Re: Promising Young Doctor!!

[Guest guest]

Oh yeah... forgot to mention, he had no problem with the fact that my

TSH is suppressed to 0.04. I let him know that after the removal of

my thyroid in '98, I had no RAI, and I attribute all my problems

afterward to the fact that my TSH was allowed to be so high. He said

if we keep it suppressed, we should not have any problems with

Hashi's or any leftover tissue. (although he felt of my throat and

was amazed, said the surgeon was good, there was nothing there.)

Did I mention I was impressed with this guy? Next we are working on

getting my husband with the Euthyroid Grave's in there. He's feeling

bad, and having heart palps at night... swears nothing is wrong!!! I

don't think he's very euthyroid.

Don't tell me, I know better!

Cathryn

[Guest guest]

Oh yeah... forgot to mention, he had no problem with the fact that my

TSH is suppressed to 0.04. I let him know that after the removal of

my thyroid in '98, I had no RAI, and I attribute all my problems

afterward to the fact that my TSH was allowed to be so high. He said

if we keep it suppressed, we should not have any problems with

Hashi's or any leftover tissue. (although he felt of my throat and

was amazed, said the surgeon was good, there was nothing there.)

Did I mention I was impressed with this guy? Next we are working on

getting my husband with the Euthyroid Grave's in there. He's feeling

bad, and having heart palps at night... swears nothing is wrong!!! I

don't think he's very euthyroid.

Don't tell me, I know better!

Cathryn

[Guest guest]

Oh yeah... forgot to mention, he had no problem with the fact that my

TSH is suppressed to 0.04. I let him know that after the removal of

my thyroid in '98, I had no RAI, and I attribute all my problems

afterward to the fact that my TSH was allowed to be so high. He said

if we keep it suppressed, we should not have any problems with

Hashi's or any leftover tissue. (although he felt of my throat and

was amazed, said the surgeon was good, there was nothing there.)

Did I mention I was impressed with this guy? Next we are working on

getting my husband with the Euthyroid Grave's in there. He's feeling

bad, and having heart palps at night... swears nothing is wrong!!! I

don't think he's very euthyroid.

Don't tell me, I know better!

Cathryn

[Guest guest]

He asked after I mentioned my low T4, and the desire to add the

synthetic to the Armour. The current Endo is unwilling to mix my

Armour with the synthetics. That was when he asked. I said I

preferred the Armour, and he said he had no problem mixing the two.

I had my thyroid removed due to multinodular goiter, nospace left for

anything else. He asked why I wasn't offered RAI as opposed to

surgery, then I told him about the windpipe and throat being

practically shut off. But from what I know, all my nodules came back

benign... so I AM an ordinary hypo/hashi patient that he is willing

to allow to remain with a suppressed TSH

Cat

> Most docs know that thycans need to keep their TSH suppressed. The

real test will come when an ordinary hypo/hashi patient comes to him

with a suppressed TSH. . . .

>

> What was his reason for asking you if you wanted to switch to

Cytomel? Is that his preference?

>

> And, no, your husband does not sound euthyroid. . . . .

>

[Guest guest]

He asked after I mentioned my low T4, and the desire to add the

synthetic to the Armour. The current Endo is unwilling to mix my

Armour with the synthetics. That was when he asked. I said I

preferred the Armour, and he said he had no problem mixing the two.

I had my thyroid removed due to multinodular goiter, nospace left for

anything else. He asked why I wasn't offered RAI as opposed to

surgery, then I told him about the windpipe and throat being

practically shut off. But from what I know, all my nodules came back

benign... so I AM an ordinary hypo/hashi patient that he is willing

to allow to remain with a suppressed TSH

Cat

> Most docs know that thycans need to keep their TSH suppressed. The

real test will come when an ordinary hypo/hashi patient comes to him

with a suppressed TSH. . . .

>

> What was his reason for asking you if you wanted to switch to

Cytomel? Is that his preference?

