very hard to have a discussion with her as her understanding is rather skewed!

greygoose profile image
greygooseโ€ข in reply toTiggerMe

Sounds like it! Her understanding of life sounds a bit skewed, too!

FallingInReverse profile image
FallingInReverse

My favorite-

Your fT4 is near the top of the range 17.2 (12-22)

I would have had trouble keeping quiet on that oneโ€ฆ

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toFallingInReverse

I did say "it's about 55%?".... her comment about "the range is designed to fit all sizes and I wouldn't want anyone your size any higher than that!" ....that silenced me! I've never heard such nonsense ๐Ÿ˜ฒ

Singwell profile image
Singwellโ€ข in reply toTiggerMe

You could show her the maths? Pop a note into patient liason maybe ๐Ÿ˜‰

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toSingwell

It was after the 55% comment that the threat to withdraw my prescription came so ๐Ÿค and run ๐Ÿ˜

Singwell profile image
Singwellโ€ข in reply toTiggerMe

Oh yes, I get it. That was your goal and you handled that meeting well. Choose your battles.

Lottyplum profile image
Lottyplumโ€ข in reply toTiggerMe

What a load of baloney, tosh, nonsense, bolocof! Think they make things up as they go along! It's a wonder you didn't laugh out loud!!๐Ÿคฃ๐Ÿคฃ

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toLottyplum

tbh the comment was so left field that my mouth just fell open.... (I had primed myself to say as little as possible) I assume she thought in wonderment at her knowledge ๐Ÿ˜ฌ

Lottyplum profile image
Lottyplumโ€ข in reply toTiggerMe

๐Ÿคฃ๐Ÿคฃ๐Ÿคฃ๐Ÿคฃ๐Ÿคฃ๐Ÿคฃ

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toLottyplum

Honestly some health forums get a bad rap for spouting nonsense but it's nothing compared to the utter ๐Ÿ’ฉ we get from the medics

buddy99 profile image
buddy99โ€ข in reply toTiggerMe

Excellent self control, TiggerMe!!!!!!!!! It's better they feel you're in wonderment of their knowledge than feel challenged in any way. I'm in wonderment of your forbearance. Self preservation made you do it, I guess. Way to go!

Lily905 profile image
Lily905

It's just a well rehearsed Script for thyroid patients - no individual care plans. "One Size Fits All"

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toLily905

Absolutely, she didn't see me just this old result... but now I know exactly what her criteria is I can confidently provide those blood results twice a year ๐Ÿ˜whilst freestyling in between

Lily905 profile image
Lily905โ€ข in reply toTiggerMe

๐ŸŽฏ

PRJ20 profile image
PRJ20โ€ข in reply toTiggerMe

๐Ÿ’จ๐Ÿช‚๐ŸคŸ๐Ÿ‘..........๐Ÿ‘€๐Ÿค๐Ÿ˜ถ

Doris11 profile image
Doris11

EGO ๐Ÿ™ˆ๐Ÿ™ˆ๐Ÿ™ˆ

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toDoris11

Yep!... I have to leave mine outside to prevent it tripping me up ๐Ÿค

Starseed56 profile image
Starseed56

TiggerMe well done thatโ€™s a brilliant performance from you, so much zipping required to get what you want! ๐Ÿ… ๐Ÿ‘

I hate to think what theyโ€™ll say about my TSH last came in at 0.005!!๐Ÿ’œ

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toStarseed56

๐Ÿค— I get far less threats when I just zip it... honestly there is no point trying to discuss things as their understanding is so limited

My TSH is the same but luckily she concedes after our initial meeting that I won't be fobbed off and treated on that, after I requested my pituitary should be investigated...but on my fT3&4 results, though she never requests a fT3 result ๐Ÿคทโ€โ™€๏ธ

Zephyrbear profile image
Zephyrbear

I SOOOO love it when they say theyโ€™ll do it by phone rather than face-to-face and then sign me off for another 12 months of T3! Allows me to give full flight to any facial expressions I feel like making as theyโ€™re waffling on, also saves me an 80mile round trip and two hours travelling time that can be much better spent doing other stuffโ€ฆ like weeding the garden or summat!

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toZephyrbear

I'm with you there!! Cherry on the cake ๐Ÿฐ

Hay2016 profile image
Hay2016โ€ข in reply toTiggerMe

Love phone consults. My last three telephone appts have been a combined 5 min and that includes confirming itโ€™s me 3 times and yep my face is a picture. ๐Ÿ˜‚ But I get to say things like oh my levels are perfect, thatโ€™s great as I increased my dose to 10mcg instead of five just after our last review so Iโ€™ll leave it at that if you can inform GP. All else good, thanks for your time bye now. Exit phone right!

