Welcome to our new website. It's still a work in progress and your feedback is welcome
 

 

extra!

Recent News

2/02/2012

Welsh Speaking Case Study Needed for Channel S4C Programme!


Case studies are needed for a television programme looking at various medical conditions and health issues affecting people in Wales.

Channel S4/Croeso logo"As part of the series we feature personal stories from people who are currently living with a certain illness or condition. We have found these items to be very successful in the past in raising awareness and for helping people to understand what it's really like living with a health condition day to day. During this series we are keen to raise awareness of thyroid conditions, in particular overactive thyroid (hyperthyroidism) and Graves's disease. However, we are also interested in underactive thyroid and other thyroid disorders.

We are looking for someone with a thyroid disorder who would be keen to share their story and experiences. As this is a series for S4C, the person would need to be a Welsh speaker. If possible, we would like to feature someone who has been severely affected by the condition or has undergone or is about to undergo treatment so that the viewers can grasp the potential severity of the illness.

We will travel to the individual for the filming, which we hope to do towards the end of February/beginning of March and they can be in any location in Wales. The filming would not take any longer than half a day and would mainly involve an interview."

If anyone is interesed, or knows someone who might be interested, please contact us on 01255 820407 or send us an email.

 

27/01/2012

Thyroxine replacement in pregnancy and pre-conception:
An audit of patient and GP knowledge of guidelines and current clinical practice in Leicestershire




Nikki Kieffer, Endocrine Nurse Specialist, Department of Diabetes and Endocrinology, Leicester Royal Infirmary has recently completed a study into thyroxine replacement in pregnancy.

mum to be!Thyroxine is essential for a baby's development and because the baby's own thyroid gland doesn't produce thyroid hormones until the 12th week, it is very important that the mother has a good supply for herslelf and her baby.

To ensure that the mother is on the correct dose of thyroxine replacement during pregnancy their levels should be checked at least once per trimester (12 weeks).

Questionnaires were sent to GP's in the area asking them if they were aware of and using the current guidelines? Another questionnaire was sent to 100 women of child-bearing age to see whether women on thyroxine are aware of the need to optimise thyroxine before and during pregnancy and whether they are being advised appropriately.

Nikki Kieffer states, "This initial study showed a distinct lack of knowledge in both GPs and patients."

More specific questions were added to the questionnaire and sent out to over 500 women who had not previously been contacted, and to 210 GPs.

65% of the seventy GPs who replied had no knowledge of any guidelines and only a small percentage was aware of the target values for TFTs during pregnancy and when thyroxine doses should be changed. Nearly half of the GP's said they would leave monitoring and changes of thyroxine dose to the Endocrine Antenatal clinic but unfortunately, women reffered to this clinic are often not seen until 12 weeks.

232 replies were received from the patients. Around half of them(44%) had either not been pregnant or had not been on thyroxine at the time of pregnancy. About half of the remainder had been advised to change their dose of thyroxine in pregnancy and about one third had been advised to increase the frequency of thyroid blood tests.

This study shows that this area of medicine is poorly understood by GP's and women with an underactive thyroid.

To see the UK Guidelines for the Use of Thyroid Function Tests go to:
http://www.btf-thyroid.org/images/stories/pdf/tft_guideline_final_version_july_2006.pdf

To see the ATA 2007 Guidelines go to:
http://www.endo-society.org/guidelines/final/upload/Clinical-Guideline-Management-of-Thyroid-Dysfunction-during-Pregnancy-Postpartum.pdf

To see more recent Guidelines:
http://www.medscape.com/viewarticle/747102

 

27/01/2012

GMC Launch Formal Consultation on Good Medical Practice

GMC_logoThe General Medical Council have launched a formal consultation to help them shape Good Medical Practice for the future. Throughout 2011they encouraged debate and discussion about what is good medical practice today and what makes a good doctor. But now, with the launch of this consultation, it's your chance to have your say on the revised text of Good Medical Practice.