>

> And, no, your husband does not sound euthyroid. . . . .

>

[Guest guest]

He asked after I mentioned my low T4, and the desire to add the

synthetic to the Armour. The current Endo is unwilling to mix my

Armour with the synthetics. That was when he asked. I said I

preferred the Armour, and he said he had no problem mixing the two.

I had my thyroid removed due to multinodular goiter, nospace left for

anything else. He asked why I wasn't offered RAI as opposed to

surgery, then I told him about the windpipe and throat being

practically shut off. But from what I know, all my nodules came back

benign... so I AM an ordinary hypo/hashi patient that he is willing

to allow to remain with a suppressed TSH

Cat

> Most docs know that thycans need to keep their TSH suppressed. The

real test will come when an ordinary hypo/hashi patient comes to him

with a suppressed TSH. . . .

>

> What was his reason for asking you if you wanted to switch to

Cytomel? Is that his preference?

>

> And, no, your husband does not sound euthyroid. . . . .

>

[Guest guest]

Okay Cathryn, where IS he?! What area of Texas is he in? Houston I hope?

Nothing like a war torn thyroid victim for a doctor! Nothing!

Promising Young Doctor!!

> Okay, this one looks good! I had a visit with a young man today. He

> is in his early 30's, and quite goodlooking... hey, it doesn't hurt

> to be easy on the eyes!! His name is G. Hickl, M.D. His card

> says Internal Medicine and Diagnosis. I went to him for headaches,

> but ended up discussing my thyroid also.

> Our conversation, readers digest condensed version:

>

> Me: I'm real picky about the way my thyroid issues are treated.

> Doc: Have they been treated the way you wish?

> Me: No.

> Doc: How do you want them treated?

>

> Doh!!! And then he listened... to everything I said. AND had

> intelligent comments and input about all. Then the zinger, the

> reason he is intelligent... He has Graves disease, is post RAI after

> thyroid storm just not too long ago.

>

> He agreed to adding 25mcg Unithroid to my 90mg Armour to see my FT4

> come up. He has no problems mixing synthetics and Armour... asked if

> I wanted to go to cytomel, said I prefer to stick with the Armour, he

> said great. We took blood for labs, will do labs again in 6 - 8

> weeks, and if the FT3 is going too high, we will just drop the Armour

> down to maybe 60mg.

>

> He also ordered tests for B12, Ferritin, Folate, Iron/TIBC. Plus a

> Comprehensive Metabolic Panel and a CBC because of the Topamax I have

> not only taking for two years, but he is increasing to help the

> headaches... but only until the thyroid meds are optimized, he says.

>

> I would say this young man is a very promising thyroid doc, what

> about the rest of you?

>

> Cathryn

[Guest guest]

Okay Cathryn, where IS he?! What area of Texas is he in? Houston I hope?

Nothing like a war torn thyroid victim for a doctor! Nothing!

Promising Young Doctor!!

> Okay, this one looks good! I had a visit with a young man today. He

> is in his early 30's, and quite goodlooking... hey, it doesn't hurt

> to be easy on the eyes!! His name is G. Hickl, M.D. His card

> says Internal Medicine and Diagnosis. I went to him for headaches,

> but ended up discussing my thyroid also.

> Our conversation, readers digest condensed version:

>

> Me: I'm real picky about the way my thyroid issues are treated.

> Doc: Have they been treated the way you wish?

> Me: No.

> Doc: How do you want them treated?

>

> Doh!!! And then he listened... to everything I said. AND had

> intelligent comments and input about all. Then the zinger, the

> reason he is intelligent... He has Graves disease, is post RAI after

> thyroid storm just not too long ago.

>

> He agreed to adding 25mcg Unithroid to my 90mg Armour to see my FT4

> come up. He has no problems mixing synthetics and Armour... asked if

> I wanted to go to cytomel, said I prefer to stick with the Armour, he

> said great. We took blood for labs, will do labs again in 6 - 8

> weeks, and if the FT3 is going too high, we will just drop the Armour

> down to maybe 60mg.

