Levothroid

By C. Gonzales. Culver-Stockton College.

In time generic 50mcg levothroid amex, we might have convinced Sweet Ting and her grandmother that she was not on the same dreadful course as her dead mother. I also was beginning to sense the need for physicians to exam- ine their own beliefs and separate those that are important for the patient from those that are important to themselves. My extreme need at the time to use accurate medical terminology overrode what might have been best for the care of this frightened girl and her family. Up until this point, I had assumed that assigning a nonexistent disease name to a patient was just sloppy medicine, a poor method for dealing with symptomatic patients. I now see the error of overdiagnosing a nonexistent disease as powerful evidence for why we need to abandon the biomolecular model for clinical medicine. It was not until I reflected on Sweet 60 Symptoms of Unknown Origin Ting and my own errors in her management that I came to this broader view of the origins of the error of nondisease. It is an error demanded by a paradigm that restricts diseases to either the body or the mind. Tis paradigm relegates human beings to an isolated island of brain, other organs, tissues, cells, and molecules disconnected from the narrative of life. Since returning to Vanderbilt and Saint Tomas, I had begun to see a large number of referred patients. Word got around that I was interested in seeing patients who had symptoms of disease but no objective evidence of disease. Some referring physicians called them by pejorative terms—crock or turkey or shad. I arrived at a standardized approach for patients with symp- toms of unknown origin (SUO) referred to me for management or for consultations.

Writing is a personal and lonely activity cheap levothroid 50mcg online, and this can fool writers into believing that their work is better than it is. Be careful about arguing: what you are really saying is that in your opinion the editor is unfit to edit. Arguing that you should have been paid £120 not £110 will not help in the pursuit of this task; it will probably leave a rather sour taste in the mouth of a formerly supportive (and possibly less well paid) editor. Editorial boards Many journals have long lists of eminent people from all over the world who make up their editorial board. This is useful marketing: being able to drop the names of all these dignitaries adds prestige. It also helps to attract contributions, not only from members of the board but from their colleagues and friends. But for smaller publications, particularly newsletters, it can be a dangerous model to follow. Some organizations favour them at this level because they believe that they spread the load (and make sure no one gets too important). They also threaten to divert the publication from serving the needs of readers to serving the needs of the board members. Go ahead only if you think these disadvantages will be outweighed by the advantages – such as widening the network of supporters, providing political back-up, or adding prestige and credibility. If you decide to go ahead, have a clear view of what the role of the committee should be. Make it clear what power they will have and what duties they will perform. Meetings such as this can suddenly have a collective rush of blood to the head, and charge off in a direction that is as dangerous as it is unexpected. Take time to plan, producing written reports to back up your proposals and undertaking personal lobbying on the more important issues. Altruism is a rare commodity, so people who sit on such committees tend to want something in return.

Case 29:29 This patient was a 12 year-old female whose initial visit occurred in May 1989 discount levothroid 50 mcg without prescription. Her main complaint was that she urinated in her bed as many as three times per night, and the urine had a peculiar smell. In addition, there were short voidings of yellow urine, rashness, impatience and irascibility, a red facial complexion and lips, sometimes fear and fright of unreal matters, red tongue margins and tip with yel- low fur, and a bowstring, slippery pulse. Based on these findings, the treatment principles were to clear heat, discharge heat and disinhibit dampness. The girl was prescribed the following Representative Case Histories 203 Chinese medicinals: Long Dan Cao (Radix Gentianae), 15g, and Zhi Zi (Fructus Gardeniae), Chai Hu (Radix Bupleuri), Huang Qin (Radix Scutellariae), Mu Tong (Caulis Akebiae), Ze Xie (Rhizoma Alismatis), Dang Gui (Radix Angelicae Sinensis), Che Qian Zi (Semen Plantaginis), Sheng Di (uncooked Radix Rehmanniae), and Gan Cao (Radix Glycyrrhizae),10g each. One packet of these medicinals was decocted in water and taken per day along with Er Miao Wan (Two Wonders Pills). In addition, the patient received acupuncture at Guan Yuan (CV 4), San Yin Jiao (Sp 6), Tai Chong (Liv 3), and Li Gou (Liv 5) with draining method. After taking the medicinals for 10 consecutive days, the enuresis and other symp- toms were cured. The patient also took Long Dan Xie Gan Wan (Gentiana Drain the Liver Pills) and Er Miao Wan (Two Wonders Pills) for one month. Endnotes: 1 Weng Hua-ying, The Clinical Uses of Gui Zhi Tang (Cinnamon Twig Decoction) in Pediatrics, Zhe Jiang Zhong Yi Za Zhi (Zhejiang Journal of Chinese Medicine), 1999, #2, p. Hopefully, this information will encourage more practitioners to treat this condition and more families to take steps to conquer this all too common childhood disease. It is also my hope that the information in this book encourages more clinical trials on the TCM treatment of enuresis in non-Chinese patient populations. In clos- ing, please remember that, no matter what treatment modality is chosen, the treatment will not be successful if the parents and the child do not have a co-operative attitude. Appendix 1: Nocturnal Enuresis In-take Form Name: _____________________________________ Birthdate: _______________ Sex: __________ Height: _____________________ Weight: _____________________ 1. Check all that apply: ❒ Brothers/sisters ❒ Uncles/aunts ❒ Parents ❒ Cousins 3.