Good Medical Practice

Good Medical Practice is the GMC's core guidance for doctors. It sets out the standards, principles and values expected of all doctors registered with the General Medical Council (GMC). It also plays a vital role in keeping patients safe and improving professional standards, and they want to ensure it remains up-to-date and relevant to doctors in their day to day practice.

The current edition of Good Medical Practice was last published in November 2006. The GMC reviews the guidance every five years to make sure it reflects current practice across the UK and reflects what doctors, patients, employers, educators and others with an interest think are important issues.

The consultation is open to anyone who wishes to respond to the issues in the revised guidance. This is your chance to have your say. You will need to read the consultation draft of Good Medical Practice 2012 (pdf, 238Kb) and take part by completing one of three online questionnaires on the GMC's online consultation website. The questionnaires are for organisations and individuals, individual doctors and other healthcare professionals or individual patients and the public.

The consultation closes on Friday 10 February 2012.
www.gmc-uk.org/guidance/10900.asp

Thyroid UK urges everyone to read the consultation and make comments.

Taken from Patient Information Forum - http://www.pifonline.org.uk/

 

27/01/2012

General Practitioner Committee (GPC)
Concerned about Patients Accessing their Records

BMA logo

GP leaders have said they are concerned giving patients access to their online record could risk their medical history being used against them, and may create more work for GPs having to explain medical terms to worried patients.

The BMA's General Practitioner Committee on Thursday discussed the issues associated with the government's announcement that all patients will have access to their GP medical record online by 2015.

Chairman Dr Laurence Buckman said the committee did not think giving patients access to their records was a bad idea. However, he said the GPC did have significant concerns about a number of issues including security and ensuring patients were not coerced into sharing their records with a third party.

Dr Buckman said a variety of people - such as lawyers, employers or insurance companies - would be interested in seeing a person's medical and could potentially use the information against them.

"There are a variety of abusive and inappropriate relationships where the information stored on someone else's record is of interest to a third party," he said.

"That doesn't mean they shouldn't have access, but we need a way of doing it so the patient is protected."

The GPC was also worried about people reading something in their records which they did not understand and becoming alarmed. This would result in additional work for the practice as they would call for an explanation. It would also mean doctors having to translate medical terms to make it appropriate for patients. He gave the example of miscarriages being called abortions in medical terms, when the word abortion meant a termination to members of the public.

Taken from EHealth Insider:
www.ehi.co.uk/news/acute-care/7474/patient-access-concerns-voiced-by-gpc

 

27/01/2012

Patient Information Forum (PiF)
Seeking Patients for Personal Health Records Event

Patient Information Forum logoPiF is developing two guides on personal health records (PHRs), one a call to action for policy makers, clinicians and commissioners and the second a PiF Guide explaining the topic. In addition to a literature review and interviews with subject matter experts, PiF wishes to host three events to help inform the development of these Guides.

One of these events will be exploring the views of patients and carers. They are looking to recruit 8-12 patients/carers willing to talk about PHRs - we are not looking for experts in the field but wish to gather a broad consensus of views on what PHRs mean – and don't mean – to patients and carers. We would be grateful if you could kindly reach out to your networks to assist us in finding patients and carers who would be willing to attend the event.

The event will be held in Central London from 1400-1630 on the 8th of February 2012. They will be able to make a maximum payment of up to £25 as contribution to each attendee for costs incurred in attending. Each attendee will receive a copy of both reports. Anyone who is interested in attending can contact Mark Duman at chair@pifonline.org.uk

 

19/01/2012

Food Standards Agency and Gluten Labelling

As quite a number of people with thyroid problems also have issues with gluten, the new food labelling regulations described below may be of relevance.

Gluten advice for consumers
Thursday 12 January 2012

wheat growingThe Agency has produced a factsheet to help people who have an intolerance to gluten (a protein found in cereals) understand a new food labelling law, which came into force on 1 January 2012. Gluten intolerance is a serious illness that can result in damage to the digestive system so foods are not absorbed properly, which can lead to poor growth, anaemia and bone disease.

