Hand in hand - how do we care love their IT systems? - Stockholm down s syndrome

Hand in hand - how do we care love their IT systems? - Stockholm down s syndrome
Can Swedish down s syndrome primary care be the best in the world? - Stockholm
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All the doctors have been trained in diabetes mellitus type 2. But most Swedish doctors have never heard of hypothyroidism type 2. Those who heard about it (before they read this blog) has probably been introduced for the diagnosis of any patient who put it on himself, and desired treatment despite down s syndrome normal levels of TSH and free T4.
I've looked online and found a Finnish and a few Swedish doctor who, despite a lack of scientific studies nevertheless believe that the diagnosis hypo2 there. (Number of articles in credible journals down s syndrome is equal to zero.) As I understand the reasons for those colleagues diagnosed only with the patient's down s syndrome reported symptoms, or by squeezing the upper arm and discover what it regards as myxedema, or by sending samples to Scandlab for a urine analysis T3/T4 for 1895 crowns. (This is not a test that is used by hospitals endocrinologists).
Some doctors experiment with their own normal limits of TSH, and consider values above 2.5 as high. I have learned that when a woman with true hypothyroidism ("type 1") becomes pregnant, the man any dose up Levaxin and aim for TSH below 2.5 to be completely on the safe side so that the fetal brain are guaranteed not to get too little hormone. But it is not this low boundary used for purposes of diagnosis in the initial round.
Bo Wikland down s syndrome who have reception on Läkarhuset at Haymarket teaches according to the interview on an online magazine consider 2.5 as the normal down s syndrome limit of TSH, and the patient reports symptoms consistent with hypothyroidism he recommends proceeding with antibody assays and / or fine needle biopsy even with normal TSH. If you find that any sign of autoimmunity would warrant treatment, as in this patient, who wrote in an online forum 2009-04-02:
"After a general review of some symptoms down s syndrome and blood pressure measurement, we reviewed blood samples taken last time at Sophia Hospital. down s syndrome It was found that all samples were normal ... except that antibodies (Tg-ak) had a value of 100 where the reference is <4.1! May I say YES!? According to Bo's task mean Welfare that you never insert Levaxin if TSH, f-T4, f-T3 is within the frame of reference, and if I understood correctly regardless of symptoms. Bo seems to be disagreed (who's surprised), and suggests that elevated levels of antibodies nevertheless suggests down s syndrome that something is wrong. Well it was somehow justification to print Levaxin on trial for 6 weeks to see if I feel better. "
According to Professor Ernst Nystrom who writes on the Internet Medical is up to 20% of healthy women who have anti-TPO while "only" 2-3% develop hypothyroidism. Detectable down s syndrome autoantibodies is not necessarily associated with disease. Anti-TG down s syndrome (thyroglobulin) think Nystrom is not indicated in hypotyreosutredningen, down s syndrome anti-TG measured what I understand, mainly when you want to safely determine the TG level at follow-up of thyroid down s syndrome cancer (but I may be wrong, it's not a test I usually take on any of my patients).
Some Swedish patients who can not get their usual doctor to believe down s syndrome in hypothyroidism, or who can not get the doctor to write out dried pig thyroid instead of Levaxin turn to a doctor in Finland. Karin Munsterhjelm Ekenäs is a general practitioner, but seems partly outside conventional medicine with the treatment of amalgam illness, electrical hypersensitivity, hypothyroidism type 2 and a belief down s syndrome ortomolekylärmedicin (where she understands what I expect porcine thyroid).
According Helsingborgs Dagblad is a general practitioner in Angelholm who says that hypothyroidism is a common disease and refers to reports that 40-50% of people in the U.S. suffer from low metabolism. Either "Hypothyroidism Type 1, which can be determined by blood tests, or the more hidden variant, type 2, which is not seen in blood tests because the fault lies at the cellular level."
The same thoughts expressed by a professor down s syndrome Karl E Arfors: "The down s syndrome value of TSH is perhaps the primary hypothyroidism - but not in hypothyroidism type 2 - which is a conversion problem in the peripheral tissue - when usually not enough T3 formed." Professor Arfors seems to mean that half of Swedish women over 40 years should receive supplemental down s syndrome thyroid hormone T3. Arfors think I'm not working down s syndrome clinically, down s syndrome and the antroposofiske doctor Einar Berg can no longer write a few recipes, but he lectures at Scandlab of hypothyroidism type 2. <