What should/can I ask my GP to include as part of routine checks of an under active thyroid test through the NHS or if privately by who?.

[Thundafunda]

[ChemicalAngel]

You can ask for all levels to be checked, but whether you get the tests done is another matter. Most gp's will only do the be all and end all TSH test. If you go through the thyroid.UK website there is a list of private testing labs that will do whatever test you want, as you are paying for it.

Unfortunately my GP refuses to acknowledge the legibility of the tests, and only ever redoes the TSH level, which us always "within normal limits" without asking for t4,t3 tests etc.

Good luck

Ann xx

[Thundafunda in reply to ChemicalAngel]

Many thanks Ann, I will check the thyroid. uk website for private testing.

[NBob]

Not testing T4 and T3 baffles me. It is clear that all 3 plus clinical assessment are necessary for diagnosis and treatment. Even the RCP recommend T4.

I explained all this to my GP. she said she agreed but even if she asked the lab, if TSH was in normal range the lab will not test for T4 and T3.

I told her that SHE is my clinician not the lab. I told her that the lab has not seen my clinical signs and symptoms. If they decide what to test for, they are acting outside the limits of their competence (contrary to GMP and the NHS Constitution) and also acting "ultra vires" i.e. beyond their remit.

I said to my GP that the lab should simply do what she asks. I reminded her that she is my doctor, not the lab.

She got on the phone to the lab and hey presto I get TSH T4 and T3 tested each time I have my blood tests.

GMP covers a lot of these actions. its a matter of knowing how to apply Good Medical Practice and the NHS Constitution and being prepared to back your evidence based treatment plan with informal then formal action if necessary.