The new law has introduced rules on how food can be labelled with claims about gluten. The law covers all food on sale, whether it's in a packet on a supermarket shelf, on a menu, in a restaurant, or at a deli counter.

Any business that makes claims about gluten content has to ensure this food is labelled accurately and clearly, and must stick to the defined strict low levels. This makes it easier for people with an intolerance to gluten (coeliacs) to be sure of what foods are safe for them.

The regulation
The new food labelling regulation means that food can be labelled as:

Gluten-free – Suitable for people with coeliac disease (these foods can have no more than 20 parts of gluten per million).

Very low gluten – Must contain no more than 100 parts of gluten per million, and must contain ingredients that have been specially processed to reduce their gluten content, so will be mostly found on specialist products. Coeliacs can eat small amounts of these foods but they should get advice from a dietitian or health professional about how often they can eat them.

The new rules mean the phrase 'suitable for coeliacs', can only be used alongside the terms 'gluten-free' or 'very low gluten' and can't be used on its own.

The term 'No gluten-containing ingredients' may be used on food where gluten has not been intentionally added, but a small amount may be present from contact with other food. This phrase is not controlled by the law, and it cannot be guaranteed that this food is gluten-free. Some coeliacs may choose to eat small amounts occasionally, but should seek advice from a dietitian or health professional before they do.

The Agency has also provided a factsheet for caterers on how to provide information to customers on the new rules. This will assist caterers and those in the hospitality industry to understand the new descriptions.

Visit the FSA website page for links to further information:
http://www.food.gov.uk/news/newsarchive/2012/jan/glutenfactsheet

 

 

16/01/2012

Views Sought by DOH - Access to Health Records

On 29th November 2011 the Chancellor announced as part of the Autumn Statement and Growth Review that: "The government will ensure all NHS patients can access their personal GP records online by the end of this Parliament." Further recommendations on how this should be approached were published on 10th January 2012 by the NHS Future Forum in their Information report.

The Department of Health in England want to ensure that patients, carers, GPs and primary health care teams and staff providing Informatics services for them get the support that they need for online access to GP Records to be of real benefit to them in their practice or care.

Over the next week they would like to invite you to share your initial views and ideas on what support you believe is most needed. You can share your views by:

Information taken from the Patient Information Forum

 

15/01/2012

Dr John C Lowe – Sadly Missed

Dr John C Lowe
It is with much devastation that Thyroid UK brings you the news that Dr John C Lowe passed away on the 9th January 2012.

Dr Lowe was an inspiration to me and working with him and Tammy has been a wonderful experience. I have many lovely memories of him and I will continue to work for thyroid patients in honour of his work.

The recent communications we have had, have shown how much he thought of Thyroid UK even when he was extremely poorly. A very dedicated and much loved man, he will be sorely missed by Thyroid UK and thyroid patients around the world.

Rest in Peace, John.



Below is a tribute from John's wife, Tammy Lowe.

A Special Tribute to my Husband,
Dr. John C. Lowe
1/22/1946- 1/9/2012
by Tammy Lowe

It is with deep sadness and a broken heart that I write this letter to inform you that Dr. John C. Lowe died suddenly January 9, 2012 due to complications following a head injury that he sustained on November 14, 2011.

I've spent the last few days searching for the right words to share this news and to honor the man that I have known and loved for the majority of my life, but the words seem so small and insubstantial to the man that he was.
 
One only has to read the many pages of www.drlowe.com, www.thyroidscience.com, www.thyroidscience.us and www.fibromyalgiaresearch.org to know that John's passion and dedication to the field of thyroidology and fibromyalgia was his reason for getting up every day and spending countless hours boldly offering his strong opinions in the field. There were no vacations in our life together, no tee times on the golf course, no boating on the beautiful waters or walks on the sandy beaches in Florida where we live. His happiest moments were spent at the desk he loved, surrounded by his many wellread, tattered books, and typing the words that would eventually make their way to the websites for his readers to find them.