>

> He also ordered tests for B12, Ferritin, Folate, Iron/TIBC. Plus a

> Comprehensive Metabolic Panel and a CBC because of the Topamax I have

> not only taking for two years, but he is increasing to help the

> headaches... but only until the thyroid meds are optimized, he says.

>

> I would say this young man is a very promising thyroid doc, what

> about the rest of you?

>

> Cathryn

[Guest guest]

Okay Cathryn, where IS he?! What area of Texas is he in? Houston I hope?

Nothing like a war torn thyroid victim for a doctor! Nothing!

Promising Young Doctor!!

> Okay, this one looks good! I had a visit with a young man today. He

> is in his early 30's, and quite goodlooking... hey, it doesn't hurt

> to be easy on the eyes!! His name is G. Hickl, M.D. His card

> says Internal Medicine and Diagnosis. I went to him for headaches,

> but ended up discussing my thyroid also.

> Our conversation, readers digest condensed version:

>

> Me: I'm real picky about the way my thyroid issues are treated.

> Doc: Have they been treated the way you wish?

> Me: No.

> Doc: How do you want them treated?

>

> Doh!!! And then he listened... to everything I said. AND had

> intelligent comments and input about all. Then the zinger, the

> reason he is intelligent... He has Graves disease, is post RAI after

> thyroid storm just not too long ago.

>

> He agreed to adding 25mcg Unithroid to my 90mg Armour to see my FT4

> come up. He has no problems mixing synthetics and Armour... asked if

> I wanted to go to cytomel, said I prefer to stick with the Armour, he

> said great. We took blood for labs, will do labs again in 6 - 8

> weeks, and if the FT3 is going too high, we will just drop the Armour

> down to maybe 60mg.

>

> He also ordered tests for B12, Ferritin, Folate, Iron/TIBC. Plus a

> Comprehensive Metabolic Panel and a CBC because of the Topamax I have

> not only taking for two years, but he is increasing to help the

> headaches... but only until the thyroid meds are optimized, he says.

>

> I would say this young man is a very promising thyroid doc, what

> about the rest of you?

>

> Cathryn

[Guest guest]

Sorry, , he's in Dallas, at 3434 Swiss Ave. But you are more than

welcome to come down here and stay with me whenever you'd like to go

see the doc... I have room for you.

Cathryn

P.S. I'll get all his contact info posted tomorrow for you Jan.

> Okay Cathryn, where IS he?! What area of Texas is he in? Houston I

hope?

> Nothing like a war torn thyroid victim for a doctor! Nothing!

>

>

>

[Guest guest]

Sorry, , he's in Dallas, at 3434 Swiss Ave. But you are more than

welcome to come down here and stay with me whenever you'd like to go

see the doc... I have room for you.

Cathryn

P.S. I'll get all his contact info posted tomorrow for you Jan.

> Okay Cathryn, where IS he?! What area of Texas is he in? Houston I

hope?

> Nothing like a war torn thyroid victim for a doctor! Nothing!

>

>

>

[Guest guest]

Sorry, , he's in Dallas, at 3434 Swiss Ave. But you are more than

welcome to come down here and stay with me whenever you'd like to go

see the doc... I have room for you.

Cathryn

P.S. I'll get all his contact info posted tomorrow for you Jan.

> Okay Cathryn, where IS he?! What area of Texas is he in? Houston I

hope?

> Nothing like a war torn thyroid victim for a doctor! Nothing!

>

>

>

[Guest guest]

Here we go:

G. Hickl, M.D.

3434 Swiss Ave, Suite 430

Dallas, TX. 75204

It was really easy to get in to him... I called on a tuesday, was in

by friday. They are in a group of providers called MedProvider, I

believe, who take quite a few different insurance groups. They took

mine, which is Humana Choicecare PPO.

