How's Wilson's Temperature Syndrome
Diagnosed?
The steps
of diagnosis are essentially,
- Does the patient's
story sound typical of Wilson's Temperature Syndrome?
- Is there any other
great explanation for the patient's complaints?
- Is there any reason
the patient shouldn't try the treatment for Wilson's Temperature Syndrome?
- Try the T
3 therapy
protocol for WTS and see how well it works.
Wilson's Temperature Syndrome is largely a diagnosis of exclusion and
is best identified with a therapeutic trial. What does that mean? A "diagnosis of exclusion" is a medical phrase that means
"the condition a patient is likely to be suffering from once some
other possibilities have been ruled out." A "therapeutic trial"
is a medical phrase that means "trying a treatment on a patient
and see how well it works." Doctors recognize and are comfortable
with these terms, and the treatment of WTS is "standard of care" medicine.
Does the patient's story sound typical of
Wilson's Temperature Syndrome?
The best overall description
of WTS, how it comes on, and its typical manifestations in patients'
lives, can be found in the book, Wilson's Temperature Syndrome
-- A Reversible Low Temperature Problem (there is a free web version as well as a paper version). For a list of WTS symptoms please
see the sidebar to the right.
To recap,
- The symptoms of WTS
are classic for low thyroid problems.
- When the symptoms
come on together they are more likely to be related.
- The symptoms often
persist even after the stress has passed.
- Wilson's Temperature Syndrome is characterized by body temperatures that average
below 98.6 measured orally,
typically below 97.8.
- WTS is 4 times more
common in women than men.
- WTS appears to be
more common in certain nationalities (especially those whose ancestors
survived famine) such as American Indian, Irish, Scot, Welsh,
Russian, etc.
- For a complete description
of the syndrome, please see the book, "Wilson's Temperature Syndrome--A
Reversible Low Temperature Problem".
Is
there any other great explanation for the patient's complaints?
Before starting patients
on T3 therapy for Wilson's Temperature Syndrome, it's a good idea to
make sure they don't have any obvious and undiagnosed kidney or
liver disease, anemia, leukemia, diabetes, and other problems that
could explain some of the patients' complaints. This can be accomplished
with standard routine blood tests such as a multichemistry blood
test or panel and a complete blood count (CBC). Depending
on the laboratory, these tests may run about $42 combined.
Other causes of low thyroid
symptoms such as primary and secondary hypothyroidism should also
be ruled out. This can be accomplished by routine T4 and
TSH tests. For an explanation of why Wilson's Temperature Syndrome
is undiagnosable with thyroid blood tests click
here.
Wilson's Temperature Syndrome
is not the only possible explanation of all the symptoms it can
cause, but it is one of the most treatable and "curable". Curable
is in quotes here because although WTS can be corrected, it can
possibly recur. WTS can be thought of as a coping mechanism gone
amuck. As long as that coping mechanism is there (which it will
be) it can become unbalanced again.
Is
there any reason the patient shouldn't try the treatment for Wilson's Temperature Syndrome?
Before patients try the WT3 protocol for WTS it's good to try and rule out obvious problems that
could be made worse with T3 therapy such as an underlying heart
condition or Addison's disease. This can be accomplished with a
history and physical, EKG, and review of the multichemistry test
mentioned above.
Try the WT3 protocol for WTS and see how well it works.
If the symptoms go away with treatment and the symptoms remain improved even after the treatment's
been discontinued, then the patient had Wilson's Temperature Syndrome.
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