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Commentary on Professor Weetman's Article by Dr. Barry Durant-Peatfield

From Dr. Barry Durant-Peatfield, for About.com

Updated: April 06, 2006

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Apr 6 2006
There are certain precepts in medicine to which attention should be drawn, with which perhaps Prof. Weetman is no longer familiar. The first is to remember the value of Occam's razor in medicine: that is, common things commonly occur. Then the importance of listening to the patient: 9 times out of 10 they will tell you the diagnosis and often the treatment. Finally: if the lab tests don't match your clinical intuition, back your intuition. Armed with these simple but valuable precepts, the diagnosis of "functional somatoform disorder" can be relegated to where it belongs, and the correct and perhaps obvious diagnosis made.

The great fear is that the example of Prof. Weetman and the guidelines suggested by him (and recently in other quarters) will become establishment medicine, and doctors will not dare to make the correct diagnosis. To do so may be more than their career is worth. Only a handful of independent, and independent minded, practitioners, will be prepared to shoulder this risk on behalf of their patients. And their number diminishes steadily.

So one must ask - what is it all about? Recently we learned that osteopaths and chiropractors don't help us in the way we all believe; that omega-3 supplements are no help to our cardiovascular health and that we should cheerfully accept very large doses of statins; and now that hypothyroidism is actually quite rare and its diagnosis likely to be evidence of a doctor's incompetence in the face of pressure from his patients.

Dr. Barry Durrant-Peatfield is the author of The Great Thyroid Scandal and How to Survive It, and one of the UK's most beloved thyroid experts. He is retired after an unsuccessful battle against the conventionally run medical bureaucracy who object to use of natural thyroid drugs, treatment for hypoadrenalism, and who condemn physicians for using patient-oriented thyroid diagnosis and treatment methods.

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