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Date: | Sat, 18 Feb 2006 17:53:35 EST |
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In a message dated 2/18/2006 2:45:59 P.M. US Eastern Standard Time,
[log in to unmask] writes:
MY TSH is 45.6. My endo
started me on 125 mcg T4. ..... I still feel foggy. I
can't spell and I am very forgetful. I don't think I am safe taking care of
patients but I can find no research on this subject. >>>>
You would probably be hard pressed to find research on whether inebriated
Health Care Professionals are safe taking care of patients, too. There are
plenty of things that belong in the realm of "Common Sense" that are,
unfortunately, beyond the ken of many docs who presume to treat Hypothyroidism.
To make a long story, your concerns are VERY reasonable, and your endo is
discounting them. As professionals, our first responsibility is to be sure that
we are able to safely deliver the care that we need to give. In the last
analysis, that responsibility will rest squarely on you.
Hypothyroidism is very much a disabling illness, and brain function has been
shown to be impaired quite early its course. Even more disconcerting, you
endo is presuming to diagnose status of the illness based solely upon lab work
and other factors that ignore the most important variable in the equation:
The Patient!
Make sure that you are comfortable with your level of function before you
return to your usual work. In "The Thyroid Solution" Arem devotes a whole
chapter to the long term psychological effects of Hypothyroidism and
Hyperthyroidism. He observes that the mental changes from thyroid disorders are not unlike
those that occur after long term alcohol or substance abuse. These mental
impairments can continue long after the labs are "normal." He also notes that
because this problem has not been widely taught or discussed, patients with
thyroid disorders have been told that there ongoing problems with cognitive
function or mood have nothing to do with their thyroid when in fact, it does.
Doc Don
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