History of a Doctor

A chronicle, of 40 years with Intracellular Hypothyroidism

Photo from 2010 (age 71): I am older, now

Abstract

Hereunder is an autobiographical report of my own medical history of chronic stress-related Intracellular Hypothyroidism (IH). I describe a 43-year history of steroidopenia and IH, which began at age 40. The step-by-step evolution of the syndrome is laid out chronologically, the eventual cure is explained with reference to detail via my “SUBSTACK” blog and a few supporting references are provided.

Caveats

This post is rather long, because the chronology and the step-by-step progression of the illness described, is of importance in understanding “the bottom line”. If you find it “too much”, scroll down to “retrospective analysis” and read from there, to the end.

This history is put forward without intent to compromise known and accepted methods of management and without a plan to profit in any way from its publication. My intent is to assist others in the prevention or alleviation of this condition. I offer it in the interest of furthering my colleagues’ knowledge of the syndrome from which I suffered for 40 years.

Introduction 

I was born in Montego Bay, Jamaica, in 1939. I was blessed with an extraordinarily stable, supportive and appreciative family, who encouraged me to dependable self-confidence and self-reliance and rendered me extremely steady, stress resistant and subjectively tranquil. I am not subject to “anxiety” as such and have never been depressed. However as one bordering on the autistic spectrum, who instinctively examines all possibilities prior to conclusion and decision, I am admittedly subject to mild apprehension – “Idperceived stress” – in uncertain times and in ill-defined circumstances.

Thus, as all humans do, I increase my cortisol production in response to perceived stress, thereby reducing the rate of (intracellular) conversion of thyroid 4 to thyroid 3, and I must suffer the consequences.

In my case, it took 40 years for chronic stress to “come to a head” and my eventual cure was a matter of good luck, in addition to good management.

The lesson here is that stress is responsible for many, if not most, Illnesses and that there is a way to circumvent and/or eliminate its effects.

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Published by Gervais

I am a Toronto-trained Urologist. I practiced in downtown Toronto, from 1977 to 1997, when I went to Saudi Arabia as chief of Urology at the Armed Forces (teaching) hospital in Tabuk. Returning to Toronto in Y2000, I switched to family practice. In 2007, began to prescribe Hormone Restoration Therapy and in 2012, I became a member of the American Academy of Antiaging Medicine [A4M]. I successfully wrote the A4M's written examination in December, 2013 and In May, 2016 I passed the oral examination, for accreditation as a BHRT consultant. In 2014 I began BHRT practice in Collingwood, Ontario and in January, 2017, joined the Stone Tree Naturopathic Clinic. Now I am 85 and retired, but it seems wasteful to jettison my learning and experience: the medical establishment knows nothing of BHRT / Functonal medicine and I feel obliged to offer my knowledge in the interest of those who are willing to think outside the box. QUALIFICATIONS: MB, BS, (UWI), 1964. LMCC 1969. FRCSC (Urology), 1974. ECFMG 1984. Florida license [inactive], ABAARM 2016. Affiliations: CSAMM, OMA, CMA, SUSO, CUA, RCP&S/C. PRACTICE TO DATE: Consultation in Functional Medicine: Chronic Fatigue Syndrome, Fibromyalgia, Andropause, Menopause, Teenage and Postpartum Depression/Panic Attacks, Thyroid Hormone malfunction, Infertility, Sexual Dysfunction and “the Undiagnosable”. ALL ARE WELCOME to read, comment or question!