They say a genius is someone of great intelligence and I do believe that John was a genius in his field. His greatest magnum opus, of course, was The Metabolic Treatment of Fibromyalgia, the textbook that took him 10 years to write. Imagine the dedication to complete such a task.

In the final months since his head injury - John was able to accomplish several things despite impaired vision in his right eye and a broken collar bone. He proudly completed a forward to a book titled 'Recovering with T3' by Paul Robinson and a forward for the book, The Hormone Zone, by Dr. John Robinson. He also conducted an interview for Dr. Mark Swanson that will soon be published. And finally, he was also working to complete his own book, 'Safely Getting Well With Thyroid Hormone' and was preparing to have it in print within a few weeks.

The website's will remain as they are. His compassionate words will still be there. I will try to find the newsletter that he was working on and send it (incomplete or finished by my hand). The Thyro-gold will also continue to be available. John believed in it so strongly. I will try to find the clinical trial results and post them for the benefit of those who rely on the product. There are so many documents that he was writing that remain unfinished but I will do my best to sort through them and share them when I can.

What final words can I offer to you all at this sad time? For those of you who knew him personally, who spoke with him on the phone, who met him face-to-face, shook his hand or offered a hug in gratitude - you will join our daughter Michele and me in sorrow as we face this tragic loss together. For those of you who never had the privilege to know my husband personally, but read his writings, just know that he believed in his research and hoped that someday the TSH testing would be abandoned as the standard practice for thyroid health and that healthcare would return to the science-based treatment that it should be. Remember the scientist that he was and continue to share his work with others who need it. Remember his voice for those who felt they were never heard when they were in need of direction. Remember the extraordinary man that he was and help me maintain his everlasting presence.

Dr John C Lowe LLC
Metabolic Research and Informational Consulting 
January 14, 2012
www.drlowe.com    Tammy@drlowe.com



Below is a Tribute from Dr Gordon Skinner

Tribute to John Lowe 23.1.2012
Gordon Skinner

It is with great sadness that I have heard of the death of Dr John Lowe. John will be known to most of you through his work on thyroid disease.

John has made an unparallel contribution to our understanding of hypothyroidism and the metabolic basis of this disease. His work has dispelled a number of myths surrounding the diagnosis and management of hypothyroidism which have certainly contributed to a shortfall in care of hypothyroidism on a global basis. John's book, The Metabolic Treatment of Fibromyalgia, is quite simply a masterpiece and dissects and summarises in a clear and concise style the problems associated with hypothyroidism. I was privileged to be given a copy of the book when John visited the UK some years ago.

John was a collegiate colleague and was often at the heart of social gatherings. He stayed with me and my late wife in Birmingham and I remember talking far into the night on the problems of hypothyroidism (and the world in general) aided by a bottle of excellent malt whiskey.

John will be sadly missed but he can rest in the knowledge that his work and his writings have made and will make a significant contribution to the health of patients on a worldwide basis.

Gordon R B Skinner MD, DSc, FRCOG, FRCPath


9/01/2012

GP Practice of Choice Pilot Programme

The Department of Health are launching a pilot programme that aims to make it easier for commuters in the pilot areas, who are often away from their local area during the working day, to see their doctor where it suits them.

The one year pilot will start in April 2012 and will be subject to an independent evaluation. It allows patients for the first time to choose whether to register with a practice close to their workplace or home, without worrying about practice boundaries.

The primary care trusts (PCTs) involved in the scheme pilot are Westminster, City and Hackney, Tower Hamlets, Manchester, Salford and Nottingham City. GP practices in these PCT areas will join the pilot on a voluntary basis.

