Dear Mailbase members
Thanks for the interest in my question and for all the contributions
to the discussion.
In conclusion I would summarise the points made as follows:
1. Under the circumstances the request for TFT's was appropriate.
2. Thyroid hormone replacement can be given whilst awaiting the
results of TFT's without harming the patient.
3. Whether TFT's are measured immediately, the next day/working week
depends on the department's equipment and the availability of trained
staff.
4. Interpretation of the results is not straightforward in acutely
ill patients.
5. A protocol for the authorisation of non standard out of hours
requests should be in place.
Regards
John Tovey
Nevill Hall Hospital
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