Quote:
Originally Posted by Beryana
This will be the third doctor that I am going to for something relatively simple as hypothyroidism (compared to the psuedotumor cerebri which I had for roughly the past year - but that's gone because my brain trauma was allowed to heal on the medication I was on). Both previous doctors have shown they really don't care that I want to be involved in my healthcare - it was almost like pulling teeth even to get copies of the test results so I had them for my records! The current doctor said that she will not prescribe anything other than synthetic thyroid - which really makes me wonder what she would make me take for the rest of the symptoms I'm experiencing?!
But the question is why should I be a slave to the system? Why must I settle for only doctors that have made a deal with the health insurance companies? Why should I not be allowed to look outside the 'normal' system and work with an MD who looks at alternative means of health care (preventative rather than waiting until I'm actually sick)? I'm willing to drive 1.5 hours each way to see a doctor who, on paper, is willing to work WITH me to make me a healthier person all around - and if I have to pay for the office visits out of my own pocket (if insurance only will cover the tests) then so be it.
My view, as a patient, of the where our healthcare system is broke is that the patient is left out of the equation most of the time - its the doctors and insurance companies making the decisions. The first doctor I saw lied right to my face when I asked for specific blood tests to establish a baseline (D3, T3 and T4) - said he would order them and didn't (his nurse said because the insurance company wouldn't cover those tests - and T3 and T4 are only checked for hyperthyroid patients). I left after finding that out as I don't care for lip service, especially when my health is involved.
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The first bold isn't really correct. Physicians elect whether or not to accept certain insurance providers. They don't "make deals" with them. Physicians actually have very little bargaining power when it comes to insurance companies. We can just refuse to see patients from companies that we don't wish to deal with.
The second bolded section caught my eye because I wonder if you told him that you were willing to pay for the tests even if your insurance company wouldn't cover them. I can feel the frustration in your story, but T3 and T4 levels are not covered for hypothyroidism for a reason. If your physician didn't know you would pay for them regardless of the price, and he knew they were not indicated, he probably thought it was best to exclude an unnecessary test rather than have you charged for it. If you did tell him, than shame on him.
Also, your symptoms may not be related to hypothyroidism. The thyroid gets a bad rap for lots of symptoms, ie. fatigue, weight gain, sluggishness. There are lots of things that can cause these symptoms other than the thyroid, and treating hypothyroidism doesn't magically give you tons of energy...that would be giving you hyperthyroidism! My husband is an endocrinologist. He complains all the time about the misconceptions people have about all the magic the thryroid can do.