For more information go to
www.dh.gov.uk/health/2011/12/gp-practice-pilot/

 

6/01/12

talkhealth logo
meet the experts
AN ONLINE CLINIC ON THYROID DISORDERS

 

From 25 - 31 January 2012 the British Thyroid Foundation has teamed up with NHS Choices and talkhealth to present an Online Clinic on Thyroid Disorders.

Clinical experts Professor Edzard Ernst, Professor Colin Dayan, Professor John Lazarus and Dr Petros Perros will be available to answer questions about thyroid disorders, any issues surrounding treatment and to provide you with valuable help and guidance.

You can post your questions for the experts anytime from now until the clinic finishes. From 25 - 31 January 2012 when the clinic is live you can enter into discussions with the experts when they answer your questions.

For more information on the online clinic please click the link below.
talkhealth

 

 

5/01/2012

Health Professions Council logoClinical Scientist Stuart Jones has been found guilty
of professional misconduct for making
disparaging, inappropriate and unprofessional comments
about Dr Sarah Myhill

Thyroid UK has been sent the following Press Release:

 

-----//-----

www.supportdrmyhill.co.uk was set up to keep patients, friends and supporters of Dr Myhill informed of developments in her case. It was a very happy time when the GMC finally cancelled the Fitness to Practise Hearing.

Whilst it gives us no pleasure to report it we feel there is also a responsibility to keep Sarah's friends and supporters appraised of other relevant developments. Just prior to Christmas, the website complainant, clinical scientist Stuart Jones, faced his own Fitness to Practise Hearing before his professional body, the Health Professions Council for making disparaging, inappropriate and unprofessional comments on a public forum about Dr Myhill. Dr Myhill was called upon to give evidence at the Hearing. Jones changed his plea to guilty during the Hearing and I would stress that the Hearing was NOT about Jones reporting Dr Myhill to the GMC; we have always maintained that he was within his rights to do so if he was concerned about the content of her website. The HPC, however, decided that his conduct on the Bad Science website fell short of what was required of him and a caution has been placed on his record for a two-year period.

Please note that replies to this website DO NOT go direct to Dr Myhill. If you wish to send her a personal message please do so by addressing it to office@doctormyhill.co.uk

Wishing you all a very happy 2012 and hoping it is a good year for us all.

Clinical Scientist Stuart Jones was found guilty of professional misconduct by the Health Professions Council (HPC) for making disparaging, inappropriate and unprofessional comments on a public forum about Dr Sarah Myhill, a Radnorshire GP who specialises in the treatment of Chronic Fatigue Syndrome. Jones was told that 'This misconduct cannot, in the Panels (SIC) judgement, be categorised as minor.'

Full determination: http://www.hpc-uk.org/complaints/hearings/index.asp?id=2556

Jones, who changed his plea to guilty during the course of the Hearing, was told:

'… independent of the Registrant's admission to misconduct made at the close of the case, the Panel has itself considered the question of misconduct. It is the Panel's judgement that the Registrant's conduct alleged at paragraph 1 of the allegations was inappropriate and unprofessional. In acting as he did he failed to keep high standards of personal conduct as well as professional conduct and his behaviour fell short of what would be proper in the circumstances.'

Jones, who is employed by the Queens Hospital, Romford had reported the GP to the General Medical Council in 2010 over concerns about the GP's website which is used to provide additional information for her patients. Jones actions were clearly designed to damage the doctor's reputation and the doctor was, indeed, suspended by the GMC for several months before being reinstated and the GMC case being dropped without any case to answer.

Not content to leave the matter to the GMC, Jones went onto a public forum (Bad Science), run by The Guardian columnist Ben Goldacre, to comment:

'OK, so I finally bit the bullet and complained (anonymously for reasons that will become clear) to the GMC about uber-quack, Dr Sarah Myhill and to my surprise they have decided to launch a Fitness to Practise investigation. Her response has been quite interesting so I thought I would share it with the Badscience community.'

And on May 19th 2010 he commented:

"Yup, that's exactly why I complained actually, to give SM a bucket load of administration to wade through and increase anxiety levels in her patients, very pleasurable in deed!

