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A Rant: Why It’s Important to Be Your Own Health Advocate

A Rant: Why It's Important to Be Your Own Health Advocate

‘Be Your Own Thyroid Advocate’ is literally the tagline of my website and name of my first book – I’ve made it no secret that the reason I was able to go from barely functioning thanks to an undiagnosed thyroid condition, to getting my health back on track again and resuming a normal quality of life, is because I took ‘be your own thyroid advocate’ literally. 

I had to learn to be my own advocate when it came to my health. Being passive meant I got sick and stayed sick.

Too many people are being let down by medical systems and medical practitioners who miss crucial diagnoses and symptoms which should point them towards possible causes.

Why I’m Reminding You To Be Your Own Health Advocate

I’m feeling angry today and I needed to rant about this topic because my own husband has been complaining of feeling tired, worn down and low in mood for a while now.

With everything I’ve learnt myself in the last few years, I told him to ask the GP for some comprehensive testing. I suggested a full thyroid panel (of course), vitamins such as B12, iron, folate, D, coeliac screening (he’s also been having some digestive complaints) and more. I was particularly adamant on testing his Vitamin D levels because he has dark skin and I know this is a risk factor for low Vitamin D levels.

A photo or Rachel with her partner Adam

When he went to the GP last week to request these, he was brushed off immediately. Told that he was ‘too young’ to have these kind of health checks be necessary, the GP essentially played down his concerns. However, he’s learnt to be a patient expert and put his foot down via my own experiences with banging my head against doctors surgery brick walls, and managed to convince her to run a bunch of tests anyway, including the ones I suggested. She begrudgingly eventually agreed, but told him that she didn’t expect anything to come back.

He has also developed an interesting, patchy area of skin, which I suggested could be Vitiligo, an autoimmune disease I’m aware of due to belonging to the autoimmune community myself (thanks, Hashimoto’s!). Mentioning this to the GP at the same appointment, she was actually very intrigued by this, admitting she didn’t know what it was but that she would run additional testing.

Today, Adam saw the GP for his results. He is Vitamin D deficient and has been diagnosed with Vitiligo. As he messaged me this news, my heart sank and I was shocked. Surely I, a non-medical professional, didn’t nail what his health issues were? The GP was so adamant that there was nothing wrong with him, yet his own wife spotted the signs and symptoms. How was the GP wrong and I right?

However, this isn’t the first time this has happened.

(He ordered his Vitamin D test from here.)

For years, I have told a friend that I suspected she could have an undiagnosed thyroid condition. She was finally tested recently and sure enough, she does.

I told three other people to get their Vitamin D levels checked this year because they’ve been tired, feeling depressed or low in mood, and having other signs and symptoms of this low vitamin. I’m not kidding when I say that all three came back as deficient in Vitamin D.

It’s sad when a doctor listens to a patient’s concerns and doesn’t think to test something that seems so obvious. What else are they not thinking to check? What else is being missed? After all, not everyone has someone as clued up on health issues as myself, to direct them on what to test and what to look for. But these people have been to the doctor and complained of the typical symptoms of low Vitamin D and thyroid issues, but not been checked for them.

It’s frustrating when medical professionals should know the signs, symptoms and risk factors of certain diseases, health conditions and vitamin deficiencies, yet don’t think to check them, and someone is walking around feeling unwell when it could so simply be addressed. If something as simple as taking a Vitamin D supplement that you need, helps your low energy and mood (a lot of people are depressed from it and don’t know) – doctors really should be taking it more seriously to screen for these things and not tell people they ‘can’t have that’ when they clearly can!

Presenting with mounting symptoms of hypothyroidism and Hashimoto’s for years, no doctor thought to test me, as I was ‘too young to have a thyroid condition’ apparently. Yet here I am. And when I was eventually diagnosed, I was incredibly ill from these missed diagnoses. This is why I stress the importance of advocating for yourself, to other people.

It shouldn’t take someone like myself to be encouraging others to go and ask for tests A, B and C and make sure you get a print out of the test results to check they actually tested it’. We shouldn’t have to be our own doctors.

Adam got a printed copy of his test results and we can see that the coeliac screening wasn’t even tested, despite the GP saying it would be. Did the GP really request it or did the lab miss it? Who knows, but we shouldn’t feel like we have to double check, in order to ensure a diagnosis isn’t missed. Yet, I know firsthand that this happens.

None of the people around me were checked for their issues and diagnosed without a fight from the patient. Why is it taking someone who is just an ‘expert in their own health’ to notice these? Doctors didn’t think to test until they were asked. Aren’t they supposed to be the ones spotting them?

