From Mary Shomon,
Your Guide to Thyroid Disease.
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Richard and Karilee Shames are not only husband and wife, but doctor and nurse, AND thyroid practitioner and thyroid patient. For more than twenty-five years, the Shameses have been working with people who are "low thyroid" -- the term they use to describe hypothyroidism -- in their new book, [link url=http://www.thyroid-info.com/thyroidpower.htm]Thyroid Power: Ten Steps to Total Health.[/link] Karilee herself is hypothyroid, as are several of the couple's children, and these experiences have informed both authors, who have struggled to help not only their own family, but many patients they have treated for thyroid problems as well.

In a simply written, straightforward manner, the Shameses have reorganized some basic information about hypothyroidism's causes, tests, diagnosis and treatment into a ten-step program of information for patients.

Their ten steps include:

Step One: Consider Thyroid The Hidden Factor in Your Overall Health
Step Two: Learn How Low Thyroid Makes Any Illness Worse
Step Three: Use Signs, Symptoms, & Family History to Support A Diagnosis
Step Four: Realize You May Still Be Low Thyroid Despite Normal Tests
Step Five: Discover Your Best Dose, Brand, or Mix of Medicines
Step Six: Re-Balance Your Reproductive System
Step Seven: Determine if Low Adrenal Should Also Be Treated
Step Eight: Boost Your Medication with Natural Therapies
Step Nine: Improve the Underlying Autoimmune Condition
Step Ten: Reach Optimal Recovery with An Empowered Lifestyle

One of the most interesting and innovative parts of the book is Step 9 -- "Improve the Underlying Autoimmune Condition." This section shares some of the results from Karilee's weekly thyroid recovery group meetings held with other thyroid patients. This chapter talks about issues patients have experienced with emotional sensitivity, self-esteem, perfectionism, maintaining momentum, being empowered, and more, and many of the "common characteristics" of people with autoimmune hypothyroidism struck a chord personally with me. (For a look at some of their thoughts on this, see: [link url=http://thyroid.about.com/library/weekly/aa060901a.htm]A Mind/Body Exploration of Hypothyroidism, with Richard & Karilee Shames.[/link])

For those who are already diagnosed, Step Seven's overview of adrenal insufficiency is also a very useful adjunct, particularly for thyroid patients who do not feel well on what is considered sufficient treatment for hypothyroidism. (For an interview discussing some of their perspectives on adrenal issues, see: [link url=http://thyroid.about.com/library/weekly/aa052801a.htm]The Adrenal/Thyroid Connection -- Interview with Richard and Karilee Shames[/link].)

A unique section is titled "How to Tap the Source of Boundless Energy," which talks about energy healing, the energy chakras, and self-actualization. While not specifically focused on the thyroid, this section is an excellent introduction to the concepts of energy work for those who are not familiar with modalities such as Reiki, healing hands, or laying on of hands.

The main weakness in this book is the fact that many thyroid patients who read the book will not have access to practitioners who are even remotely as open-minded or holistic in their approach as Richard and Karilee Shames. While the Shameses are part of a growing body of alternative practitioners who are innovative their diagnosis and treatment of hypothyroidism, the vast majority of patients are still subject to very limited, highly conventional treatment protocols, and a very ingrained doctrine of thyroid treatment. Rigid adherence to TSH tests, "normal ranges" and levothyroxine as the sole treatment is the standard practice, and what standard practice is what is typically covered by HMOs and insurance companies. The Shames' use of TRH, total T3, free T3 and antibodies tests as standard, and their unbiased use of levothyroxine, synthetic T3, or natural thyroid products -- whatever product works best for each individual patient -- are encouraging, but still uncommon among most medical professionals.

Overall, Thyroid Power is an excellent thyroid-related addition to any thyroid patient's bookshelf. As a thyroid patient, reading Thyroid Power will renew your faith that doctors actually exist who clearly understand how to diagnose and treat hypothyroidism in real people, and who do not believe that patients are merely lab values on a medical chart.