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The Polemics Surrounding the
Diagnosis and Management of Hypothyroidism

Plus the Influences of our Toxic Environment Contributing to
the Lack of Well-Being of the Nation.

This in Turn Leads to a Financial Drain on the State.

Diana Holmes 2007©


In submitting this paper as a basis for discussion, it is acknowledged that to cover every aspect of these complex and diverse issues in the confines of this brief overview would be impossible.
Diagnosis and Management of Hypothyroidism (under active thyroid gland).
The diagnosis and management of hypothyroidism (DMH) is most certainly problematical inasmuch that it is a highly controversial issue. This has been the cause
of much contention over the decades, none more so than today. Clinical practice for (DMH) is seriously flawed. Misleading information with regard to the interpretation of the 'reference interval' and sole reliance on thyroid function test results play a significant role in undetected hypothyroidism on a global scale. Indeed this issue needs to be addressed urgently.

HYPOTHYROIDISM (under active thyroid Gland)
Set out below are some of the signs and symptoms of an under active thyroid gland
Exhaustion - tiredness all the time (known as "tatt" within the medical profession)
Cold and heat intolerance
Weight gain
Hair loss
Extremely dry skin
Hoarse voic
Short term memory loss
Persecution complex
Mood swings.
Plus many more signs and symptoms.

Patients who manifest all or some of these signs and symptoms are told that they have ME, depression or some other condition if their blood test result for thyroid function lies within the reference interval. Using the upper and lower end of the reference range as 'cut off' points is bad practice and yet that practice is used universally. The condition of the patient is then perpetuated through lack of a correct diagnosis. Not only has their condition been perpetuated but the humiliation and loss of dignity that they have been subjected to, which has been and is meted out by the medical profession, knows no bounds. This includes accusatory comments made by certain members of the medical profession declaring them to be suffering from some form of mental disease. Sufferers have been exploited by those who take advantage of the sick. In addition they have been discredited and have lived, and are living lives of abject misery. Over decades millions of people have suffered and are suffering today.
The Department of Health (UK) has never commissioned guidelines for DMH with the result that confusion abounds for practitioners, so easy options have evolved.

Thyroid Function Test (TFT)

The word normal, as in 'normal' blood test result', has been and is used today by the medical profession en masse, including biochemists and pharmaceutical companies in their clinical trials protocol. This is but one example of unacceptable terminology that has been subsumed into medical literature and vocabulary, which has resulted in the controversy that surrounds DMH and failure to detect every case of hypothyroidism.

Today hundreds of thousands of people in the UK and millions worldwide are suffering with a chronic illness, namely hypothyroidism - undetected. The medical profession is ignorant of the true number of sufferers of hypothyroidism this is due to the use of incorrect terminology and total reliance on TFT results.

ME/CFS/PVS, Fibromyalgia and depression appear to be the target misdiagnoses for this overt indifference by some members of the medical profession. The accusers have no hard evidence to support their claims. Claims that a sufferer of many hypothyroid symptoms whose TFT result lies within the reference interval does not have a thyroid condition.
Evidence-based Medicine
'Evidence-based medicine' (EBM) only serves to further confuse the issue even more, as time after time many in the medical profession believe that EBM is laboratory evidence. EBM has a 'six step approach' and unfortunately practitioners are not well acquainted with these facts and even if they were, they would not have the time to put them into operation.
The Environment
We have a toxic environment whereby certain chemicals act as endocrine disrupters and subsequently interfere with production of TSH acting as 'on/off' switches thus causing a person to become hypothyroid (under active) or hyperthyroid (overactive).
The Criminal Perspective
Our prisons and young offenders' institutes are full of inmates suffering from attention deficit disorder (ADD) or attention deficit hyperactive disorder (ADHD) and/or Dyslexia. These conditions are linked to thyroid disease.

Financial Implications

There are cost implications for The State, National Health Service, also loss of Tax Revenue because people are no longer able to work. Patient's personal expenditure, (which includes visits to specialists and purchase of medications), Insurance company payouts are overwhelming! All of these areas have born the consequences of incorrect medical procedure.
This brief overview will outline what has happened, what is happening and what will happen in the future if these issues are not addressed regarding DMH. In addition
what will happen if toxic chemicals that interfere with thyroid function do not come under stricter control?

The full article is available to download in PDF format by clicking here

References for the article can be downloaded in PDF format by clicking here