Medical Negligence Within Endocrinology – Are YOU a Victim?
Published 24 June 2013 Journal Orthomolecular Medicine http://www.orthomed.org/jom/jom.html
Please click on above link to read the Unabridged Version
Reducing the scope of guidelines and policy statements is necessary to allow doctors to properly treat patients who have deficiencies in physiology that is not thyroid or endocrine but is functionally between the thyroid gland and the production of symptoms” i.e. post-thyroid physiology. The problem for doctors is simple. This physiology operates with the active thyroid hormone triiodothyronine (T3) which is effectively banned from prescriptions by endocrinology and medical associations in spite of it being available approved and effectively indicated.
Reducing the scope requires examination of the many facets that support these guidelines and policy statements:
- Physicians are licensed and disciplined by the General Medical Council or other boards of medicine. Practicing in ways other than those condoned by medical associations or medical custom can invite an expensive” time consuming investigation and can end a medical career. Consequently the fears of such draconian possibilities force strict if not over compliance with accepted medical practice. American case law verifies this.
- There are two classes of definitions for hypothyroidism” ‘linguistically proper’ and ‘popular’. The proper definition only implicates the thyroid gland while the popular definition implicates the entire Greater Thyroid System. Since the thyroid tests are based upon the proper definition and patients identify with the popular definition physicians and patients talk past each other. Unfortunately if either type of definition were stipulated in guidelines or statements this whole problem would not exist.
- The post-thyroid physiology” shown on the grey background of the Greater Thyroid System drawing was discovered decades ago and has been investigated by many studies since. But the medical practice guidelines and policy statements for hypothyroidism do not address or disclaim this physiology. Logically then medical treatment of this physiology the ban of T3 should not exist.
- Unlike all other sciences” medicine dismisses counterexamples as mere anecdotes. But other sciences find them to be valuable corrections of bad or incomplete theories. Some patients have been virtually resurrected with T3 and/or supplements for post-thyroid chemistry. But medicine dismisses these successes. No counterexample is considered by evidence-based medicine.
- Evidence-based medicine recommends ignoring all studies that are not based upon randomized clinical trials. Consequently” the reviews (meta-analyses) of three randomized clinical trials ignored 98% of the available studies including warnings that T4 does not work for all and the investigations of post thyroid physiology. Further the reviewed studies were not based upon subjects with post thyroid deficiencies. Consequently the application of these studies the ban of T3 is not valid.
- Some of the patient counterexamples have had to regain their health via T3 more than once. Consequently” their experiences fit the challenge de-challenge re-challenge test which indicates that T3 is beneficial for some patients.
- Physicians avoid the prescription of T3 by not performing tests on the post-thyroid physiology. Routinely” this leaves the physicians with inadequate information for proper differential diagnosis. That is solved by prescribing antidepressants or claiming some un-treatable disease like Chronic Fatigue Syndrome. However the incompleteness of testing for differential diagnosis also invalidates informed or valid consent which is due to all patients.
- Endocrinology also claims T3 is dangerous because it produces excessive variations of T3 in the blood. Since T3 has a half-life or exponential decay” this can be mathematically analyzed. This analysis shows that by taking T3 three times daily produces a variation far less than the normal range and potentially as low as the normal rhythms of the body.
- Bone loss and heart attack dangers are also addressed in the peer-reviewed professional paper” Reducing the Scope of Guidelines and Policy Statements in Hypothyroidism which will be or was published in the Journal of Orthomolecular Medicine on June24 2013
Selected Statements of Medical Ethics
- A Physician Shall” While Caring for a Patient Regard Responsibility to the Patient as Paramount. (AMA 2001)
- A Physician Shall Be Honest in all Professional Interactions. (AMA” 2001)
- A Physician Shall Continue to Study” Apply and Advance Scientific Knowledge Maintain a Commitment to Medical Education Make Relevant Information Available to Patients Colleagues and the Public. (AMA 2001)
- A Physician Shall Continue to Study” Apply and Advance Scientific Knowledge Maintain a Commitment to Medical Education Make Relevant Information Available to Patients Colleagues and the Public (AMA 2001)
- A Physician Shall Act Only in the Patients Interest When Providing Medical Care Which Might Have the Effect of Weakening the Physical and Mental Condition of the Patient. (WMA” 1949 1968 1983)
This paper by Eric Pritchard M.Sc. (published 24 Jun2 2013) proves that doctors who are denying the active hormone T3 to patients who need it – are practising outside of their scope. This is not only medical negligence, it is criminal negligence.