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Very sad news: Dr. Gordon P. Skinner of the UK has passed away!

skinner TPAStop the Thyroid Madness is saddened to report of the passing of Dr. Gordon P. Skinner of the UK on Tuesday, November 26th due to a stroke. Skinner was a champion of thyroid patients, plus a medical practitioner who was beloved for his willingness to look outside the box in the diagnosis and treatment of hypothyroidism. 

Dr. Skinner was a man of high education and esteem. He “graduated in Medicine at the University of Glasgow in 1965 and following house jobs in Glasgow and Midlands of England specialized in Obstetrics and Gynaecology and later in Virology and in 1976 became Senior Lecturer in Medical Microbiology at the University of Birmingham with Consultant status at the Queen Elizabeth Hospital in Birmingham. Dr Skinner’s research portfolio for which he was awarded the prestigious Doctorate of Science by the University of Birmingham can be found in his CV”.

Dr. Skinner was brilliant about the connection between ME/CFS and hypothyroidism. Years ago, he was one who saw the association between the condition of Myalgic Encephalopathy (which is also a term for Chronic Fatigue Syndrome) and hypothyroidism, in spite of so-called normal ranges. This was huge information and the same association was also seen by some thyroid patients around the turn of the century when they were moving over to natural desiccated thyroid (NDT) and doing so much better than they did on T4-only like Synthroid. Read about Chronic Fatigue Syndrome right on STTM.

Dr. Skinner was sadly challenged by the GMC. In June of 2005, Dr. Gordon Skinner, who was a private practitioner in the UK, was called before the General Medical Council to ascertain his “fitness to practice”. And why was he called before the board? Because of alleged “inappropriate clinical practice including maintaining medication for patients at dangerous levels and failures of communication with other medical practitioners.”  I mentioned this in October 2006. i.e. Dr. Skinner dared to listen to thyroid patient symptoms over what is deemed “normal” labwork via the TSH.  He also dared to use natural desiccated thyroid, aka porcine thyroid extract, to treat his patients until they saw the removal of symptoms. He began to receive restrictions in his ability to practice.

Dr. Skinner was now prohibited from seeing new patients unless they had been referred by a General Practitioner, and his decisions were to be reviewed by the GMC every six months for the next three years.

In 2007, I heard from Lyn Mynott, chair of Thyroid UK about Dr. Skinner being brought before the General Medical Council (GMC) because he dared to treat his patients with thyroid hormone when they have so-called “normal” blood lab test results. The GMC attempts to dictate what is “a good standard of practice and care” for patients and the “proper standards in medicine”. I spoke about this folly in the July 2007 blog post. His restrictions continued.

Dr. Skinner was appalled by the belief that a TSH up to 10 was normal. The Royal College of Physicians and the Royal College of General Practitioners had implied by 2010 that patients should not received a diagnosis of hypothyroidism if their TSH was less than 10, and Skinner found it senseless. They had also stated that the thyroid extract called Armour was a bad medication (in spite of the fact that millions of us worldwide have had our lives change thanks to NDT).

Dr. Skinner was free to practice fully again in November 2011. i.e. his restrictions were lifted and his Fitness to Practice was restored. But in May 2012, he was forced to appear before the GMC once again, where conditions were imposed on him, including being supervised by a particular Endocrinologist

Dr. Skinner was the creator of the World Thyroid Register. This was created to “address the parlous situation of patients who are hypothyroid and have yet not been diagnosed and indeed patients who are being managed with an unacceptably low level of thyroid replacement.”

Dr. Skinner wrote the book “Diagnosis and Management of Hypothyroidism” about the symptoms of hypothyroidism and issues with getting diagnosed.

Thyroid UK summed it up well: “He will be sadly missed by his family, friends and thousands of thyroid patients whom he has helped to regain their lives through his diagnosis and treatment of hypothyroidism. Many patients became firm friends with Dr Skinner, enjoying his quirky sense of humour and it is so sad that we will never be able to hear his lovely Scottish lilt again.”

SkinnerYou will be missed, Dr. Skinner, and remembered by Thyroid Patients worldwide with admiration! We send our condolences to your family and closest friends, as well as to all your patients who will miss you greatly. Rest in Peace!

**Photo on top from the TPA UK site; below from Thyroid UK 

 

 

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Chronic Fatigue Syndrome could be UNTREATED or UNDERTREATED hypothyroid!

Though this post was first created in 2006, it’s been updated to the current day and time! Enjoy!

On Thursday night, Nov. 2nd, 2006, I was concerned.

NBC News had a short segment by Robert Bazell, their Chief Science and Health Correspondence. And Mr. Bazell and NBC news announced that there’s a “mystery illness that afflicts more than one million people in the United States, especially women”. And they confirmed that the government (Centers for the Disease Control aka CDC) is telling doctors: it’s real. And it’s called Chronic Fatigue Syndrome…or Myalgic encephalomyelitis, abbreviated as ME, in Europe.