Goldacre had the offending posts removed in October 2010 and has recently deleted the direct link from his own website to the forum.

Jones, who uses a signature quote from comedian Dara O'Brain – 'Those who live in glass houses should masturbate in the basement' on all of his posts then engaged in frequent posts of a defamatory and disparaging nature about the doctor over a period of time exceeding 12 months.

Jones alleged that the GP was exploiting vulnerable patients and on May 6th 2010, Jones stated:

'There are few things that make me more angry than seeing vulnerable patients being taken for a ride by deluded, pill-peddling quacks with a tenuous (at best) grasp of scientific method. Despite what the crackpots over at PR[1] will have many CFS sufferers believe, this has been my main motivation for making the complaint against Myhill'

On 24th May, 2010, Jones compounded his allegation by posting a photograph of the GP's home and surgery and insinuated that it had been acquired through unnecessary testing of patients with '' That's a whole lot of mitochondrial function testing right there!'

In sentencing Jones, his professional body determined:

'Whilst this Panel does not question the Registrant's motivation with respect to his interest in the use of internet sites such as the Bad Science Forum to discuss and debate clinical issues it nevertheless finds that his posts were disparaging, inappropriate and unprofessional. As set out above the Registrant failed to keep high standards of personal conduct and it is the Panel's judgement that his behaviour had the potential to damage public confidence in him and his profession. Whilst the Panel accept that he has shown some insight and that there is a low risk of repetition, it is the Panel's judgement that there is a clear need, in this case, to declare and uphold proper standards of behaviour and maintain public confidence in the profession. The Registrant admitted misconduct in making disparaging comments on the Bad Science Forum about Dr XY could undermine public confidence in him and in his profession. In the circumstances of this case the public would expect the Registrant's regulator to make a finding of impairment. Public confidence in the profession and the HPC's regulatory role would be undermined if a finding of impairment of fitness to practise was not made.

The Panel finds that the Registrant's fitness to practise is currently impaired by reason of misconduct.'

The Panel went on to deliberate on the nature of their sanctions in saying:

'It has considered the question of which sanction to impose in ascending order of severity. It notes that where a Panel has determined that fitness to practise is impaired, it is not obliged to impose a sanction.

It first considered to take no further action, but decided against this course having regard to the seriousness of misconduct set out above. To dispose of this case by taking no further action would neither reflect the seriousness of misconduct found nor address the public interest considerations referred to above. This misconduct cannot, in the Panels judgement, be categorised as minor.'

The Registrar was directed to annotate the Registrant's (Stuart Jones) entry in the register to show that he is subject to a Caution Order for a period of 2 years.

Full determination: http://www.hpc-uk.org/complaints/hearings/index.asp?id=2556

During the action against Dr Myhill by the GMC nearly 5,000 supporters and patients signed an online petition protesting at the GMC's action, and over 2,000 letters and emails were also sent to the GMC providing evidence of how the doctor had helped them regain their health. The story was widely covered by the media and a number of online forums were set up in support of Dr Myhill.

----//----

 

25/11/2011

New Study
Thyroid Hormone Replacement for Subclinical Hypothyroidism Trial
(TRUST)

A new study is about to start to understand how to treat people with subclinical hypothyroidism.

Dr Patricia Kearney, Department of Epidemiology & Public Health, UCC is one of a group of researchers from European Universities who will participate in a new research project investigating current treatment practices for people who suffer from a mildly underactive thyroid gland.

The researchers met recently with medical experts from around Europe at the University of Glasgow for the inaugural meeting for the new study titled: "Thyroid Hormone Replacement for Subclinical Hypo-Thyroidism Trial" (TRUST). It is funded by a 6 Million Euro grant from the EU's FP7 programme.

patient and doctorTRUST researchers will follow 3,000 older subjects over a five year period in an attempt to better understand how to treat people who suffer from subclinical hypothyroidism. Half of the subjects will be treated with a hormone replacement drug, thyroxine, while the other half will be given a placebo; both groups will then be monitored to evaluate how they respond to the treatments.

