In response to my recent post “Medicine is Well and Truly Screwed, so I Quit”, an endocrinology fellow asked me, “For fellows who are looking for first jobs, what are some things/questions you would highly recommend we look out for/ask?” Realizing that my initial inclination to tell her it’s all hopeless and to give up now might be construed as somewhat unhelpful, I decided to more carefully consider her query.
I finally accepted the fact that the practice of medicine is no longer tenable…so I quit. This is the unflinching look at how I got there.
In these two episodes of The Health Investment podcast, I separate hormone myths from fact. And of course, I rant about alternative medicine.
A reader asks a deceptively simple question that I attempt to answer: “Have your patients done well?”
On this episode of Docs Who Lift, we talk about the subtleties of thyroid testing, including why reverse T3 levels are virtually worthless. After listening to this episode, if you’re not convinced that you overpaid for the seven pages of labs ordered by your alt med provider, well…either you’ve got too much disposable income or you’re in denial.
Both Spencer and Karl look like they could benchpress me single-armed, but they took it easy on me and let me talk about my two favorite subjects: alternative medicine and myself.
Do T3-containing medications like pig thyroid suppress TSH out of proportion to what happens with equivalent doses of levothyroxine? Let’s hunt for evidence.
Some studies suggest that T4 monotherapy doesn’t normalize BMR; others say it’s fine. The jury may be out on this, but it’s nonetheless fascinating to look at the strength (or lack thereof) of the original studies using BMR to guide treatment.
In a new clinical trial, study participants preferred desiccated thyroid and T4/T3 combination therapy over T4 alone, but is there more to this than the conclusion?
You can call it Alternative Medicine, CAM, Naturopathy, Integrative Medicine, or Functional Medicine – doesn’t matter – a duck is still a duck. Come be a voyeur as a reader shares her real-life experience with a FM doc.