{"id":139,"date":"2007-03-12T10:18:12","date_gmt":"2007-03-12T09:18:12","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/03\/12\/bmj-10-mar-2007-vol-334\/"},"modified":"2007-03-12T10:18:12","modified_gmt":"2007-03-12T09:18:12","slug":"bmj-10-mar-2007-vol-334","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/03\/12\/bmj-10-mar-2007-vol-334\/","title":{"rendered":"BMJ  10 Mar 2007  Vol 334"},"content":{"rendered":"<p>Most of the patients in our practice who have been given radioiodine for hyperthyroidism have had at least one course of <a href=\"http:\/\/www.bmj.com\/cgi\/content\/abstract\/334\/7592\/514\">antithyroid drugs<\/a> previously. This meta-analysis shows that such treatment has a <a href=\"http:\/\/www.bmj.com\/cgi\/content\/abstract\/334\/7592\/514\">weak blocking action on the  radioiodine<\/a> if given in the week before or after. I\u2019m not sure what the clinical significance of this might be, and I\u2019m not convinced by the authors\u2019 suggestion that it warrants a large randomised trial.<!--more--><br \/>\nWe all want a <a href=\"http:\/\/www.bmj.com\/cgi\/content\/abstract\/334\/7592\/521\">good death<\/a> and the present structure of the NHS is well adapted to thwart our wishes \u2013 as illustrated by the horror story on p.536, about dying from heart failure. Nobody has done more to find out what dying patients and their carers go through than Marilyn Kendall, the main author of this paper about the difficulties researchers encounter when they enter this territory. I\u2019ve dabbled a little in this field myself, and now my \u201cstar patient<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most of the patients in our practice who have been given radioiodine for hyperthyroidism have had at least one course of antithyroid drugs previously. This meta-analysis shows that such treatment has a weak blocking action on the radioiodine if given in the week before or after. I\u2019m not sure what the clinical significance of this [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/03\/12\/bmj-10-mar-2007-vol-334\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111],"tags":[],"class_list":["post-139","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"jetpack_featured_media_url":"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=139"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/139\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38363"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}