I remember when the term CFS was coined in 1988, even without a specific cause or marker. I remember when they surmised it was due to Epstein Barr Virus. I listened when Mayo Clinic stated that CFS was a “complex disorder”. I have listened when Georgetown University Medical Center stated that “chronic fatigue syndrome (CFS) may be rooted in distinct neurological abnormalities that can be medically tested” and may be a “legitimate, neurological diseases and that at least part of the pathology involves the central nervous system.” I also listened when CDC stated that CFS was “unexplained fatigue of greater than or equal to six month’s duration.”

For years, I have listened to the symptoms of CFS/ME with openness and great sympathy. I listened when I read that small outbreaks of similar fatigue disorders have been described in the medical literature since the 1930s

And I personally  KNOW that unrelenting and debilitating fatigue is real. I know that incapacitating fatigue is real. I know symptoms can be variable, individual, and fluctuate in severity, and that friends and family may not really get how sick they are. I have also lived with chronic, debilitating fatigue, as have millions of others whether they were classified with CFS/ME or not.

BUT….to say that it’s a mysterious illness highly concerns me… for thyroid patients. We’ve had too many doctors proclaim CFS/ME when we presented our fatigue, yet the reality has been poorly treated hypothyroidism or Hashi’s, not a mystery.

And here are interesting facts for hypothyroid or Hashimoto’s patient who get this CFS/ME diagnosis.

1) Chronic Fatigue Syndrome as the label for a mysterious disorder seemed to make it’s appearance within the decade after the lousy but highly acclaimed TSH lab test was created in the mid-1970’s, and during a time when most all patients had been switched from the successful desiccated thyroid to thyroxine-only treatment..the latter which patients now know have been huge failures in the treatment of hypothyroid.

2) Most of the symptoms listed as belonging with CFS are the VERY same symptoms reported by patients who were on inadequate T4-only medications and who were dosed by the TSH. Also, those are the same symptoms that other patients had when they were told they had NO thyroid problem (due to inadequate testing and evaluation of those tests). Additionally, all the symptoms were eradicated when the patient was optimally treated on Armour.

3) Many of the symptoms listed as being those of CFS are the exact same symptoms related to having low functioning adrenals—a VERY common condition that accompanies hypothyroid is a large majority of hypothyroid patients, and which doctors ROUTINELY know NOTHING about. For example. the following symptoms are listed as CFS symptoms, but are ALSO symptoms that hypothyroid patients with low cortisol often have: allergies and sensitivities to noise/sound, fainting, fever, dizziness, balance problems, night sweats, sensitivity to light, anxiety, panic attacks, personality changes, mood swings, unrefreshed sleep…and others.

I am BOTHERED BY THE SIMILARITIES ABOVE!!

I am bothered by the fact many hypothyroid patients who come onto the many thyroid-related discussion groups state they had the diagnosis of Chronic Fatigue Syndrome when they once were on T4-only medications and were dosed by the lousy TSH.

I am bothered when CFS is classified as a “real illness” when these very same patients on these sites lose ALL those symptoms when they dose high enough with desiccated thyroid, ignore the TSH and instead, dose by the free T4 and free T3, and/or treat their low cortisol if it’s confirmed to exist.

I am bothered by the fact that many CFS sufferers are told they have no thyroid problem, when in fact, the hypothyroid-free diagnosis is usually based on very lousy labs called the TSH and T4…and often with no thyroid antibodies labs, which doctors routinely state is “unnecessary”. And if the doctor did do a free T3, he proclaimed the patient “normal” just because the number was “in range”. We, as thyroid patients, have learned that “in range” means squat.

I am bothered by the fact that several listed CFS symptoms are also those of low Ferritin, which leads to anemia, and which is a common condition with hypothyroid patients.

Now in all due respect to patients who have the diagnosis of CFS/ME, or those who suffer from debilitating fatigue–I have been there. I know there are REAL diseases, real conditions, which produce REAL fatigue that may or may not be related to having a diseased thyroid. I once had acute Epstein Barr Virus for a full year, and understand the deep misery and debilitation of fatigue. And I understand that there are other causes for chronic fatigue which include, but are not limited to, mito problems, viruses, enteroviruses, retroviruses, Herpes Viruses, Lyme, Mold and Candida albicans. I can also ascertain that some fatigue has unknown causes.

But I am deeply concerned that the “millions” that CDC is now stating as suffering from a “real disease” might in fact contain a large body who are suffering from untreated or poorly treat hypothyroidism or Hashi’s..

I want to make it clear that I am not saying that “everyone” who is classified as having CFS/ME has undiagnosed or undertreated hypothyroid. The world is not that black and white. But I do suspect, based on the information given above, that many in that “millions” possibly DO have undiagnosed or poorly treated hypothyroid, and/or adrenal insufficiency…and have not done the correct tests or the right treatment to confirm it, and to help RELIEVE them of their misery. The evidence is simply too compelling.

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