The thyroid gland is located in the neck and controls how quickly the body uses energy and produces proteins; it also controls how sensitive the body is to various hormones. A mildly underactive thyroid, a condition also known as subclinical hypothyroidism (SCH) affects around one in six people over the age of 65 and has been linked to various health problems, such as heart attacks and strokes, in later life.

The project will mean academics from University College Cork will collaborate with experts in ageing, thyroid problems and vascular disease from around Europe, including researchers from the Leiden University Medical Centre and Leyden Academy on Vitality and Ageing, Netherlands and University of Berne, Switzerland. Dr Patricia Kearney, Department of Epidemiology & Public Health will lead the study for Ireland.

Speaking about the research project, Dr Kearney said: "I am delighted to formally announce the launch of the TRUST project. This international collaboration involves four countries - Scotland, the Netherlands, Ireland and Switzerland. It brings together experts in multiple disciplines, including geriatrics, primary care, endocrinology, cardiovascular disease, metabolic medicine, and biostatistics, as well as the patient support group, Thyroid Federation International.

"The project has the potential to significantly improve the health and well-being of older people with subclinical hypothyroidism, resolving uncertainties about how best to manage this common condition."

Article URL: medicalnewstoday.com/releases/238100.php

 

17/11/2011

Dr Skinner
Dr Skinner Free to Practise Without Restriction!

Thyroid UK is very pleased to inform you that, despite the best efforts of the GMC's expert witness, Dr Thomas Akintewe, Consultant Diabetologist and Endocrinologist, Dr Skinner's Fitness to Practise Hearing on 17th November 2011 concluded with the Panel deciding his fitness to practise is no longer impaired and that, "Your conditions are revoked forthwith and you are now free to practise without restriction within the United Kingdom."

The Panel made particular reference to the fact that "neither party bears any burden of proof and that the Panel need only consider whether your current practice and beliefs still show disregard of your clinical responsibilities towards your patients and whether they demonstrate that you now have insight."

They also stated, "The Panel notes that the central issue in this case is the propriety of prescribing thyroxine to patients who are judged to exhibit symptoms and/or signs of hypothyroidism, but whose biochemical test results fall within a conventionally accepted reference range, which is generally interpreted as implying "normality".

It is not within the Panel's remit to pronounce on the correctness or otherwise of your approach other than by assuring itself that appropriate steps are being taken by you to ensure its safety.

However the Panel cannot fail to take notice of the fact that your approach to treatment, whereby both clinical and biochemical parameters are assessed, falls within the guidelines of 'Good Medical Practice'. In this respect your assessment of your patients does not differ from Dr Akintewe. The difference of approach lies in the weight given to the respective clinical and biochemical findings."

The most important statement (in respect of many of us who are on natural thyroid hormone) made by the Panel was, "The Panel is satisfied that the procedures you have in place to safeguard those patients referred to you are adequate. In reference to your prescription of the unlicensed drug Armour Thyroid, the Panel is content with your reasoning behind its prescription."

Thyroid UK hopes that this outcome and the comments made by the GMC panel will encourage some doctors to a) give a trial of levothyroxine to patients with subclinical hypothyroidism and b) prescribe natural thyroid hormone to patients who do not do well on levothyroxine.

What we need now is for some actual research on these topics and we are very happy to see that one such trial is about to start - (see the news item above Thyroid Hormone Replacement for Subclinical Hypothyroidism Trial (TRUST) )

Thyroid UK would like to offer its congratulations to Dr Gordon Skinner on this wonderful outcome!

Click here to download a PDF of the full 'Determination on Impairment'

Click the links below to download PDFs of the transcripts for each day of the hearing.

Monday 14th November 2011

Tuesday 15th November 2011

Wednesday 16th November 2011

Thursday 17th November 2011

 


News Archive