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Osler said “Listen to your patient, he is telling you the diagnosis”. Duvefelt says “Listen to your patient, he is telling you what kind of doctor he needs you to be”.
BOOKS BY HANS DUVEFELT, MD
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A Country Doctor Writes: 
I really like your explanation. I was diagnosed with hypothyroidism, but I didn’t have the normal symptoms. I’ve been lucky in having great doctors that explained a low lab means Hyper and supplements needed to be reduced. From 1998 to about 2014, I was a mess because I couldn’t find a doctor with any sense. I found an immigrant doctor that understood what I meant, when I said, “I have hypothyroidism, but I’m taking too much thyroid. It’s been years since I met a doctor that can read a THS screen. They say the lab is making a mistake. The results are now out of range and my blood pressure is going haywire.” My doctor got my TSH under control by reducing my thyroid supplement. Thyroidism is one of the most undiagnosed medical problems in America. I used to think that it was because they didn’t know the symptoms. it’s because they were not taught to read lab results.
I had it explained how hypothyroid slows down the heart and damages the big muscle, and the hyperthyroidism speeds the heart up and damages the valves. That was followed with an increase of thyroid supplement, which pushed my conductor to beg and beg for a slowdown. i am so grateful for my current doctor that got me stabilized in about 8 weeks. I was amazed. That was about 6 years ago, and I’m still thankful for her skill.
I don’t understand why I don’t have heart and kidney problems. My BUN-CREATININE is in range, in spite of everything.