This book is directed and designed for the health consumer and it will help to empower them to demand the treatments they are entitled to receive. It is organized as a step by step program to help the health consumer understand the nature of the problem they may be facing and what the potential solutions are. The reader is educated at each step and encouraged to take more control over their own health care. While many Physicians encourage the mystique of the "all knowing" omnipotent Doctor, the Shames's are completely committed to breaking down that power relationship in their work. This book goes a long way to making the health consumer a more equal partner. I was particularly glad to see the emphasis on women's health issues and the encouragement of women to ask for more assistance with the problems of mid-life that are so often simply dismissed as "oh well, that's menopause for you". Women have been the victim of a patriarchal health system for too long and this book is one of many that helps women patients get the medical care they are entitled to.
The issue of thyroid dysfunction is brought down to earth in this book and the reader is given a wide range of options to try. Rather than simply accepting the divine judgment that "your thyroid is normal according to the tests", the patient has several choices, if her/his symptoms are interfering with their life. They can ask for more tests, as the simple basic thyroid tests do not necessarily have all the information needed. Particularly they can request that their thyroid antibodies be checked. I have seen many patients, who responded magnificently to thyroid medication, when their only abnormal result was high levels of these antibodies. Of course, conventional medical dogma denies this possibility and will only treat people who have a TSH level above 5. Even if all the tests are normal, this book encourages the patient to ask for a trial of thyroid hormone treatment. I can assure you that many people will improve with this simple intervention and there is no risk if one if carefully monitored. Finally, if the standard thyroid treatment fails to improve things, there are other types of thyroid hormones that might help, including the often ridiculed natural thyroid. Dr. Shames reports on many cases of people who responded far better to combinations of T4 and T3 hormone, rather than the standard T4 treatment alone. As with all who challenge the conventional dogma, I am sure there will be those who criticize this new approach. Remember anyone who takes on the established medical dogma will be critiqued severely, but often these pioneers turn out to be correct. I believe that Dr. Shames' view will turn out to be correct in the end. The tyranny of the "normal" thyroid test will be broken and there will be a new paradigm developed to explain why so many people get better with thyroid hormone supplements. While you may not find everything in this book to your liking, there were parts that I did not agree with, the overall message and thrust of this book is one of liberation and empowerment for so many women and men who are not being helped by modern medicine today.
If you or someone you care about does not feel well, from the symptoms mentioned above, you owe it to yourself to try the program recommended in this book. Of course there is no guarantee for success, but there is no risk to you if it is done with the guidance of a caring practitioner and the potential reward is nothing less than a return to a vibrant healthy life. Rich and Karilee Shames deserve our thanks and gratitude for bringing this issue out to the public and I truly hope that this new book helps spark an important reevaluation of this entire area of medicine. The fact that the forward was written by Dr. Nathan Becker, of the Department of Endocrinology at the University of California, San Francisco shows that this is not a fringe idea any longer. I also conduct research at UCSF and know that Dr. Becker is one of the leading authorities on thyroid dysfunction. I hope this review encourages more people to read this book and act on its important recommendations.
In a simply written, straightforward manner, the Shameses have organized some basics of hypothyroidism's causes, test, diagnosis and treatment into a ten-step program of information that can help patients get properly diagnosed and treated.
One of the most interesting and innovative parts of the book is Step 9 -- "Improve the Underlying Autoimmune Condition." This section shares some of the results from Karilee's weekly thyroid recovery group meetings held with other thyroid patients. This chapter talks about issues patients have experienced with emotional sensitivity, self-esteem, perfectionism, maintaining momentum, being empowered, and more, and many of the "common characteristics" of people with autoimmune hypothyroidism struck a chord personally with me.
For already diagnosed thyroid patients, Step Seven's overview of adrenal insufficiency is also a very useful adjunct, particularly for thyroid patients who do not feel well on what is considered sufficient treatment for hypothyroidism.
A unique section is titled "How to Tap the Source of Boundless Energy," which talks about energy healing, the energy chakras, and self-actualization. While not specifically focused on the thyroid, this section is an excellent introduction to the concepts of energy work for those who are not familiar with modalities such as Reiki, healing hands, or laying on of hands.
The main weakness in this book is the fact that many thyroid patients who read the book will not have access to practitioners who are even remotely as open-minded or holistic in their approach as Richard and Karilee Shames. While the Shameses are part of a growing body of alternative practitioners who are innovative their diagnosis and treatment of hypothyroidism, the vast majority of patients are still subject to very limited, highly conventional treatment protocols, and a very ingrained doctrine of thyroid treatment. Rigid adherence to TSH tests, "normal ranges" and levothyroxine as the sole treatment is the standard practice, and what standard practice is what is typically covered by HMOs and insurance companies. The Shames' use of TRH, total T3, free T3 and antibodies tests as standard, and their unbiased use of levothyroxine, synthetic T3, or natural thyroid products -- whatever product works best for each individual patient -- are encouraging, but still uncommon among most medical professionals.
But overall, as a thyroid patient advocate, I can wholeheartedly recommend Thyroid Power as an excellent addition to any thyroid patient's bookshelf.
Mary Shomon, Thyroid Patient Advocate, Author of "Living Well With Hypothyroidism: What Your Doctor Doesn't Tell You...That You Need to Know" and Editor of "Sticking Out Our Necks: The Thyroid Disease News Report"
