A Critique of Dr. Richard Guttler's Beliefs About Hypothyroidism |
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Current Study Introduction: Early this year, Dr. Richard
Guttler, thyroid surgeon and self-proclaimed "real thyroid
expert," repeatedly attacked the world’s foremost
thyroid-patient advocate and best-selling author Mary
Shomon. He
attacked her partly because her beliefs about hypothyroidism differ
from his own. In his attacks, he made clear what his beliefs
are, and I’ve written a critique of the beliefs showing that
science has proven them false. I also show, in chorus with Mary, that Dr. Guttler’s false
beliefs represent those of other "real thyroid experts,"
such as conventional endocrinologists and thyroidologists. Some of
these "experts" espouse the beliefs quietly; others,
boisterously. Most, however, do so dogmatically. But to my
knowledge, none espouse the beliefs with the brusk pomposity of Dr.
Guttler. At dissenters like Mary and her supporters, Guttler barks out his
beliefs like a testy omniscient. In debating scientific issues, I
prefer civil, give-and-take dialogue. But in this debate, perhaps
Guttler’s brusk, pompous, commanding way is best. After all, it
has forced the false beliefs of his "real thyroid experts"
directly into a critical analyst’s line of fire. Readers
can judge for themselves whether, as a result, those beliefs lie
dead on the ground. Professional scientists resist changing their cherished
scientific beliefs, often slowing the advancement of science. In
principle, though, when enough evidence shows their beliefs to be
false, they change them to concur with the evidence. The old beliefs
are, so to speak, laid to rest. Dr. Guttler and his "real thyroid experts," however,
fail to comply with the professional scientist’s principle of
evidence-driven burial of refuted beliefs. As I show in this
critique and a previous one,[1] these "experts"
continue to argue that their beliefs about hypothyroidism are true.
The evidence shows, however, that their beliefs aren’t just dead,
they’re in rigor mortis—mainly, I contend, from
the belief-stiffening effect of financial incentives from
corporations. Their rigid beliefs, long debunked by the evidence,
have the repugnant qualities of other decayed things kept too long
before one’s eyes and nose. Because Dr. Guttler pronounces the refuted beliefs true, we can
classify them as unscientific dogma. Medical regulatory boards,
however, impose this dogma on doctors as the "standard of
practice" for diagnosing and treating hypothyroid patients.
That standard of practice, based on the false beliefs, has profound
implications for the health and welfare of hypothyroid patients.
Studies show that for many, the false beliefs lead to three
potentially-tragic outcomes for patients: chronic suffering from
hypothyroid symptoms, increased risk of potentially-fatal diseases
associated with untreated or under-treated hypothyroidism, and
increased use of prescription drugs. But if you’re a hypothyroid patient, you don’t have to put
yourself in harm’s way. You can avoid potential risk by doing the
following: (1) Read widely about hypothyroidism and its diagnosis and
treatment—but always with a skeptical mind. Read
informational websites such as Mary
Shomon’s,
Thyroid UK, drlowe.com, and, yes, even Dr. Guttler’s
Thyroid.com. As you do,
accept only the beliefs that you yourself— based on your
wide and skeptical reading—tentatively judge to be true: they
should make sense to you. (2) Refuse to be harmed by T4-replacement.
If your doctor
shares Dr. Guttler’s beliefs about hypothyroidism, he’ll
probably give you no other option. If you complain of continued
suffering, he’s likely to parrot the "real thyroid
experts"—explaining that hypothyroidism can’t be causing
your suffering; it’s impossible since you’re on
"adequate" T4-replacement. Despite the doctor’s
reassurances, you may gain weight, become depressed, or no longer
think clearly. You may develop chronic aches, pains, and burdensome
fatigue that your doctor will diagnosis as fibromyalgia/chronic fatigue
syndrome. If this happens to you, consider that the most likely
antidote to your suffering will be "alternative" thyroid
treatment offered by doctors given voice at websites like Mary
Shomon’s. (3) If T4-replacement is harming you, and your doctor denies you
alternative treatment, find another doctor. Make sure your new doctor
has your best interests at heart and will help you get well by
treating you, not your blood tests. With every passing week,
your chances of finding this type of doctor get better; ever increasing
numbers of doctors are expanding their knowledge and skills beyond
what conventional (corporation-dominated) medicine has imposed on
them. So persist, and you’ll find a doctor who’ll treat you with
a safer and more effective therapy than T4-replacement. I now invite you to read my critique of Dr. Guttler’s beliefs,
where I justify the comments I’ve made here. —Dr. John C.
Lowe
Introduction
| Full
Paper | Addenda | Errors in Quotations from Dr. Guttler |