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Date: | Thu, 14 Feb 2002 17:36:45 EST |
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In a message dated 2/11/02 8:16:09 PM US Eastern Standard Time,
[log in to unmask] writes:
> But yes, do get a full thyroid panel -- including Free and Total T3, as well
> as T4. You can't tell anything from TSH alone. >>>>
From what I have seen over the years, you can't always tell anything from any
of the labs. The "normal" range is not always the healthy range. It simply
represents the scores that fall within 2 Standard Deviations of the mean
(middle-average) of all those that the lab has done. This is the middle 95.5%
of the scores of an admittedly ill group of people.
Saying someone is healthy because their number fits in that middle range, is
as foolish as saying someone is physically fit because they weigh something
between 75 and 260 pounds (about 34 to 118.2 Kg) without ever seeing the
person. Some people in that range are physically fit, others are not.
The scale, like the lab, is not a good replacement for intelligence. Most of
us have suffered because some doc paid more attention to labs than to us.
Every patient deserves to have doc sit down and listen to and understand
their problem. The History (what has been happening to your patient before
they came to your office) is worth 85% of the Diagnosis. The labs are worth
about 5%.
Peace.
Doc Don
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