I really am concerned about using HMO’s which require an approval from
your primary care [hysician for treatment by an opthalmologist or
endocrinologist. Some HMO’s are not approving such care if your primary
doctor can treat the disease. It is my opinion, and I havemany, that all
patients with autoimmune diseases should have easy and unlimited access
to specialist care. Thyroid disease, in general, is not respected by
the medical community as a serious disease and they symptoms, which are
numerous and variable are not known in a comprehensive degree by most
physicians. In short, you need the we all need the most educated and
highly trained physicians and those are endocrinologists. Any thing
les could be dangerous. Any other thoughts from anyone elese on this topic??