We shouldn’t have to be our own doctors but clearly we do in order to actually get anywhere.

Being a Thyroid Patient and Being Present in Our Healthcare

When it comes to being a thyroid patient, I can’t stress enough how much I recommend we all be clued up on our health and take an active role in understanding things. Do your research, read blogs, books, studies and get other patients’ experiences and go in to your doctor’s office armed with the knowledge you need to make progress. We can’t be passive in this experience. If we are, we are resign ourselves to things going missed or improperly treated.

I tell thyroid patients to keep trying different doctors until they find one they can build mutual respect with and one that actually takes them seriously. After all, you should be an active participant in your own health and healthcare. Unfortunately, we kind of have to be in order to make sure things aren’t being missed.

Many of us are ordering our own tests from laboratories and learning how to interpret the results too. Adam and I will now be ordering further testing because the doctors are still dismissing some of his concerns, despite us being right on the initial ones so far.

Please, be your own thyroid advocate and prepare to stand up for yourself, do research, be adamant in getting the quality of care you deserve and listen to your own body. You know better than anyone if something isn’t right.

Have you experienced something like this?

Be Your Own Thyroid Advocate Book Girl HoldingYou can read more about advocating for yourself in my book Be Your Own Thyroid Advocate: When You’re Sick and Tired of Being Sick and Tired

You can click on the hyperlinks in the above post to learn more and see references to information given.

Related post: You Should Be Your Own Thyroid Advocate

About Author

Rachel Hill is the highly ranked and multi-award winning thyroid patient advocate, writer, speaker and author behind The Invisible Hypothyroidism. Her thyroid advocacy work includes writing articles, authoring books, producing her Thyroid Family email newsletters and speaking on podcasts and at events about the many aspects thyroid disease affects and how to overcome these. She is well-recognised as a crucial and influential contributor to the thyroid community and has a large social media presence. Her bestselling books include "Be Your Own Thyroid Advocate" and "You, Me and Hypothyroidism".

2 Comments

  • Caz / InvisiblyMe
    December 15, 2019 at 9:55 am

    Arrgggh this makes me so angry! Not just fobbing Adam off, but saying things get tested that don’t – I always get copies of results, take photos of lap request forms, anything and everything because my motto now is “never trust them”! It’s sad that this is the situation but this is why it’s so incredibly important to be our own health advocates. I blogged about this eons ago but I think it’s time for a refreshed post because it’s so, so important. I’m glad Adam’s got you in his corner. I’m also glad the vit D deficiency has been spotted – I was found to have next to non-existent levels, along with osteopenia. So now it’s a bit too little, too late. All the more angering when you hear people continue to be brushed off or told you can’t have anything wrong because you’re too young, blah blah. Fantastic post, Rachel! xx

    Reply
  • A.R. Parkin
    December 12, 2019 at 10:42 pm

    Hi Rachel,
    my doc has refused all tests suggesting my multiple low level (in his opinion) symptoms were all in my head and after listing each symptom and linking them to thyroid symptoms he said he would do a test since I had not had one sine June this year, then on phoning to see what y results were found out that he had taken blood to check inflammation markers and my thyroid still had not been checked. His colleague did the same thing to me and I have been so poorly for the best part of this year. I have been accused of messing with my thyroid tablets…not taking the right doses, having another virus, just need to rest, rest and rest. when I said my skin is so dry and really itchy, I was told I washed to much. The doctors are not listening to me at all and it is like I am invisible and I mentioned this in surgery and I was just brushed off again….How do I get through to them.
    I am going to pay for a test although I am only getting twenty pounds a week to live on but I am now at the stage where I will use my savings to get help and I have now found a private Metabolic Endocrinologist and GP about two hundred miles away who may see me.
    I cannot name names but, someone who is trying to help me has said that they went to a conference and that all doctors are being told not to do so many tests.
    I can attest to this as can a friend who asked for a test and she was told she had had three tests this year and would have to wait until next year.
    I have a friend that has a doctor for a husband and he told me that there is nothing wrong with the TSH test and that it was reliable, I disagreed but he would not or could not see my point at all. I feel that many doctors see thyroid disease as easily sorted and to be ignored.
    Is there a list of doctors who list their specialities? We get a GP because he or she is the only one in the area and their specialism is likely to be paediatrics and their clients are mostly elderly, it doesn’t make sense.
    Okay that is my rant over but I am still angry and frustrated because I am still feeling so rotten.
    PS I have been reading Dr Barry Durrant Peatfields book on how to keep the thyroid healthy. Interesting and helpful

    Reply

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