GP not interested since I paid for private consultation - advice? 😕
Posted , 4 users are following.
My story started in Sept 2013 when I had what I thought was a bad bout of flu...my GP refused to give antibiotics and my symptoms went on for weeks... My GP is not known for showing much concern, and the standard reply to most complaints is 'go home, take paracetamol and rest'. Â After 2 more visits, Â I went back to the GP in Dec 13, she finally did a general blood test which showed my tsh level at less than 0.01, at this point she agreed that there was a problem and prescribed 20mg carbimazole. Nothing was explained, I read about carbimazole and decided I didn't want to take it. Â For the next six months I tried natural remedies but it didn't work for me. Â I decided to use my private health cover from my work to see a specialist endo. Â He wrote to my GP in August 14 when my tsh was less than 0.01, T4 17.5 and T3 6.2 at the upper limit of normal, my TPO antibodies are negative, TSH receptor antibody level 2.1. Â The Endo diagnosed Sub-clinical hyperthyroidism but is treating me for Graves as it is in my family. Â He advised my GP to start me on a Block and Replace treatment, 40mg Carbimazole daily for a month, then when my T3 &T4 levels start to come down they are to start me on 100mcgs of Thyroxine for 9 months - he wrote that I 'should then be asymptomatic and with no requirement for regular blood tests until after discontinuation of both treatments in July of next year'. Â I am taking 500mg of Acetyl L-Carnitine, 1000mgs L-Carnitine and 1000mgs vit D. Â I am due to get my blood results this week after taking Carbimazole 40mgs for 6 weeks, I went to my GP when I first started taking Carbimazole 40mgs as for the first week I felt dreadful, she said that she is sticking to the Endos treatment plan and if I have any questions I'm to go back to him. Â I then asked the receptionist for a print of my last six months results and the GP has recorded on my notes 'DEMAND TREATMENT'. Â I only went to the Specialist as I felt his opinion would give me the confidence I needed to proceed with treatment, but now my GP has wiped her hands of me! Â I can't afford to keep seeing the private endo as my health cover only covered my initial consultation... Should I consider changing my GP? Or just ride it out for the next 9 months?
0 likes, 15 replies
d5cou
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linda187 d5cou
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dambudzo d5cou
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if you look online there might be an NHS patient charter or something similar which outlines the rights of a patient.
check what the wording is and see how that fits in with your situation.
if your GP is still unwilling to cooperate with you then i think that you'll be best changing to a different GP.
hope it gets sorted.
d5cou
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linda187 d5cou
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linda187 d5cou
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d5cou linda187
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d5cou linda187
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linda187 d5cou
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d5cou linda187
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linda187 d5cou
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linda187 d5cou
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I read your posting again and it appears that you still have hyper symptoms aside from the weight gain and feeling sluggish which suggest hypo symptoms?? I suspect your next blood draw will show a huge difference in your values. Usually the Acetyl-L-Carnitine especially increases the body's response to Carbimazole so that you don't have to take as much of it. However, it is possible that you have antibodies to both Graves and Hashimoto's. Do you know whether antibodies were tested and if so which ones? What I have seen before in another posting on this Board is not a lot of change in TSH after 4 weeks but when Acetyl-L-carnitine was continued for 6 months there was quite a change in TSH to well over 1.00 and a drop in T3 and T4 to almost hypo values which necessitated a lowering of the dose of meds. You may find that Bugleweed, Motherwort and Melissa supplements would help to quiet the hyperness. They are herbs you can find in a Health Food Store. One of the Naturopaths in my city showed me a bottle of all three combined in one capsule.
d5cou linda187
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i did have my antibodies tested, my TPO antibodies came back negative, which suggests that I don't have graves or hashimotos (although I've read that 10% of patients with these conditions do recieve a negative reading) my TSH antibody receptor reading was 2.1 (with both blocking and stimulating antibodies, although I have no idea what this means!) my latest blood test came back today from last Friday's test which said that although I've been on the Carbimazole and the carnitines for six weeks my TSH remains unchanged at less than 0.01 and t4 has increased to 18.5 with the t3 still being processed... The results suggest hyper, but my symptoms are more hypo - what a merrygoround this is... I think I will carry on with the Carbimazole and carnitines, and hope that I see some improvement over the next few months - if I don't crack up in the meantime!😳
d5cou linda187
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i did have my antibodies tested, my TPO antibodies came back negative, which suggests that I don't have graves or hashimotos (although I've read that 10% of patients with these conditions do recieve a negative reading) my TSH antibody receptor reading was 2.1 (with both blocking and stimulating antibodies, although I have no idea what this means!) my latest blood test came back today from last Friday's test which said that although I've been on the Carbimazole and the carnitines for six weeks my TSH remains unchanged at less than 0.01 and t4 has increased to 18.5 with the t3 still being processed... The results suggest hyper, but my symptoms are more hypo - what a merrygoround this is... I think I will carry on with the Carbimazole and carnitines, and hope that I see some improvement over the next few months - if I don't crack up in the meantime!😳
linda187 d5cou
Posted