RedShells profile image
RedShells

Well done, for zipping๐Ÿ˜€ if she seen my tsh....0.02....my resting heartbeat same as yours, feeling super on 2 grains NDT.

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toRedShells

I think my advice to people would be to become as knowledgeable as you can about our condition but be very cagey about sharing it with medics then you don't have to wrestle with their ego too! ๐Ÿ˜†

buddy99 profile image
buddy99โ€ข in reply toTiggerMe

That is great advice. I learned that the hard way, since I had been spoiled with a doctor who was a great health partner and then was thrown into the harsh reality after moving. How I miss that doctor, who actually was open to what I had to say.

tattybogle profile image
tattybogle

Totally agree with your approach ~ know very much , but say very little.

I swear some of em just make it up as they go along.

bigger people have higher fT4 levels than little people ? .. i think not .

Sparklingsunshine profile image
Sparklingsunshineโ€ข in reply totattybogle

I often think these sorts of doctors have missed their calling, they should be politicans. Who also spout absolute BS, make it up as they go along, treat the public with contempt and think we're stupid.

BorzoiGalgo profile image
BorzoiGalgoโ€ข in reply totattybogle

๐Ÿคฃ๐Ÿคฃ๐Ÿคฃ๐Ÿ™„

Sparklingsunshine profile image
Sparklingsunshine

Well that's a new line in bollocks, medics usually blame high FT3 for heart problems and bone health, not middle of the range FT4. She doesnt even know her hormones from her elbow. Honestly I'd love to secretly record these sessions and then play them back so they can actually hear the word salad they spout and expect us to swallow.

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toSparklingsunshine

Luckily she hasn't read the page on fT3 it would seem as it hasn't been mentioned since our first meeting and she doesn't test it!!

It is hilarious when you go over it afterwards and writing it here just makes me laugh out loud, though I think it's good to pre-warn others of the surreal nature of these encounters

I'm feeling quite lucky really now I know how to ride this pony๐Ÿค 

buddy99 profile image
buddy99โ€ข in reply toSparklingsunshine

Or play it to a bunch of med students and see whether there is any puzzlement on any of their faces or whether they all knot along.

DandyButch profile image
DandyButch

That sounds like the same conversation I had with my NHS endocrinologist. However, I couldn't keep it zipped, never could, probably never will.She retorted with a tirade about how long she had studied, at every level, and dissed every other contested opinion, as not being medically trained!

I got my repeat meds, though no increase.

Only 6 months.

I will have to endure another disagreement in September.

Hey Ho!

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply toDandyButch

I can well recommend the ๐Ÿค approach... I have enough flexibility if I am prompt requesting my prescriptions to alter my dose to suit me..... why do they think we need to be medically trained to read the latest papers ๐Ÿ˜•

Sparklingsunshine profile image
Sparklingsunshineโ€ข in reply toTiggerMe

Or even read out blood test results on a screen, a child can do as much.

Mlinde profile image
Mlinde

Join the club! A couple of years ago, I secured an appointment with an Endo and before i'd even got to see him, he emailed me that if I was going to ask for T3, to forget it! I canceled the appointment. One GP, when talking on the phone to me when I questioned her, replied, "I'm the doctor!" 'Experts' can be so arrogant. and occasionally, wrong.

Sparklingsunshine profile image
Sparklingsunshineโ€ข in reply toMlinde

Oh its more than occasionally ๐Ÿ˜. I've got loads of examples, past and present.

buddy99 profile image
buddy99โ€ข in reply toMlinde

More often than occasionally, I believe. Some have done real and irreversible damage to my body. In North America the third leading cause of death is medical error (after CVD and cancer). I perceive doctors as a potential danger to my health, which makes me obsessed with collecting medical knowledge as it pertains to me. An interesting book is "Undoctored" by William Davis. But, unfortunately we are dependent on their good will. That means groveling away and keeping a neutral facial expression (if you can not muster a rapt expression) or face the unpleasant consequences. Blessed are the ones who have found the rare diamond of a doctor. They shall inherit good physical and mental health. ;)

Mlinde profile image
Mlindeโ€ข in reply tobuddy99

Yeah, I read some frightening statistic about how many people died, millions from 'errors'.

Mlinde profile image
Mlinde

Yes, welcome to the age of the 'expert'.

tattybogle profile image
tattybogleโ€ข in reply toMlinde

Expert:

Ex is a has-been,

Spurt is a drip under pressure

TiggerMe profile image
TiggerMeAmbassadorโ€ข in reply totattybogle

๐Ÿคฃ๐Ÿ‘๐Ÿ‘laughing and applauding

TiggerMe profile image
TiggerMeAmbassador

Hilariously I've just received a feedback survey... "how was your appointment?" Ummm ๐Ÿ’ฉ

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