I think he is a GOOD thyroid doctor, because he listened to what I

had to say, and will work with me to optimize my treatments. I feel

I am an informed thyroid patient, and it felt good to talk with a

doctor who did not talk down to me, but rather listened to me, and

agreed with what I was saying. Now, he will become a GREAT thyroid

doctor when he treats the uninformed, new thyroid patient, in the

same manner he has treated me.

Cathryn

> Send me his address and phone number, and I will put him on our

list.

>

[Guest guest]

Another note on this doc. Currently my free T3 sits at the mid to

upper range, while my free T4 is at the very bottom of the normal

range. After about 6 weeks on the Unithroid, we are going to run the

tests again, and compare. If this happens to push my T3 up over

range, and I am having any adverse affects from it, he says we can

just adjust my Armour down to 60 mg from the 90 mg I am currently

on. TSH was not even mentioned.

Cat

Here we go:

> G. Hickl, M.D.

> 3434 Swiss Ave, Suite 430

> Dallas, TX. 75204

>

[Guest guest]

Another note on this doc. Currently my free T3 sits at the mid to

upper range, while my free T4 is at the very bottom of the normal

range. After about 6 weeks on the Unithroid, we are going to run the

tests again, and compare. If this happens to push my T3 up over

range, and I am having any adverse affects from it, he says we can

just adjust my Armour down to 60 mg from the 90 mg I am currently

on. TSH was not even mentioned.

Cat

Here we go:

> G. Hickl, M.D.

> 3434 Swiss Ave, Suite 430

> Dallas, TX. 75204

>

[Guest guest]

Another note on this doc. Currently my free T3 sits at the mid to

upper range, while my free T4 is at the very bottom of the normal

range. After about 6 weeks on the Unithroid, we are going to run the

tests again, and compare. If this happens to push my T3 up over

range, and I am having any adverse affects from it, he says we can

just adjust my Armour down to 60 mg from the 90 mg I am currently

on. TSH was not even mentioned.

Cat

Here we go:

> G. Hickl, M.D.

> 3434 Swiss Ave, Suite 430

> Dallas, TX. 75204

>

[Guest guest]

Got it.

Cat =)

> I would suggest doing any tweaking in 15 mg increments.

>

[Guest guest]

Got it.

Cat =)

> I would suggest doing any tweaking in 15 mg increments.

>

[Guest guest]

Got it.

Cat =)

> I would suggest doing any tweaking in 15 mg increments.

>

[Guest guest]

I was really excited about this doctor (Dr. Hickl) because my

Mother needs a good doctor and I am 99 percent sure that she

desperately needs thyroid replacement. BUT he is not taking any new

Medicare patients. A NEW challenge to add to the thyroid challenge.

It is great to be able to read about doctors and treatments on this

site. Maybe the next one will work out for us. I do plan to keep

calling and see if he ever changes his status about new Medicare

patients. Just wish I lived close to Dallas so I could see him

myself.

So glad you found someone that will help you on this journey.

Jill

> > Okay Cathryn, where IS he?! What area of Texas is he in?

Houston I

> hope?

> > Nothing like a war torn thyroid victim for a doctor! Nothing!

> >

> >

> >

[Guest guest]

My first reply fell off into never-never land so will try again.

I was excited to read about Dr. Hickl in Dallas because my

Mother, who lives close to Dallas, really needs a good doctor and I

am almost certain that she needs thyroid replacement. BUT he is not

taking any new Medicare patients so now there is a new challenge to

contend with. I plan to keep checking and see if his status changes.

Thanks for giving us this information. Maybe the next doctor will

work out. I would go see him myself if I lived close to Dallas.

I am glad that you found a good doctor who will help you in your

journey. It is encouraging to know that some folks are able to get

good medical care.

Jill

> > Okay Cathryn, where IS he?! What area of Texas is he in?

Houston I

> hope?

> > Nothing like a war torn thyroid victim for a doctor! Nothing!

> >

> >

> >